Rural Health
Resources by Topic: Appalachia
The Appalachian Region: A Data Overview from the 2020-2024 American Community Survey Chartbook
Provides state- and county-level information on population, age, household characteristics, housing occupancy, education, labor force, employment, transportation, income, health insurance coverage, disability, and veteran status for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Sara Srygley, Nurfadila Khairunnisa, Diana Elliott
Date: 08/2026
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Provides state- and county-level information on population, age, household characteristics, housing occupancy, education, labor force, employment, transportation, income, health insurance coverage, disability, and veteran status for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Sara Srygley, Nurfadila Khairunnisa, Diana Elliott
Date: 08/2026
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Southward Expansion of Ixodes scapularis (Blacklegged) Tick Pathogens — Western North Carolina, November 2024–August 2025
Reports findings from community-based tick surveillance in Western North Carolina. Discusses the need to improve early diagnosis and reduce transmission of tickborne infections in southern Appalachia, a region where Lyme disease is emerging.
Author(s): Sean Sweeney, Ayla Bullock, Michael Reiskind, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(31), 398-402
Date: 08/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports findings from community-based tick surveillance in Western North Carolina. Discusses the need to improve early diagnosis and reduce transmission of tickborne infections in southern Appalachia, a region where Lyme disease is emerging.
Author(s): Sean Sweeney, Ayla Bullock, Michael Reiskind, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(31), 398-402
Date: 08/2026
Sponsoring organization: Centers for Disease Control and Prevention
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School-Centered Tobacco Retailer Exposure and Neighborhood Opportunity Across Urban and Rural Tennessee
Examines the association between neighborhood opportunity and school-centered tobacco retailer exposure in Tennessee, including differences by rural or urban areas and Appalachian status. Features statistics and county-level maps with shadings showing school-centered tobacco retail exposure and tract-level quintiles of the Child Opportunity Index state percentile.
Author(s): Sima Namin, Jacob Black, Jennifer Ferris, Robert E. Heidel
Citation: Journal of Appalachian Health, 8(2), 29-52
Date: 08/2026
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Examines the association between neighborhood opportunity and school-centered tobacco retailer exposure in Tennessee, including differences by rural or urban areas and Appalachian status. Features statistics and county-level maps with shadings showing school-centered tobacco retail exposure and tract-level quintiles of the Child Opportunity Index state percentile.
Author(s): Sima Namin, Jacob Black, Jennifer Ferris, Robert E. Heidel
Citation: Journal of Appalachian Health, 8(2), 29-52
Date: 08/2026
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Deaths of Despair Among Cancer Survivors in Rural/Urban Appalachia (2000-2022)
Compares deaths of despair trends among adults with cancer across Appalachian and non-Appalachian regions. Features statistics on year-by-year incidence-based mortality rates, with breakdowns by sex, urban or rural location, and region, and mortality rates for these groups in 2000 and 2022.
Author(s): Jason Semprini, Anders Erickson, Nosa Osazuwa-Peters
Citation: Journal of Appalachian Health, 8(2), 14-28
Date: 08/2026
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Compares deaths of despair trends among adults with cancer across Appalachian and non-Appalachian regions. Features statistics on year-by-year incidence-based mortality rates, with breakdowns by sex, urban or rural location, and region, and mortality rates for these groups in 2000 and 2022.
Author(s): Jason Semprini, Anders Erickson, Nosa Osazuwa-Peters
Citation: Journal of Appalachian Health, 8(2), 14-28
Date: 08/2026
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Disparities in Access to Medicare-Approved Medical Specialists in Rural Kentucky
Describes healthcare disparities among rural Kentucky communities by examining the potential distance required to access specialty care. Features statistics with breakdowns by medical specialty and rural, urban, or mixed-designated ZIP codes, and a county-level map with shadings showing county designations based on eligibility for rural healthcare grants through the Department of Health and Human Services.
Author(s): Logan Hurm, Jacob A. Welch, James Adkins
Citation: Journal of Appalachian Health, 8(2), 1-13
Date: 08/2026
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Describes healthcare disparities among rural Kentucky communities by examining the potential distance required to access specialty care. Features statistics with breakdowns by medical specialty and rural, urban, or mixed-designated ZIP codes, and a county-level map with shadings showing county designations based on eligibility for rural healthcare grants through the Department of Health and Human Services.
Author(s): Logan Hurm, Jacob A. Welch, James Adkins
Citation: Journal of Appalachian Health, 8(2), 1-13
Date: 08/2026
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Geographic Access to Low-Dose CT Lung Cancer Screening in Tennessee: Disparities by Socioeconomic Variables, Rurality, and Appalachian Status
Examines access to low-dose computed tomography (LDCT) in Tennessee according to rurality and Appalachian status. Analyzes 198 LDCT sites and provides information on travel time and access to sites as well as demographic breakdown of population according to urban, rural, Appalachian, or non-Appalachian location. Discusses access disparities and solutions to improve access to LDCT screening sites in Tennessee.
Author(s): Sima Namin, Martin Whiteside, R. Eric Heidel, et al.
Citation: Journal of Rural Health, 42(3), e70202
Date: 08/2026
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Examines access to low-dose computed tomography (LDCT) in Tennessee according to rurality and Appalachian status. Analyzes 198 LDCT sites and provides information on travel time and access to sites as well as demographic breakdown of population according to urban, rural, Appalachian, or non-Appalachian location. Discusses access disparities and solutions to improve access to LDCT screening sites in Tennessee.
Author(s): Sima Namin, Martin Whiteside, R. Eric Heidel, et al.
Citation: Journal of Rural Health, 42(3), e70202
Date: 08/2026
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Severe Mental Health Conditions, Fentanyl Injection, and Severe Substance Use Disorders Are Associated with Violent Victimization among Rural Appalachian Adults Who Inject Drugs
Explores the correlation between polyvictimization, having experienced two or more types of violence, and mental health conditions, substance use, and socio-demographic factors among people who inject drugs in rural Appalachia. Breaks down data by types of violence experienced, mental health and substance use history, age, sex, and experience with homelessness, among other measures.
Author(s): Janet K. Otachi, Shawndaya S. Thrasher, Leah A. Munroe, et al.
Citation: The American Journal of Drug and Alcohol Abuse, 52(3), 409-419
Date: 06/2026
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Explores the correlation between polyvictimization, having experienced two or more types of violence, and mental health conditions, substance use, and socio-demographic factors among people who inject drugs in rural Appalachia. Breaks down data by types of violence experienced, mental health and substance use history, age, sex, and experience with homelessness, among other measures.
Author(s): Janet K. Otachi, Shawndaya S. Thrasher, Leah A. Munroe, et al.
Citation: The American Journal of Drug and Alcohol Abuse, 52(3), 409-419
Date: 06/2026
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County Economic Status in Appalachia, FY 2027
Shows levels of economic distress in Appalachian counties based on unemployment rates, income, and poverty levels. Includes interactive map, downloadable maps and data files, and data report.
Date: 06/2026
Sponsoring organization: Appalachian Regional Commission
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Shows levels of economic distress in Appalachian counties based on unemployment rates, income, and poverty levels. Includes interactive map, downloadable maps and data files, and data report.
Date: 06/2026
Sponsoring organization: Appalachian Regional Commission
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Federal Regional Commissions and Authorities (FRCAs): Health-Related Programs
Provides an overview of congressionally authorized federal regional commissions and authorities (FRCAs), state-federal partnerships that use federal funds for economic development grants and related activities. Discusses the relationship between health and economic development. Describes examples of FRCA health-related grant programs and activities, such as healthcare facility development and equipment, workforce development, business technical assistance, and substance use disorder (SUD) treatment. Summarizes recent legislation and policy proposals regarding FRCAs and health, as well as considerations for Congress.
Date: 06/2026
Sponsoring organization: Congressional Research Service
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Provides an overview of congressionally authorized federal regional commissions and authorities (FRCAs), state-federal partnerships that use federal funds for economic development grants and related activities. Discusses the relationship between health and economic development. Describes examples of FRCA health-related grant programs and activities, such as healthcare facility development and equipment, workforce development, business technical assistance, and substance use disorder (SUD) treatment. Summarizes recent legislation and policy proposals regarding FRCAs and health, as well as considerations for Congress.
Date: 06/2026
Sponsoring organization: Congressional Research Service
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From Conversation to Completion: Identifying Conversation Elements to Support Effective Shared Decision-Making for Lung Cancer Screening in Rural Primary Care
Evaluates how aspects of the shared decision-making (SDM) process influence lung cancer screening behaviors and attitudes among rural adults via a survey of 173 rural Appalachian West Virginians. Discusses information sources, provider conversation elements, topics discussed, practical considerations, and more.
Author(s): Dannell Boatman, Bethany Barone Gibbs, Lesley Cottrell, et al.
Citation: BMC Primary Care, 27, 255
Date: 05/2026
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Evaluates how aspects of the shared decision-making (SDM) process influence lung cancer screening behaviors and attitudes among rural adults via a survey of 173 rural Appalachian West Virginians. Discusses information sources, provider conversation elements, topics discussed, practical considerations, and more.
Author(s): Dannell Boatman, Bethany Barone Gibbs, Lesley Cottrell, et al.
Citation: BMC Primary Care, 27, 255
Date: 05/2026
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