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Rural Health
Resources by Topic: Appalachia

Appalachian Employment Lagged Rest of United States from 2001 to 2021
Compares growth of employment in Appalachia from 2001-2021 with counties that neighbor Appalachia and counties in the rest of the United States. Features a county-level map with shadings indicating percent change in annual average employment.
Date: 12/2022
Type: Website
Sponsoring organization: Bureau of Labor Statistics
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Adaptation and Study Protocol of the Evidence-based Make Better Choices (Mbc2) Multiple Diet and Activity Change Intervention for a Rural Appalachian Population
Details the development of the Make Better Choices 2 (MBC2) mHealth diet and activity randomized trial and how it is being adapted for rural Appalachia. Outlines the adaptation process conducted in Appalachian Kentucky and subsequent revisions to the recruitment, retention, assessment, and intervention components of the study. Discusses the need for culturally appropriate research to reach underserved populations and achieve health equity.
Author(s): Nancy E. Schoenberg, Deanna Sherman, Angela Fidler Pfammatter, et al.
Citation: BMC Public Health, 22, 2043
Date: 11/2022
Type: Document
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Coal Production and Employment in Appalachia
Examines major trends in coal production and employment in Appalachia between 2000-2020 and assesses how those trends may affect economic performance in the region. Includes a section on health outcomes, with statistics comparing the mortality rate in Appalachian coal counties, Appalachian non-coal counties, and the rest of the United States, as well as the mortality rate in Appalachian coal region subregions.
Date: 09/2022
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Impacts of the COVID-19 Pandemic on a Rural Opioid Support Services Program
Study examining the impacts of the early stages of the COVID-19 pandemic on a rural, nonprofit opioid use disorder (OUD) system support service program located in eastern Kentucky. Describes findings from interviews conducted in early fall 2020 discussing changes to daily life, service access and provision, and financial impacts.
Author(s): Jayme E. Walters, Aubrey E. Jones, Aaron R. Brown, Dorothy Wallis
Citation: International Journal of Environmental Research and Public Health, 19(8), 11164
Date: 09/2022
Type: Document
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The Appalachian Region: A Data Overview from the 2016-2020 American Community Survey Chartbook
State- and county-level information on population, age, race and ethnicity, housing occupancy, education, labor force, employment, 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.
Author(s): Kelvin Pollard, Linda A. Jacobsen
Date: 09/2022
Type: Website
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Type: Document
Sponsoring organization: Consumer Financial Protection Bureau
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Lifetime History of TBI with Loss of Consciousness and Disability among Appalachian and Rural Residents: 2016–2019 Ohio BRFSS
Examines the association between lifetime history of traumatic brain injury (TBI) and disability. Utilizes data from the 2016–2019 Ohio Behavioral Risk Factor Surveillance System (BRFSS) to analyze 16,941 respondents and how TBI and disability are associated with demographic information such as gender, age, race, rural status, and/or Appalachian location.
Author(s): Robyn Feiss, John D. Corrigan, Kele Ding, et al.
Citation: Injury Epidemiology, 9, 25
Date: 08/2022
Type: Document
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Speech Language Pathology and Audiology Workforce in Kentucky
Examines the distribution of speech language pathologists (SLPs) and audiologists (AUDs) across Kentucky. Explores unique challenges faced by rural communities in accessing hearing and speech specialists. Features statistics on numbers of SLPs and AUDs in Kentucky, with breakdowns by Appalachian, rural, urban, and Delta areas.
Author(s): Sydney P. Howard, Melissa Slone, Austin Huff, Frances Feltner
Date: 07/2022
Type: Document
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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Bottled and Well Water Quality in a Small Central Appalachian Community: Household-Level Analysis of Enteric Pathogens, Inorganic Chemicals, and Health Outcomes in Rural Southwest Virginia
Results of a study to characterize and assess household-level water sources, water quality, and associated health outcomes in Central Appalachia. Uses data from surveys and water samples from 9 households in a small rural community without utility-supplied water in southwest Virginia.
Author(s): Leigh-Anne Krometis, Marc Edwards, Teresa Brown, et al.
Citation: International Journal of Environmental Research and Public Health, 19(14), 8610
Date: 07/2022
Type: Document
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BuchananCares Program: A Team-based Care Pilot Led by a Rural Community Hospital and Local Pharmacist
Describes BuchananCares, a collaboration among health professionals from the Appalachian College of Pharmacy, Buchanan General Hospital in rural Virginia, and the Virginia Department of Health. Designed to reduce patient readmissions and improve medication use for patients with COPD, diabetes, heart failure, and pneumonia.
Date: 06/2022
Type: Document
Sponsoring organization: Community Preventive Services Task Force
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