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Resources by Topic: Appalachia

Designing a Framework for Remote Cancer Care Through Community Co-Design: Participatory Development Study
Explores the design and implementation of a framework to provide telemedicine cancer care in urban and rural areas of Kentucky. Addresses issues of health disparities and lack of broadband access in geographic areas such as Appalachia. Provides examples of participatory and co-design processes to create telemedicine options and engage communities.
Author(s): Eliah Aronoff-Spencer, Melanie McComsey, Ming-Yuan Chih, et al.
Citation: Journal of Medical Internet Research, 24(4)
Date: 04/2022
Type: Document
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Agriculture and Local Food Economies in the Appalachian Region
Discusses Appalachia's food systems based on the United States Department of Agriculture's (USDA) 2017 Census of Agriculture, highlighting the connection to economic and community development, environmental health and safety, and public health. Provides case studies of food banks that improve community access to food as well as produce prescription programs that help treat chronic diseases and promote community health.
Date: 04/2022
Type: Document
Sponsoring organization: Appalachian Regional Commission
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The Impact of a Grocery Store Closure in One Rural Highly Obese Appalachian Community on Shopping Behavior and Dietary Intake
Results of telephone surveys of people in Martin County, Kentucky, a highly obese community in which healthy food accessibility is scarce and which experienced the closure of a local grocery store in January 2020. Includes demographics for the participants, and compares their food shopping habits at the time of the initial contact with those at the time of a follow-up survey a year later.
Author(s): Rachel Gillespie, Emily DeWitt, Stacey Slone, Kathryn Cardarelli, Alison Gustafson
Citation: International Journal of Environmental Research and Public Health, 19(6), 3506
Date: 03/2022
Type: Document
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Predictors of Mortality for Patients with COVID-19 in the Rural Appalachian Region
Examines patient mortality related to COVID-19 between April 5, 2020 to December 31, 2020 based on data from 13 facilities in the Appalachian Regional Healthcare system. Discusses aging population, comorbidities, and health-related behaviors common in rural populations that increase COVID-19 risks. Includes survival and mortality statistics broken down according to demographic and clinical characteristics, serum biomarkers, and treatments.
Author(s): Huzefa Bhopalwala, Nakeya Dewaswala, Sandhya Kolagatla, et al.
Citation: International Journal of General Medicine, 15, 2207-2214
Date: 02/2022
Type: Document
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A Cluster Randomized Controlled Trial for a Multi-Level, Clinic-Based Smoking Cessation Program with Women in Appalachian Communities: Study Protocol for the "Break Free" Program
Results of a study to increase smoking cessation among women living rural Appalachia, by embedding a smoking cessation program within a larger cervical cancer prevention program. Uses data from focus groups comprising 510 women from West Virginia, Ohio, Kentucky, and Virginia.
Author(s): Joanne G. Patterson, Tia N. Borger, Jessica L. Burris, et al.
Citation: Addiction Science & Clinical Practice, 17(11)
Date: 02/2022
Type: Document
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Appalachian Regional Commission Performance & Accountability Report: Fiscal Year 2021
Provides an overview of the Appalachian Regional Commission's (ARC) projects from 2021 that develop economy, promote education and healthy living, invest in infrastructure, strengthen natural and cultural heritage, and build capacity in the Appalachian region. Includes healthcare-focused discussions about opioid use, healthcare grants, healthcare workforce, and more.
Date: 01/2022
Type: Document
Sponsoring organization: Appalachian Regional Commission
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A Qualitative Study on Pharmacy Policies Toward Over-the-Counter Syringe Sales in a Rural Epicenter of US Drug-Related Epidemics
Examines pharmacy over-the-counter (OTC) policies and pharmacists' rationale for, and barriers and facilitators to, OTC syringe sales in a rural Appalachian Kentucky area hard hit by drug-related epidemics. Uses data collected from interviews with 14 pharmacists between February 2018 and January 2019.
Author(s): Monica Fadanelli, Hannah L. F. Cooper, Patricia R. Freeman, et al.
Citation: Harm Reduction Journal, 19(1)
Date: 01/2022
Type: Document
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Achieving Excellence in Cancer Diagnosis Proceedings of a Workshop—in Brief
Highlights discussions from a virtual workshop focused on improving cancer diagnosis. Includes information on addressing disparities in diagnosis and access to care, including disparities for rural populations. Features a cancer screening and diagnosis program serving rural Appalachia, describing the challenges faced and strategies used, including the use of a mobile screening unit.
Author(s): Board on Health Care Services
Date: 2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Through the Lens: Youth Experiences with Cancer in Rural Appalachian Kentucky Using Photovoice
Study examining a group of Appalachian Kentucky youth's recognition of cancer disparities in their communities through photography. Analyzes visual themes in participant submissions, including risk factors related to cancer-causing substances, products, or diets, community awareness and support, and healthcare, among other themes.
Author(s): Katie Gaines, Courtney Martin, Chris Prichard, Nathan L. Vanderford
Citation: International Journal of Environmental Research and Public Health, 19(1), 205
Date: 12/2021
Type: Document
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Policy Implications of the COVID-19 Pandemic on Food Insecurity in Rural America: Evidence from Appalachia
Study examining food access during the COVID-19 pandemic in a rural Appalachian community in Kentucky, based on qualitative data from 5 focus groups. Discusses food scarcity, supply chain disruptions, federal food assistance, community food resources, and home gardening, and highlights policy implications related to federal programs and social determinants of health.
Author(s): Kathryn M. Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: International Journal of Environmental Research and Public Health, 18(23), 12792
Date: 12/2021
Type: Document
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