Rural Health
Resources by Topic: Appalachia
Appalachian Diseases of Despair
Provides information on Appalachian mortality disparities due to overdose, suicide, and alcoholic liver disease/cirrhosis among people ages 15-64. Utilizes data from the 2022 Multiple Cause of Death database broken down by Appalachian state, region, gender, and metropolitan or nonmetropolitan status.
Date: 08/2024
Type: Document
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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Provides information on Appalachian mortality disparities due to overdose, suicide, and alcoholic liver disease/cirrhosis among people ages 15-64. Utilizes data from the 2022 Multiple Cause of Death database broken down by Appalachian state, region, gender, and metropolitan or nonmetropolitan status.
Date: 08/2024
Type: Document
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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Palliative Care for Patients with Heart Failure and Family Caregivers in Rural Appalachia: A Randomized Controlled Trial
Evaluates FamPALcare, a telephone coaching intervention for family caregivers who provide palliative care to patients with heart failure (HF) in rural Appalachia. Provides data on patients' HF-related physical health and depression/anxiety, caregivers' caregiving burden and depression/anxiety, and intervention helpfulness at 3 and 6 months.
Author(s): Ubolrat Piamjariyakul, Angel Smothers, Kesheng Wang, et al.
Citation: BMC Palliative Care, 23, 199
Date: 08/2024
Type: Document
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Evaluates FamPALcare, a telephone coaching intervention for family caregivers who provide palliative care to patients with heart failure (HF) in rural Appalachia. Provides data on patients' HF-related physical health and depression/anxiety, caregivers' caregiving burden and depression/anxiety, and intervention helpfulness at 3 and 6 months.
Author(s): Ubolrat Piamjariyakul, Angel Smothers, Kesheng Wang, et al.
Citation: BMC Palliative Care, 23, 199
Date: 08/2024
Type: Document
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Community-Level Factors and their Associations with Changing Opioid Overdose Fatality Rates in Kentucky, 2019–2021
Identifies associations between community-level factors and opioid overdose fatality rates in Appalachian and non-Appalachian Kentucky counties, and examines how these associations have changed from 2019 to 2021. Discusses societal changes that occurred due to COVID-19, including social isolation, and which may be linked to an increase in overdose deaths. Features statistics with breakdowns by metropolitan, adjacent-to-metropolitan, and nonmetropolitan areas.
Author(s): Shawn R. Nigam, Philip M. Westgate, Svetla Slavova, Rachel Vickers-Smith, Katherine L. Thompson
Citation: Journal of Appalachian Health, 6(1), 90-115
Date: 07/2024
Type: Document
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Identifies associations between community-level factors and opioid overdose fatality rates in Appalachian and non-Appalachian Kentucky counties, and examines how these associations have changed from 2019 to 2021. Discusses societal changes that occurred due to COVID-19, including social isolation, and which may be linked to an increase in overdose deaths. Features statistics with breakdowns by metropolitan, adjacent-to-metropolitan, and nonmetropolitan areas.
Author(s): Shawn R. Nigam, Philip M. Westgate, Svetla Slavova, Rachel Vickers-Smith, Katherine L. Thompson
Citation: Journal of Appalachian Health, 6(1), 90-115
Date: 07/2024
Type: Document
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Feasibility and Efficacy of a Novel Audiovisual Tool to Increase Colorectal Cancer Screening among Rural Appalachian Kentucky Adults
Examines an audiovisual tool to improve understanding of fecal immunochemical tests (FIT) directions and assesses the tool's feasibility, acceptability, and efficacy in an Appalachian population of Kentucky. Utilizes survey data and focus group feedback from 692 individuals to examine FIT completion. Discusses colorectal cancer (CRC) incidence and mortality and strategies to improve screening.
Author(s): Aaron J. Kruse-Diehr, Derek Cegelka, Elizabeth Holtsclaw, et al.
Citation: Public Health, 12
Date: 07/2024
Type: Document
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Examines an audiovisual tool to improve understanding of fecal immunochemical tests (FIT) directions and assesses the tool's feasibility, acceptability, and efficacy in an Appalachian population of Kentucky. Utilizes survey data and focus group feedback from 692 individuals to examine FIT completion. Discusses colorectal cancer (CRC) incidence and mortality and strategies to improve screening.
Author(s): Aaron J. Kruse-Diehr, Derek Cegelka, Elizabeth Holtsclaw, et al.
Citation: Public Health, 12
Date: 07/2024
Type: Document
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Social Induction via a Social Behavioral Intervention on Changes in Metabolic Risk Factors: A Randomized Controlled Trial in Rural Appalachia, United States
Examines the effects of a social network intervention on metabolic health in rural, Appalachian Kentucky. Presents data of 301 participants, including data on change in body weight, waist circumference, mean arterial blood pressure, and other cardiovascular and metabolic health indicators. Evaluates the relationship between social networks, health behaviors, and physical health outcomes.
Author(s): Eric L. Ding, Kathleen T. Watson, Leila Makarechi, et al.
Citation: Mayo Clinic Proceedings, 99(7), 1058-1077
Date: 07/2024
Type: Document
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Examines the effects of a social network intervention on metabolic health in rural, Appalachian Kentucky. Presents data of 301 participants, including data on change in body weight, waist circumference, mean arterial blood pressure, and other cardiovascular and metabolic health indicators. Evaluates the relationship between social networks, health behaviors, and physical health outcomes.
Author(s): Eric L. Ding, Kathleen T. Watson, Leila Makarechi, et al.
Citation: Mayo Clinic Proceedings, 99(7), 1058-1077
Date: 07/2024
Type: Document
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County Economic Status in Appalachia, FY 2025
Map showing 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: 06/2024
Type: Map/Mapping System
Sponsoring organization: Appalachian Regional Commission
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Map showing 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: 06/2024
Type: Map/Mapping System
Sponsoring organization: Appalachian Regional Commission
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The Appalachian Region: A Data Overview from the 2018-2022 American Community Survey Chartbook
State- and county-level information on population, age, race and ethnicity, 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: 06/2024
Type: Website
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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State- and county-level information on population, age, race and ethnicity, 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: 06/2024
Type: Website
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Is Peer Support a Tipping Point for the Opioid Use Disorder Crisis in Appalachia? Research Holds the Answer
Investigates how the relationship among cultural, socioeconomic, medical, and geographic factors in Central Appalachia create additional burdens for opioid use recovery. Analyzes the effectiveness of medications for opioid use disorder and peer recovery support services, providing recommendations to address opioid use disorder in Appalachia.
Author(s): Kimberly Horn, Stephanie M. Mathis, Lara Nagle, et al.
Citation: Harm Reduction, 21, 122
Date: 06/2024
Type: Document
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Investigates how the relationship among cultural, socioeconomic, medical, and geographic factors in Central Appalachia create additional burdens for opioid use recovery. Analyzes the effectiveness of medications for opioid use disorder and peer recovery support services, providing recommendations to address opioid use disorder in Appalachia.
Author(s): Kimberly Horn, Stephanie M. Mathis, Lara Nagle, et al.
Citation: Harm Reduction, 21, 122
Date: 06/2024
Type: Document
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A Sentiment and Keyword Analysis of College Food Pantry Stigma Among Users and Nonusers
Analyzes food pantry stigma among college students at a rural Appalachian university. Examines responses from an online survey that provides information on student food insecurity, demographic information, stigma associated with food pantry use, and more.
Author(s): Alisa T. Duong, Ayron E. Walker, Amanda R. Bossert, Matthew E. Arnold
Citation: Journal of Agriculture, Food Systems, and Community Development, 11(2), 285-299
Date: 06/2024
Type: Document
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Analyzes food pantry stigma among college students at a rural Appalachian university. Examines responses from an online survey that provides information on student food insecurity, demographic information, stigma associated with food pantry use, and more.
Author(s): Alisa T. Duong, Ayron E. Walker, Amanda R. Bossert, Matthew E. Arnold
Citation: Journal of Agriculture, Food Systems, and Community Development, 11(2), 285-299
Date: 06/2024
Type: Document
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Partnerships to Establish and Sustain Rural GME: Q and A with Randy Longenecker, MD
Interview with Randy Longenecker, founding executive director of the RTT Collaborative, now called the Rural Medical Training Collaborative. Explores the history of efforts to address physician shortages in rural Appalachian Ohio and discusses challenges in developing and sustaining rural graduate medical education partnerships and experiences.
Date: 06/2024
Type: Document
Sponsoring organization: Accreditation Council for Graduate Medical Education
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Interview with Randy Longenecker, founding executive director of the RTT Collaborative, now called the Rural Medical Training Collaborative. Explores the history of efforts to address physician shortages in rural Appalachian Ohio and discusses challenges in developing and sustaining rural graduate medical education partnerships and experiences.
Date: 06/2024
Type: Document
Sponsoring organization: Accreditation Council for Graduate Medical Education
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