Rural Health
Resources by Topic: Appalachia
Geographic Disparities and Temporal Trends in Aggressive Prostate Cancer: A SEER Population-Based Analysis (2004–2022)
Analyzes how the incidence of all prostate cancer and aggressive or metastatic prostate cancer varies by Appalachian or non-Appalachian area, rural or urban dwelling, and race and ethnicity, using 2004-2022 SEER data of 951,965 cases of prostate cancer among men aged 40 years and older.
Author(s): Yifei Xu, Ayush Singh, Eric Li, et al.
Citation: Cancer Causes & Control, 37, 181
Date: 10/2026
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Analyzes how the incidence of all prostate cancer and aggressive or metastatic prostate cancer varies by Appalachian or non-Appalachian area, rural or urban dwelling, and race and ethnicity, using 2004-2022 SEER data of 951,965 cases of prostate cancer among men aged 40 years and older.
Author(s): Yifei Xu, Ayush Singh, Eric Li, et al.
Citation: Cancer Causes & Control, 37, 181
Date: 10/2026
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Digital Breast Tomosynthesis Use, Facility Mammography Volume, and Timely Follow-Up After Abnormal Screening Mammograms in Appalachia, United States
Explores the effect of facility-level characteristics, such as rural versus urban location, and digital breast tomosynthesis (DBT) use on post-screening follow-up times in rural versus urban areas in Appalachia. Breaks down data by facility volume and individual patient characteristics that are associated with follow-up delay.
Author(s): Silas Selorm Daniels-Donkor, Fabian T. Camacho, Gloribel Bonilla, et al.
Citation: Journal of Rural Health, 42(4), e70229
Date: 10/2026
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Explores the effect of facility-level characteristics, such as rural versus urban location, and digital breast tomosynthesis (DBT) use on post-screening follow-up times in rural versus urban areas in Appalachia. Breaks down data by facility volume and individual patient characteristics that are associated with follow-up delay.
Author(s): Silas Selorm Daniels-Donkor, Fabian T. Camacho, Gloribel Bonilla, et al.
Citation: Journal of Rural Health, 42(4), e70229
Date: 10/2026
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Cardiometabolic Outcomes and Program Participation in Prescription for Your Health: A Rural Hospital-Based Wellness Program in Appalachia
Examines the impact of a hospital-based wellness program on participant health in rural West Virginia. Analyzes data from 585 participants related to changes in selected cardiometabolic measures such as weight, blood pressure, cholesterol, and more. Discusses how locally developed hospital-based wellness models can address population health in rural Appalachia.
Author(s): Adam Baus, Anthony Yeager, Julie Carr, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 10/2026
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Examines the impact of a hospital-based wellness program on participant health in rural West Virginia. Analyzes data from 585 participants related to changes in selected cardiometabolic measures such as weight, blood pressure, cholesterol, and more. Discusses how locally developed hospital-based wellness models can address population health in rural Appalachia.
Author(s): Adam Baus, Anthony Yeager, Julie Carr, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 10/2026
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High-Poverty Counties in Appalachia, 1960 and 2020-2024
Maps showing a comparison of high-poverty Appalachian counties in 1960 and 2020-2024.
Date: 09/2026
Sponsoring organization: Appalachian Regional Commission
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Maps showing a comparison of high-poverty Appalachian counties in 1960 and 2020-2024.
Date: 09/2026
Sponsoring organization: Appalachian Regional Commission
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Rural–Urban and Appalachian Disparities in Geographic Access to Colonoscopy and Screening Prevalence Across the Contiguous US
Results of a study comparing access to colonoscopy providers. Features statistics on diagnostic/therapeutic procedures and screening procedures, with breakdowns by rural and urban areas and Appalachian and non-Appalachian areas and by type of colonoscopy provider.
Author(s): Sima Namin, R. Eric Heidel, Martin Whiteside, et al.
Citation: Preventing Chronic Disease, 23
Date: 09/2026
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Results of a study comparing access to colonoscopy providers. Features statistics on diagnostic/therapeutic procedures and screening procedures, with breakdowns by rural and urban areas and Appalachian and non-Appalachian areas and by type of colonoscopy provider.
Author(s): Sima Namin, R. Eric Heidel, Martin Whiteside, et al.
Citation: Preventing Chronic Disease, 23
Date: 09/2026
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Community-Based Participatory Approaches to Improve Diet Quality and Food Security in Rural Appalachia: Outcomes from the Laurel HARVEST Study
Examines the community-based participatory research (CBPR) intervention, Laurel HARVEST (Helping Appalachia Restore a Vibrant Food Environment for Self-Sufficiency, Together), on food security and nutritional quality in rural Appalachian areas of Kentucky. Analyzes follow-up data from 147 participants in the intervention and provides results related to fruit and vegetable intake, healthy eating index (HEI) scores, food security, and more.
Author(s): Makenzie Barr-Porter, Courtney Luecking, Stacey Slone, et al.
Citation: Nutrients, 18(17), 2813
Date: 08/2026
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Examines the community-based participatory research (CBPR) intervention, Laurel HARVEST (Helping Appalachia Restore a Vibrant Food Environment for Self-Sufficiency, Together), on food security and nutritional quality in rural Appalachian areas of Kentucky. Analyzes follow-up data from 147 participants in the intervention and provides results related to fruit and vegetable intake, healthy eating index (HEI) scores, food security, and more.
Author(s): Makenzie Barr-Porter, Courtney Luecking, Stacey Slone, et al.
Citation: Nutrients, 18(17), 2813
Date: 08/2026
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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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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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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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