Rural Health
Resources by Topic: Appalachia
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
2025 Kentucky Drug Overdose Fatality Report
Offers statistics on drug overdose deaths in Kentucky in 2025, based on autopsy and toxicology reports. Features demographics and statistics with breakdowns by type of drug and age-adjusted mortality rates by county. Includes county-level maps with shadings indicating numbers of deaths involving methamphetamine and fentanyl, and markings to show Appalachian counties.
Author(s): Meghan Steel, Mira Mirzaian, Lara Daniels
Date: 04/2026
Sponsoring organizations: Kentucky Injury Prevention and Research Center, Kentucky Public Health Association, Team Kentucky Justice and Public Safety Cabinet, University of Kentucky College of Public Health
view details
Offers statistics on drug overdose deaths in Kentucky in 2025, based on autopsy and toxicology reports. Features demographics and statistics with breakdowns by type of drug and age-adjusted mortality rates by county. Includes county-level maps with shadings indicating numbers of deaths involving methamphetamine and fentanyl, and markings to show Appalachian counties.
Author(s): Meghan Steel, Mira Mirzaian, Lara Daniels
Date: 04/2026
Sponsoring organizations: Kentucky Injury Prevention and Research Center, Kentucky Public Health Association, Team Kentucky Justice and Public Safety Cabinet, University of Kentucky College of Public Health
view details
Factors Associated With Mortality in Appalachian Nursing Homes During the COVID-19 Pandemic
Examines neighborhood characteristics related to Appalachian nursing home (NH) mortality during the COVID-19 pandemic. Analyzes 1,259 NHs in Appalachia for COVID-19 death rates and overall mortality, with breakdowns according to NH characteristics, patient sociodemographics, and rurality.
Author(s): Erica Gigas, Baiming Zou, Lorinda A Coombs, et al.
Citation: The Permanente Journal, 1-9
Date: 04/2026
view details
Examines neighborhood characteristics related to Appalachian nursing home (NH) mortality during the COVID-19 pandemic. Analyzes 1,259 NHs in Appalachia for COVID-19 death rates and overall mortality, with breakdowns according to NH characteristics, patient sociodemographics, and rurality.
Author(s): Erica Gigas, Baiming Zou, Lorinda A Coombs, et al.
Citation: The Permanente Journal, 1-9
Date: 04/2026
view details