Rural Health
Resources by Topic: Appalachia
Social Determinants of Sleep Health Inequities Among Rural Appalachian Adults
Evaluates the sociodemographic characteristics, health behaviors, and psychosocial factors of 327 rural Appalachian adults to identify associations with insufficient sleep duration, insomnia, and obstructive sleep apnea risk.
Author(s): Mairead E. Moloney, Emily Slade, Joon Chung
Citation: JAMA Network Open, 9(4)
Date: 04/2026
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Evaluates the sociodemographic characteristics, health behaviors, and psychosocial factors of 327 rural Appalachian adults to identify associations with insufficient sleep duration, insomnia, and obstructive sleep apnea risk.
Author(s): Mairead E. Moloney, Emily Slade, Joon Chung
Citation: JAMA Network Open, 9(4)
Date: 04/2026
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Evaluating the Feasibility and Preliminary Effectiveness of a Tailored Diabetes Education Program for Rural Residents
Uses data collected from 18 Appalachian Kentucky residents enrolled in a 6-week diabetes intervention. Assesses clinical outcomes, knowledge, self-care, attitudes, and social support post intervention.
Author(s): Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby
Citation: Journal of Appalachian Health, 8(1), 69-84.
Date: 04/2026
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Uses data collected from 18 Appalachian Kentucky residents enrolled in a 6-week diabetes intervention. Assesses clinical outcomes, knowledge, self-care, attitudes, and social support post intervention.
Author(s): Brittany L. Smalls, Oluwatosin Leshi, Suraksha Khanal, Grejika E. Abram-Erby
Citation: Journal of Appalachian Health, 8(1), 69-84.
Date: 04/2026
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Exploring Systemic Challenges in the Western North Carolina Dental Safety Net: A Qualitative Analysis
Describes experiences of individuals working within the western North Carolina dental safety net, to identify barriers and strategies required to strengthen delivery of oral health care in high-need rural areas. Based on interviews with 17 oral health stakeholders between June-August 2024.
Author(s): Blaire Mirmow, Bill Milner, Nadia Laniado
Citation: Journal of Appalachian Health, 8(1), 42-59.
Date: 04/2026
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Describes experiences of individuals working within the western North Carolina dental safety net, to identify barriers and strategies required to strengthen delivery of oral health care in high-need rural areas. Based on interviews with 17 oral health stakeholders between June-August 2024.
Author(s): Blaire Mirmow, Bill Milner, Nadia Laniado
Citation: Journal of Appalachian Health, 8(1), 42-59.
Date: 04/2026
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Community Place Attachment as a Significant Correlate of Motivation to Change Substance Use Behavior among Adults who Inject Drugs in Rural U.S.
Explores the role of community place attachment (CPA) in motivating change in substance use behaviors (MCSUB) among 350 people who inject drugs in Appalachian Kentucky. Provides data on the relationship between CPA, MCSUB, and substance use treatment utilization, and discusses belongingness as an asset supporting SUD treatment in rural communities.
Author(s): Janet K. Otachi, Shawndaya S. Thrasher, Keith J. Watts, Juma S. Mwenda, Hilary L. Surratt
Citation: Frontiers in Public Health, 14, 1746203
Date: 03/2026
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Explores the role of community place attachment (CPA) in motivating change in substance use behaviors (MCSUB) among 350 people who inject drugs in Appalachian Kentucky. Provides data on the relationship between CPA, MCSUB, and substance use treatment utilization, and discusses belongingness as an asset supporting SUD treatment in rural communities.
Author(s): Janet K. Otachi, Shawndaya S. Thrasher, Keith J. Watts, Juma S. Mwenda, Hilary L. Surratt
Citation: Frontiers in Public Health, 14, 1746203
Date: 03/2026
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Resilience to Stigma in Medical, Social, and Employment Contexts among People Who Inject Drugs in Rural Ohio: Adapting the 10-Item Connor-Davidson Resilience Scale
Explores the role stigma related to drug use and HIV plays in the lives of people who inject drugs (PWID) and aims to build resilience in medical, social, and employment contexts for PWID in rural Appalachian Ohio. Presents results from a series of interviews and a qualitative survey placing participants on the Connor-Davidson Resilience Scale.
Author(s): Madison N. Enderle, Rebecca H. Neiberg, Stacy M. Endres-Dighe, et al.
Citation: AIDS and Behavior, 30, 894-906
Date: 03/2026
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Explores the role stigma related to drug use and HIV plays in the lives of people who inject drugs (PWID) and aims to build resilience in medical, social, and employment contexts for PWID in rural Appalachian Ohio. Presents results from a series of interviews and a qualitative survey placing participants on the Connor-Davidson Resilience Scale.
Author(s): Madison N. Enderle, Rebecca H. Neiberg, Stacy M. Endres-Dighe, et al.
Citation: AIDS and Behavior, 30, 894-906
Date: 03/2026
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Perceived Water Safety and Elevated Liver Enzymes in Rural West Virginia: Links between Drinking Water, Beverage Habits, and Liver Health
Analyzes associations between perceived home tap water quality, liver enzyme levels, and other clinical indicators among 272 adults in rural West Virginia. Discusses how perceived environmental health and access to affordable filtration may influence health outcomes in rural, Appalachian areas.
Author(s): Joanna Bailey, Terezia Lilly, Adam D. Baus
Citation: Rural and Remote Health, 26(1)
Date: 02/2026
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Analyzes associations between perceived home tap water quality, liver enzyme levels, and other clinical indicators among 272 adults in rural West Virginia. Discusses how perceived environmental health and access to affordable filtration may influence health outcomes in rural, Appalachian areas.
Author(s): Joanna Bailey, Terezia Lilly, Adam D. Baus
Citation: Rural and Remote Health, 26(1)
Date: 02/2026
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Clinical and Demographic Characteristics of Participants in a Hepatitis C Treatment Trial in Rural Kentucky: How Policies Around Treatment Access May Impact Elimination Efforts in the United States
Examines characteristics and drug use patterns of the participants in the Kentucky Viral Hepatitis C Treatment (KeY Treat) trial, which focuses on improving access to direct acting antiviral (DAA) drugs to treat the hepatitis C virus (HCV). Discuses Medicaid policy related to DAA treatment of HCV in a rural, Appalachian community in Kentucky.
Author(s): Jennifer R. Havens, Brittney D. Williams, Takako Schaninger, et al.
Citation: Journal of Rural Health, 42(1), e70128
Date: 02/2026
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Examines characteristics and drug use patterns of the participants in the Kentucky Viral Hepatitis C Treatment (KeY Treat) trial, which focuses on improving access to direct acting antiviral (DAA) drugs to treat the hepatitis C virus (HCV). Discuses Medicaid policy related to DAA treatment of HCV in a rural, Appalachian community in Kentucky.
Author(s): Jennifer R. Havens, Brittney D. Williams, Takako Schaninger, et al.
Citation: Journal of Rural Health, 42(1), e70128
Date: 02/2026
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The Interaction of Tobacco Retailer Density and Rurality with Tobacco Use Prevalence in Kentucky
Explores the relationship between the prevalence of tobacco retailers and rates of tobacco use in rural counties in Kentucky. Highlights rates of smoking and smokeless tobacco use by county retailer density.
Author(s): Shyanika W. Rose, W. Jay Christian, Judy van de Venne, et al.
Citation: Journal of Rural Health, 42(1), e70106
Date: 01/2026
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Explores the relationship between the prevalence of tobacco retailers and rates of tobacco use in rural counties in Kentucky. Highlights rates of smoking and smokeless tobacco use by county retailer density.
Author(s): Shyanika W. Rose, W. Jay Christian, Judy van de Venne, et al.
Citation: Journal of Rural Health, 42(1), e70106
Date: 01/2026
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Patient, Facility, and Community Determinants of Timely Follow up after Abnormal Screening Mammograms in Appalachia: A Multilevel Analysis
Examines the impact of community, patient, and facility characteristics on mammogram screening access, mammogram recall, and biopsy rates in 5 Appalachian states. Utilizes 2016-2018 Medicare claims data from breast imaging organizations to analyze characteristics of mammogram care, providing sociodemographic breakdowns and metro versus rural comparisons.
Author(s): Roger T. Anderson, Marianne M. Hillemeier, Jennifer A. Harvey, et al.
Citation: Journal of Rural Health, 42(1), e70104
Date: 01/2026
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Examines the impact of community, patient, and facility characteristics on mammogram screening access, mammogram recall, and biopsy rates in 5 Appalachian states. Utilizes 2016-2018 Medicare claims data from breast imaging organizations to analyze characteristics of mammogram care, providing sociodemographic breakdowns and metro versus rural comparisons.
Author(s): Roger T. Anderson, Marianne M. Hillemeier, Jennifer A. Harvey, et al.
Citation: Journal of Rural Health, 42(1), e70104
Date: 01/2026
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Leveraging Community Health Workers' Deep Community Knowledge to Address Food and Nutrition Security in Appalachia
Examines professional characteristics and knowledge of rural Appalachian community health workers in Kentucky and West Virginia, based on data from online surveys and phone interviews conducted from January to May 2019. Identifies culturally sensitive practices around food insecurity.
Author(s): Alexis Kimbro Scott, Melissa D. Olfert, Dawn Brewer, Makenzie Barr, Julie Plasencia
Citation: Journal of Appalachian Health, 7(4), 89-99
Date: 12/2025
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Examines professional characteristics and knowledge of rural Appalachian community health workers in Kentucky and West Virginia, based on data from online surveys and phone interviews conducted from January to May 2019. Identifies culturally sensitive practices around food insecurity.
Author(s): Alexis Kimbro Scott, Melissa D. Olfert, Dawn Brewer, Makenzie Barr, Julie Plasencia
Citation: Journal of Appalachian Health, 7(4), 89-99
Date: 12/2025
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