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Rural Health
Resources by Topic: Appalachia

Accountable Health Communities Model - Two Rural Participants' Experiences
Describes how two health systems, Ballard Health and Rocky Mountain Health Plan, implemented the Accountable Health Communities Model to address health-related social needs of rural Medicare, Medicaid, and dual-eligible beneficiaries. Discusses challenges each system faced while implementing the model.
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Value
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Willingness to Participate in At-Home HIV Testing Among Young Adults Who Use Opioids in Rural Appalachia
Explores a study on the willingness of people who use drugs to take at-home HIV tests in rural Appalachian Kentucky. Breaks down data by participant's age, gender, and syringe usage, among others.
Author(s): April M. Ballard, Regine Haardöerfer, Nadya Prood, et al.
Citation: AIDS and Behavior, 25, 699-708
Date: 09/2020
Type: Document
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Health Policy Brief: Adverse Childhood Experiences (ACEs) Health Impact of ACEs in Ohio
Examines the impact of adverse childhood experiences (ACEs) on health and wellbeing of Ohio residents and provides a state map that examines ACE prevalence by region. Includes discussions about the potential adverse consequences of ACEs as well as the percentage of residents who have experienced multiple ACEs, broken down by urban, suburban, Appalachian, non-Appalachian, and rural county.
Date: 08/2020
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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A Profile of Substance Use in Ohio: 2019 Update
Reports on the prevalence of tobacco, alcohol, and drug use among adults in Ohio, based on 3 sets of survey data, including the 2019 Ohio Medicaid Assessment Survey (OMAS). Provides information on substance use broken down by rural Appalachian, rural non-Appalachian, suburban, and metropolitan county types.
Author(s): Megan Roberts, Nathan Doogan, Amy Ferketich, et al.
Date: 08/2020
Type: Document
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio Department of Aging, Ohio Department of Health, Ohio Department of Medicaid, Ohio Department of Mental Health and Addiction Services
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Geographic Variation in the Structure of Kentucky's Population Health Systems: An Urban, Rural, and Appalachian Comparison
Examines differences in key characteristics of population health systems in Kentucky, using data from a 2018 statewide survey of community networks. Features statistics on implementation of population health activities, with breakdowns by urban, rural non-Appalachian, and rural Appalachian public health jurisdictions.
Author(s): Rachel Hogg-Graham, Angela Carman, Glen P. Mays, Pierre Martin Dominique Zephyr
Citation: Journal of Appalachian Health, 2(3), 14-25
Date: 07/2020
Type: Document
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Availability of Health Insurance Literacy Resources Fails to Meet Consumer Needs in Rural, Appalachian Communities: Implications for State Medicaid Waivers
Reports on the availability of health system and community‐based programs promoting health insurance literacy and supporting informed consumer healthcare decision making in rural Kentucky. Findings are based on focus groups and interviews conducted with healthcare providers, community health workers, patient navigators, and others primarily serving rural Appalachian counties in the state.
Author(s): Jean Edward, Robin Thompson, Andrea Jaramillo
Citation: Journal of Rural Health
Date: 06/2020
Type: Document
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Spatial Patterns in Prostate Cancer-Specific Mortality in Pennsylvania Using Pennsylvania Cancer Registry Data, 2004–2014
Analyzes data from the Pennsylvania Cancer Registry between 2004 and 2014 to examine the mortality risk of prostate cancer for men aged 40 or older living in rural and urban Appalachian areas in Pennsylvania.
Author(s): Ming Wang, Emily Wasserman, Nathaniel Geyer, et al.
Citation: BMC Cancer, 20, 394
Date: 05/2020
Type: Document
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#CRCFREE: Using Social Media to Reduce Colorectal Cancer Risk in Rural Adults
Results of a study to examine the applicability, feasibility, efficacy, and acceptability of #CRCFree, a 12-week Facebook-based intervention intended to reduce multiple risk factors for colorectal cancer (CRC) in rural Appalachian adults aged 50 or more who are at risk for CRC. Features demographics and statistics on changes in CRC risk factors during the course of the intervention.
Author(s): Kaitlin Voigts Key, Adebola Adegboyega, Heather Bush, et al.
Citation: American Journal of Health Behavior, 44(3), 353-363
Date: 05/2020
Type: Document
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An Evaluation of Appalachian Regional Commission Funding of Drinking Water and Wastewater Infrastructure Projects: Fiscal Year 2009-Fiscal Year 2016
Assesses 379 drinking water and wastewater infrastructure projects funded by the Appalachian Regional Commission (ARC) in fiscal year (FY) 2009 to FY 2016 to benefit communities in all 13 Appalachian states. Offers discussion on the impact of ARC-funded projects on communities, including increased employment opportunities, household benefits, improved public health, and more. Provides background information, challenges, and outcomes for various projects completed before the end of FY 2018.
Author(s): Jeff Hughes, Maureen Berner, Austin Thompson, et al.
Date: 05/2020
Type: Document
Sponsoring organizations: Appalachian Regional Commission, The University of North Carolina Environmental Finance Center
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Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use by County and Rural-Urban Classification — United States, 2017
Examines self-reported prevalence of diagnosed hypertension and antihypertensive medication use. Includes data for metropolitan, micropolitan, and noncore (rural) areas. Also discusses geographic trends at the county level, with maps showing county-level hypertension prevalence and medication use. Highlights higher prevalence of hypertension in the Southeast, Appalachia, and the Great Plains.
Author(s): Claudine M. Samanic, Kamil E. Barbour, Yong Liu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(18), 533-539
Date: 05/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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