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Rural Health
Resources by Topic: Appalachia

National Food Affordability: A County-Level Analysis
Explores sociodemographic factors contributing to food affordability, with emphasis on differences between rural and urban areas. Features statistics on select food-related characteristics of U.S. counties, with breakdowns by rural or urban location and by Appalachian or Delta counties and other counties.
Author(s): Anne Cafer, Georgianna Mann, Sujith Ramachandran, Michelle Kaiser
Citation: Preventing Chronic Disease, 15
Date: 09/2018
Type: Document
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Engaging People Who Are Hard to Reach
Discusses the Patient-Centered Outcomes Research Institute's (PCORI) efforts in engaging rural communities in healthcare research. Presents methods for reaching migrant and seasonal farmworker populations, as well as other predominately rural groups.
Author(s): Ivey Wohlfeld
Date: 08/2018
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Assessing Effectiveness and Cost-Benefit of the Trinity Hospital Twin City Fit for Life Program for Weight Loss and Diabetes Prevention in a Rural Midwestern Town
Reports on Fit For Life (FFL), a health education program that works to address the causes of obesity in rural settings and helps program participants lose weight. Highlights discussion on assessing effectiveness, replication, and cost-effectiveness of lifestyle interventions in a rural Appalachian Ohio county. Covers lessons learned and practice implications.
Author(s): Timothy McKnight, Jennifer R. Demuth, Natalie Wilson, Jonathon P. Leider, Alana Knudson
Citation: Preventing Chronic Disease, 15
Date: 08/2018
Type: Document
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Beliefs About Behavioral Determinants of Obesity in Appalachia, 2011-2014
Examines responses from the Health Information National Trends Survey (2011-2014) to compare Appalachian and non-Appalachian individuals on body mass index, beliefs about obesity, and health behaviors. Provides survey respondents' sociodemographic information, including age, sex, race/ethnicity, education, annual household income, and rurality.
Author(s): Elise L. Rice, Minal Patel, Katrina J. Serrano, et al.
Citation: Public Health Reports, 133(4), 379-384
Date: 07/2018
Type: Document
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Kids SIPsmartER: A Feasibility Study to Reduce Sugar-Sweetened Beverage Consumption among Middle School Youth in Central Appalachia
Reports on a study examining a school-based intervention, Kids SIPsmartER, aimed at decreasing sugar-sweetened beverage consumption among middle school students in rural Appalachian Virginia. Includes student demographic data, such as weight, physical activity, sugar-sweetened beverage consumption, and other health factors.
Author(s): Hannah Lane, Kathleen J. Porter, Erin Hecht, et al.
Citation: American Journal of Heath Promotion, 32(6), 1386-1401
Date: 07/2018
Type: Document
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Identifying Bright Spots in Appalachian Health: Statistical Analysis
Describes analysis used in assessing how Appalachia's 420 counties scored in 19 health indicators, and identifies counties with health outcomes that were better than expected. Features statistics and county-level maps showing economic status. Second in a series of reports exploring health issues in Appalachia.
Author(s): G. Mark Holmes, Nancy M. Lane, William Holding, et al.
Date: 07/2018
Type: Document
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Exploring Bright Spots in Appalachian Health: Case Studies
In-depth studies of 10 Appalachian counties with health outcomes that are better than expected, given their characteristics and resources. Identifies actions these areas are taking to improve health and well-being. Features statistics including demographics and health-related data, and maps showing economic status of Appalachian counties. Third in a series of reports exploring health issues in Appalachia.
Author(s): Nancy M. Lane, G. Mark Holmes, Thomas A. Arcury, et al.
Date: 07/2018
Type: Document
Sponsoring organizations: Appalachian Regional Commission, Burness, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Belief About Mandatory School Vaccinations and Vaccination Refusal Among Ohio Appalachian Parents: Do Demographic and Religious Factors, General Health, and Political Affiliation Play a Role?
Details a study on the factors that influence beliefs about mandatory vaccinations in schools in Appalachia. Looks at demographic, health, religious and political factors that correlate with vaccine refusal.
Author(s): Jessica L. Krok-Schoen, Brittany M. Bernardo, Rory C. Weier, et al.
Citation: Journal of Rural Health, 34(3), 283-292
Date: 06/2018
Type: Document
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Peer Mentor Versus Teacher Delivery of a Physical Activity Program on the Effects of BMI and Daily Activity: Protocol of a School-based Group Randomized Controlled Trial in Appalachia
Describes a school-based program utilizing peer mentors to promote health behavior changes and improved health outcomes in rural Appalachian Ohio teens. Explores unique circumstances leading to limited physical activity among Appalachian youth, such as a lack of organized sports and recreational facilities.
Author(s): Lauren H. Smith, Rick L. Petosa, Abigail Shoben
Citation: BMC Public Health, 18, 633
Date: 05/2018
Type: Document
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A Social–Contextual Investigation of Smoking among Rural Women: Multi-level Factors Associated with Smoking Status and Considerations for Cessation
Presents a study of the personal characteristics of women who use tobacco in the Appalachian region of Ohio. Breaks down data by education, marital status, household income, and employment, among other measures.
Author(s): Julianna M Nemeth, Tiffany L Thomson, Bo Lu, et al.
Citation: Rural and Remote Health, 18(1)
Date: 04/2018
Type: Document
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