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Rural Health
Resources by Topic: Appalachia

Understanding Declining Rates of Drug Overdose Mortality in Eastern Kentucky
Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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How Grayson County is Getting Connected
Discusses efforts to build broadband infrastructure in Grayson County, Virginia in rural Appalachia. Describes the planning process, health implications of broadband access in the county, and advice for communities seeking broadband.
Author(s): AARP Livable Communities
Date: 04/2021
Type: Document
Sponsoring organization: AARP
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Spatial Analysis of Health Care Utilization among Medicare Beneficiaries with Coal Workers' Pneumoconiosis and Other Related Pneumoconiosis
Results of a study to determine and map the geographical distribution of healthcare utilization patterns among 8,625 Medicare beneficiaries with black lung disease (CWP) and other related respiratory diseases from 2011-2014. Features statistics with breakdowns by type of coal work-related disease and county-level maps showing healthcare utilization rates for beneficiaries with CWP or other related pneumoconiosis as the diagnosis.
Author(s): Ahmed A. Arif, Claudio Owusu, Rajib Paul, et al.
Date: 04/2021
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Mapping Climate Risks by County and Community
Features maps depicting county-level data on various climate risks, including sea level rise, exposure to hurricanes and typhoons, extreme rainfall, and water and heat stress. Describes climate concerns facing rural communities, Appalachia, Native American lands, and others. Discusses how heat stress can affect health.
Author(s): Ari Pinkus
Date: 02/2021
Type: Document
Sponsoring organization: American Communities Project
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Ensuring Contact: Calling Rural Appalachian Older Adults During the COVID-19 Epidemic
Presents a study on the well-being and healthcare needs of socially isolated adults 75 years and older during the COVID-19 pandemic in rural West Virginia. Bases conclusions on telephone interviews with seniors from April 1-22, 2020. Breaks down data by demographic characteristics, mental and physical health conditions, and comfort with different forms of communication technology, among other factors.
Author(s): Robert B Walker, Michael Grome, William Rollyson, Adam D Baus
Citation: Rural and Remote Health, 21, 6122
Date: 01/2021
Type: Document
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Claude Worthington Benedum Foundation: Taking a Leadership Role and Building Trust
An interview with Kim Barber Tieman, program director for health and human services for the Claude Worthington Benedum Foundation, sharing how the foundation has responded to the COVID-19 pandemic. Discusses efforts to help West Virginia organizations navigate and apply for federal funding opportunities, support for mobile COVID testing units to better reach communities of color, support for telehealth infrastructure, and a wide range of other activities to help meet the needs of the vulnerable and disenfranchised.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 01/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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COVID-19 and Rural Harm Reduction Challenges in the U.S. Southern Mountains
Explores the relationship between drug use and COVID-19 infections in the Southern Mountains region of Appalachia. Highlights the changes caused by COVID-19 and the challenges harm reduction programs face in providing services, such as syringe exchanges, naloxone access, and COVID-19-related services.
Author(s): Bayla Ostrach, Lesly-Marie Buer, Sam Armbruster, et al.
Citation: Journal of Rural Health, 37(1), 252-255
Date: 01/2021
Type: Document
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2020 Kentucky Dental Workforce Update
Infographic showing numbers of specialists and general dentists licensed in Kentucky as of 2020. Examines maldistribution of Kentucky dentists and specialty dental providers, and features statistics with breakdowns by urban, rural, and Appalachian location.
Author(s): S. P. Thompson, M. Slone, F. Feltner
Date: 2021
Type: Document
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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Cancer Curriculum for Appalachian Kentucky Middle and High School
Results of an online survey sent to 21 science and health teachers in Appalachian Kentucky, consisting of questions on existing cancer education efforts, relevance of cancer education, and feasibility of a curriculum of this type being used in the classroom.
Author(s): Lauren Hudson, Katherine Sharp, Chris Prichard, et al.
Citation: Journal of Appalachian Health, 3(1), 43-55
Date: 2021
Type: Document
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Impact of the COVID-19 Shutdown on Mental Health in Appalachia by Working Status
Results of a study on issues faced by Appalachian residents during the COVID-19-related shutdown in the spring of 2020, including concerns about healthcare and finances, and the effect on mental health. Examines whether there were higher levels of anxiety, fear, and depression among those who continued working outside the home compared with those who began working remotely during the shutdown. Features demographics and statistics on chronic health conditions and types of concerns, with breakdowns by work categories.
Author(s): Erin N. Haynes, Timothy J. Hilbert, Susan C. Westneat, Kate Leger, Katie Keynton
Citation: Journal of Appalachian Health, 3(1), 18-28
Date: 2021
Type: Document
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