Rural Health
Resources by Topic: Appalachia
An Exploratory Study to Understand How Rurality Status and Demographic Characteristics Are Associated With Enrollment, Engagement, and Retention in a Digital Health Intervention Targeting the Appalachian Region
Explores how rural status is associated with enrollment, retention, and engagement in a digital health intervention aimed at reducing sugar-sweetened beverages in Appalachia. Breaks down data by rurality, sex, income, and education, among other measures.
Author(s): Donna‐Jean P. Brock, Lee M. Ritterband, Wen You, et al.
Citation: Journal of Rural Health, 41(2), e70042
Date: 06/2025
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Explores how rural status is associated with enrollment, retention, and engagement in a digital health intervention aimed at reducing sugar-sweetened beverages in Appalachia. Breaks down data by rurality, sex, income, and education, among other measures.
Author(s): Donna‐Jean P. Brock, Lee M. Ritterband, Wen You, et al.
Citation: Journal of Rural Health, 41(2), e70042
Date: 06/2025
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Maintenance of Sugar-Sweetened Beverage Behaviors Among Adolescents and Their Caregivers: A Cluster Randomized Controlled Trial
Examines intake of sugar-sweetened beverages among rural, Central Appalachian students and their caregivers at 19 months after their participation in the Kids SIPsmartER behavior-change intervention, which focused on reducing intake of sugar-sweetened beverages (SSBs) via classroom-based lessons for middle school students and an SMS strategy for their caregivers.
Author(s): Annie Reid, Wen You, Theresa Markwalter, et al.
Citation: Preventing Chronic Disease, 22, 240520
Date: 06/2025
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Examines intake of sugar-sweetened beverages among rural, Central Appalachian students and their caregivers at 19 months after their participation in the Kids SIPsmartER behavior-change intervention, which focused on reducing intake of sugar-sweetened beverages (SSBs) via classroom-based lessons for middle school students and an SMS strategy for their caregivers.
Author(s): Annie Reid, Wen You, Theresa Markwalter, et al.
Citation: Preventing Chronic Disease, 22, 240520
Date: 06/2025
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County Economic Status in Appalachia, FY 2026
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: 05/2025
Sponsoring organization: Appalachian Regional Commission
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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: 05/2025
Sponsoring organization: Appalachian Regional Commission
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Discreet but Accessible: A Qualitative Study with People Who Use Drugs and Service Staff about the Optimal Design of a Harm Reduction Vending Machine in Rural Kentucky
Analyzes perspectives on harm reduction vending machine (HRVM) access and suitability via interviews with people who use drugs as well as health department and syringe service program (SSP) staff in rural Appalachian Kentucky. Discusses factors influencing the usefulness of HRVMs and their ability to address public health needs such as infectious disease prevention, overdose reduction, and other community benefits.
Author(s): Rachel M. Marschke, April M. Young, Hannah K. Knudsen, Chelsi N. Cheatom, Hannah L. F. Cooper
Citation: Harm Reduction Journal, 22, 88
Date: 05/2025
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Analyzes perspectives on harm reduction vending machine (HRVM) access and suitability via interviews with people who use drugs as well as health department and syringe service program (SSP) staff in rural Appalachian Kentucky. Discusses factors influencing the usefulness of HRVMs and their ability to address public health needs such as infectious disease prevention, overdose reduction, and other community benefits.
Author(s): Rachel M. Marschke, April M. Young, Hannah K. Knudsen, Chelsi N. Cheatom, Hannah L. F. Cooper
Citation: Harm Reduction Journal, 22, 88
Date: 05/2025
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Mechanisms of Resilience and Coping to Intersectional HIV Prevention and Drug-Use Stigma among People who Inject Drugs in Rural Appalachian Ohio
Analyzes perspectives on resilience and coping strategies and behaviors related to stigma reduction and HIV prevention among people who inject drugs (PWID) in rural Appalachian Ohio, utilizing interview data of 35 PWID. Discusses the role of supports for PWID in improving public health outcomes in rural areas.
Author(s): Stacy Endres-Dighe, Ana D. Sucaldito, Renee McDowell, et al.
Citation: Harm Reduction Journal, 22, 18
Date: 02/2025
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Analyzes perspectives on resilience and coping strategies and behaviors related to stigma reduction and HIV prevention among people who inject drugs (PWID) in rural Appalachian Ohio, utilizing interview data of 35 PWID. Discusses the role of supports for PWID in improving public health outcomes in rural areas.
Author(s): Stacy Endres-Dighe, Ana D. Sucaldito, Renee McDowell, et al.
Citation: Harm Reduction Journal, 22, 18
Date: 02/2025
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Community-Engaged Approach to Improve Food Access and Consumption of Fruits and Vegetables in a Rural Appalachian Community
Examines a community advisory board (CAB) in Kentucky consisting of community-academic relationships focused on addressing food security. Discusses the process of forming the CAB, their engagement and contributions, and potential food access solutions that could be implemented in rural Appalachia.
Author(s): Courtney T. Luecking, Makenzie Barr-Porter, Dawn Brewer, Kathryn M. Cardarelli
Citation: Nutrients, 17(3), 431
Date: 01/2025
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Examines a community advisory board (CAB) in Kentucky consisting of community-academic relationships focused on addressing food security. Discusses the process of forming the CAB, their engagement and contributions, and potential food access solutions that could be implemented in rural Appalachia.
Author(s): Courtney T. Luecking, Makenzie Barr-Porter, Dawn Brewer, Kathryn M. Cardarelli
Citation: Nutrients, 17(3), 431
Date: 01/2025
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Impaired Driving Among Rural Appalachian Women in the Year Following Incarceration
Results of a study examining impaired driving following incarceration and predictors of impaired driving in sample of rural Appalachian women with a history of drug use and risky sex. Features demographics and statistics with breakdown by risk factor.
Author(s): J. Matthew Webster, Megan F. Dickson, Shawn M. Jamison, Michele Staton
Citation: Journal of Appalachian Health, 6(4), 105-114
Date: 01/2025
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Results of a study examining impaired driving following incarceration and predictors of impaired driving in sample of rural Appalachian women with a history of drug use and risky sex. Features demographics and statistics with breakdown by risk factor.
Author(s): J. Matthew Webster, Megan F. Dickson, Shawn M. Jamison, Michele Staton
Citation: Journal of Appalachian Health, 6(4), 105-114
Date: 01/2025
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Comparative Outcomes Following Randomization to a Pilot Facebook-Based HIV Prevention Intervention Among Appalachian Women Involved in the Criminal Legal System
Results of a study to determine whether enhancing an HIV prevention intervention with additional modules improves service access for Appalachian women following release from jail. Uses data from surveys conducted between 2019-2022.
Author(s): Megan F. Dickson, Erika Pike, Michele Staton
Citation: Journal of Appalachian Health, 6(4), 81-96
Date: 01/2025
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Results of a study to determine whether enhancing an HIV prevention intervention with additional modules improves service access for Appalachian women following release from jail. Uses data from surveys conducted between 2019-2022.
Author(s): Megan F. Dickson, Erika Pike, Michele Staton
Citation: Journal of Appalachian Health, 6(4), 81-96
Date: 01/2025
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Current Attitudes and Barriers Among Appalachian Patients Towards Orthopaedic Surgery
Describes challenges faced by southern West Virginia rural residents in accessing orthopedic care, due to geographic and socioeconomic barriers. Uses data from 132 electronic surveys collected from patients during an appointment with their primary care provider at an affiliated outreach clinic.
Author(s): Dylan Smith, Justin B. West, Wade Smith, et al.
Citation: Journal of Appalachian Health, 6(4), 67-80
Date: 01/2025
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Describes challenges faced by southern West Virginia rural residents in accessing orthopedic care, due to geographic and socioeconomic barriers. Uses data from 132 electronic surveys collected from patients during an appointment with their primary care provider at an affiliated outreach clinic.
Author(s): Dylan Smith, Justin B. West, Wade Smith, et al.
Citation: Journal of Appalachian Health, 6(4), 67-80
Date: 01/2025
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Investigating Suicide Risk Factors Among Appalachian West Virginian Adults
Results of a study exploring lifetime suicide risk in West Virginia. Identifies factors driving urban-rural differences in suicide risk, using survey data from the 2021 Mountain State Assessment of Trends in Community Health. Features demographics and statistics with breakdown by urban or rural residence.
Author(s): Erin D. Caswell, Angela M. Dyer, Summer D. Hartley
Citation: Journal of Appalachian Health, 6(4), 41-66
Date: 01/2025
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Results of a study exploring lifetime suicide risk in West Virginia. Identifies factors driving urban-rural differences in suicide risk, using survey data from the 2021 Mountain State Assessment of Trends in Community Health. Features demographics and statistics with breakdown by urban or rural residence.
Author(s): Erin D. Caswell, Angela M. Dyer, Summer D. Hartley
Citation: Journal of Appalachian Health, 6(4), 41-66
Date: 01/2025
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