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Rural Health
Resources by Topic: Appalachia

"We're, Like, the Most Unhealthy People in the Country": Using an Equity Lens to Reduce Barriers to Healthy Food Access in Rural Appalachia
Examines barriers and facilitators for accessing healthy food in Martin County, Kentucky. Aims to develop socially-, culturally-, and historically-informed policy, systems, and environmental (PSE) interventions to reduce obesity in Appalachia and other areas.
Author(s): Kathryn Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
Type: Document
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Opioids in Medicaid: Concerns About Opioid Use Among Beneficiaries in Six Appalachian States in 2018
Examines the rates of opioid use of Medicaid beneficiaries in 6 Appalachian states in 2018. Discusses the amount of the prescriptions issued, the amounts of opioids received, and the amount of providers with questionable prescribing practices, among other opioid-related measures.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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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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Appalachian Diseases of Despair
Uses data from the 2018 Multiple Cause of Death database to provide information on mortality from overdose, suicide, and alcoholic liver disease/cirrhosis among people ages 15-64. Includes data and statistics, with information broken down by Appalachian state, region, gender, and metropolitan or nonmetropolitan status.
Author(s): Michael Meit, Megan Heffernan, Erin Tanenbaum, Maggie Cherney, Victoria Hallman
Date: 10/2020
Type: Document
Sponsoring organizations: Appalachian Regional Commission, NORC Walsh Center for Rural Health Analysis
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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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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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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
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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County Economic Status in Appalachia, FY 2021
Map showing levels of economic distress in Appalachian counties based on unemployment rates, income, and poverty levels. Includes interactive map, downloadable map and data files, and data report linked on the right side of the map.
Date: 06/2020
Type: Map/Mapping System
Sponsoring organization: Appalachian Regional Commission
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The Appalachian Region: A Data Overview from the 2014-2018 American Community Survey Chartbook
State- and county-level information on population, age, race and ethnicity, housing occupancy, education, labor force, employment, income, health insurance coverage, disability, and veteran status, for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density.
Additional links: All Report Data, All Report Maps, All Report Tables
Author(s): Kelvin Pollard, Linda A. Jacobsen
Date: 06/2020
Type: Document
Sponsoring organization: Appalachian Regional Commission
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