Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Appalachia

Association Between Insurer Connectivity in Appalachian Population Health Networks and Preventable Hospitalizations: Evidence from Kentucky
Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
Type: Document
view details
A Survey of Behaviors, Beliefs, and Perceptions of COVID-19 in Rural Appalachian Ohio
Presents behaviors, beliefs, and perceptions related to COVID-19 based on a survey administered in a rural Appalachian community. Analyzes 23 responses according demographic information and perceptions surrounding COVID-19.
Author(s): Sanjay K. A. Jinka, Jay P. Natarajan, Matthew Kubina, et al.
Citation: Ohio Journal of Public Health, 6(1)
Date: 08/2023
Type: Document
Sponsoring organization: Ohio Public Health Association
view details
Appalachian Diseases of Despair
Provides information on Appalachian mortality disparities due to overdose, suicide, and alcoholic liver disease/cirrhosis among people ages 15-64. Utilizes data from the 2021 Multiple Cause of Death database broken down by Appalachian state, region, gender, and metropolitan or nonmetropolitan status.
Date: 07/2023
Type: Document
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
view details
Lung and Colorectal Cancer Disparities in Appalachian Kentucky: Spatial Analysis on the Influence of Education and Literacy
Results of a study to explore educational attainment as a risk factor for increased colorectal and lung cancer incidence and mortality in Appalachian and non-Appalachian Kentucky counties. Features county-level maps with shadings indicating prevalence of these cancers and literacy and educational levels.
Author(s): Nicole M. Robertson, Todd Burus, Lauren Hudson, et al.
Citation: International Journal of Environmental Research and Public Health, 20(14), 6363
Date: 07/2023
Type: Document
view details
Advancing Economic Development in Persistent-Poverty Communities
Examines census tracts to identify areas of "persistent poverty," defined as an area with at least a 20% poverty rate for at least 30 years. Discusses the distribution of the persistently poor population between rural and urban areas and highlights specific regions such as the Southeast, Tribal areas, and Appalachia. Outlines contributors to persistent poverty including workforce development, lack of infrastructure, race and ethnicity, economic conditions, and more. Presents 4 case studies, including 2 rural studies, to highlight overall themes and make recommendations for improving conditions in persistently poor locations. Interactive map provides information and data on persistent poverty counties.
Additional links: Executive Summary, Interactive Map
Author(s): August Benzow, Kenan Fikri, Joanne Kim, Daniel Newman
Date: 06/2023
Type: Document
Sponsoring organization: Economic Innovation Group
view details
Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services
Webinar recording presenting key findings from a chartbook that analyzes 41 states in 2021-2022 and identifies places and people in ambulance deserts, defined as locations that are more than 25 minutes from an ambulance station.
Additional links: Presentation Slides, Transcript
Author(s): Yvonne Jonk
Date: 06/2023
Type: Video/Multimedia
Sponsoring organizations: Maine Rural Health Research Center, Rural Health Research Gateway
view details
The Impacts of Opioid Addiction on the Rural Workforce
A recorded webinar that examines how the rural workforce has been impacted by opioid addiction. Discusses issues of healthcare access, poverty, mental health, and farmworker health, along with data on workforce impacts. Includes resources to support opioid recovery and examples of recovery efforts in specific regions, such as Appalachia.
Additional links: Executive Summary, Presentation, Transcript
Author(s): Kellie Kubena, Carol Wetuski, Lauren Wood, et al.
Date: 06/2023
Type: Video/Multimedia
Sponsoring organizations: Appalachian Regional Commission, First Tennessee Development District, Office of Workforce Investment (OWI), U.S. Department of Agriculture
view details
The Appalachian Region: A Data Overview from the 2017-2021 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. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Kelvin Pollard, Sara Srygley, Linda A. Jacobsen
Date: 06/2023
Type: Website
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
view details
Video Brochures in a Mailed Fecal Immunochemical Test Outreach Program Provide Cancer Screening Information in a User-friendly Format for Rural Appalachian Community Members
Presents a study on the efficacy of using a video brochure to provide colorectal cancer (CRC) screening information and instructions for a fecal immunochemical tests (FITs) sent out to rural patients in Appalachian Ohio. Explores the barriers to CRC screening, including the low rates of returning FITs, and discusses the effect the video brochure had on this process.
Author(s): Mira L. Katz, Abigail B. Shoben, Sabrina Newell, et al.
Citation: Journal of Rural Health
Date: 06/2023
Type: Document
view details
Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services
Chartbook presenting data on ambulance deserts from 41 states in 2021-2022, and identifying places and people that are more than 25 minutes from an ambulance station. Include maps of ambulance desert locations and health care facility locations for every state with available data, and documents coverage gaps in the provision of ambulance services across geographic areas across the United States.
Author(s): Yvonne Jonk, Carly Milkowski, Zachariah Croll, Karen Pearson
Date: 05/2023
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details