Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Appalachia

The Paradox of High Greenness and Poor Health in Rural Central Appalachia
Examines the environmental, socioeconomic, and psychological/behavioral factors that result in poor health in rural central Appalachia despite the availability of green areas. Includes discussion about the factors that attenuate or overwhelm potential health benefits of greenness for Appalachian citizens.
Author(s): Jiaying Dong, Matthew H E M Browning, Aaron Reuben, et al.
Citation: Environmental Research, 248, 118400
Date: 05/2024
Type: Document
view details
Moving Toward Equity: An Evaluation Toolkit
Discusses how equity is connected to health outcomes for Ohio citizens and ways public health partners can evaluate progress when implementing initiatives to improve equity for disadvantaged populations, including those in rural and Appalachian areas. Focuses on assessment and planning, equitable evaluation plans, quality improvement, and collecting data.
Author(s): Carrie Almasi, Édith Nkenganyi, Tonni Oberly, Jacob Santiago
Date: 04/2024
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
view details
Identifying Priority Geographic Locations for Diabetes Self-Management Education and Support Services in the Appalachian Region
Examines the relationship among diabetes self-management education and support (DSMES) services, economic distress, and diabetes prevalence in Appalachia. Includes maps presenting these relationships as well as discussion about providing equitable DSMES services.
Author(s): Jacob T. Wittman, Dayna S. Alexander, Melissa Bing, et al.
Citation: Preventing Chronic Disease, 21
Date: 04/2024
Type: Document
view details
Access to Capital and Credit for Entrepreneurs and Small Businesses in Appalachia
Reports on small business, entrepreneurship, and capital supply and demand in Appalachia. Describes regional and national trends, and identifies contributing factors. Includes data comparisons by level of rurality, and discusses characteristics and challenges of rural areas throughout.
Date: 04/2024
Type: Document
Sponsoring organization: Appalachian Regional Commission
view details
Ohio Health Policy Brief: Connections Between Water Quality and Health
Examines water quality in Ohio, the health impacts of polluted water, and water policy to address potential harm. Provides data on harmful algal bloom, percent of households without complete plumbing facilities by county type, per capita H2Ohio funding for lead service line replacements by county type, and counties with drinking water violations. Includes discussion about environmental health disparities in disadvantaged populations, such as Appalachian and rural.
Author(s): Lexi Chirakos, Robin Blair-Ackison, Tonni Oberly, Jacob Santiago, Anna Sheeran
Date: 03/2024
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
view details
Kentucky Outreach Service Kiosk (KyOSK) Study Protocol: A Community-Level, Controlled Quasi-Experimental, Type 1 Hybrid Effectiveness Study to Assess Implementation, Effectiveness and Cost-Effectiveness of a Community-Tailored Harm Reduction Kiosk on HIV, HCV and Overdose Risk in Rural Appalachia
Reports on study design and implementation of a kiosk-based harm reduction intervention focused on HIV, hepatitis C, and overdose risk in rural Appalachia. Describes characteristics of two selected Appalachian Kentucky counties, eligibility criteria, data collection procedures, and study outcome measurement.
Author(s): April M Young, Jennifer R Havens, Hannah L F Cooper, et al.
Citation: BMJ Open, 14(3), e083983
Date: 03/2024
Type: Document
view details
Testing the Feasibility of the QuitAid Smoking Cessation Intervention in a Randomized Factorial Design in an Independent, Rural Community Pharmacy
Examines a pharmacist-delivered smoking cessation intervention in rural Appalachia. Analyzes an ask-advise-connect model conducted with 24 adult smokers between September and November 2021, observing recruitment, retention, treatment adherence, and fidelity. Includes data on participant demographics, participant satisfaction, and pharmacist perceptions.
Author(s): Melissa A. Little, Taylor Reid, Matthew Moncrief, et al.
Citation: Pilot and Feasibility Studies, 10(41)
Date: 02/2024
Type: Document
view details
Net Migration Spurs Renewed Growth in Rural Areas of the United States
Discusses population migration data showing trends in metropolitan and nonmetropolitan population migration between 2019 and 2022 and within rural regions across the country. Notes impact of COVID-19 on trends.
Author(s): John Cromartie
Date: 02/2024
Type: Document
Sponsoring organization: USDA Economic Research Service
view details
Geographic Differences in Preconception Health Indicators Among Ohio Women Who Delivered Live Births, 2019–2021
Examines preconception health indicators in Ohio women based on geographical differences. Utilizes data from the 2019–2021 Ohio Pregnancy Assessment Survey to analyze indicators such as health behaviors and conditions, substance use, and wanted versus unwanted pregnancy according to metropolitan, Appalachian, rural non-Appalachian, and suburban location.
Author(s): Natalie DiPietro Mager, Michelle Menegay, Connie Bish, Reena Oza-Frank
Citation: Preventing Chronic Disease, 21
Date: 02/2024
Type: Document
view details
The Impact of Fentanyl on State- and County-Level Psychostimulant and Cocaine Overdose Death Rates by Race in Ohio from 2010 to 2020: A Time Series and Spatiotemporal Analysis
Analyzes the role of fentanyl in overdose deaths in Ohio. Examines 2010-2020 state- and county-level overdose mortality rates with data further broken down by drug type and race/ethnicity. Discusses related geographical factors such as rurality and Appalachian region.
Author(s): Angela T. Estadt, Brian N. White, JaNelle M. Ricks, et al.
Citation: Harm Reduction Journal, 21, 13
Date: 01/2024
Type: Document
view details