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Rural Health Information Hub

Rural Health
Resources by Topic: Appalachia

Colorectal Cancer Prevention: Perspectives of Key Players from Social Networks in a Low-Income Rural US Region
Reports on a study based on interviews with "key players" within the social networks of rural Appalachian communities of Kentucky and Ohio. Discusses the role these individuals can play in promoting colorectal cancer (CRC) screenings and identifies the perceived barriers to CRC screenings within their communities.
Author(s): Nancy E. Schoenberg, Kathryn Eddens, Adam Jonas, et al.
Citation: International Journal of Qualitative Studies on Health and Well-being, 11(1), 30396
Date: 02/2016
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Oral Health in Kentucky
Describes findings from a literature review and analyses of data about the status of oral health among particular population groups in Kentucky and ongoing efforts to improve outcomes. Features statistics including breakdowns by demographics, county economic level, access to dental services, and overall dental health.
Author(s): Simona Surdu, Margaret Langelier, Bridget Baker, et al.
Date: 02/2016
Sponsoring organization: Center for Health Workforce Studies
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Increases in Acute Hepatitis B Virus Infections - Kentucky, Tennessee, and West Virginia, 2006-2013
Reports on increased rates of hepatitis B infections in three Appalachian states, particularly among injection drug users and in non-urban areas.
Author(s): Aaron M. Harris, Kashif Iqbal, Sarah Schillie, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(3), 47-50
Date: 01/2016
Sponsoring organization: Centers for Disease Control and Prevention
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Adaptation of an Evidence-Based Intervention to Improve Preventive Care Practices in a Federally Qualified Health Center in Appalachian Kentucky
Describes an academic partnership between the University of Kentucky and White House Clinics, a Federally Qualified Health Center (FQHC) in Appalachian Kentucky, to adopt, implement, and evaluate an evidence-based office consult shown to improve patient acceptance of prevention care practices including a variety of cancer screenings.
Author(s): Robin C. Vanderpool, Stephanie C. Moore, Lindsay R. Stradtman, et al.
Citation: Journal of Health Care for the Poor and Underserved, 27(4A), 46-52
Date: 2016
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Violent Victimization and Substance Dependency: Comparing Rural Incarcerated Heterosexual and Sexual Minority Women
Reports findings from a study of rural Appalachian women prisoners that looked at sexual identity and violent victimization experiences as they relate to alcohol and drug use.
Author(s): Melanie D. Otis, Carrie B. Oser, Michele Staton-Tindall
Citation: Journal of Social Work Practice in the Addictions, 16(1-2), 176-201
Date: 2016
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Rural Disparities in Cancer Care: A Review of Its Implications and Possible Interventions
A literature review about the disparities in cancer care in rural Appalachia, specifically West Virginia. Discusses possible solutions to bridge the gap, such as teleoncology, virtual tumor boards, patient support groups, and physician training programs. Includes data and statistics for rates of cancer and oncologist availability.
Author(s): Lynne J. Goebel
Citation: West Virginia Medical Journal, 112(3), 76-82
Date: 2016
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Comprehension of Randomization and Uncertainty in Cancer Clinical Trials Decision-Making among Rural, Appalachian Patients
Explores Appalachian patients' comprehension of the randomization process in cancer randomized clinical trials (RCT) as a component of informed consent. Examines sources of ongoing uncertainty that can obstruct a patient's ability to provide informed consent to participate in a RCT.
Author(s): Janice L. Krieger, Angela Palmer-Wackerly, Phokeng M. Dailey, et al.
Citation: Journal of Cancer Education, 30(4), 743-748
Date: 12/2015
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A Feasibility Study of Home-Based Contingency Management with Adolescent Smokers of Rural Appalachia
Reports on a study evaluating a home-based smoking cessation intervention program utilizing the internet to determine the viability and effectiveness of the program for rural adolescents.
Author(s): Brady Reynolds, Millie Harris, Stacey A. Slone, et al.
Citation: Experimental and Clinical Psychopharmacology, 23(6), 486-493
Date: 12/2015
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Community-Based Screening for Cervical Cancer: A Feasibility Study of Rural Appalachian Women
Describes a community-based screening program for rural Appalachian women that examines the women's comfort levels and experience self-collecting swabs for HPV testing, whether nurse-guided patient navigation increases the odds of women receiving a traditional Pap test after HPV screening, and explores the hypothesis that women testing positive for oncogenic HPV would be more likely to have a Pap test than those testing negative.
Author(s): Richard A. Crosby, Michael E. Hagensee, Robin Vanderpool, et al.
Citation: Sexually Transmitted Diseases, 42(11), 607-611
Date: 11/2015
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Mortality and Life Expectancy in Rural America: Connecting the Health and Human Service Safety Nets to Improve Health Outcomes over the Life Course
Policy brief describing the driving forces behind rural health disparities in Appalachian Kentucky. Offers nationally relevant recommendations for addressing these challenges. Discusses rural and urban differences in life expectancy and mortality rates, and other significant factors including behavioral health, substance abuse, population health, trauma care, and transportation.
Date: 10/2015
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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