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Rural Health
Resources by Topic: Appalachia

A Healthy Attitude: Rural Leaders in TN County Organize to Address Well-Being in Appalachia
Describes ways in which local leaders in Grundy County, Tennessee implemented programs to promote physical activity, support children and families, increase access to philanthropic resources, and establish a working relationship with a nearby university.
Author(s): Tim Marema, Erin Bouldin
Citation: Journal of Appalachian Health, 2(1), 60-64
Date: 2020
Type: Document
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Development and Early Outcomes of the Watauga Compassionate Community Initiative, North Carolina
Examines the work of a rural North Carolina community group dedicated to promoting health and resiliency on the local level, by preventing childhood trauma and helping adults who had adverse childhood experiences. Describes their organizing model, including goals of raising awareness, using data to inform actions, and creating context for health families through policies.
Author(s): Tim Marema, Erin Bouldin
Citation: Journal of Appalachian Health, 2(1), 41-46
Date: 2020
Type: Document
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Mortality-to-Incidence Ratios by U.S. Congressional District: Implications for Epidemiologic, Dissemination and Implementation Research, and Public Health Policy
Analyzes congressional district-specific mortality-to-incidence ratios (MIR) between 2011 and 2015 for all cancers and for cancers of breast, cervix, colorectal, esophagus, lung, oral, pancreas, and prostate cancers. Compares MIRs across regions, state Medicaid expansion status, race, and rurality. Discusses implications for policymakers and researchers.
Author(s): Jan M. Eberth, Whitney E. Zahnd, Swann Arp Adams, et al.
Citation: Preventative Medicine, 129(S), 105849
Date: 12/2019
Type: Document
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Study Protocol of Coaching End-of-Life Palliative Care for Advanced Heart Failure Patients and Their Family Caregivers in Rural Appalachia: A Randomized Controlled Trial
Describes a clinical trial to study an end-of-life palliative care program for heart failure patients in rural West Virginia. Discusses the prevalence of heart failure in rural Appalachia and the need for palliative care training for family caregivers.
Author(s): Ubolrat Piamjariyakul, Trisha Petitte, Angel Smothers, et al.
Citation: BMC Palliative Care, 18, 119
Date: 12/2019
Type: Document
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An Examination of Dental Health Among Metropolitan and Appalachian Adolescents in Ohio
Analyzes data on adolescent males from Ohio to determine if a relationship exists between risk factors for poor dental health and rural/urban residence. Includes metropolitan and Appalachian comparisons for parent-reported dental health, recent dental visits, diet, tobacco use, age, race/ethnicity, and household income.
Author(s): Kyle Bader, Megan Roberts, Brittney Keller-Hamilton
Citation: Ohio Journal of Public Health, 2(2), 8-14
Date: 12/2019
Type: Document
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Rural Women's First-person Perspectives on the Role of Mental Health in Substance Use
Presents a study highlighting rural women's perspectives on the co-occurring mental health and substance use disparities among rural populations. Analyzes interviews with incarcerated rural women with co-occurring substance use and mental health symptoms.
Author(s): Claire Snell-Rood, Michele Staton, Athena Kheibari
Citation: Rural and Remote Health, 19(4), 5279
Date: 11/2019
Type: Document
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Building Interventions When Distress Is under Debate: A Case Study from Appalachia
Discusses the various forms of distress experienced by women living in Appalachia and the challenges for healthcare professionals seeking to create culturally acceptable methods of identifying distress and developing appropriate resources for recovery. Describes a 3-year program to identify and adapt an evidence-based culturally appropriate intervention for this patient population.
Author(s): Claire Snell-Rood, Ryan Jenkins, Keisha Hudson, et al.
Citation: Transcultural Psychiatry, 56(5), 918-946
Date: 10/2019
Type: Document
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Inclusive Public Health Preparedness Program to Promote Resilience in Rural Appalachia (2016–2018)
Describes a collaborative planning process for responding to public health emergencies in a rural Appalachian setting where citizens are more vulnerable to emergencies and natural disasters. Emphasizes the importance of including rural populations with access and functional needs in the planning process to create all-inclusive, all-hazards emergency response services.
Author(s): Jennifer Schroeder, Erin Bouldin
Citation: American Journal of Public Health, 109(Suppl 4), S283-S285
Date: 09/2019
Type: Document
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SIPsmartER Delivered Through Rural, Local Health Districts: Adoption and Implementation Outcomes
Highlights the success and challenges of local public health units implementing the SIPsmartER program, a 6-month evidence- and community-based behavioral intervention shown to effectively decrease adult consumption of sugar-sweetened beverages, in rural Appalachian Virginia.
Author(s): Kathleen Porter, Donna Jean Brock, Paul Estabrooks, et al.
Citation: BMC Public Health, 19(1), 1273
Date: 09/2019
Type: Document
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Maternal Characteristics and Infant Outcomes in Appalachia and the Delta
Compares maternal characteristics and poor infant outcomes for women and children in the Delta and Appalachia regions with the rest of the United States. Includes charts showing distribution of births, preterm births, and infant mortality with data broken down by maternal characteristics such as race, ethnicity, and age.
Additional links: Supplemental Tables
Author(s): Anne Driscoll, Danielle Ely
Citation: National Vital Statistics Reports, 68(11)
Date: 09/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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