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Rural Health
Resources by Topic: Appalachia

Impact of Concurrent Hospice Care on Primary Care Visits among Children in Southern Rural Appalachia
Explores the relationship between concurrent hospice care and primary care visits among children in southern rural Appalachia between 2011 and 2013. Describes demographic and clinical characteristics of children in hospice care in this study. Discusses the findings in relation to the children's residence in medically underserved areas.
Author(s): Mary Lou Clark Fornehed, Radion Svynarenko, Lisa C. Lindley
Citation: Journal of Pediatric Health care, 36(5), 438-442
Date: 09/2022
Type: Document
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Coal Production and Employment in Appalachia
Examines major trends in coal production and employment in Appalachia between 2000-2020 and assesses how those trends may affect economic performance in the region. Includes a section on health outcomes, with statistics comparing the mortality rate in Appalachian coal counties, Appalachian non-coal counties, and the rest of the United States, as well as the mortality rate in Appalachian coal region subregions.
Date: 09/2022
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Impacts of the COVID-19 Pandemic on a Rural Opioid Support Services Program
Study examining the impacts of the early stages of the COVID-19 pandemic on a rural, nonprofit opioid use disorder (OUD) system support service program located in eastern Kentucky. Describes findings from interviews conducted in early fall 2020 discussing changes to daily life, service access and provision, and financial impacts.
Author(s): Jayme E. Walters, Aubrey E. Jones, Aaron R. Brown, Dorothy Wallis
Citation: International Journal of Environmental Research and Public Health, 19(8), 11164
Date: 09/2022
Type: Document
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Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Type: Document
Sponsoring organization: Consumer Financial Protection Bureau
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Broadband Internet Subscription Rates and Opioid Prescribing via Telemedicine During the COVID-19 Pandemic
Explores the effect of the DEA's temporary permission for providers to prescribe opioids via telehealth during the COVID-19 pandemic in Kentucky. Discusses the effect this permission had on rural areas and in counties with low and high rates of broadband access.
Author(s): Douglas R. Oyler, Svetla Slavova, Patricia R. Freeman, et al.
Citation: Journal of Rural Health, 38(4), 900-907
Date: 09/2022
Type: Document
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Lifetime History of TBI with Loss of Consciousness and Disability among Appalachian and Rural Residents: 2016–2019 Ohio BRFSS
Examines the association between lifetime history of traumatic brain injury (TBI) and disability. Utilizes data from the 2016–2019 Ohio Behavioral Risk Factor Surveillance System (BRFSS) to analyze 16,941 respondents and how TBI and disability are associated with demographic information such as gender, age, race, rural status, and/or Appalachian location.
Author(s): Robyn Feiss, John D. Corrigan, Kele Ding, et al.
Citation: Injury Epidemiology, 9, 25
Date: 08/2022
Type: Document
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Speech Language Pathology and Audiology Workforce in Kentucky
Examines the distribution of speech language pathologists (SLPs) and audiologists (AUDs) across Kentucky. Explores unique challenges faced by rural communities in accessing hearing and speech specialists. Features statistics on numbers of SLPs and AUDs in Kentucky, with breakdowns by Appalachian, rural, urban, and Delta areas.
Author(s): Sydney P. Howard, Melissa Slone, Austin Huff, Frances Feltner
Date: 07/2022
Type: Document
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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Bottled and Well Water Quality in a Small Central Appalachian Community: Household-Level Analysis of Enteric Pathogens, Inorganic Chemicals, and Health Outcomes in Rural Southwest Virginia
Results of a study to characterize and assess household-level water sources, water quality, and associated health outcomes in Central Appalachia. Uses data from surveys and water samples from 9 households in a small rural community without utility-supplied water in southwest Virginia.
Author(s): Leigh-Anne Krometis, Marc Edwards, Teresa Brown, et al.
Citation: International Journal of Environmental Research and Public Health, 19(14), 8610
Date: 07/2022
Type: Document
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BuchananCares Program: A Team-based Care Pilot Led by a Rural Community Hospital and Local Pharmacist
Describes BuchananCares, a collaboration among health professionals from the Appalachian College of Pharmacy, Buchanan General Hospital in rural Virginia, and the Virginia Department of Health. Designed to reduce patient readmissions and improve medication use for patients with COPD, diabetes, heart failure, and pneumonia.
Date: 06/2022
Type: Document
Sponsoring organization: Community Preventive Services Task Force
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The Appalachia Mind Health Initiative (AMHI): A Pragmatic Randomized Clinical Trial of Adjunctive Internet-Based Cognitive Behavior Therapy for Treating Major Depressive Disorder among Primary Care Patients
Describes a planned study to evaluate a trial program to address major depressive disorder (MDD) among 3,360 enrolled patients across West Virginia through internet-based cognitive behavior therapy (CBT). Discusses the need for MDD care in rural states and offers an overview of the study's design and methodology.
Author(s): Robert M. Bossarte, Ronald C. Kessler, Andrew A. Nierenberg, et al.
Citation: Trials, 23, 520
Date: 06/2022
Type: Document
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