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Rural Health
Resources by Topic: Appalachia

Comparative Outcomes Following Randomization to a Pilot Facebook-Based HIV Prevention Intervention Among Appalachian Women Involved in the Criminal Legal System
Results of a study to determine whether enhancing an HIV prevention intervention with additional modules improves service access for Appalachian women following release from jail. Uses data from surveys conducted between 2019-2022.
Author(s): Megan F. Dickson, Erika Pike, Michele Staton
Citation: Journal of Appalachian Health, 6(4), 81-96
Date: 01/2025
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Impaired Driving Among Rural Appalachian Women in the Year Following Incarceration
Results of a study examining impaired driving following incarceration and predictors of impaired driving in sample of rural Appalachian women with a history of drug use and risky sex. Features demographics and statistics with breakdown by risk factor.
Author(s): J. Matthew Webster, Megan F. Dickson, Shawn M. Jamison, Michele Staton
Citation: Journal of Appalachian Health, 6(4), 105-114
Date: 01/2025
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Community-Engaged Approach to Improve Food Access and Consumption of Fruits and Vegetables in a Rural Appalachian Community
Examines a community advisory board (CAB) in Kentucky consisting of community-academic relationships focused on addressing food security. Discusses the process of forming the CAB, their engagement and contributions, and potential food access solutions that could be implemented in rural Appalachia.
Author(s): Courtney T. Luecking, Makenzie Barr-Porter, Dawn Brewer, Kathryn M. Cardarelli
Citation: Nutrients, 17(3), 431
Date: 01/2025
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A Discrete Choice Experiment with Health Professions Trainees to Improve the Urban-Rural Health Care Access Disparity in Appalachia: Study Protocol
A study protocol that examines strategies and policies for successful recruitment of healthcare professionals in rural Appalachia. Discusses utilization of the discrete choice experiment methodology (DCE) to analyze medical residents and fellows, physician assistant (PA) students, and nurse practitioner (NP) students and their location choice for employment.
Author(s): Chris Gillette, Jan Ostermann, Sarah Garvick, et al.
Citation: PLoS One, 20(1), e0316521
Date: 01/2025
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Household Food Sourcing Patterns and their Associations with Food Insecurity in Appalachian Ohio
Examines food insecurity and patterns in rural, Appalachian Ohio during the COVID-19 pandemic. Analyzes data from 663 households at 4 separate time periods between July 2020 and April 2021 according to household demographics, food sourcing locations, and more.
Author(s): Kyle R. Busse, Kathryn I. Poppe, Qiang Wu, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 125(1), 54-68.e4
Date: 01/2025
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2025 Kentucky Rural Nursing Workforce Update
Infographic providing demographics and statistics on wages and numbers of advanced practice registered nurses (APRNs), registered nurses (RNs), and licensed practical nurses (LPNs) in Kentucky as of 2024, with breakdowns by rural or urban location. Features percentage of state distribution of nurses with breakdowns by rural, urban, Appalachia, and Delta regions. Includes a county-level map showing distribution of APRNs and RNs by Kentucky Area Development District.
Author(s): William M. Baker, Caleb K. Williams, Beth Bowling
Date: 2025
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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A Community-Engaged, Mixed-Methods Approach to Prioritizing Needs in a Statewide Assessment of Community Cancer Needs
Discusses a community needs assessment (CNA) in Kentucky that addresses cancer incidence and mortality in the state. Reports on feedback from 162 people and presents a concept map focused on health behaviors, education, access, cultural beliefs, and risk factors, including those specific to rural and Appalachian areas.
Author(s): Jessica R. Thompson, Todd Burus, Caree McAfee, et al.
Citation: Preventing Chronic Disease, 21
Date: 12/2024
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Unveiling Socioeconomic Disparities in Maternal Smoking During Pregnancy: A Comprehensive Analysis of Rural and Appalachian Areas in Virginia Utilizing the Multi-Dimensional YOST Index
Examines associations of rurality, Appalachian dwelling, county socioeconomic status (SES), and other demographic factors with smoking behaviors during pregnancy. Utilizes 2009-2020 Virginia Pregnancy Risk Assessment Monitoring System (PRAMS) data.
Author(s): Asal Pilehvari, Ashley Chipoletti, Rebecca Krukowski, Melissa Little
Citation: BMC Pregnancy and Childbirth, 24, 828
Date: 12/2024
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Access in Appalachia: Pilot Study
Builds upon the research report, Access in Appalachia Concept and Methodologies–Final Report, to examine the transportation system in North Carolina. Includes data on public, private, and pedestrian/bicycle transit. County-level statistics on access to essential healthcare available in Table 19.
Date: 10/2024
Sponsoring organization: Appalachian Regional Commission
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Barriers to Access to Local Produce in an Early Childhood Setting in Rural Appalachia
Analyzes access to fresh produce in early childhood programs in Appalachia as well as farm to school programming. Utilizes semi-structured interview feedback with program directors to examine issues such as staffing, increased work loads, regulations, and lack of funding, knowledge, parental involvement, and equipment.
Author(s): Erali' Tracie Miller, Kathleen Schroeder, Bhuwan Thapa, Elizabeth Shay
Citation: Journal of Agriculture, Food Systems, and Community Development, 14(1), 169-183
Date: 10/2024
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