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Rural Health
Resources by Topic: Appalachia

Longitudinal Assessment of a Dental and Medical Student Service Program in Appalachia: Successes and Lessons Learned
Results of a study exploring a West Virginia University Institute for Community and Rural Health service scholarship program implemented in 2011 to address a lack of dental and primary care in rural and underserved areas. Features statistics including program participant characteristics, with breakdowns by rural or urban background, and practice site characteristics for participants with fulfilled program status, with breakdowns by rural or underserved location.
Author(s): April Vestal, Fotinos Panagakos, Treah Haggerty, Ashley Brianna Sheppard
Citation: Journal of Public Health Dentistry, 82(1), 113-117
Date: 01/2022
Type: Document
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Exceptional Survival Among Kentucky Stage IV Non-small Cell Lung Cancer Patients: Appalachian Versus Non-Appalachian Populations
Explores a study on rates of exceptional survival (5 years or more post-diagnosis) of stage IV lung cancer patients in Appalachian and non-Appalachian Kentucky. Breaks down data by insurance type, treatment type, and length of survival, among other measures.
Author(s): Vira Pravosud, Nathan L. Vanderford, Bin Huang, et al.
Citation: Journal of Rural Health, 38(1), 14-27
Date: 01/2022
Type: Document
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A Qualitative Study on Pharmacy Policies Toward Over-the-Counter Syringe Sales in a Rural Epicenter of US Drug-Related Epidemics
Examines pharmacy over-the-counter (OTC) policies and pharmacists' rationale for, and barriers and facilitators to, OTC syringe sales in a rural Appalachian Kentucky area hard hit by drug-related epidemics. Uses data collected from interviews with 14 pharmacists between February 2018 and January 2019.
Author(s): Monica Fadanelli, Hannah L. F. Cooper, Patricia R. Freeman, et al.
Citation: Harm Reduction Journal, 19(1)
Date: 01/2022
Type: Document
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Achieving Excellence in Cancer Diagnosis Proceedings of a Workshop—in Brief
Highlights discussions from a virtual workshop focused on improving cancer diagnosis. Includes information on addressing disparities in diagnosis and access to care, including disparities for rural populations. Features a cancer screening and diagnosis program serving rural Appalachia, describing the challenges faced and strategies used, including the use of a mobile screening unit.
Author(s): Board on Health Care Services
Date: 2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Through the Lens: Youth Experiences with Cancer in Rural Appalachian Kentucky Using Photovoice
Study examining a group of Appalachian Kentucky youth's recognition of cancer disparities in their communities through photography. Analyzes visual themes in participant submissions, including risk factors related to cancer-causing substances, products, or diets, community awareness and support, and healthcare, among other themes.
Author(s): Katie Gaines, Courtney Martin, Chris Prichard, Nathan L. Vanderford
Citation: International Journal of Environmental Research and Public Health, 19(1), 205
Date: 12/2021
Type: Document
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Policy Implications of the COVID-19 Pandemic on Food Insecurity in Rural America: Evidence from Appalachia
Study examining food access during the COVID-19 pandemic in a rural Appalachian community in Kentucky, based on qualitative data from 5 focus groups. Discusses food scarcity, supply chain disruptions, federal food assistance, community food resources, and home gardening, and highlights policy implications related to federal programs and social determinants of health.
Author(s): Kathryn M. Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: International Journal of Environmental Research and Public Health, 18(23), 12792
Date: 12/2021
Type: Document
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Trans*Forming Access and Care in Rural Areas: A Community-Engaged Approach
Article exploring the healthcare experiences and barriers to accessing services for rural transgender and gender diverse (TGD) populations based on qualitative data gathered in Appalachia. Describes the limited research on TGD populations and health and barriers to care including transportation, gender-affirming care access, provider knowledge and inclusivity, and avoidance of care.
Author(s): Megan E. Gandy, Kacie M. Kidd, James Weiss, Judith Leitch, Xavier Hersom
Citation: International Journal of Environmental Research and Public Health, 18(23), 12700
Date: 12/2021
Type: Document
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Sociodemographic and Geographic Disparities of Prostate Cancer Treatment Delay in Tennessee: A Population-Based Study
Examines 2005-2015 Tennessee Cancer Registry data of adults with prostate cancer to determine the relationship between population characteristics and prostate cancer treatment delay. Discusses geographic residence, insurance status, and social determinants of health (SDOH) such as race, marital status, and others. An urban versus rural breakdown is included.
Author(s): Francisco A. Montiel Ishino, Emmanuel A. Odame, Kevin Villalobos, et al.
Citation: American Journal of Men's Health, 15(6)
Date: 11/2021
Type: Document
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Losses, Gains, and Changes to the Food Environment in a Rural Kentucky County during the COVID-19 Pandemic
Results of a study conducted in rural Laurel County, Kentucky, regarding changes to the food environment during the COVID-19 pandemic. Offers suggestions for future programming to address inequitable access and response during public health emergencies.
Author(s): Makenzie L. Barr, Courtney Martin, Courtney Luecking, Kathryn Cardarelli
Citation: Nutrients, 13(11), 3929
Date: 11/2021
Type: Document
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ICU Mortality in Patients With Coronavirus Disease 2019 Infection: Highlighting Healthcare Disparities in Rural Appalachia
Study examining 30-day COVID-19 mortality among ICU patients with acute respiratory distress syndrome transferred from rural Appalachian hospitals to West Virginia University Hospital in Morgantown, West Virginia between September 30, 2020 and December 1, 2020. Examines baseline patient demographics, comorbidities, and clinical outcomes, comparing patients transferred from Critical Access Hospitals and other rural facilities to non-COVID-19 ICU patients with acute respiratory distress syndrome.
Author(s): Sunil Sharma, Varun Badami, Edward Rojas, et al.
Citation: Critical Care Explorations, 3(10), e547
Date: 10/2021
Type: Document
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