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Kentucky Resources

A Community-Based Marketing Campaign at Farmers Markets to Encourage Fruit and Vegetable Purchases in Rural Counties With High Rates of Obesity, Kentucky, 2015-2016
Examines effectiveness of the Plate it Up Kentucky Proud program, targeting farmers market shoppers in 6 rural Kentucky counties in the Delta and Appalachian regions, from September 2014-September 2016. Features statistics including age, sex, income, and rate of consumption of fruit, salad, and other vegetables.
Author(s): Emily DeWitt, Margaret McGladrey, Emily Liu, et al.
Location: Preventing Chronic Disease, 14
Date: 08/2017
Type: Document
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Regulating Network Adequacy for Rural Populations: Perspectives of Five States
Policy brief describing a study to explore how California, Kentucky, Montana, Texas, and Wisconsin define insurance network adequacy and how much consideration is given to rural issues in regulating their networks. Features statistics including these states' rural population, rural percent of total population, rural area in square miles, number of marketplace networks, and percent that are narrow networks.
Author(s): Michelle Casey, Carrie Henning-Smith, Jean Abraham, Ira Moscovice
Date: 08/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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How Western Kentucky Leveraged Medicaid Expansion to Increase Access to Health Care
Describes improvements in healthcare access and quality in Paducah and nearby counties from 2011-2014, when almost 500,000 people were added to the Medicaid rolls. Includes demographic statistics, difference in health system rank from 2012 to 2016, and map showing locations of 9 clinics that have opened or expanded during that time.
Author(s): Sarah Klein, Martha Hostetter, Douglas McCarthy
Date: 07/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Heroin, Methamphetamine Use and Prescription Drug Abuse in Kentucky
Results of the 2016 survey from the Kentucky Health Issues Poll concerning the impact of drug abuse on respondents' family and friends. Includes breakdowns by rural, urban, and suburban counties.
Date: 05/2017
Type: Document
Sponsoring organizations: Foundation for a Healthy Kentucky, Interact for Health
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An Approach to Developing Local Climate Change Environmental Public Health Indicators in a Rural District
Explores climate and environmental public health indicators for a seven-county public health department in western Kentucky. Identifies public health hazards and vulnerability indicators and features statistics on percentages of population living in rural areas of the counties studied.
Author(s): Adele Houghton, Jessica Austin, Abby Beerman, Clayton Horton
Location: Journal of Environmental and Public Health, 2017
Date: 03/2017
Type: Document
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The Appalachian Region: A Data Overview from the 2011-2015 American Community Survey
Provides state and county-level data on population, age, race and ethnicity, housing occupancy, education, labor force, employment, income, health insurance coverage, disability, and veteran status, for the 13 Appalachian states. Includes breakdowns by five levels of urban or rural county types.
Author(s): Kelvin Pollard, Linda A. Jacobsen
Date: 03/2017
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Network Spotlight: Appalachian Kentucky Health Care Access Network
Explores various aspects of the Appalachian Kentucky Health Care Access Network (AKHCAN) through an interview with Project Director Jan Chamness, and Project Manager Gina Brien. The AKHCAN is a grant-funded network that seeks to increase and improve healthcare access for all low-income, uninsured, and underinsured populations living in rural Kentucky through the use of community health workers (CHWs).
Date: 02/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Russell County Hospital Aligning for Future Success
Details the improvements made by Russell County Hospital (RCH), a 25-bed Critical Access Hospital located in Russell Springs, Kentucky, as part of the Small Rural Hospital Transition (SRHT) project. Major accomplishments include expanding primary care and surgery services, developing a strategic plan, establishing and monitoring quality indicators, and optimizing participation in the 340B Drug Pricing Program. RCH is also working with the community and the media to promote their quality scores, which are consistently high.
Additional links: One-Page Summary
Date: 02/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Selected Rural Healthcare Facilities in Kentucky
Shows the state’s Critical Access Hospitals and Rural Health Clinics, as well as rural Federally Qualified Health Centers and Skilled Nursing Facilities.
Date: 12/2016
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Availability of Buprenorphine Treatment in Kentucky
Describes availability of opioid addiction treatment in Kentucky, with breakdowns by metropolitan, micropolitan, and other non-metropolitan areas, and distribution of various medical specialists authorized to prescribe buprenorphine in these areas.
Author(s): Elijah T. Myers, Tyrone F. Borders
Date: 11/2016
Type: Document
Sponsoring organization: University of Kentucky Institute for Rural Health Policy
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Health and Health Care in Kentucky: Variations by Region and Metro/Micro/Rural Status
Describes key health, health behavior, and healthcare access indicators in Kentucky by region and metropolitan status, using data from the 2013 Behavioral Risk Factor Surveillance System. Features statistics related to topics including drinking, smoking, body mass index, and mental health, with breakdowns by demographic categories.
Author(s): Ty Borders, Keith Branham
Date: 11/2016
Type: Document
Sponsoring organization: University of Kentucky Institute for Rural Health Policy
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Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA
Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition from outreach and enrollment activities to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population.
Date: 09/2016
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Marcum & Wallace Memorial Hospital Successfully Impacts Project Outcomes
Highlights Marcum & Wallace Memorial Hospital's progress as they worked through the Small Rural Hospital Transition (SRHT) project in 2015. By participating in the SRHT project, Marcum & Wallace was able to make significant improvements to emergency department operations, swing bed services, 340B usage, and more.
Date: 08/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Geographic Health Disparities in Kentucky: Starting a Conversation About Local Solutions
Features county-level maps showing disparities by life expectancy at birth, education level, median household income, and percentage of population living in poverty. The maps are intended to promote discussion and policy action to combat health disparities in Appalachian Kentucky.
Author(s): Steven H. Woolf, Derek A. Chapman, F. Douglas Scutchfield
Location: Frontiers in Public Health Services and Systems Research, 5(3), 1-8.
Date: 06/2016
Type: Document
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State Variations in the Rural Obstetric Workforce
Illustrates the challenges affecting the obstetric workforce in Critical Access Hospitals and other rural hospitals having at least 10 births in 2010 using data derived from a telephone survey conducted in 9 states.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Carrie Henning-Smith, Shailendra Prasad
Date: 05/2016
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Correlates to Seroprevalent Herpes Simplex Virus Type 2 Among Rural Appalachian Drug Users
Examines HSV-2 seroprevalence among 499 drug users in a rural Appalachian Kentucky county, and relevant demographic, behavioral, and social network factors. Features statistics on demographics, sexual behavior, and drug use.
Author(s): Dustin B. Stephens, April M. Young, Ursula L. Mullins, Jennifer R. Havens
Location: Journal of Medical Virology, 88(3), 512-520.
Date: 03/2016
Type: Document
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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.
Location: MMWR (Morbidity and Mortality Weekly Report), 65(3), 47-50
Date: 01/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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2016 Kentucky Health Coalitions Directory
A directory, by county, of coalitions or care coordination groups working in the state of Kentucky, gathered to assist in networking and collaboration.
Date: 2016
Type: Directory
Sponsoring organization: Foundation for a Healthy Kentucky
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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, and offering 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
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Slade, Kentucky, May 27-29, 2015
Provides a summary of the National Advisory Committee on Rural Health and Human Services meeting. Discusses health disparities in Appalachia, social determinants of health, including poverty and economic development, and how federal programs are working to address these issues.
Date: 05/2015
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Increases in Hepatitis C Virus Infection Related to Injection Drug Use Among Persons Aged ≤30 Years - Kentucky, Tennessee, Virginia, and West Virginia, 2006-2012
Discusses opioid abuse, drug injecting, and Hepatitis C Virus (HCV) infection in central Appalachia, with data on HCV infection rates for four states. Includes data for rural and urban areas by gender and race/ethnicity.
Author(s): Jon E. Zibbell, Kashif Iqbal, Rajiv C. Patel, Anil Suryaprasad, Kathy J. Sanders, Loretta Moore-Moravian, Jamie Serrecchia, et al.
Location: MMWR (Morbidity and Mortality Weekly Report), 64(17), 453-458
Date: 05/2015
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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A Rural Appalachian Faith-Placed Smoking Cessation Intervention
Describes a faith-oriented smoking cessation program comprising 590 smokers in 26 churches located in rural Appalachia. Discusses 3 themes identified by the participant’s evaluation of the program including the program’s ability to leverage social connections, be conveniently orientated, and to provide financial support for smoking cessation.
Author(s): Nancy E. Schoenberg, Henry E. Bundy, Jordan A. Baeker Bispo, et al.
Location: Journal of Religion and Health, 54(2), 598-611
Date: 04/2015
Type: Document
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An Exploratory Study of Mental Health and HIV Risk Behavior Among Drug-Using Rural Women in Jail
Examines the HIV risk behavior and the mental health problems of depression, anxiety and PTSD through face-to-face interviews of 136 women incarcerated in three rural Kentucky county jails within Appalachia.
Author(s): Michele Staton-Tindall, Kathi L.H. Harp, Alexandra Minieri, et al.
Location: Psychiatric Rehabilitation Journal, 38(1), 45-54
Date: 03/2015
Type: Document
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Special Report on the Financial Strength of Kentucky's Rural Hospitals
Provides an overview of economic challenges being faced by rural hospitals in Kentucky.
Author(s): Adam Edelen
Date: 03/2015
Type: Document
Sponsoring organization: Commonwealth of Kentucky
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Successful Health Insurance Outreach, Education, and Enrollment Strategies for Rural Hospitals
Shares best practices for hospitals to use in health insurance outreach and enrollment efforts based on interviews with administrators, staff, and community representatives at eleven small rural hospitals. Also discusses certified application counselors, who help individuals enroll in health insurance, and the importance of using collaborative community partnerships to conduct insurance enrollment outreach and education.
Author(s): Walter Gregg, Alex Evenson, Adeniyi Togun
Date: 11/2014
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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A Rural Pathways Program for High School Students: Reinforcing a Sense of Place
Evaluation of a 3-week High School Rural Scholar program sponsored by the University of Louisville Trover Campus in rural Kentucky, in which students shadow health professionals in their hometowns, participate in virtual classrooms, and gain a better understanding of healthcare career options open to them.
Author(s): William J. Crump, Steve Fricker, Katelyn F. Flick, et al.
Location: Family Medicine, 46(9), 713-717
Date: 10/2014
Type: Document
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Shaping Our Appalachian Region (SOAR) Health Work Group Final Report
Final report to the Shaping Our Appalachian Region (SOAR) Executive Board, outlining strategies and priorities identified by the Working Group Chairs. Discusses ideas to improve health outcomes for residents in the Appalachian region of Eastern Kentucky, where most of the population resides in rural areas. Focuses on coordinated school health, environmental health, smoke-free legislation, substance abuse, wellness and prevention programs, and more.
Date: 09/2014
Type: Document
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Diabetes Management in Rural Areas Takes Holistic, Community Approaches
Programs in Florida and Kentucky are helping diabetic patients better manage their health, and promoting community awareness of the disease.
Author(s): Candi Helseth
Location: Rural Monitor, 2014(Summer)
Date: 08/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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Barriers to Substance Abuse Treatment in Rural and Urban Communities: A Counselor Perspective
Compares rural and urban substance abuse counselors’ perceptions of barriers to providing substance abuse treatment by analyzing data collected from 28 counselors in Kentucky.
Author(s): Erin Pullen, Carrie Oser
Location: Substance Use & Misuse, 49(7), 891-901
Date: 06/2014
Type: Document
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The CHANGE Study: A Healthy-Lifestyles Intervention to Improve Rural Children’s Diet Quality
Describes the Creating Healthy, Active and Nurturing Growing-Up Environments (CHANGE) study. CHANGE is a community- and school-based intervention used to assess the quality of students' diets with the goal of preventing unhealthy weight gain among rural school-aged children.
Author(s): Juliana F. W. Cohen, Vivica I. Kraak, Silvina F. Choumenkovitch, Raymond R. Hyatt, Christina D. Economos
Location: Journal of the Academy of Nutrition and Dietetics, 114(1)
Date: 01/2014
Type: Document
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Gender Differences in Circumstances Surrounding First Injection Experience of Rural Injection Drug Users in the United States
Discusses the gender differences between first time drug injection users in Appalachian Kentucky who primarily use prescription opioids.
Author(s): April M. Young, Nika Larian, Jennifer R. Havens
Location: Drug and Alcohol Dependence, 134, 401-405
Date: 01/2014
Type: Document
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Farmers’ Market Use is Associated with Fruit and Vegetable Consumption in Diverse Southern Rural Communities
Examines the socio-demographic characteristics of farmers market participants, the barriers and facilitators to farmers market shopping in southern rural communities, and the associations between farmers market use with fruit and vegetable consumption and body mass index (BMI). Seeks to assess the potential for using farmers markets to increase access to and the consumption of fruits and vegetables in rural areas.
Author(s): Stephanie B. Jilcott Pitts, Alison Gustafson, Qiang Wu, et al.
Location: Nutrition Journal, 13(1)
Date: 2014
Type: Document
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The Commonwealth of Kentucky: Health Care Workforce Capacity Report
Describes the need for various health care providers in rural and urban Kentucky and addresses the potential impact of Medicaid expansion. Includes maps showing need by county and provides detailed policy recommendations related to telehealth, scope of practice, and rural recruitment.
Date: 05/2013
Type: Document
Sponsoring organization: Commonwealth of Kentucky
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Individual and Network Factors Associated With Prevalent Hepatitis C Infection Among Rural Appalachian Injection Drug Users
Examines the connection between injection drug users and Hepatitis C infections in rural Kentucky. Features statistics with breakdowns including sex, age, race, ethnicity, and various risk behaviors.
Author(s): Jennifer R. Havens, Michelle R. Lofwall, Simon D. W. Frost, et al.
Location: American Journal of Public Health, 103(1), 44-52
Date: 01/2013
Type: Document
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Mental Health and Aging Initiative: Intervention Component Effects
Evaluates the Mental Healthiness and Aging Initiative (MHAI) intervention in rural Kentucky and finds that it is feasible and has increased awareness and knowledge about mental health and substance abuse and aging.
Author(s): Faika Zanjani, Tracy Davis, Tina Kruger, Deborah Murray
Location: Rural and Remote Health, 12, 2154
Date: 11/2012
Type: Document
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Role of International Medical Graduates in Kentucky Medicine: Implications For Workforce Planning and Medical Education
Examines the impact of international medical graduates on Kentucky's physician workforce and whether they overcome the shortage of US medical graduates willing to practice in rural areas.
Author(s): Amanda L. Faulkner, Emery A. Wilson, Elmer T. Whitler, Linda M. Asher
Date: 10/2012
Type: Document
Sponsoring organization: Kentucky State Office of Rural Health
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Local Programs Help Patients Navigate Medical Care
A look at patient navigator programs in four states: a statewide program in Georgia; a program in Kentucky for cervical cancer patients; a promotores program in Texas for chronic conditions; and a coordinated care program for cancer patients in Vermont.
Author(s): Candi Helseth
Location: Rural Monitor, 2012(Spring)
Date: 05/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Network Brings Better, More Efficient Care to Cardiac Patients in 68 Counties
Highlights the Saint Thomas Chest Pain Network in Tennessee and Kentucky, which is proving that moving patients into and through a system quickly and efficiently is critical to saving lives.
Author(s): Candi Helseth
Location: Rural Monitor, 2012(Winter)
Date: 02/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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GEOStory of Opioid Addiction
Report containing data on issues related to the opioid epidemic in eight northern Kentucky counties. Features statistics with breakdowns on types of opioids involved in overdose deaths, cases of hepatitis, numbers of emergency room visits and hospitalizations.
Type: Document
Sponsoring organization: Northern Kentucky Independent District Health Department
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Kentucky - The Bridge
Quarterly publication focusing on rural health issues and topics pertaining to Kentucky, while spotlighting individuals and programs that exemplify innovation or excellence in Kentucky's rural health landscape.
Type: Journal/Newsletter
Sponsoring organization: Kentucky State Office of Rural Health
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Kentucky Health Centers Research & Data
Provides maps of FQHC locations and communities experiencing shortages of primary care physicians. Also includes information on the populations served by health centers, services provided, staff, patient visits, costs of care, and use of electronic health information.
Type: Website
Sponsoring organization: National Association of Community Health Centers
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ERS State Fact Sheet: Kentucky
Lists statistics on population, educational attainment, employment, income, farm characteristics, and farm financial indicators for the state.
Type: Website
Sponsoring organization: USDA Economic Research Service
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Kentucky QuickFacts
Basic demographic and economic statistics for the state, with links to county-level data.
Type: Website
Sponsoring organization: U.S. Census Bureau
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Kentucky KIDS COUNT Data Center (KCDC)
Provides data on child well-being for the state.
Type: Website
Sponsoring organization: Annie E. Casey Foundation
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Kentucky State Health Facts
The latest state-level data on demographics, health, and health policy, including health coverage, access, financing, and state legislation. Individual state profiles and 50-state comparisons.
Type: Database
Sponsoring organization: Kaiser Family Foundation
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Additional resources are available. See a full list of Kentucky Resources.


Last Updated: 11/14/2017