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Daniel Owusu, Jocelyn Aibangbee, Candice Collins, Crystal Robertson, Liang Wang, Mary A Littleton, Rafie Boghozian, Vicki Casenburg, Hadii M Mamudu
E-cigarette use among youth in the United States (U.S.) continues to increase. In the rural Northeast Tennessee, where prevalence of tobacco use is higher than national and state averages, there is no literature on e-cigarette use to inform policies and programs. This study aimed to estimate the prevalence of e-cigarette use and examine association of e-cigarette use with two tobacco products among school-going adolescents. Data from 894 participants of a school-based survey conducted in 2016 in Northeast Tennessee were analyzed...
November 21, 2016: Journal of Community Health
Lauren M Oppizzi, Susan Speraw
In spring of 2012, rural southeastern Kentucky was impacted by torrential storms and flooding that activated federal disaster response through Federal Emergency Management Agency (FEMA). This qualitative research study examines the experience of community members affected by the Kentucky floods of 2012 (N=9) and describes their interactions with FEMA representatives, in their own voice, thereby giving insight into gaps in rural disaster response. The principal investigator spent 6 weeks living in the community and conducted open-ended interviews...
December 2016: Nursing Clinics of North America
Esther Thatcher, Cassandra Johnson, Shannon N Zenk, Pamela Kulbok
OBJECTIVE: To describe how characteristics of food retail stores (potential access) and other factors influence self-reported food shopping behavior (realized food access) among low-income, rural Central Appalachian women. DESIGN AND SAMPLE: Cross-sectional descriptive. Potential access was assessed through store mapping and in-store food audits. Factors influencing consumers' realized access were assessed through in-depth interviews. Results were merged using a convergent parallel mixed methods approach...
November 14, 2016: Public Health Nursing
Jennifer Anné, Brandon P Hedrick, Jason P Schein
Identification and interpretation of pathologies in the fossil record allows for unique insights into the life histories of extinct organisms. However, the rarity of such finds limits not only the sample size for palaeopathologic studies, but also the types of analyses that may be performed. In this study, we present the first occurrence of a palaeopathology in a vertebrate from the Mesozoic of the East Coast of North America (Appalachia), a pathologic ulna and radius of an indeterminate hadrosaur from the Navesink Formation (New Jersey)...
August 2016: Royal Society Open Science
Wayne C Miller, Denver Rogalla, Dustin Spencer, Nida Zia, Brian N Griffith, Haylee B Heinsberg
INTRODUCTION: The United States Department of Agriculture (USDA) describes a food desert as an urban neighborhood or rural town without ready access to fresh, healthy, and affordable food. An estimated 2.3 million rural Americans live in food deserts. One goal of the USDA is to eliminate food deserts. However, at a time when some food deserts are being eliminated, hundreds of grocery stores are closing, causing other food deserts to arise. The literature is scarce on how a community adapts to an impending food desert...
October 2016: Rural and Remote Health
Sharon Bewick, Folashade Agusto, Justin M Calabrese, Ephantus J Muturi, William F Fagan
La Crosse encephalitis is a viral disease that has emerged in new locations across the Appalachian region of the United States. Conventional wisdom suggests that ongoing emergence of La Crosse virus (LACV) could stem from the invasive Asian tiger (Aedes albopictus) mosquito. Efforts to prove this, however, are complicated by the numerous transmission routes and species interactions involved in LACV dynamics. To analyze LACV transmission by Asian tiger mosquitoes, we constructed epidemiologic models. These models accurately predict empirical infection rates...
November 2016: Emerging Infectious Diseases
Mary Ellen Wewers, Abigail Shoben, Sara Conroy, Elana Curry, Amy K Ferketich, David M Murray, Julianna Nemeth, Amy Wermert
INTRODUCTION: Community health workers (CHW) may be effective in the delivery of tobacco dependence treatment with underserved groups. This study evaluated two evidence-based CHW models of treatment. It was hypothesized that smokers assigned to a CHW face-to-face condition would have higher abstinence at 12 months post-treatment than smokers enrolled in CHW referral to a state-sponsored quit line condition. Intrapersonal and treatment-related factors associated with abstinence at 12 months were determined...
September 30, 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
Camille Burnett, Linda Bullock, Cathleen A Collins, Lindsay Hauser
Residents of Southwest Virginia (SWVA) face significant barriers in accessing the most advanced forms of cancer care, cancer risk reduction, and clinical trials involvement. A collaboration between the University of Virginia (UVA) Cancer Center and UVA School of Nursing was forged with oncology caregivers in this region to build community capacity to support Cancer Clinical trials (CCT) by strengthening the workforce, and thus improving health outcomes for this underserved region of Appalachia. The UVA School of Nursing designed an educational workshop focusing on the basics of CCT to facilitate the development of a skilled nursing workforce in the SWVA region that could provide care to patients on protocol and/or to encourage residents to participate in trials...
November 2016: Public Health Nursing
Zachary Sanford, Jeremy Adkins, Subrat Lahiry
No abstract text is available yet for this article.
September 2016: American Surgeon
Melanie D Otis, Carrie B Oser, Michele Staton-Tindall
This exploratory study examines the relationship between sexual identity and violent victimization experiences as predictors of differences in illicit substance and alcohol use and substance use problems among a sample of incarcerated women in rural Appalachia (N = 400). Results indicated that, compared to heterosexual women, sexual minority women were more likely to have a lifetime history of weapon, physical, and sexual assault, and were younger at the time of their first violent victimization. Sexual minority women were younger than heterosexual women at the age of onset for intravenous drug use and at the time they first got drunk, and were more likely to report having overdosed...
2016: Journal of Social Work Practice in the Addictions
Linda H Banks, Lisa A Davenport, Meghan H Hayes, Moriah A McArthur, Stacey N Toro, Cameron E King, Hazel M Vazirani
: Introduction In the foothills of the Cumberland Mountains, in central Appalachia (a region that spans 13 states in the US), sits an economically distressed and rural community of the United States. Once a thriving coal-mining area, this region now is reported as one of the hardest places to live in the US. Southeastern Kentucky, located in a remote, rocky, mountainous area surrounded by rivers and valleys and prone to flooding, experienced a major flood in Spring 2013 causing significant damage to homes and critical infrastructure...
December 2016: Prehospital and Disaster Medicine
Xi Tan, Fabian Camacho, Vincent D Marshall, Joseph Donohoe, Roger T Anderson, Rajesh Balkrishnan
BACKGROUND: Appalachia is a largely rural, mountainous, poor and underserved region of the United States. Adherence to adjuvant endocrine therapy among Appalachian women with breast cancer is suboptimal. OBJECTIVES: To explore small-area geographic variations and clustering patterns of breast cancer patient adherence to adjuvant endocrine therapy and associated factors in Appalachia. METHODS: In this retrospective study, we analyzed Medicare claims data linked with cancer registries from four Appalachian states (PA, OH, KY, and NC) in 2006-2008...
August 25, 2016: Research in Social & Administrative Pharmacy: RSAP
Nengliang Yao, Héctor E Alcalá, Roger Anderson, Rajesh Balkrishnan
PURPOSE: To document cancer-related health disparities in Appalachia. METHODS: The current study investigated disparities in cancer incidence, mortality, and staging between rural Appalachians and those living outside of rural Appalachia. To accomplish this, mortality data for the United States from 1969 to 2011 were obtained from the National Center for Health Statistics (NCHS) using SEER(*) Stat. These data were used to compare trends in mortality between rural Appalachians, urban Appalachians, rural non-Appalachians, and urban non-Appalachians...
September 7, 2016: Journal of Rural Health
Jennifer Abbasi
No abstract text is available yet for this article.
August 23, 2016: JAMA: the Journal of the American Medical Association
Julianna M Nemeth, Amy E Bonomi, Bo Lu, Richard G Lomax, Mary Ellen Wewers
BACKGROUND: Women living in Ohio Appalachia experience cervical cancer at disproportionately high rates. Intimate partner and sexual gender-based violence (GBV) and smoking are independent risk factors for cervical cancer and interact to heighten risk. Appalachian women smoke at higher rates than other Ohio women, but little is known about GBV exposure in the region. The purpose of this study was to establish prevalence of women's exposure to GBV in Ohio Appalachia and examine the association between GBV and smoking among women in the region...
August 22, 2016: Journal of Women's Health
Santana D VanDyke, Madelynn D Shell
PURPOSE: This study explored the role of the Health Belief Model in predicting breast cancer screening among women in rural Appalachia. Health beliefs (perceived susceptibility to breast cancer, severity of breast cancer, and benefits and barriers to screening) were used to predict health behavior (mammogram frequency). METHOD: A total of 170 women aged 18-78 were recruited at a free health clinic in central Appalachia. Women completed surveys that assessed demographic characteristics, mammogram frequency, and perceived susceptibility, severity, and benefits and barriers to mammography...
August 22, 2016: Journal of Rural Health
Traci LeMasters, S Suresh Madhavan, Usha Sambamoorthi
BACKGROUND: Breast conserving surgery (BCS) followed by radiation therapy (RT) (BCS+RT) is as effective for long-term survival of invasive early-stage breast cancer (ESBC) as mastectomy, and is the local treatment option selected by the majority of women with ESBC. Women of older age and vulnerable socio-demographic characteristics are at greater risk for receiving substandard (BCS only) and non-preferred treatments (mastectomy), such as populations of women from the Appalachian region of United States...
2016: Global Journal of Breast Cancer Research
Eric R Merriam, J Todd Petty, Michael P Strager
There is a critical need for tools and methodologies capable of managing aquatic systems within heavily impacted watersheds. Current efforts often fall short as a result of an inability to quantify and predict complex cumulative effects of current and future land use scenarios at relevant spatial scales. The goal of this manuscript is to provide methods for conducting a targeted watershed assessment that enables resource managers to produce landscape-based cumulative effects models for use within a scenario analysis management framework...
2016: Journal of Visualized Experiments: JoVE
Joseph Donohoe, Vincent Marshall, Xi Tan, Fabian T Camacho, Roger Anderson, Rajesh Balkrishnan
PURPOSE: This study evaluated spatial access to mammography centers in Appalachia using both traditional access measures and the two-step floating catchment area (2SFCA) method. METHODS: Ratios of county mammography centers to women age 45 and older, driving time to nearest mammography facility, and various 2SFCA approaches were compared throughout Pennsylvania, Ohio, Kentucky, and North Carolina. RESULTS: Closest travel time measures favored urban areas...
June 2016: Health Services & Outcomes Research Methodology
Jodi L Southerland, Liang Wang, Deborah L Slawson
Introduction There is limited research on the relation between weight misperceptions and health-related quality of life (HRQoL) among U.S. adolescents. Methods Baseline data (n = 1509) collected in 2012 from the Team Up for Healthy Living project were used. Measures included BMI percentiles calculated from measured height and weight; self-perception of weight status; and the 23-item PedsQL™ Inventory. Multiple linear regression was performed after adjustment for covariates to examine associations between weight misperception and HRQoL...
July 18, 2016: Maternal and Child Health Journal
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