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https://www.readbyqxmd.com/read/28886119/intimate-partner-violence-related-hospitalizations-in-appalachia-and-the-non-appalachian-united-states
#1
Danielle M Davidov, Stephen M Davis, Motao Zhu, Tracie O Afifi, Melissa Kimber, Abby L Goldstein, Nicole Pitre, Kelly K Gurka, Carol Stocks
The highly rural region of Appalachia faces considerable socioeconomic disadvantage and health disparities that are recognized risk factors for intimate partner violence (IPV). The objective of this study was to estimate the rate of IPV-related hospitalizations in Appalachia and the non-Appalachian United States for 2007-2011 and compare hospitalizations in each region by clinical and sociodemographic factors. Data on IPV-related hospitalizations were extracted from the State Inpatient Databases, which are part of the Healthcare Cost and Utilization Project...
2017: PloS One
https://www.readbyqxmd.com/read/28872699/psychosocial-correlates-of-ever-having-a-pap-test-and-abnormal-pap-results-in-a-sample-of-rural-appalachian-women
#2
Kristen P Mark, Richard A Crosby, Robin C Vanderpool
BACKGROUND: Despite known prevention and screening efforts, there are higher invasive cervical cancer rates in Appalachia than in other areas of the United States and higher mortality rates in the Appalachian region of Kentucky compared to Appalachian regions of other states. PURPOSE: The primary purpose of this study was to investigate the association of psychosocial factors relevant to cervical cancer and the outcome of ever having a Pap test in a rural sample of women...
September 5, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28871287/bayesian-analysis-of-the-association-between-family-level-factors-and-siblings-dental-caries
#3
A Wen, R J Weyant, D W McNeil, R J Crout, K Neiswanger, M L Marazita, B Foxman
We conducted a Bayesian analysis of the association between family-level socioeconomic status and smoking and the prevalence of dental caries among siblings (children from infant to 14 y) among children living in rural and urban Northern Appalachia using data from the Center for Oral Health Research in Appalachia (COHRA). The observed proportion of siblings sharing caries was significantly different from predicted assuming siblings' caries status was independent. Using a Bayesian hierarchical model, we found the inclusion of a household factor significantly improved the goodness of fit...
July 2017: JDR Clinical and Translational Research
https://www.readbyqxmd.com/read/28857643/opioid-prescribing-in-rural-family-practices-a-qualitative-study
#4
Ivy A Click, Jeri Ann Basden, Joy M Bohannon, Heather Anderson, Fred Tudiver
BACKGROUND: Rural Tennessee, especially rural East Tennessee has seen a dramatic increase in rates of controlled drug prescriptions and controlled drug overdose deaths in recent years. However, little is known about the individual decisions to prescribe or continue prescriptions with relation to addiction concerns. OBJECTIVES: The purpose of this study was to learn more about what factors lead to physicians' prescribing control drugs for non-cancer pain through the use of focus groups...
August 31, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28826342/perceptions-of-nursing-in-appalachia-a-state-of-the-science-paper
#5
Evelyn P Brewer
INTRODUCTION: Nursing practice is continuously evolving in response to global health care need, sociopolitical culture, and advancing medical knowledge necessitating ongoing evaluation of professional practice. The purpose of this state of this science paper was to explore current perceptions of nursing and critique the depth of knowledge specific to nursing practice in the Appalachian region. METHODOLOGY: A review of the literature in multiple databases was conducted to explore perceptions of nursing in Appalachia...
May 1, 2017: Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society
https://www.readbyqxmd.com/read/28814109/older-adults-in-rural-appalachia-preference-and-expectations-for-future-care
#6
Raven H Weaver, Karen A Roberto, Rosemary Blieszner
Little is known about how rural-dwelling older adults anticipate and plan for future care needs. Using a mixed-method explanatory design, structural equation modeling ( n = 535) revealed significant associations between concerns about using services on preference for type of help; preference was associated with likelihood of using future services. Content analysis of interview data from 19 older adults who needed but were not receiving help revealed how they conceptualize their need for assistance and anticipated future care arrangements...
January 1, 2017: International Journal of Aging & Human Development
https://www.readbyqxmd.com/read/28812927/a-community-health-advisor-program-to-reduce-cancer-screening-disparities-in-the-deep-south-and-appalachia-the-american-cancer-society-s-cha-collaborative
#7
Kara S Riehman, Marcie Fisher-Borne, Jeremy M Martinez, Morgan Daven, Letitia Thompson, Mona N Fouad, Edward E Partridge
INTRODUCTION: Cancer disparities continue to exist in the United States. Community health advisors (CHAs) can play a critical role in addressing cancer disparities. The American Cancer Society (ACS) implemented a 3-year pilot CHA program in the South based on an evidence-based program to increase breast cancer screening. STUDY DESIGN: Evaluation assessed the extent to which ACS successfully implemented the program. Quantitative data were tracked and reported by ACS staff, and qualitative data were collected through focus groups and interviews with volunteer participants...
September 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/28791281/orthodontic-treatment-completion-and-discontinuation-in-a-rural-sample-from-north-central-appalachia-in-the-usa
#8
Chris A Martin, Breana M Dieringer, Daniel W McNeil
BACKGROUND: Orthodontics has inherent demands, requiring regular appointments and active patient engagement, but relatively little is established in regard to rates of completion of treatment and possible factors affecting successful completion. These factors may be particularly important for cultural minority groups, such as those in rural Appalachia, given the environmental, social, and economic complexities affecting access to and utilization of treatment. DESIGN AND METHODS: A naturalistic study design was employed, using retrospective data from a rural outpatient general dental office in July 2012...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28771155/tracking-the-downstream-impacts-of-inadequate-sanitation-in-central-appalachia
#9
Jacob Cantor, Leigh-Anne Krometis, Emily Sarver, Nicholas Cook, Brian Badgley
Poor sanitation in rural infrastructure is often associated with high levels of fecal contamination in adjacent surface waters, which presents a community health risk. Although microbial source tracking techniques have been widely applied to identify primary remediation needs in urban and/or recreational waters, use of human-specific markers has been more limited in rural watersheds. This study quantified the human source tracking marker Bacteroides-HF183, along with more general fecal indicators (i.e. culturable Escherichia coli and a molecular Enterococcus marker), in two Appalachian streams above and below known discharges of untreated household waste...
August 2017: Journal of Water and Health
https://www.readbyqxmd.com/read/28738262/systematic-review-of-community-health-impacts-of-mountaintop-removal-mining
#10
REVIEW
Abee L Boyles, Robyn B Blain, Johanna R Rochester, Raghavendhran Avanasi, Susan B Goldhaber, Sofie McComb, Stephanie D Holmgren, Scott A Masten, Kristina A Thayer
BACKGROUND: The objective of this evaluation is to understand the human health impacts of mountaintop removal (MTR) mining, the major method of coal mining in and around Central Appalachia. MTR mining impacts the air, water, and soil and raises concerns about potential adverse health effects in neighboring communities; exposures associated with MTR mining include particulate matter (PM), polycyclic aromatic hydrocarbons (PAHs), metals, hydrogen sulfide, and other recognized harmful substances...
October 2017: Environment International
https://www.readbyqxmd.com/read/28733798/silence-surrounding-hepatitis-c-status-in-risk-relationships-among-rural-people-who-use-drugs
#11
Megan G Hofmeister, Jennifer R Havens, April M Young
Hepatitis C virus (HCV) has reached epidemic proportions in rural Central Appalachia in recent years. We sought to identify demographic, behavioral, and interpersonal characteristics associated with HCV serostatus disclosure among high risk people who use drugs (PWUD) in Appalachian Kentucky. HCV antibody-positive participants (n = 243), drawn from the fifth follow-up assessment of a longitudinal study of rural PWUD, completed interviewer-administered questionnaires eliciting demographic and interpersonal characteristics, risk behaviors, and information about HCV disclosure...
July 21, 2017: Journal of Primary Prevention
https://www.readbyqxmd.com/read/28731385/kids-sip-smarter-a-feasibility-study-to-reduce-sugar-sweetened-beverage-consumption-among-middle-school-youth-in-central-appalachia
#12
Hannah Lane, Kathleen J Porter, Erin Hecht, Priscilla Harris, Vivica Kraak, Jamie Zoellner
PURPOSE: To test the feasibility of Kids SIP smartER, a school-based intervention to reduce consumption of sugar-sweetened beverages (SSBs). DESIGN: Matched-contact randomized crossover study with mixed-methods analysis. SETTING: One middle school in rural, Appalachian Virginia. PARTICIPANTS: Seventy-four sixth and seventh graders (5 classrooms) received Kids SIP smartER in random order over 2 intervention periods. Feasibility outcomes were assessed among 2 teachers...
January 1, 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/28706778/evaluation-of-healthy2go-a-country-store-transformation-project-to-improve-the-food-environment-and-consumer-choices-in-appalachian-kentucky
#13
Joshua A Rushakoff, Daniel E Zoughbie, Nancy Bui, Katerina DeVito, Leila Makarechi, Hitomi Kubo
Rates of obesity and type 2 diabetes in Kentucky's Cumberland Valley region are among the highest in the United States and limited access to healthy food contributes to these epidemics. The aim of Healthy2Go (H2G), a country store transformation project launched by Spread the Health Appalachia (STHA), was to improve awareness and availability of healthy options in small, rural stores. Ten country stores participated in H2G and received training and technical assistance to increase availability and awareness of healthy foods...
September 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28686786/disparities-in-the-use-of-diabetes-screening-in-appalachia
#14
Jennifer M Lobo, Roger Anderson, George J Stukenborg, Anthony McCall, Hyojung Kang, Fabian Camacho, Min-Woong Sohn
PURPOSE: The Appalachian region presents disproportionately high rates of chronic disease compared to the rest of the United States. Early diagnosis of diabetes through screening is an important step in reducing diabetes complications. This study examines disparities in the use of diabetes screening in Appalachia. METHODS: We analyzed 2009 and 2010 Behavioral Risk Factor Surveillance System data for 96,111 adults aged ≥45 years from 11 Appalachian states. Based on economic status, Appalachian counties were grouped into distressed (least affluent), at-risk, transitional, and competitive (most affluent)...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28685889/correlates-of-community-based-colorectal-cancer-screening-in-a-rural-population-the-role-of-fatalism
#15
Richard A Crosby, Tom Collins
One largely unexplored barrier to colorectal cancer (CRC) screening is fatalistic beliefs about cancer. The purpose of this study was to identify correlates of ever having endoscopy screenings for CRC and to determine whether fatalism plays a unique role. Because evidence suggests that cancer-associated fatalistic beliefs may be particularly common among rural Americans, the study was conducted in a medically underserved area of rural Appalachia.  METHODS: Rural residents (N = 260) between 51 and 75 years of age, from a medically underserved area of Appalachia, Kentucky, were recruited for a cross-sectional study...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28685884/correlates-of-injection-drug-use-among-rural-appalachian-women
#16
Michele Staton, Gabriele Ciciurkaite, Jennifer Havens, Martha Tillson, Carl Leukefeld, Matthew Webster, Carrie Oser, Bridgette Peteet
BACKGROUND: Limited research has focused on correlates of injection drug use (IDU) among high-risk subgroups of drug users, particularly women, who may be at increased risk for transmission of infectious diseases such as HIV and Hepatitis C. The purpose of this study is to better understand the contextual and health correlates of IDU among women living in rural Appalachia by examining (1) differences between injectors and noninjectors, and (2) the unique correlates of recent IDU and past IDU...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28685317/colon-cancer-worry-in-appalachia
#17
Omar F Attarabeen, Usha Sambamoorthi, Kevin T Larkin, Kimberly M Kelly
Appalachia has a higher incidence of and mortality from colon cancer (CC) than other regions of the United States; thus, it is important to know the potential impact of elevated risk on cancer worry. Guided by the Self-regulation model, we investigated the association of demographic, cultural (e.g., fatalism, religious commitment), and psychological factors (e.g., perceived risk, general mood) with CC worry among a sample of Appalachian women. A mixed method design was utilized. Appalachian women completed surveys in the quantitative section (n = 134) and semi-structured interviews in the qualitative section (n = 24)...
July 6, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28679012/rural-religious-leaders-perspectives-on-their-communities-health-priorities-and-health
#18
Nancy E Schoenberg, Mark Swanson
OBJECTIVES: In traditionally underserved communities, faith-based interventions have been shown to be effective for health promotion. Religious leaders-generally the major partner in such interventions-however, are seldom are consulted about community health priorities and health promotion preferences. These insights are critical to ensure productive partnerships, effective programming, and sustainability. METHODS: Mixed-methods surveys were administered in one of the nation's most under-resourced regions: rural Appalachia...
July 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28601785/pollution-and-regional-variations-of-lung-cancer-mortality-in-the-united-states
#19
Justin Xavier Moore, Tomi Akinyemiju, Henry E Wang
INTRODUCTION: The aims of this study were to identify counties in the United States (US) with high rates of lung cancer mortality, and to characterize the associated community-level factors while focusing on particulate-matter pollution. METHODS: We performed a descriptive analysis of lung cancer deaths in the US from 2004 through 2014. We categorized counties as "clustered" or "non-clustered" - based on whether or not they had high lung cancer mortality rates - using novel geospatial autocorrelation methods...
August 2017: Cancer Epidemiology
https://www.readbyqxmd.com/read/28598349/predicting-water-filter-and-bottled-water-use-in-appalachia-a-community-scale-case-study
#20
Jonas G Levêque, Robert C Burns
A questionnaire survey was conducted in order to assess residents' perceptions of water quality for drinking and recreational purposes in a mid-sized city in northcentral West Virginia. Two logistic regression analyses were conducted in order to investigate the factors that influence bottle use and filter use. Results show that 37% of respondents primarily use bottled water and that 58% use a household filter when drinking from the tap. Respondents with lower levels of environmental concern, education levels, and lower organoleptic perceptions were most likely to perceive health risks from tap water consumption, and were most likely to use bottled water...
June 2017: Journal of Water and Health
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