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https://www.readbyqxmd.com/read/28733798/silence-surrounding-hepatitis-c-status-in-risk-relationships-among-rural-people-who-use-drugs
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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...
June 8, 2017: Cancer Epidemiology
https://www.readbyqxmd.com/read/28598349/predicting-water-filter-and-bottled-water-use-in-appalachia-a-community-scale-case-study
#10
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
https://www.readbyqxmd.com/read/28575901/dissemination-approaches-to-participating-primary-care-providers-in-a-quality-improvement-program-addressing-opioid-use-in-central-appalachia
#11
Roberto Cardarelli, Charlotte Sue Workman, Sarah Weatherford, Stacey Whanger, Dana E King
OBJECTIVES: Practice-based research networks (PBRNs) have been described as new clinical laboratories for primary care research and dissemination. PBRNs, however, have struggled to disseminate research results in a meaningful way to participating providers and clinics. METHODS: The Central Appalachia Inter-Professional Pain Education Collaborative was developed to work with PBRN clinics using quality improvement methods, deliver statewide continuing education activities to address the issue of opioid use in patients with chronic pain, and develop a multimodal mechanism to disseminate project results to clinics and participating providers...
June 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28543829/what-challenges-do-nonprofit-hospitals-face-in-taking-on-community-health-needs-assessments-a-qualitative-study-from-appalachian-ohio
#12
Daniel Skinner, Berkeley Franz, Kelly Kelleher
PURPOSE: The purpose of this study is to understand the experiences of Appalachian hospitals in undertaking Community Health Needs Assessments (CHNAs). Of particular interest is whether new requirements to undertake regular evaluation and public health programming pose challenges for rural, Appalachian hospitals. METHODS: Using a sample of nonprofit hospitals in Appalachian Ohio, we conducted in-depth qualitative interviews with hospital administrators overseeing community benefit activities and external consultants hired to complete assessments...
May 24, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28497853/respiratory-morbidity-among-u-s-coal-miners-in-states-outside-of-central-appalachia
#13
Laura E Reynolds, David J Blackley, Anthony S Laney, Cara N Halldin
BACKGROUND: Recent NIOSH publications have focused on the respiratory health of coal miners in central Appalachia, yet 57% of U.S. coal miners work in other regions. We characterized respiratory morbidity in coal miners from these regions. METHODS: Active coal miners working outside of central Appalachia who received chest radiographs and/or spirometry during 2005-2015 were included. Chest radiographs were classified according to International Labour Office standards and spirometry was interpreted using the American Thoracic Society guidelines...
May 12, 2017: American Journal of Industrial Medicine
https://www.readbyqxmd.com/read/28470135/a-decade-of-health-assessments-in-appalachia
#14
E Scott Sills, Xiang Li
Purpose The purpose of this paper is to describe standardized clinical process of care and quality performance metrics at Roane Medical Center (RMC) and compare data from 2005 to 2015. Design/methodology/approach Information was extracted from a nationwide sample of short-term acute care hospitals using the Hospital Quality Alliance (HQA) database, evaluating multiple parameters measured at RMC. HQA data from RMC were matched against state and national benchmarks; findings were also compared with similar reports from the same facility in 2005...
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28436706/tobacco-use-and-attachment-style-in-appalachia
#15
Mary Heath Wise, Florence Weierbach, Yan Cao, Ken Phillips
Tobacco has been recognized as the number one cause of preventable death in America and results in almost 5.2 million years of potential life lost each year. The use of tobacco products is highly correlated with pulmonary disease, cardiovascular disease, and other forms of chronic illness in America. New tobacco products are trending in the tobacco market such as the water pipe/hookah and e-cigarettes. With e-cigarettes and other newer forms of tobacco on the rise, it is important to look at the underlying factors for using all kinds of tobacco products as a means of prevention...
April 24, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28413829/prioritizing-us-cervical-cancer-prevention-with-results-from-a-geospatial-model
#16
Jonathan K Kish, Alicia I Rolin, Zhaohui Zou, James E Cucinelli, Zaria Tatalovich, Mona Saraiya, Sean F Altekruse
PURPOSE: To determine if differences in screening and vaccination patterns across the population may accentuate ethnic and geographic variation in future burden of disease. METHODS: Using Cancer in North America data provided by the North American Association of Central Cancer Registries, county cervical cancer incidence trends from 1995 to 2009 were modeled for the entire United States using ecologic covariates. Rates for health service areas were also modeled by ethnicity...
October 2016: Journal of Global Oncology
https://www.readbyqxmd.com/read/28410673/hotspots-of-canine-leptospirosis-in-the-united-states-of-america
#17
Allison M White, Carlos Zambrana-Torrelio, Toph Allen, Melinda K Rostal, Andrea K Wright, Eileen C Ball, Peter Daszak, William B Karesh
Leptospirosis is a widespread zoonotic disease that causes hepatic and renal disease in dogs and human beings. The incidence of leptospirosis in dogs in the USA appears to be increasing. This study used 14 years of canine leptospirosis testing data across 3109 counties in the USA to analyze environmental and socio-economic correlates with rates of infection and to produce a map of locations of increased risk for canine leptospirosis. Boosted regression trees were used to identify the probability of a dog testing positive for leptospirosis based on microscopic agglutination test (MAT) results, and environmental and socio-economic data...
April 2017: Veterinary Journal
https://www.readbyqxmd.com/read/28393634/impact-of-design-on-patient-participation-in-healthcare-in-a-rural-health-clinic-in-appalachia
#18
John Christopher Haddox
OBJECTIVES: A pilot study exploring how elderly patients of a rural outpatient health clinic in Appalachia perceive design elements of the facility as imposing barriers to healthcare participation. BACKGROUND: Outpatient clinics play a critical role in the delivery of healthcare in rural settings in Appalachia. While the concept of patient participation in healthcare does not enjoy a widely adopted, standardized definition, it is believed that patients who are more actively engaged in their healthcare will potentially realize improved health outcomes...
January 1, 2017: HERD
https://www.readbyqxmd.com/read/28384240/supplementary-cranial-description-of-the-types-of-edmontosaurus-regalis-ornithischia-hadrosauridae-with-comments-on-the-phylogenetics-and-biogeography-of-hadrosaurinae
#19
Hai Xing, Jordan C Mallon, Margaret L Currie
The cranial anatomy of the flat-skulled hadrosaurine Edmontosaurus regalis (Ornithischia: Hadrosauridae) is extensively described here, based on the holotype and paratype collected from the middle part of the Horseshoe Canyon Formation in southern Alberta. Focus is given to previously undocumented features of ontogenetic and phylogenetic importance. This description facilitates overall osteological comparisons between E. regalis and other hadrosaurids (especially E. annectens), and revises the diagnosis of E...
2017: PloS One
https://www.readbyqxmd.com/read/28377670/periodontal-status-and-quality-of-life-impact-of-fear-of-pain-and-dental-fear
#20
Casey D Wright, Daniel W McNeil, Cierra B Edwards, Richard J Crout, Katherine Neiswanger, John R Shaffer, Mary L Marazita
Background. Oral health-related quality of life (OHRQoL) is impacted by periodontal disease and orofacial pain. There is a limited research examining the impact of avoidance of care or physiological arousal related to the fear of pain response on periodontal-related OHRQoL. Methods. Data are from the Center for Oral Health Research in Appalachia family-based study focusing on 1,339 adults. Measures included a modified Periodontal Screening and Recording Index across sextants of dentition, dental fear survey, Fear of Pain Questionnaire-9, and Oral Health Impact Profile-14...
2017: Pain Research & Management: the Journal of the Canadian Pain Society
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