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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...
September 29, 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...
September 19, 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 J Breast Cancer Res
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
Sara Champlin, Michael Mackert
PURPOSE: Create a screening measure of health literacy for use with the Health Information National Trends Survey (HINTS). DESIGN: Participants completed a paper-based survey. Items from the survey were used to construct a health literacy screening measure. SETTING: A population-based survey conducted in geographic areas of high and low minority frequency and in Central Appalachia. SUBJECTS: Two thousand nine hundred four English-speaking participants were included in this study: 66% white, 93% completed high school, mean age = 52...
March 2016: American Journal of Health Promotion: AJHP
Tiffany L Thomson, Valdis Krebs, Julianna M Nemeth, Bo Lu, Juan Peng, Nathan J Doogan, Amy K Ferketich, Douglas M Post, Christopher R Browning, Electra D Paskett, Mary Ellen Wewers
OBJECTIVES: We characterized the social network characteristics of women in Ohio Appalachia according to smoking status. METHODS: Women ≥18 years of age were recruited from 3 Ohio Appalachian counties to complete a cross-sectional survey. Sociodemographic and smoking-related information was collected by face-to-face interview. A description of women's time (ie, spends time with) and advice (ie, gets support and advice) social network ties were obtained. An egocentric social network analysis was completed, according to the woman's smoking status...
July 2016: American Journal of Health Behavior
Harris Meyer
No abstract text is available yet for this article.
April 4, 2016: Modern Healthcare
Claire Snell-Rood, Emily Hauenstein, Carl Leukefeld, Frances Feltner, Amber Marcum, Nancy Schoenberg
This qualitative study explored social-cultural factors that shape treatment seeking behaviors among depressed rural, low-income women in Appalachia-a region with high rates of depression and a shortage of mental health services. Recent research shows that increasingly rural women are receiving some form of treatment and identifying their symptoms as depression. Using purposive sampling, investigators recruited 28 depressed low-income women living in Appalachian Kentucky and conducted semistructured interviews on participants' perceptions of depression and treatment seeking...
June 20, 2016: American Journal of Orthopsychiatry
Frances Hardin-Fanning, JaNelle M Ricks
A focus group session, using the Theory of Planned Behavior to guide questions and discussion, was conducted at midpoint of a 12-month cooking skills program in a rural Appalachian food desert. The purpose of this qualitative study was to determine the attitudes, subjective norms and perceived behavioral control beliefs that influenced participation in these classes. Participants viewed the classes as opportunities for social interaction and to have new experiences. Subjective norms were influenced by family members and traditional cooking...
June 16, 2016: Global Health Promotion
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