18 Works

Risk Factors Associated with Passenger Vehicle Fatal Rollover Crashes in West Virginia, 2001-2018

Yuni Tang, Toni Rudisill & Ruchi Bhandari
Background: Rollover crashes cause more injuries and fatalities than other types of motor vehicle crashes. West Virginia (WV) has high rates of drug overdose deaths and motor vehicle crash fatality. However, no studies have investigated risk factors associated with fatal rollover crashes in WV. Purpose: The objective of this study is to evaluate whether drug use and other risk factors are associated with fatal rollover crash fatalities in WV. Methods: This cross-sectional study utilized the...

Review of: Ailing in Place

Jerry Paulson & Jennifer A. Mallow
The Journal of Appalachian Health is committed to reviewing published media that relate to contemporary concepts affecting the health of Appalachia. The Appalachian environmental inequities and the health disparities we face have a direct effect on our experience of illness. Dr. Jerome Paulson reviews the book Ailing in Place: Environmental Inequities and Health Disparities in Appalachia.

Advancing Cancer Prevention Practice Facilitation Work in Rural Primary Care During COVID-19

Dannell Boatman, Susan Eason, Mary E. Conn, Summer Miller & Stephenie Kennedy-Rea
COVID-19 and the response to slow the virus spread in West Virginia (WV), including a statewide stay-at-home order, presented challenges to rural primary care clinics on the frontlines. These challenges affected critical quality improvement work, including cancer screening services. In this commentary, the authors present the results of a survey of WV primary care practices that highlight potential long-term implications and identifies opportunities for practice facilitators to partner with rural primary care clinics to address...

Review of: The Cancer Crisis in Appalachia: Kentucky Students Take Action

Stephenie Kennedy-Rea
The Journal of Appalachian Health is committed to reviewing published media that relates to contemporary concepts affecting the health of Appalachia. With cancer mortality rates higher in rural and Appalachian communities, a focus on how cancer impacts our families and communities is more important than ever. Dr. Stephenie Kennedy-Rea reviews the book The Cancer Crisis in Appalachia: Kentucky Students Take Action.

Addressing Diabetes Distress in Self-Management Programs

Ranjita Misra, Samantha Shawley-Brzoska, Raihan Khan, Brenna Kirk, Sijin Wen & Usha Sambamoorthi
Background: West Virginia ranks 1st nationally in the prevalence of hypertension (HTN; 43.8%) and diabetes (16.2%). Patients with type 2 diabetes mellitus (T2DM) are distressed over physical and psychological burden of disease self-management. Methods: This study investigated the effectiveness of an intervention to reduce diabetes distress and outcomes [glycemic control, blood pressure (BP)] among T2DM adults with comorbid HTN. Participants were randomized to a 12-week diabetes and hypertension self-management program versus a 3-month wait-listed control...

The Compounding Effect of Rurality on Health Disparities Among Black Patients with COVID-19

Jessica Johnson, Ruchi Bhandari, Allison Lastinger & Rebecca Reece
Background: West Virginia had garnered national attention for its vaccination rollout against coronavirus 2019 (COVID-19). Outcomes of this mostly rural population, however, have been underreported. As the pandemic continues, identifying high risk populations remains important to further epidemiologic information and target vaccines. Purpose: The objective of this study is to examine the effects of COVID-19 and the influence of race and rurality on hospitalization and outcomes in Appalachians. Methods: In this retrospective study, data from...

Appalachian Caregiver Perspectives on Childhood Gun Safety in the Home

Dannell Boatman
Background: Childhood gun injuries pose a critical public health challenge. For children, unintentional gun injury deaths primarily occur in the home where parents or other adult guardians, referred to as caregivers hereafter, are responsible for safety. While the American Academic of Pediatrics recommends not having guns in areas where children live and play, firearms are often viewed as normative and fill an important role in many homes. This is particularly true in more rural areas,...

Diabetes Knowledge, Behaviors, and Perceptions of Risk in Rural West Virginia Counties

Ranjita Misra, Sara Farjo, Renee McGinnis, Megan Adelman Elavsky, Summer Kuhn & Catherine Morton-McSwain
Introduction: A little less than half of American adults have diabetes or pre-diabetes. In 2016, West Virginia (WV) had the highest percentage (15.2%) of adults with diagnosed diabetes in the U.S. Purpose: In partnership with the Health Sciences and Technology Academy (HSTA), a cross-sectional study was preformed to assess knowledge, behaviors, and perceptions of diabetes risk. Methods: Data was collected by trained HSTA students and teachers who lived in rural counties in WV. Information was...

Establishing Peer Recovery Support Services to Address the Central Appalachian Opioid Epidemic

Stephen M. Davis, Amanda Stover, Herb Linn, Jon Dower, Dan McCawley, Erin Winstanley & Judith Feinberg
Introduction: Central Appalachia has been disproportionately affected by the opioid epidemic and overdose fatalities. We developed West Virginia Peers Enhancing Education, Recovery, and Survival (WV PEERS), a program based on peer recovery support, to engage individuals using opioids and link them with a range of services. Methods: Community partners providing services to individuals with opioid use disorder (OUD) were identified and collaborations were formalized using a standardized memorandum of understanding. The program was structured to...

Case Study of a Comprehensive Team-Based Approach to Increase Colorectal Cancer Screening

Lauren E. Wright, Adam Baus, Andrea Calkins, Holly Hartman-Adams, Mary E. Conn, Susan Eason & Stephenie Kennedy-Rea
Introduction: Colorectal cancer is the second leading cause of cancer deaths among men and women in West Virginia. In addition, 51% of all colorectal cancers diagnosed in West Virginia from 2012 to 2016 were detected at either regional (31%) or distant (20%) stages indicating a need for improved early detection. Methods: West Virginia University Cheat Lake Physicians participated in the West Virginia Program to Increase Colorectal Cancer Screening, a program of Cancer Prevention and Control...

Review of Digging Our Own Graves

Michael McCawley
The Journal of Appalachian Health is committed to reviewing published media that relates to contemporary concepts affecting the health of Appalachia. Coal mining and black lung disease have long been a central topic of both political and health communities in Appalachia. The book, Digging Our Own Graves (Coal Miners and the Struggle over Black Lung Disease) by Barbara Ellen Smith, is a well-known title, now updated; its newest edition is reviewed.

Perceived Ability to Treat Opioid Use Disorder in West Virginia

Ashley Brianna Sheppard, Jonathan C. Young, Stephen Davis & Garrett E. Moran
Introduction: Medication-assisted treatment (MAT) is an evidence-based therapy for opioid use disorder (OUD) that has not been fully implemented in rural areas due to patient, provider, and logistical barriers. Limited information is available on provider perceptions of barriers to MAT in rural Central Appalachia which has very high rates of OUD compared to the rest the United States. Purpose: Determine perceived barriers for potential prescribers to using MAT, including buprenorphine, as part of treatment for...

Leveraging Electronic Health Records Data for Enhanced Colorectal Cancer Screening Efforts

Adam D. Baus, Lauren E. Wright, Stephenie Kennedy-Rea, Mary E. Conn, Susan Eason, Dannell Boatman, Cecil Pollard, Andrea Calkins & Divya Gadde
Introduction: Colorectal cancer is the third most common type of cancer in the United States for men and women combined. While the current threat of disease nationally is significant, the majority of colorectal cancer cases and deaths could be prevented through established screening tests and guidelines. Within the Appalachian region and West Virginia in particular, colorectal cancer is a significant public health problem. A more systematic, comprehensive approach to preventing and controlling cancer is essential....

Effects of Sleep Duration on Falls in a West Virginia Population-Based study, BRFSS, 2018

R. Constance Wiener & Christopher Waters
Introduction: West Virginia is a state in which most counties are rural, as well as a state with multiple health disparities among its population. The purpose of this study was to determine the association of sleep duration and falls for non-institutionalized West Virginia adults, aged 40 years and above, using the National Sleep Foundation’s definition of “may be appropriate” and “not recommended” sleep durations for specific ages. Methods: Behavior Risk Factor Surveillance System (BRFSS) 2018...

Appalachia

Lauri Andress & Keri Valentine
As the website Understanding and Dismantling Racism: Crowdsourcing a Pathway Model in Appalachia explains, we are seeking assistance in refining a pathway model that elucidates institutional racism from the unique standpoint of Appalachia. We think that Appalachia has a distinctive cultural toolkit that shapes its orientation on issues. Our goal is to use crowdsourcing to harness this unique Appalachian ethos to refine the Pathway model on Institutional Racism based on comments, edits, questions, and ideas...

Triple Negative Breast Cancer in an Appalachian Region

Gina Sizemore & Toni Marie Rudisill
Introduction: Triple negative breast cancer is an aggressive breast cancer with decreased five-year survival, increased risk for recurrence, and higher risk for metastases. Unlike other breast cancers, it has no targeted treatment and has heterogeneous genetics which make classification and treatment difficult. Purpose: The purpose of our research was to compare triple negative breast cancer to non-triple negative breast cancer to identify key epidemiologic factors that might lead to improved basic science directives for biomarkers,...

Review of: Appalachians for Medicaid Website

Kendra Barker
The Journal of Appalachian Health is committed to reviewing published media that relates to contemporary concepts affecting the health of Appalachia. Access to care and the health disparities we face have a direct effect on our experience of illness. Dr. Kendra Barker reviews the website: Appalachians for Medicaid.

The Importance of Time, Place, and Person

Linda Alexander & F. Douglas Scutchfield
Since the 1800s this traditional triad of descriptive epidemiology has allowed for effective interventions to deal with epidemics. A focus on time, place, and person also provides a critical framework for interventions in controlling the epidemic by focusing on those populations with the highest risk for disease.

Registration Year

  • 2021
    16
  • 2020
    2

Resource Types

  • Journal Article
    14
  • Text
    4

Affiliations

  • West Virginia University
    18
  • James Madison University
    1
  • University of Kentucky
    1
  • Akron General Medical Center
    1
  • University of North Texas Health Science Center
    1