4 Works

Changes in Adolescent Birth Rates within Appalachian Subregions and Non-Appalachian Counties in the United States, 2012–2018

Nathan Hale, Kathleen Tatro, Sylvester Olubolu Orimaye, Michael Smith, Michael Meit, Kate E. Beatty & Amal Khoury
Background: Adolescent births are associated with numerous challenges. While adolescent birth rates have declined across the U.S., disparities persist and little is known about the extent to which broader declines are seen within Appalachia. Purpose: The purpose of this study was to examine the extent to which adolescent birth rates have declined across the subregions of Appalachia relative to non-Appalachia. Methods: We conducted a retrospective study of adolescent birth rates between 2012 and 2018 using...

They Built My Soul

Bethesda OConnell, Ada Sloop, Nicole Intagliata, Melisa Miller & Megan Quinn
Background: Housing is an important social determinant of health and substandard housing is linked to physical, mental, and social health problems. Purpose: The purpose of the study was to qualitatively assess the impacts of repairs to substandard housing in rural East Tennessee through twenty-eight interviews. Methods: Zoom was utilized for recording phone interviews in January– February 2021 and NVivo software was used for thematic analysis in May–July 2021. Results: Themes that emerged included environmental risk...

Emergence of COVID-19 and Patterns of Early Transmission in an Appalachian Sub-Region

Abbey K. Mann, Timothy A. Joyner, Ingrid E. Luffman, Megan Quinn, William Tollefson & Ashley Frazier
Background: In mid-March 2020, very few cases of COVID-19 had been confirmed in the Central Blue Ridge Region, an area in Appalachia that includes 47 jurisdictions across northeast Tennessee, western North Carolina, and southwest Virginia. Authors described the emergence of cases and outbreaks in the region between March 18 and June 11, 2020. Methods: Data were collected from the health department websites of Tennessee, North Carolina, and Virginia beginning in mid-March for an ongoing set...

Tracking the Impact of Diseases of Despair in Appalachia—2015 to 2018

Megan Heffernan, Michael Meit, Margaret Cherney & Victoria A. Hallman
Introduction: This study provides an update on mortality due to diseases of despair within the Appalachian Region, comparing 2015 to 2018. Methods: Diseases of despair include: alcohol, prescription drug and illegal drug overdose, suicide, and alcoholic liver disease/cirrhosis of the liver. Analyses are based on National Vital Statistics System (NVSS) mortality data for individuals aged 15-64. Results: Between 2015 and 2017, the diseases of despair mortality rate increased in both Appalachia and the non-Appalachian U.S.,...

Registration Year

  • 2022
    2
  • 2021
    2

Resource Types

  • Journal Article
    4

Affiliations

  • East Tennessee State University
    4
  • University of Chicago
    1
  • Walters State Community College
    1