Appalachian Region

Publication Title: 
Family & Community Health

Access to health care has been a factor for patients living in isolated mountain regions. The Frontier Nursing service was a pioneer in reaching those patients living in the most remote regions of Appalachia. Geography, demographics, and culture present obstacles for rural residents and health care providers. This article identifies and describes the roles nurses and nurse practitioners played in caring for Appalachian families through a roving Health Wagon in the 1980s and 1990s in Southwest Virginia.

Author(s): 
Snyder, Audrey
Thatcher, Esther
Publication Title: 
Journal of Religion and Health

Religion and spirituality are much studied coping mechanisms; however, their relationship to changes in behaviors, relationships, and goals is unclear. This study explored the impact of a breast cancer diagnosis on religion/faith and changes in behaviors, relationship, or goals.

Author(s): 
Schreiber, Judith A.
Edward, Jean
Publication Title: 
Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society / Transcultural Nursing Society

The aim of this study was to add to nursing's knowledge base relative to spirituality by exploring how women in rural Appalachia experience and describe spirituality in their daily lives. Data was gathered through participant observation in a small rural community in West Virginia, including in-depth interviews of five women from the community. Characteristics of spirituality included belief in God or Greater Source, prayer/meditation, and a sense of relationship or connectedness with others, nature and oneself.

Author(s): 
Burkhardt, M. A.
Publication Title: 
Public Health Nursing (Boston, Mass.)

This study explored health-related and organizational religious activities in an Appalachian community and identified cultural issues in the development of religion-health partnerships. Partnerships between religious groups and health providers are a channel for health promotion efforts to vulnerable populations and must be approached from the culture of the community.

Author(s): 
Simpson, M. R.
King, M. G.
Publication Title: 
Family & Community Health

Remote rural communities are often without adequate healthcare resources. To address the need in one area of Appalachia, an annual medical clinic is held to provide free healthcare services to residents of Appalachia. The Appalachian culture has a number of unique features that influence the healthcare practices of persons living in this region.

Author(s): 
Barish, Rachel
Snyder, Audrey E.
Publication Title: 
American Journal of Epidemiology

Perfluorooctanoate (PFOA) and perfluorooctane sulfonate (PFOS) are persistent environmental contaminants that affect metabolic regulation, inflammation, and other factors implicated in the pathogenesis of osteoarthritis (OA). However, the link between these compounds and OA remains unknown. In this study, the authors investigated the association of OA with PFOA and PFOS in a population of 49,432 adults from 6 PFOA-contaminated water districts in the mid-Ohio Valley (2005-2006).

Author(s): 
Innes, Kim E.
Ducatman, Alan M.
Luster, Michael I.
Shankar, Anoop
Publication Title: 
Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine

BACKGROUND: Restless legs syndrome (RLS) is a common and distressing sensorimotor disorder of unknown etiology. While the epidemiology of RLS has been examined in several North American and European studies, research on RLS and RLS burden in poor, rural populations, including those residing in Appalachia, remains sparse. In this study, we investigated RLS prevalence in an Appalachian primary care population and examined the association of RLS to demographic factors, lifestyle characteristics, sleep quality, and mood disorders.

Author(s): 
Innes, Kim E.
Flack, Kathryn L.
Selfe, Terry Kit
Kandati, Sahiti
Agarwal, Parul
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