Journal of Appalachian health最新文献_第10页

Establishing Peer Recovery Support Services to Address the Central Appalachian Opioid Epidemic: The West Virginia Peers Enhancing Education, Recovery, and Survival (WV PEERS) Pilot Program. 建立同伴康复支持服务以解决阿巴拉契亚中部阿片类药物流行问题:西弗吉尼亚州同伴加强教育，康复和生存(WV Peers)试点项目。

Journal of Appalachian health Pub Date : 2021-07-25 eCollection Date: 2021-01-01 DOI: 10.13023/jah.0303.04

Stephen M Davis, Amanda N Stover, Herb Linn, Jon Dower, Daniel McCawley, Erin L Winstanley, Judith Feinberg

{"title":"Establishing Peer Recovery Support Services to Address the Central Appalachian Opioid Epidemic: The West Virginia Peers Enhancing Education, Recovery, and Survival (WV PEERS) Pilot Program.","authors":"Stephen M Davis, Amanda N Stover, Herb Linn, Jon Dower, Daniel McCawley, Erin L Winstanley, Judith Feinberg","doi":"10.13023/jah.0303.04","DOIUrl":"https://doi.org/10.13023/jah.0303.04","url":null,"abstract":"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 offer ongoing peer recovery support specialist (PRSS) services, not just a one-time referral. A website and cards describing the WV PEERS program were developed and disseminated via community partners and community education sessions.Results: Overall, 1456 encounters with individuals with OUD (mean= 2 encounters per individual) occurred in a variety of community settings over 8 months. The majority of referrals were from harm reduction programs. Overall, 63.9% (n=931) of individuals served by WV PEERS accessed services for substance use disorders and/or mental health problems. Over half (52.3%; n = 487) of individuals entered substance use and/or mental health treatment, and nearly a third (30.4%; n = 283) remained in treatment over six months.Implications: Using the WV PEERS model, PRSSs effectively engaged and linked individuals with OUD to mental health and substance use treatment in rural central Appalachia. Future research is needed to determine whether these services reduce the risk of overdose mortality.","PeriodicalId":73599,"journal":{"name":"Journal of Appalachian health","volume":" ","pages":"36-50"},"PeriodicalIF":0.0,"publicationDate":"2021-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9192111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40410732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Triple Negative Breast Cancer in an Appalachian Region: Exponential Tumor Grade Increase with Age of Diagnosis 阿巴拉契亚地区三阴性乳腺癌:肿瘤分级随诊断年龄呈指数增长

Journal of Appalachian health Pub Date : 2021-07-25 DOI: 10.13023/jah.0303.08

Gina M. Sizemore, T. Rudisill

{"title":"Triple Negative Breast Cancer in an Appalachian Region: Exponential Tumor Grade Increase with Age of Diagnosis","authors":"Gina M. Sizemore, T. Rudisill","doi":"10.13023/jah.0303.08","DOIUrl":"https://doi.org/10.13023/jah.0303.08","url":null,"abstract":"ABSTRACT: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 heterogenous 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, treatments, and classification.Methods: The state cancer registry was used to provide the first West Virginia statewide population evaluation of triple negative breast cancer.Results: The research reveals novel results that tumor grade increases exponentially with the age at diagnosis.Implications: This creates an epidemiologic foundation for future research to define whether the disease, access to care, biology of aging, or some other factor cause this significant finding. In addition, results reveal decreased use of testing that could be increased to improve biomarker identification, targeted treatments, and classification of triple negative breast cancer.","PeriodicalId":73599,"journal":{"name":"Journal of Appalachian health","volume":"3 1","pages":"97 - 109"},"PeriodicalIF":0.0,"publicationDate":"2021-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42932644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case Study of a Comprehensive Team-Based Approach to Increase Colorectal Cancer Screening. 以团队为基础的综合方法增加结直肠癌筛查的案例研究。

Journal of Appalachian health Pub Date : 2021-07-25 eCollection Date: 2021-01-01 DOI: 10.13023/jah.0303.07

Lauren E Wright, Adam Baus, Andrea Calkins, Holly Hartman-Adams, Mary E Conn, Susan Eason, Stephenie Kennedy-Rea

{"title":"Case Study of a Comprehensive Team-Based Approach to Increase Colorectal Cancer Screening.","authors":"Lauren E Wright, Adam Baus, Andrea Calkins, Holly Hartman-Adams, Mary E Conn, Susan Eason, Stephenie Kennedy-Rea","doi":"10.13023/jah.0303.07","DOIUrl":"https://doi.org/10.13023/jah.0303.07","url":null,"abstract":"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 at the WVU Cancer Institute. As a result, Cheat Lake Physicians assembled a team of health care professionals to implement evidence-based interventions and system changes including provider assessment and feedback, patient reminders, accurate data capture, and tracking of CRC screening tests.Results: These efforts resulted in a 15.8% increase in colorectal cancer screening rates within one year of implementation. Additionally, the clinic achieved a 66% return rate for Fecal Immunochemical Test kits, an inexpensive, stool-based colorectal cancer screening test.Implications: The utilization of a team-based approach to patient care yields positive results that can be carried over to other cancer and disease prevention efforts in primary care clinics.","PeriodicalId":73599,"journal":{"name":"Journal of Appalachian health","volume":" ","pages":"86-96"},"PeriodicalIF":0.0,"publicationDate":"2021-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9192119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40410731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Appalachia: Putting the "Critical" in Race and Crowdsourcing a Pathway Model on Institutional Racism. 阿巴拉契亚:把“关键”放在种族和众包——制度性种族主义的路径模型。

Journal of Appalachian health Pub Date : 2021-07-25 eCollection Date: 2021-01-01 DOI: 10.13023/jah.0303.01

Lauri Andress, Keri Valentine

引用次数: 0

Tracking the Impact of Diseases of Despair in Appalachia—2015 to 2018 追踪绝望疾病对阿巴拉契亚的影响- 2015年至2018年

Journal of Appalachian health Pub Date : 2021-05-22 DOI: 10.13023/JAH.0302.06

Megan Heffernan, M. Meit, Margaret Cherney, Victoria A. Hallman

{"title":"Tracking the Impact of Diseases of Despair in Appalachia—2015 to 2018","authors":"Megan Heffernan, M. Meit, Margaret Cherney, Victoria A. Hallman","doi":"10.13023/JAH.0302.06","DOIUrl":"https://doi.org/10.13023/JAH.0302.06","url":null,"abstract":"ABSTRACT: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., and the disparity grew between Appalachia and the rest of the county. In 2018, the disease of despair mortality rate declined by 8 percent in Appalachia, marking the first decline for the Region since 2012. Diseases of despair continue to impact the working-age population, and while males experience a higher burden of mortality due to diseases of despair, the disparity between Appalachia and the rest of the United States is greater for females. Overdose mortality rates in Appalachia increased between 2015 and 2017, followed by a decline in 2018. During this same time frame, suicide also increased notably within the Appalachian region, and the disparity between Appalachia and the non-Appalachian U.S. increased by 50 percent.Implications: These findings document that the diseases of despair continue to have a greater impact in the Appalachian Region than in the rest of the United States. While the declining trends between 2017 and 2018 are promising, data has shown that these rates are likely to increase again, particularly as a result of the COVID-19 pandemic.","PeriodicalId":73599,"journal":{"name":"Journal of Appalachian health","volume":"3 1","pages":"-"},"PeriodicalIF":0.0,"publicationDate":"2021-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42226728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Review of: The Cancer Crisis in Appalachia Kentucky Students Take Action. 回顾:肯塔基州阿巴拉契亚地区的癌症危机学生采取行动。

Journal of Appalachian health Pub Date : 2021-05-03 eCollection Date: 2021-01-01 DOI: 10.13023/jah.0302.07

Stephenie Kennedy-Rea

引用次数: 4

Exploring COVID-19 Case Fatality in Relation to the Prevalence of Chronic Conditions and Health Behaviors in Appalachian Kentucky. 探索肯塔基州阿巴拉契亚地区COVID-19病死率与慢性病患病率和健康行为的关系

Journal of Appalachian health Pub Date : 2021-05-03 eCollection Date: 2021-01-01 DOI: 10.13023/jah.0302.05

W Jay Christian

{"title":"Exploring COVID-19 Case Fatality in Relation to the Prevalence of Chronic Conditions and Health Behaviors in Appalachian Kentucky.","authors":"W Jay Christian","doi":"10.13023/jah.0302.05","DOIUrl":"10.13023/jah.0302.05","url":null,"abstract":"ABSTRACT:Background: Research has demonstrated that common chronic conditions, especially those related to cardiovascular health, are important risk factors for severe COVID-19 symptoms or hospitalization. Population prevalence rates of such conditions have not previously been examined in relation to COVID-19 case fatality rates in the Central Appalachian region.Purpose: This study examined prevalence rates of selected chronic conditions and COVID-19 case fatality rates to determine whether the relationship between them is consistent across Appalachian and non-Appalachian regions of Kentucky.Methods: Data from Kentucky's Behavioral Risk Factor Survey (KyBRFS) were used to calculate prevalence rates of asthma, diabetes, influenza vaccination, hypertension, obesity, having a personal doctor, physical inactivity, and cigarette smoking. Publicly available COVID-19 case and death counts by county were used to calculate incidence and case fatality rates. Units of analysis were 41 single- and multi-county areas developed to visualize KyBRFS prevalence rates. Analysis included t-tests to compare Appalachian and non-Appalachian regions, and correlations characterizing associations between COVID-19 case fatality and rates of chronic conditions and behaviors.Results: Incidence and case fatality rates for COVID-19 were slightly lower in the Appalachian region, but not significantly. Significant correlations between COVID-19 case fatality and the prevalence of chronic conditions and behaviors were more common in the non-Appalachian region.Implications: Case fatality rates in Appalachia appear lower than expected, given the high prevalence of important chronic conditions and behaviors known to be associated with poor COVID-19 outcomes. This phenomenon merits further research and should be considered by public health researchers when examining COVID-19 outcomes in Kentucky and neighboring states.","PeriodicalId":73599,"journal":{"name":"Journal of Appalachian health","volume":"3 2","pages":"43-55"},"PeriodicalIF":0.0,"publicationDate":"2021-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9192105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40410146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Sleep Duration on Falls in a West Virginia Population-Based Study, BRFSS, 2018. 睡眠时间对跌倒的影响:一项基于西弗吉尼亚州人口的研究，BRFSS, 2018。

Journal of Appalachian health Pub Date : 2021-05-03 eCollection Date: 2021-01-01 DOI: 10.13023/jah.0302.03

R Constance Wiener, Christopher Waters

{"title":"Effects of Sleep Duration on Falls in a West Virginia Population-Based Study, BRFSS, 2018.","authors":"R Constance Wiener, Christopher Waters","doi":"10.13023/jah.0302.03","DOIUrl":"https://doi.org/10.13023/jah.0302.03","url":null,"abstract":"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 data concerning West Virginia residents were extracted for sleep duration and number of falls within the previous year. Data were analyzed with Chi square and logistic regression analyses on falls.Results: There were 2780 participants, aged 45 years and above. Slightly more than half (51.0%) were female. In adjusted logistic regression analysis, the adjusted odds ratio for falls in participants who did not have the recommended sleep duration was 1.77; 95%CI: 1.38, 2.27; p<0.0001 as compared with participants who did have the recommended sleep duration.Conclusion: Inadequate sleep duration, based on age, was associated with ≥1 falls within the previous year in a West Virginia Appalachian population.","PeriodicalId":73599,"journal":{"name":"Journal of Appalachian health","volume":"3 2","pages":"18-31"},"PeriodicalIF":0.0,"publicationDate":"2021-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9192104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40410141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Loss of Obstetric Services in Rural Appalachia: A Qualitative Study of Community Perceptions. 阿巴拉契亚农村地区产科服务的丧失：一项关于社区看法的定性研究。

Journal of Appalachian health Pub Date : 2021-05-03 eCollection Date: 2021-01-01 DOI: 10.13023/jah.0302.02

Caroline R Efird, David Dry, Rachel F Seidman

{"title":"Loss of Obstetric Services in Rural Appalachia: A Qualitative Study of Community Perceptions.","authors":"Caroline R Efird, David Dry, Rachel F Seidman","doi":"10.13023/jah.0302.02","DOIUrl":"10.13023/jah.0302.02","url":null,"abstract":"Background: As rural hospitals across the United States increasingly downsize or close, the availability of inpatient obstetric services continues to decline in rural areas. In rural Appalachia, the termination of obstetric services threatens to exacerbate the existing risk of adverse birth outcomes for women and infants, yet less is known about how the cessation of these services affects the broader community.Purpose: The purpose of this paper is to explain how the loss of local obstetric services affects perceptions of healthcare among multi-generational residents of a remote, rural Appalachian community in western North Carolina.Methods: An interdisciplinary team of researchers conducted a thematic analysis of health-related oral history interviews (n=14) that were collected from local residents of a rural, western North Carolina community during the summer of 2019.Results: The closure of a local hospital's labor and delivery department fostered (1) frustration with the decline in hospital services, (2) perceived increases in barriers to accessing healthcare, and (3) increased medical mistrust.Implications: Findings suggest that the loss of obstetric services in this rural Appalachian community could have broad, negative health implications for all residents, regardless of their age, sex, or ability to bear children. Community-specific strategies are needed to foster trust in the remaining healthcare providers and to increase access to care for local residents. Results serve as formative research to support the development of interventions and policies that effectively respond to all community members' needs and concerns following the loss of obstetric services in remote Appalachian communities.","PeriodicalId":73599,"journal":{"name":"Journal of Appalachian health","volume":"3 2","pages":"4-17"},"PeriodicalIF":0.0,"publicationDate":"2021-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9192102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40410145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diseases of Despair: A Commentary. 《绝望的疾病:评论》

Journal of Appalachian health Pub Date : 2021-05-03 eCollection Date: 2021-01-01 DOI: 10.13023/jah.0302.01

Tim Thomas

引用次数: 1