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Social and Behavioral Sciences

University of Kentucky

Theses/Dissertations

2023

Appalachia

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Exploration Of Factors Associated With Rural Appalachian Women's Use Of Buprenorphine Prior To Incarceration, Kelsey A. Redmayne Jan 2023

Exploration Of Factors Associated With Rural Appalachian Women's Use Of Buprenorphine Prior To Incarceration, Kelsey A. Redmayne

Theses and Dissertations--Educational, School, and Counseling Psychology

The Gelberg-Anderson Behavioral Model for Vulnerable Populations was used to identify factors related to buprenorphine use in general and through diversion (versus formal treatment) among rural Appalachian women using substances in the six months prior to their incarceration. This study is a secondary analysis of data from interviews completed with rural Appalachian women (N=400) residing in rural Kentucky jails. Independent variables were analyzed using chi square and independent t-tests for buprenorphine use generally and diverted buprenorphine use. The significant predictors were then evaluated through hierarchical logistic regression to explore which factors account for the most variance in general …


Solving The Healthcare Employee Shortage: The Effectiveness Of Incentive Programs In Enticing Young Health Professionals To Appalachian Kentucky Communities, Taylor Williams Jan 2023

Solving The Healthcare Employee Shortage: The Effectiveness Of Incentive Programs In Enticing Young Health Professionals To Appalachian Kentucky Communities, Taylor Williams

MPA/MPP/MPFM Capstone Projects

Kentucky’s Appalachian counties have long been recognized as medically underserved areas, with access to care being limited by a shortage of healthcare professionals in the region. This issue, specifically as it pertains to primary care physicians, has been the focus of many programs hoping to improve access to care in these communities for many years. Is the ongoing effort to recruit and retain primary care physicians in Appalachian Kentucky counties effective? Hypotheses The mean number of people per physician in Appalachian Kentucky counties reported in 2013 is equal to the mean number of people per physician in Appalachian Kentucky counties …