Appalachian Studies Commons^™

Exploring Rockingham County’S Past: Recapturing Local History And Promoting Accessibility, Kayla Heslin

Journal of Contemporary Archival Studies

In 2018 Exploring Rockingham’s Past (ERP) launched. ERP is an online repository created to house local records from the Rockingham County, Virginia circuit court. Just a little over a year before its launch, Clerk of the Court, Chaz Haywood entreated facility and graduate students within the history department of James Madison University to help develop community access to the records housed within his institution. Sadly, over the decades the records of the courthouse had fallen into disarray, rendering them useless. Seeing this as a significant loss of culture and heritage, Haywood and James Madison University began developing a platform that …

Growing Up Deaf In Appalachia: An Oral History Of My Mother, Elizabeth Shelton Tipton

Electronic Theses and Dissertations

This study focuses on the life experiences of a rural, Deaf Appalachian woman, Jane Ann Shelton, a second generation Deaf child born to Deaf parents from the communities of Devil’s Fork (Flag Pond, Tennessee) and Shelton Laurel (Madison County, North Carolina). Over two hours of videotaped interviews were interpreted and transcribed, followed by various other communications to describe the life of a rural, Deaf Appalachian woman without a formal high school degree. As an advocate and a political lobbyist in Tennessee during the 1980s and 90s, she was unparalleled by her peers (deaf or hearing) in her efforts to “enhance …

Museum Proposal At Portsmouth, Richard Duncan

Indian Head Rock Project

A proposal to construct a museum for the Indian Head Rock in Portsmouth, Ohio. The letter was written on November 18, 2019 and the drawings created on November 1, 2019.

Healing The Encounter Between People And Place In Southern Appalachia, Caroline Merritt

Expressive Therapies Capstone Theses

In southern Appalachia, we fail to make visible the roots. Existing not as a geographical location but as a socially constructed culture and a concentrated source of exploited energy, the region reflects a necessary element of the postcolonial American imagination. For nationally lucrative resources such as coal, oil, lumber, and natural gas to be extracted without consideration or consciousness for the people and the place of its origin, the otherized Appalachian stereotype must prevail. Further crystalizing this false construction, white Appalachian scholars traditionally address current health disparities via the victimization of poor white Appalachia. The capitalist initiative to concentrate power …

Why We Can’T Solve The Opioid Problem, Wayne F. Coombs, Ph.D.

Journal of Appalachian Health

Appalachia’s opioid epidemic is a complex, systemic problem being addressed by limited intervention processes conceptualized through narrow disciplinary models that are not working. We need a new comprehensive, collaborative approach if we ever hope to find solutions to this problem.

A Virginia Mountain City Responds To The Challenge Of Improving Health Outcomes, Robert S. Cowell Jr.

Journal of Appalachian Health

In 2012, Roanoke Virginia was becoming a city of haves and have-nots, a place where many were benefitting from revitalization underway but too many were seeing their situation grow worse and becoming even more entrenched. Poverty with levels as high as 50% in some neighborhoods; life expectancy sometimes 14 years shorter than those living just one or two neighborhoods over; and lack of access to fresh food, medical care, and economic opportunities—all within view of the largest hospital in the region was unacceptable.

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Adult Food Security And The Relationship With Adverse Childhood Experiences Among Residents Of Appalachian North Carolina, Manan Roy, Erin Bouldin, Maggie Bennett, Adam Hege

Journal of Appalachian Health

Introduction: The Appalachian region has worse health outcomes than the remainder of the United States. These disparities are often linked to the underlying social and environmental determinants of health. Adverse childhood experiences (ACEs) are associated with poor health outcomes across the lifespan and have a significant impact on future social determinants as an adult, including food security status.

Purpose: To explore the relationships between ACEs and food security among adults in the Appalachian counties of North Carolina and make comparisons with the rest of the state.

Methods: Researchers used North Carolina’s 2012 Behavioral Risk Factor Surveillance System data; namely, …

A Comparison Of Appalachian And Non-Appalachian Kentucky Dui Offenders, Megan F. Dickson, Megan Kissel, J. Matthew Webster

Journal of Appalachian Health

Background: Driving under the influence has been an overlooked consequence of the opioid epidemic. Although recent reports have highlighted the increased prevalence of DUI in rural communities and the extensive mental health problems and criminal and drug use histories among rural Appalachian DUI offenders, it is unclear how Appalachian DUI populations compare to DUI offenders in other regions.

Purpose: To help fill this void in the literature, the current study uses a statewide sample to examine how Appalachian DUI offenders differ from non-Appalachian DUI offenders in a predominantly rural state.

Methods: Assessment records were examined for 11,640 Kentucky DUI offenders …

Roanoke's Collective Public Health Activities, Michael Lytton

Journal of Appalachian Health

Roanoke is addressing problems that confront many small and medium sized cities in the U.S., especially disparities in health and life expectancy between neighborhoods. These disparities are often legacies of decades of racial and economic segregation, resulting in low-income or disinvested communities. Typically, such neighborhoods have fewer parks, higher vacancy rates and less stable affordable housing stock, inadequate public transit systems, too few clinics, too many fast food restaurants and insufficient access to high quality schools. In Roanoke these are the northwest and southeast quadrants, both federally designated Medically Underserved Areas, and characterized by a large proportion of the city’s …

A Legacy Of Disease, Arthur L. Frank

Journal of Appalachian Health

In Appalachia, like much of America, there are important health issues that have not always been appropriately predicted or dealt with when they occur. Lifestyle issues in Appalachia lead to obesity and heart disease, not surprisingly due to extensive use of sugary drinks. The current opioid crisis could have been better predicted given the trauma of mining and the past abuse of less-potent narcotics. A continuing major problem in the whole country is inadequate support for preventive health activities.

Improving Access To Addiction Recovery Care In Central Appalachia Through Organizational Collaboration, Katy Stigers

Journal of Appalachian Health

Fahe, a Network of 50+ members throughout Appalachia based in Berea KY, has brought together a coalition to finance, build, and manage several addiction recovery care centers across Kentucky and West Virginia, increase access to employment, and deploy vouchers for supportive services.

Disparities In Quality Of Life By Appalachian-Designation Among Women With Breast Cancer, Robin C. Vanderpool, Ann L. Coker, Heather M. Bush, Sarah E. Cprek

Journal of Appalachian Health

Introduction: Few studies have examined the association of geography and quality of life (QOL) among breast cancer patients, particularly differences between Appalachian and non-Appalachian Kentucky women, which is important given the cancer and socioeconomic disparities present in Appalachia.

Purpose: The purpose of this study was to determine whether women with breast cancer residing in Appalachian Kentucky experience poorer health outcomes in regards to depression, stress, QOL, and spiritual wellbeing, relative to those living in non-Appalachian Kentucky after adjusting for demographic, socioeconomic, and health-related factors.

Methods: Women, aged 18–79, recruited from the Kentucky Cancer Registry between 2009 and 2013 with an …

West Virginia’S Sugary Drink Tax: Examining Print Media Frames In Local News Sources, Lauri Andress, Ogaga Urhie, Christine Compton

Journal of Appalachian Health

Introduction: Framing is an important aspect of the policy process that helps the public and decision makers sort through and resolve highly charged claims about an issue. Through slight changes in the presentation of issues, a framing effect may alter public support. The way a proposed sugary drink tax is discussed in public discourse and by the media significantly influences policy acceptance. Given the public health significance of obesity and diabetes in West Virginia (WV) the study of media frames employed to represent a sugary drink tax policy is useful.

Methods: Using quantitative content analysis, this study assessed news articles—published …

Investigating The Impact Of The Diseases Of Despair In Appalachia, Michael Meit, Megan Heffernan, Erin Tanenbaum

Journal of Appalachian Health

Introduction: Appalachia is one of the regions most significantly impacted by the opioid crisis. This study investigated mortality due to diseases of despair within the Appalachian Region, with an additional focus on deaths attributable to opioid overdose.

Methods: Diseases of despair include: alcohol, prescription drug and illegal drug overdose, suicide, and alcoholic liver disease/cirrhosis of the liver. Mortality data from the National Center for Health Statistics (NCHS) National Vital Statistics System (NVSS) Multiple Cause of Death database were analyzed for this study, focusing on individuals aged 15–64.

Results: Over the past two decades, the mortality rate due to diseases of …

Root Causes Of Appalachia’S Deaths Of Despair, F. Douglas Scutchfield Md

Journal of Appalachian Health

The U.S. is experiencing a decline in life expectancy, particularly among rural white males in their most productive years. Appalachia is disproportionally represented in mortality rates, accounting for 30% of the U.S. population, but 50% of the excess mortality attributed to the “deaths of despair”: drug overdose, suicide, and alcoholic cirrhosis. A substantial proportion of that excess mortality is related to the current opioid crisis we are experiencing. We have data on evidence-based solutions to the treatment of addiction, but little information on prevention of addiction as well as the other deaths of despair, likely with the same etiologic agent. …

Healthcare Access And Poverty Among Central Appalachian Residents, Kacey M. Lefevers

Kentucky Journal of Undergraduate Scholarship

Healthcare access is an important shaping force in the lives of Appalachian people. Appalachians often face both inadequate availability of medical facilities and poverty, which limits access to health insurance and therefore healthcare. This results in reduced life expectancy and health disparity. In this study, the author examines relationships between adequate healthcare and access to healthcare among Appalachian residents. Using a convenience sample of Appalachian residents, the author finds that income, education, and being an Appalachian resident have unique impacts on healthcare access or perceptions of healthcare in general.

Mccartt-Jackson, Sarah, B. 1982 (Fa 1290), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid only for Folklife Archives Project 1290. Student collection titled “’Clogging’s Just Clogging’: The Richard McHargue Cloggers and Approaches to Vernacular Percussive Dance Study” in which Sarah McCartt-Jackson conducts an interview with Richard McHargue, a clogging instructor from Richmond, Kentucky. The interview contains McHargue’s early dancing memories, clogging terms, and opinions about the contemporary state of clogging. The collection also contains a partial transcript, fieldnotes, interview questions, content index, photographs, and the recorded audio interview on CD.

Brown, Chloe Jo, B. 1991 (Fa 1289), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid only for Folklife Archives Project 1289. Student collection titled “Dale Cross: The Art of Flintknapping” in which Chloe Brown examines the commercial, historical, and cultural factors that have influenced the production of arrowheads. Brown interviews Dale Cross, a flintknapper from Burkesville, Kentucky who is renowned for his artistic skills. The paper addresses Cross’ personal aesthetics, flintknapping processes, and his business-related endeavors. The collection includes an academic paper, a transcription, CDs containing the recorded audio interview and photographs, and one of Cross’ arrowheads.

Jameson, Jennifer Michelle, B. 1987 (Fa 1288), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid only for Folklife Archives Project 1288. Student paper titled “Finding the Folkways of a Forensic Anthropomorphologist: The Kentucky Yard Art Of Cecil and Bet Ison” in which Jennifer Jameson explores the creative endeavors and identities of two folk artists in Rowan County, Kentucky. Jameson, who conducted her fieldwork over a period of two weeks, examines flower sculptures, upholstered trees, bottle cap murals, beadwork, and other vernacular expressions pieced together by the Isons in their built environment. The paper also discusses the relationships between the Isons and their community, personal aesthetics, educational backgrounds, and connections to broader cultural issues. …

Becoming A Master Manager: An Analysis Of Snap Recipient Stories Of Navigating Government Assistance, Kallie Gay

Electronic Theses and Dissertations

This study examines experiences of utilizing government assistance in the United States. It focuses on the ways in which persons participating in the Supplemental Nutrition Assistance Program (SNAP) communicatively managed their lives in relation to their role in the program. Specifically, the research reveals that SNAP recipients are master managers. After synthesizing the pre-existing body of research concerning social assistance in the U.S. and its effects on those who utilize it, the author argues that sharing the stories of marginalized groups can serve to reduce stigma surrounding government assistance participation. Employing a Feminist Standpoint Theory sensibility to elicit such stories, …

Dusty Shoes: Appalachia Wisdom Fertilizing The Future Of Religious Leadership, Jill Crainshaw

Journal of Appalachian Health

Dust from their journeys through the hills and hollows of Appalachia clings to their shoes and has forever shaped their vocational journeys. This is a refrain I have distilled from the reflections of students who have participated in Wake Forest University School of Divinity’s multicultural contexts course that includes a 10-day sojourn in the mountains of North Carolina.

Identifying Priority And “Bright-Spot” Counties For Diabetes Preventive Care In Appalachia: An Exploratory Analysis, Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling, Jessica L. Mccann, Mark Carrozza

Journal of Appalachian Health

Introduction: Type 2 diabetes mellitus (T2DM) prevalence and mortality in Appalachian counties is substantially higher when compared to non-Appalachian counties, although there is significant variation within Appalachia.

Purpose: The objectives of this research were to identify low-performing (priority) and high-performing (bright spot) counties with respect to improving T2DM preventive care.

Methods: Using data from the Centers for Medicare and Medicaid (CMS), the Dartmouth Atlas of Health Care, and the Appalachia Regional Commission, conditional maps were created using county-level estimates for T2DM prevalence, mortality, and annual hemoglobin A1c (HbA1c) testing rates. Priority counties were identified using the following criteria: top 33rd …

Serum Cotinine Versus Parent Reported Measures Of Secondhand Smoke Exposure In Rural Appalachian Children, Samrat Yeramaneni, Kimberly Yolton, Kurunthachalam Kannan, Kim N. Dietrich, Erin N. Haynes

Journal of Appalachian Health

Background: Secondhand smoke (SHS) exposure in Appalachian children and associated adverse effects is understudied and not well documented. This study assessed the prevalence of SHS exposure in Appalachian children by parental self-report and internal biological measure.

Methods: SHS exposure was determined in children residing in rural Appalachian communities during their participation in the Communities Actively Researching Exposure Study between 2009 and 2013. Parents reported the number of smokers in the household and number of cigarettes smoked/day. Children ages 7-9 provided a serum sample for cotinine analysis. Parent reported measures and child serum cotinine measures of SHS exposure were compared with …

The Social Determinants Of Health And The Decline In U.S. Life Expectancy: Implications For Appalachia, Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl

Journal of Appalachian Health

For the past century, life expectancy in industrialized countries has increased, and the U.S. has shared in that progress. However, beginning in the 1980s, advances in U.S. life expectancy began to lose pace with peer countries. By 1998, U.S. life expectancy had fallen below the average for Organisation for Economic Cooperation and Development nations. U.S. life expectancy peaked in 2014 and has been decreasing for three consecutive years, a trend not been seen since the influenza pandemic a century ago. Put simply, U.S. health is in decline.

Delivering Health Knowledge And Wisdom From The Hills And Hollows Of Appalachia, F. Douglas Scutchfield Md, Erin N. Haynes, Robert M. Shapiro Ii, Charlotte S. Seidman

Journal of Appalachian Health

There is knowledge in the pages of Appalachia’s hills. This journal is positioned to find and publish those translations. It grows from a need to provide an outlet for scholarship about Appalachia’s health so that knowledge, and occasionally wisdom, is shared with those who care about and are committed to improving the region’s health.

Brennan, Mary Kate (Fa 1284), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid only for Folklife Archives Project 1284. Student interview conducted by Mary Kate Brennan with renowned Appalachian poet Jim Wayne Miller. Brennan’s focus throughout the interview is on “the cultural sensitivity and awareness that permeates Miller’s poetry.” Miller also touches on what he considers to be the central themes of his work, the struggles and triumphs of communities within the Appalachian region, and pride in cultural heritage. The collection contains a detailed index, interview summary, transcription, index cards with questions, and a reel-to-reel audio tape of the interview.

Disneyfication And Education, Reagan A Yessler

EURēCA: Exhibition of Undergraduate Research and Creative Achievement

Disneyfication in theater means the increase in popularity of Disney plays and the resulting reshaping of modern plays to more resemble those of Walt Disney, in order to gain viewership. In most cases, this means a shift to a musical format featuring upbeat ballads and gaudy but family-friendly costumes. While many theatre elitists frown upon such trends, this project shows how Disneyfication fosters renewed interest and enjoyment in theatre across age groups. A case study of the Knox and Sevier County school systems in Tennessee examines patterns of interest and enjoyment in the nation’s most popular plays via snowball method …

Thompson, Elois (Fa 1258), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid only for Folklife Archives Project 1258. Student paper titled “Uncle Henry and the Kentucky Mountaineers” in which Elois Thompson details the life and career of “farmer, soldier, boxer, dairy-farm employee, comedian, aircraft factory employee, and hillbilly musician” Henry Green Warren. Thompson describes Warren’s childhood in Green County, his beginnings as a host on a popular radio program, and his time as a musician in several country music bands. Collection contains a draft of the original paper with the editor’s notes and the final copy of Thompson’s paper.

Consuming Appalachia: An Archaeology Of Company Coal Towns, Zada Komara

Theses and Dissertations--Anthropology

Material culture is an understudied aspect of social life in Appalachian Studies, the multi- disciplinary investigation of social life in the Appalachian region. Historically, material culture in the region has been largely studied for its semiotic properties, decoded as a tangible symbol of “a region apart,” lagging behind the rest of America in terms of moral, mental, economic, and social development. Critical material studies from archaeology and other disciplines paint a different picture, however, and construct a region as American as any other. This study utilizes discourse analysis of material rhetoric about Appalachia and archaeological and oral historical data from …

Finding The Singing Spruce: Craft Labor, Global Forests, And Musical Instrument Makers In Appalachia, Jasper Waugh-Quasebarth

Theses and Dissertations--Anthropology

Musical instrument makers in the state of West Virginia in the United States pursue “singing,” lively instruments that capture ideals of musical tone and “re-enchant” their work and lives through relationships with craft materials and the forest landscape. Suitable tonewoods that grow in the region, such as red spruce (Picea rubens), intersect with makers’ desires to craft instruments in the style of famed makers such as the C.F. Martin Company and the Gibson Company as well as provide instruments imbued with a sense of place. While the demand for and symbolic import of instruments made with local wood …