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Articles 1 - 30 of 134
Full-Text Articles in Public Health Education and Promotion
Disparities In Mortality Between Appalachian And Non-Appalachian Regions Of Kentucky, Sonali S. Salunkhe, Sahal Alzahrani, Beatrice Ugiliweneza
Disparities In Mortality Between Appalachian And Non-Appalachian Regions Of Kentucky, Sonali S. Salunkhe, Sahal Alzahrani, Beatrice Ugiliweneza
Journal of Appalachian Health
Introduction: In the opioid epidemic, the U.S. faces a significant public health crisis, with some areas of the country, such as rural and Appalachian regions, suffering more than others. The differential regional impact of the crisis in Kentucky—a state with both non-metropolitan/metropolitan and Appalachian/Non-Appalachian statuses—has not yet been documented despite such knowledge being essential to the success of overdose prevention efforts.
Purpose: This study compares all-cause, drug- and opioid-related mortality between counties in different regions of Kentucky: Appalachian non-metropolitan, Appalachian metropolitan, non-Appalachian non-metropolitan, and non-Appalachian metropolitan.
Methods: Age-adjusted mortality data from the Centers for Disease Control and Prevention’s Wide-ranging Online …
Carbapenem-Resistant Enterobacterales—Kentucky, 2013–2020: Challenges And Successes, Mary Issac, Andrea Flinchum, Kevin Spicer
Carbapenem-Resistant Enterobacterales—Kentucky, 2013–2020: Challenges And Successes, Mary Issac, Andrea Flinchum, Kevin Spicer
Journal of Appalachian Health
Introduction: Carbapenem-resistant Enterobacterales (CRE) are considered urgent, antibiotic-resistant threats in the U.S. and are of global concern. Active collaboration between public health authorities and healthcare facilities and providers will be necessary to prevent and contain these organisms.
Purpose: To describe the epidemiology of CRE in Kentucky and to discuss challenges and successes with building and sustaining an effective prevention and containment program.
Methods: Retrospective descriptive summary of CRE isolates reported by healthcare providers, facilities, and laboratories in Kentucky from 2013 through 2020. Data available from case reporting forms and laboratory testing are summarized.
Results: From 2013 through 2020, 1805 CRE …
Through The Lens: Youth Experiences With Cancer In Rural Appalachian Kentucky Using Photovoice, Katie Gaines, Courtney Martin, Chris Prichard, Nathan L. Vanderford
Through The Lens: Youth Experiences With Cancer In Rural Appalachian Kentucky Using Photovoice, Katie Gaines, Courtney Martin, Chris Prichard, Nathan L. Vanderford
Markey Cancer Center Faculty Publications
Rural Appalachian Kentucky experiences disproportionately high cancer incidence and mortality rates. This cancer burden is due to social determinants of health and cultural factors prominent in the region. The firsthand experiences of community members—especially young people—can highlight these factors and identify areas for improvement. The purpose of this study was to encourage Appalachian Kentucky youth to consider determinants of cancer and visualize the effects that cancer has on their families or communities by asking them to take photographs of cancer-related objects around them. Content analysis was performed on 238 photographs submitted by 25 students, and photographs were organized into themes, …
Physical Activity Barriers And Assets In Rural Appalachian Kentucky: A Mixed-Methods Study, Natalie Jones, Deirdre Dlugonski, Rachel Gillespie, Emily M. Dewitt, Joann Lianekhammy, Stacey A. Slone, Kathryn M. Cardarelli
Physical Activity Barriers And Assets In Rural Appalachian Kentucky: A Mixed-Methods Study, Natalie Jones, Deirdre Dlugonski, Rachel Gillespie, Emily M. Dewitt, Joann Lianekhammy, Stacey A. Slone, Kathryn M. Cardarelli
Sports Medicine Research Institute Faculty Publications
Obesity is an increasing public health concern in the U.S. and a contributor to chronic illness, with trends revealing a rise in adult obesity and chronic disease rates among the most vulnerable and disadvantaged populations, including those in rural communities. A mixed-methods approach was used to examine perspectives on perceived physical activity barriers, resources, and level of community support. Researchers utilized the socioecological model to examine the multiple domains that support physical activity in rural Appalachia. The present study focuses on baseline data, including a cohort survey to assess physical activity, health status, and barriers to physical activity, and five …
Spatial Analysis Of Health Care Utilization Among Medicare Beneficiaries With Coal Workers’ Pneumoconiosis And Other Related Pneumoconiosis, Ahmed A. Arif, Claudio Owusu, Rajib Paul, Christopher M. Blanchette, Ripsi P. Patel, Tyrone F. Borders
Spatial Analysis Of Health Care Utilization Among Medicare Beneficiaries With Coal Workers’ Pneumoconiosis And Other Related Pneumoconiosis, Ahmed A. Arif, Claudio Owusu, Rajib Paul, Christopher M. Blanchette, Ripsi P. Patel, Tyrone F. Borders
Rural & Underserved Health Research Center Publications
Overview of Key Findings
- The states with the highest number of Medicare beneficiaries with coal workers’ pneumoconiosis (CWP) were Kentucky, West Virginia, Virginia, and Pennsylvania.
- Significant clustering of health care utilization rates for Medicare beneficiaries with CWP was observed in the central Appalachian states of Kentucky, West Virginia, and Virginia.
- Significant clustering of health care utilization rates for Medicare beneficiaries with Other Related Pneumoconiosis was observed in Appalachia and the southeast parts of Texas and Louisiana. This clustering merits additional research to understand underlying disease etiology.
Prevalence And Correlates Of Secondary Syringe Exchange (Sse) Among People Who Inject Drugs (Pwid) In Rural Kentucky, Jordan R. Wilson
Prevalence And Correlates Of Secondary Syringe Exchange (Sse) Among People Who Inject Drugs (Pwid) In Rural Kentucky, Jordan R. Wilson
Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)
Aim: To describe the prevalence of secondary syringe exchange (SSE) in a sample of syringe service program (SSP) clients in rural Appalachian Kentucky and to identify the correlates of SSE.
Methods: Participants (n=338) completed interviewer-administered questionnaires. Only those who reported having ever exchanged syringes at a SSP (n=140) were included in analysis. SSE was measured through self-report of obtaining syringes for someone else at a SSP in the past 6 months. Prevalence and correlates of SSE were examined using bivariate analysis and multiple logistic regression.
Results: Overall, 30% of participants reported SSE. Participants in the second [aOR= 3.83; 95% CI: …
A Brief Educational Intervention Enhances Basic Cancer Literacy Among Kentucky Middle And High School Students, Lauren Hudson, Kerrigan M. Samons, Haley E. Dicken, Chris Prichard, L. Todd Weiss, Jean Edward, Robin C. Vanderpool, Nathan L. Vanderford
A Brief Educational Intervention Enhances Basic Cancer Literacy Among Kentucky Middle And High School Students, Lauren Hudson, Kerrigan M. Samons, Haley E. Dicken, Chris Prichard, L. Todd Weiss, Jean Edward, Robin C. Vanderpool, Nathan L. Vanderford
Markey Cancer Center Faculty Publications
Kentucky experiences the highest overall cancer incidence and mortality rates in the USA with the greatest burden in the eastern, Appalachian region of the state. Cancer disparities in Kentucky are driven in part by poor health behaviors, poverty, lack of health care access, low education levels, and low health literacy. Individuals with inadequate health literacy are less likely to participate in preventive measures such as obtaining screenings and making healthy lifestyle choices, thus increasing their chances of developing and dying from cancer. By increasing cancer literacy among youth and adults, it may be possible to decrease cancer disparities across Kentucky. …
Promotion Of Fruit And Vegetable Intake Through Recipe Card Distribution And Sampling At Farmers’ Markets Throughout Kentucky, Umaima Sidra Afsheen Syeda
Promotion Of Fruit And Vegetable Intake Through Recipe Card Distribution And Sampling At Farmers’ Markets Throughout Kentucky, Umaima Sidra Afsheen Syeda
Theses and Dissertations--Nutrition and Food Systems
The Center for Disease Control and Prevention (CDC) reports indicate that 8% and 6.3% of Kentuckians consume enough fruits and vegetables, respectively. The Plate It Up! Kentucky Proud (PIUKP) project is a recipe-development project that aims to boost produce consumption by incorporating local fruits and vegetables. The purpose of this study was to implement promotional strategies using PIUKP recipes at farmers’ markets and determine their effects on consumers’ intent of purchasing and preparing the produce. The study was conducted at nine farmers’ markets across Kentucky (n=300) in collaboration with Cooperative Extension agents/assistants.
The consumers’ impression of the sample was positively …
A Geographic Study Of Lung And Bronchus Cancer Rates In Kentucky, Gabriel Njoh Dikong
A Geographic Study Of Lung And Bronchus Cancer Rates In Kentucky, Gabriel Njoh Dikong
Walden Dissertations and Doctoral Studies
The average age-adjusted incidence and mortality rates of lung and bronchus cancer is 55% and 56% higher in Kentucky than the national averages in the United States, respectively. Populations with low income and educational attainment, and those who live close to the mining regions across Kentucky are more affected by the high prevalence and resulting mortality rates of lung and bronchus cancer. This study was conducted because of the high incidence of lung and bronchus cancer and resulting mortality rates in the state of Kentucky that may not be caused solely by social and demographic factors. The theoretical foundation for …
A Geographic Study Of Lung And Bronchus Cancer Rates In Kentucky, Gabriel Njoh Dikong
A Geographic Study Of Lung And Bronchus Cancer Rates In Kentucky, Gabriel Njoh Dikong
Walden Dissertations and Doctoral Studies
The average age-adjusted incidence and mortality rates of lung and bronchus cancer is 55% and 56% higher in Kentucky than the national averages in the United States, respectively. Populations with low income and educational attainment, and those who live close to the mining regions across Kentucky are more affected by the high prevalence and resulting mortality rates of lung and bronchus cancer. This study was conducted because of the high incidence of lung and bronchus cancer and resulting mortality rates in the state of Kentucky that may not be caused solely by social and demographic factors. The theoretical foundation for …
Refugee Health And The Kentucky Global Health Center, Rahel Bosson, Ruth M. Carrico
Refugee Health And The Kentucky Global Health Center, Rahel Bosson, Ruth M. Carrico
Journal of Refugee & Global Health
In this University of Louisville Grand Rounds lecture, Drs. Rahel Bosson and Ruth Carrico give an overview of the real struggle of the refugee population and provide an update of the current state of refugee health in Kentucky.
They also provide an overview of the Global Health Initiative at University of Louisville, which includes the follow programs: HIV/AIDs, Refugee Health and Immunization, Vaccine and International Travel and Global Health Research Support.
The talk concludes looking to the future with a comprehensive Global Health Center composed of improving refugee orientation and EMR, healthcare worker education, developing guidelines, and bettering our surveillance …
Kentucky State Innovation Model (Sim) Design Grant: Consumer Engagement, Susan Buchino, Monica Wendel, Liza Creel
Kentucky State Innovation Model (Sim) Design Grant: Consumer Engagement, Susan Buchino, Monica Wendel, Liza Creel
Susan Buchino
Hpv Vaccination Among Young Adult Women: A Perspective From Appalachian Kentucky, Laurel A. Mills, Katharine J. Head, Robin C. Vanderpool
Hpv Vaccination Among Young Adult Women: A Perspective From Appalachian Kentucky, Laurel A. Mills, Katharine J. Head, Robin C. Vanderpool
Health, Behavior & Society Faculty Publications
INTRODUCTION: Few studies have assessed barriers to human papillomavirus (HPV) vaccination uptake and adherence, particularly among women of Appalachian Kentucky, a population with higher rates of cervical cancer, lower rates of HPV vaccination, and lower socioeconomic status compared with the rest of the nation. The objective of this study was to address women's reasons for declining the HPV vaccine and, among women who initiated the vaccine series, barriers to completion of the 3-dose regimen.
METHODS: We recruited 17 women aged 18 to 26 from a Federally Qualified Health Center who participated in in-depth, semistructured telephone interviews. All interviews were audio-recorded …
Drivers Killed Due To Tire Failures, Kentucky Injury Prevention And Research Center
Drivers Killed Due To Tire Failures, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Motor Vehicle
To Prevent Tire Failures,
Employers should:
- Ensure that routine maintenance is performed on work vehicles
- Implement and enforce an employer seat belt safety program
Employees should:
- Be properly trained in safe work vehicle operation
- Perform routine pre-trip and post-trip inspections, including inspection of the tires
- Ensure that tires do not run below 80% of the recommended pressure
Workers Killed After Being Electrocuted, Kentucky Injury Prevention And Research Center
Workers Killed After Being Electrocuted, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Other
To prevent electrocutions, employers should:
- Provide non-conductive ladders
- Conduct a jobsite survey to identify potential hazards
- Provide electricity awareness training
- Provide onsite automated external defibrillators (AEDs)
- Use non-conductive ladders
- De-energize lines before beginning work
- Make sure all equipment is properly grounded
- Know how to use automated external defibrillators (AEDs)
Workers Die From Heat Stroke, Kentucky Injury Prevention And Research Center
Workers Die From Heat Stroke, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Other
To prevent heatstroke, employers should:
- Train supervisors and employees to recognize symptoms of heat stroke
- Give frequent breaks and provide drinking water
- Adjust work hours to accommodate work conditions such as high heat index and/or high humidity
- Monitor workers who are at risk of heat stroke
Employees should:
- Report unusual behavior
- Know how to treat co-workers for heat stroke
- Monitor your physical condition and that of your coworkers
Workers Killed During Tree Trimming/Removal, Kentucky Injury Prevention And Research Center
Workers Killed During Tree Trimming/Removal, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Other
To prevent tree trimming and removal fatalities, workers should:
- Perform a hazard assessment of the work area before starting work
- Appropriate personal equipment should be worn at all times while trimming or removing trees
- Determine the tree’s felling direction. Address forward lean, back lean, and/or side lean issues
- All trees and limbs should be inspected for structural weakness before work commences
- Have an escape route planned
Workers Killed While Working With Forklifts, Kentucky Injury Prevention And Research Center
Workers Killed While Working With Forklifts, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Other
To prevent forklift injuries:
- Do not operate a forklift without being certified and trained.
- Forklift operators should wear their safety belts.
- Do not jump from an overturning forklift. Keep your body inside the forklift frame. Ride it out and lean in the opposite direction of the overturn.
- Do not place yourself between two forklifts.
- Do not handle loads that are heavier than the load capacity of the forklift.
- Make sure that the travel path of the forklift is clear from the floor to the height of the load being moved.
- Do not step on elevated loads.
- It is a violation …
Workers Killed While Working With Granite, Kentucky Injury Prevention And Research Center
Workers Killed While Working With Granite, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Other
To prevent injuries while working with granite:
- A job hazard analysis should be conducted each day before work commences.
- Employees should be trained in proper material handling procedures that include handling and transport of granite slabs.
- Use slab carts or slab racks to transport granite slabs and use tie-downs to secure the granite slabs to the forklift.
- Work should only be performed when the general contractor has a competent person on the job site.
Workers Electrocuted While Working In Elevated Buckets, Kentucky Injury Prevention And Research Center
Workers Electrocuted While Working In Elevated Buckets, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Motor Vehicle
To prevent worker electrocutions while working near over-head power lines:
- Employers should implement and enforce a formal written electrical safety training program that includes work around overhead lines.
- An observer should be designated by the employer to perform an electrical hazard
- evaluation prior to commencing new work activities.
- A hazard assessment of the job site and route of travel, including aerial and ground hazards and obstacles, within the job site should be performed by a competent person before work commences.
Hansen, Gregory Alfred (Fa 396), Manuscripts & Folklife Archives
Hansen, Gregory Alfred (Fa 396), Manuscripts & Folklife Archives
FA Finding Aids
Finding aid and full-text of paper (click on "Additional File" below) for Folklife Archives Project 396. Paper: "[Nautilus Center at Lovers Lane Racquetball Club]" written by Gregory Alfred Hansen for a Western Kentucky University folk studies class.
Truck Drivers In Fatal Crashes After Substance Use, Kentucky Injury Prevention And Research Center
Truck Drivers In Fatal Crashes After Substance Use, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Motor Vehicle
To prevent truck crashes due to substance use:
- Employers should implement and enforce a policy that prohibits commercial drivers who are ill or taking over-the-counter medications with potential side effects for impaired driving from operating a commercial vehicle.
- Employers should implement and enforce a “reasonable suspicion” drug testing policy if a driver is suspected to be under the influence of drugs.
- Companies should conduct comprehensive new-hire prescreening and after-hire random drug testing for substance abuse.
- A nationwide data- base containing a record of all commercial driver positive drug tests in the last two years should be developed.
Workers Struck By Trains While Driving, Kentucky Injury Prevention And Research Center
Workers Struck By Trains While Driving, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Motor Vehicle
To prevent injuries while driving vehicles across railroad tracks:
- A hazard assessment should be performed before crossing railroad tracks.
- Safety belts should be used while driving.
- Commercial vehicles should not be stopped on railroad tracks.
- Braking mechanism checks should be performed before commercial vehicles enter roadways.
- Cell phones should not be utilized while driving.
- Employers should provide employees training on railway traffic safety.
Fatal Aerial Lift Injuries, Kentucky Injury Prevention And Research Center
Fatal Aerial Lift Injuries, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Motor Vehicle
To prevent injuries while working in aerial lifts:
- A “pre-job safety plan” should be developed for each job site and reviewed prior to each day on the job site.
- Mechanical checks should be performed on all equipment at each job site prior to each use.
- There should be communication between the worker in the elevated lift and ground control crew.
- Ensure that appropriate fall protection equipment is available and correctly used when working from elevations.
- Employees should work within job qualifications and job limits.
Amputation Injuries Due To Forklifts, Kentucky Injury Prevention And Research Center
Amputation Injuries Due To Forklifts, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Other
To prevent injuries from forklifts while working:
- Before you operate a forklift, make sure that you are trained and certified.
- Remember if you are on a sit-down type forklift, and it starts to over-turn, lean in the opposite direction, stay with the forklift; don’t jump.
- When operating a forklift on site, slow the truck and sound the horn at cross aisles, exits, and other employee traverse points.
- Before dismounting, set the parking brake, lower the forks or lifting carriage, and neutralize controls.
Working Drivers Killed In Motor Vehicle Collisions Were Not Wearing Safety Belts, Kentucky Injury Prevention And Research Center
Working Drivers Killed In Motor Vehicle Collisions Were Not Wearing Safety Belts, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Motor Vehicle
To prevent motor vehicle injuries while working:
- Employers should implement a comprehensive employee driver safety training program.
- Employees should wear seat belts at all times.
- Employees should be aware of distractions and pay attention at all times.
Kentucky Residential Roofing Falls, Kentucky Injury Prevention And Research Center
Kentucky Residential Roofing Falls, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Falls
To prevent falls while working on roofs:
- Always use appropriate guardrail, scaffold, or fall protection systems.
- Both employers and subcontractors should provide comprehensive site-specific fall protection training for their employees.
- Conduct a thorough assessment in and around the work area to identify existing and potential fall hazards prior to the start of work.
Caidas Desde Techos Residenciales En Kentucky, Kentucky Injury Prevention And Research Center
Caidas Desde Techos Residenciales En Kentucky, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Falls
Para prevenir caídas mientras trabaja sobre techos:
- Siempre use sistema con baranda de protección, instale un andamio, y haga uso de un sistema contra caídas apropiado.
- Tanto empleadores como subcontratistas deberán proporcionar a sus empleados entrenamiento específico y completo sobre protección contra caídas acorde con el sito de trabajo.
- Conduzca una valoración cuidadosa dentro y alrededor del área de trabajo para identificar cualquier riesgo potencial de caída, antes de iniciar las labores.
Workers Crushed By Vehicles, Kentucky Injury Prevention And Research Center
Workers Crushed By Vehicles, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Motor Vehicle
To prevent motor vehicle repair injuries:
- Ensure that vehicles are positively restrained from moving with chocks.
- Do not place jack stands under potential moving vehicle parts.
- The space under a jack-suspended vehicle should not be entered unless suitable vehicle support stands are utilized.
Trabajadores Aplastados Por Vehículos, Kentucky Injury Prevention And Research Center
Trabajadores Aplastados Por Vehículos, Kentucky Injury Prevention And Research Center
Kentucky Haz Alerts--Motor Vehicle
Para prevenir lesiones relacionadas con la reparación de automotores:
- Asegúrese de que los vehículos estén firmemente inmovilizados con tacos.
- No coloque los soportes bajo partes del vehículo que se puedan mover.
- No se debe ocupar el espacio entre un vehículo suspendido con gato y el suelo a menos que se haga uso de bases de soporte adecuadas para el mismo.