Social and Behavioral Sciences Commons^™

Are West Virginia Banks Unique?, Eduardo Minuci, Scott Schuh

Economics Faculty Working Papers Series

Many factors contribute to weak economic growth in Appalachia, but little research has examined the role of banking heterogeneity and efficiency across states. This paper documents how West Virginia (WV) banks' financial behavior differs from other U.S. banks and shows these differences cannot be explained fully by the composition of banks in the state. Despite experiencing faster banking consolidation, West Virginia still has more and smaller banks that are less efficient and profitable. WV banks' customers and managers heavily favor liabilities (time deposits) and assets (real estate loans) with longer maturity and lower risk and returns. Although shares of time …

Evaluating Social Support And T2d Risk Factors Among Members Of Rural-Dwelling Grandparent-Headed Households, Brittany L. Smalls, Abebola Adegboyega, Kelly Nb Palmer, Jennifer Hatcher

Journal of Appalachian Health

Purpose: This study examines the associations of social support and type 2 diabetes (T2D) risk factors among members of rural-dwelling, grandparent-headed households (GHH).

Methods: Prospective data were collected from rural-dwelling members of GHH with no known diagnosis of T2D. Data collected on family characteristics, T2D clinical risk factors, and social support were assessed.

Results: Sixty-six grandparents and 72 grandchildren participated in the study. The average age and HbA1Cs were 59.4 years and 6.2% ± 1.4 for grandparents and 11.8 years and 4.9% ± 0.6 for grandchildren. Most grandparents were found to have prediabetes or undiagnosed diabetes. The number of people …

“But For Those Of Us Who Live Here”: Performance Of Work And Community By Women Employed In Rural, Predominantly White, Small-Town Schools, Telena M. Turner

Masters Theses, 2020-current

Rural, small towns are incredibly complex cultural centers. Although rural places are consistently portrayed as unchanging, the operation of cultural and identity within these locations is consistently on the move. Using reflexive interviewing, poetic transcription, autoethnographic writing, this project (re)presents poems on community and identity from five women employed in schools in rural, mostly White, small towns in the Central Appalachian region. Analyzing the poems through concepts in performance studies and work on space and place, this project positions movement and change at the center of small towns and examines how notions of rural place and community are performed through …

Opportunity Calls: The Moral Economy During Existential Economic Transition In The Ural Mountains And Appalachia, 1991 - 2008, Nora Springer

Of Life and History

It is often assumed that economists and businessmen act outside of moral constraints, even in times of existential economic crisis. The econometrics of Chubais and Gaidar, as well as the accounting of Deloitte, have all been used to characterize engineers of transition as cold, academic, and removed from reality. However, in both Appalachia and the Urals, mathematics about what will make a profit is inextricable from moral questions of what should make a profit. The goals of economic transition, and ideology about what economic transition should mean, were baked into the calculations of both transitions. Further, the data used to …

The Culture Of Appalachian Coal Miners And Its Affect On Their Culture, Joanna Mary Ferrell

Doctoral Dissertations and Projects

The purpose of this ethnographic study was to understand and describe the culture and history of the Appalachian coal mining community and how the culture is impacting their future if they face a mine closure. The theory guiding this study is the Cultural Identity Theory by Mary Jane Collier as it explains that the miners’ culture is influenced by those around them and can change based on their surroundings. There is also influence from mining history, which was explored in detail. Surveys, interviews, and observations were utilized to collect data as well as historic artifacts.

A Claiming Of Kin: A Linguistic Analysis Of Southern Appalachian English In Melissa Range's Scriptorium: Poems, Jolee White

Undergraduate Honors Theses

The research studies the Southern Appalachian dialect present in five poems in Melissa Range’s Scriptorium: Poems. The linguistic phenomena characteristic of Southern Appalachian English observed and analyzed in the poems include lexicon, grammatical features, and phonological aspects. The research seeks to bring attention to this Appalachian woman writer as well as to bring understanding of her reasoning behind incorporating the dialect in her poetry. It establishes that the five poems by Range contain the lexicon, grammatical features, and phonological aspects of the SAE dialect. It holds meaning both grammatically and pragmatically within the context of the poem and Appalachia.

Contributing Factors To Drug Abuse In The Appalachian Region, Will Holcombe

Undergraduate Honors Theses

The Appalachian region faces wide scale drug use and opioid addiction that exceeds the national average, and the crisis needs more attention in order to properly address the epidemic. Many previous studies have documented the problems Appalachian residents face regarding opioid addiction and other diseases of despair. However, this study focuses on two specific contributing causes of the opioid crisis: a lack of access to medical care and over-prescription of opioids. Additionally, while the problems of substance abuse, particularly opioid abuse, are well represented in media accounts, there is an under-representation of drug recovery and the positive aspects of the …

“And They Wrote It All Down As The Progress Of Man”: Relationships Between Environment, Extractive Industries, And Appalachian Agency, Emma V. Kelly

Masters Theses

The landscape of Central Appalachia has shaped and been shaped by its residents for thousands of years. The advent of industrialized extractive industries greatly shifted the nature and the extent of these processes, with capitalistic domination being asserted over the environment. While this shift towards industrialization was a widespread phenomenon, it undertook a unique trajectory within Appalachia, a region which occupies a distinct position within the national perspective. Although geographically established by the Appalachian Regional Commission, Appalachia is more than a politically defined set of counties: It is an incredibly diverse sociocultural region that exists on varying planes of marginalization …

Harlan County, Kentucky In A Post-Coal America: A Case Study, Karli Bryn Ailshie

Chancellor’s Honors Program Projects

No abstract provided.

The Women Of Owen Clinic And Their Impact On Rural Mental Health, Mallory Stanley

Manuscripts

The mid-1900s was a pivotal moment in reforming mental health treatment in American Psychiatry. This movement becomes particularly clear when examining the championing work of two women, Dr. Thelma V. Owen and Dr. M. G. Stemmermann, at a rural mental health facility located in Huntington, WV: Owen Clinic Institute. While mental health stigma was at an extreme high among the general population, many factors aligned to allow for a new era of mental health care, including deinstitutionalization, World War II, and the advocation of professionals in the field. In West Virginia, no two people were more outspoken and active in …

Differences In Distress Between Rural And Non-Rural Appalachian Breast Cancer Patient / Caregiver Dyads During The First Year Of Treatment, Jordan Tasman, Callie D. Mcadams, Jillian Lloyd, Ashton J. Brooks, Patricia Nola Eugene Roberson

Journal of Appalachian Health

Introduction: Breast cancer patients and their caregivers living in rural Appalachia face substantial health disparities compared to their non-rural Appalachian counterparts. However, there is limited research on how these specific health disparities in rural Appalachian communities may impact patient psychological distress and caregiver strain during the first year of breast cancer treatment.

Purpose: The purpose of the current study was to assess differences in patient psychological distress (depression and anxiety) and caregiver strain between rural non-rural Appalachian breast-cancer-affected dyads (patients and their caregivers) during the first year of treatment.

Methods: A total of 48 Appalachian breast cancer patients (with a …

We Can Still Feed Ourselves: Food Sovereignty, Aid, Sickness, And Health In Eastern Kentucky, Annie Koempel

Theses and Dissertations--Anthropology

Over forty percent of eastern Kentucky residents are classified as obese. From a biomedical perspective, obesity is linked to a range of chronic diseases, including heart disease, diabetes, and high blood pressure and is caused by particular lifestyle behaviors that lead to an increase in calorie consumption and decrease in calorie expenditure. However, these links – individual behavior leads to obesity which leads to chronic disease - do not take into account a wide range of personal, social, environmental, political, and economic conditions. In addition to the assumptions of what it means to become and be obese, Kentucky is regularly …

Review Of African American Workers And The Appalachian Coal Industry, By Joe William Trotter, Jr., Cicero Fain

History Faculty Research

Joe William Trotter, Jr., ranks among the pantheon of America's most influential historians. For more than forty years, beginning with his 1985 work Black Milwaukee: The Making of an Industrial Proletariat, 1915–1945, he has chronicled the African American experience, most profoundly on the centrality of the Black working class to America's economic, industrial, cultural, and political development. His pioneering and provocative work examining the intersections of race, class, labor, urbanization, and gender within diverse urban- and rural-industrial settings has challenged prevailing historiography and expanded our understanding of Black migration, labor relations, and community formation. It has also added important …

2022-1 The Role Of Non-Pecuniary Considerations: Location Decisions Of College Graduates From Low Income Backgrounds, Yifan Gong, Todd Stinebrickner, Ralph Stinebrickner, Yuxi Yao

Centre for Human Capital and Productivity. CHCP Working Papers

We examine the initial post-college geographic location decisions of students from hometowns in the Appalachian region that often lack substantial high-skilled job opportunities, focusing on the role of non-pecuniary considerations. Novel survey questions allow us to measure the full non-pecuniary benfits of each relevant geographic location, in dollar equivalents. A new specification test is designed and implemented to provide evidence about the quality of these non-pecuniary measures. Supplementing perceived location choice probabilities and expectations about pecuniary factors with our new non-pecuniary measures allows a new approach for obtaining a comprehensive understanding of the importance of pecuniary and non-pecuniary factors for …

Bolstering Leadership Engagement To Community Coalition Work In Rural Appalachia, Melissa Slone

DSW Capstone Projects

Rural Appalachian communities are overwhelmed with high cancer rates, diabetes, disabilities, and substance use disorder. The challenges in addressing these increase when you factor in workforce shortages and limited funding. The literature documents the effectiveness of coalitions in addressing healthcare challenges within communities. The need is for leaders to reduce their hesitancy to engage in community coalition efforts and increase awareness of the impact community coalitions can have on addressing rural populations' health and well-being needs.

Product One was a systematic review focused on research that examined agency leaders’ perspectives on community coalition involvement. The purpose of conducting the systematic …

Appalachians’ Intentions To Use Online And In-Person Counseling, Jade Hollan

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

Appalachians face higher rates of mental health concerns, yet they are less likely to have access to quality treatment. Online counseling, counseling using videoconferencing technology, may provide a viable solution to narrow this gap. However, little is known about Appalachians’ intention to use in-person or online counseling. This study examined Appalachians’ (N = 490) intentions to use online and in-person counseling using the theoretical framework of Theory of Planned Behavior (TPB; Ajzen, 1991). Results from structural equation modeling supported the indirect model for online and in-person counseling, where the associations between distal help-seeking factors (i.e., self-stigma, perceived stigma of …

The U.S. Coal Industry: Market Structure & Implications, Sara Elizabeth Guffey

Graduate Theses, Dissertations, and Problem Reports

The U.S. coal mining industry was once a booming industry which created and defined communities, particularly in Appalachia. The industry has, however, transformed significantly in the last couple of decades with the passage of environmental policies, with competition from the Shale Revolution, from changes in company ownership, and from mine safety regulation. Overall, the coal industry during this time has experienced a massive decline in production and employment. This dissertation is composed of three papers that investigate these mechanisms and their role in understanding market structure, coal transactions and prices, and mine safety outcomes. Motivated by the shutdowns of U.S. …

The Heart Of Everything In The Middle Of Nowhere: The Role Of Rural Identity In The Formation And Deployment Of Political Attitudes In Pennsylvania, Mikaela G. Zimmerman

Graduate Theses, Dissertations, and Problem Reports

The world of American politics continues to infiltrate households across the United States as technological advancement extends the reach of breaking news and government action. With this expanding reach, communities all over the country are digesting and contemplating their place in national politics more fervently than ever. At the crux of this discussion is the backbone of political engagement and action—identity and its resulting political attitudes. For decades, partisanship has been a point of contention amongst American citizens. Cities across the nation showcase protests, demonstrations, town hall meetings, and more illustrating citizens’ care for their democratized input in government affairs. …

Social And Biological Determinants Of Pregnancy-Related Mortality And Morbidity In A Rural, Underserved Population, Anna Hansen

Theses and Dissertations--Sociology

Cases of severe maternal morbidity (SMM) and pregnancy-related mortality (PRM) are increasing in the US. Research concerning SMM and PRM has neglected women in Central Appalachia; a largely rural, health-disparate population. The aims of this study are two-fold: (1) Examine patient-level and place-based predictors of SMM/PRM via hierarchical logistic regression modeling, and (2) Elucidate Appalachian healthcare patients’ and providers’ experiences with SMM/PRM, perceptions of contributing factors, and insights on points of intervention.

This study uses a mixed methods approach guided by the WHO’s conceptual framework for action on social determinants of health to identify determinants of SMM and PRM among …

Anxiety, Depression, Immunity, Quality Of Life, And Cannabis In Appalachia, Matthew Ian Frazier Ostrander

Walden Dissertations and Doctoral Studies

As decriminalization of cannabis in the United States increases, understanding how cannabis use may alter physical and mental health is important. The Appalachian Mountain region is an area with poor support systems, stigma against mental health, and historic drug use problems, resulting in residents being more vulnerable to societal change. The theoretical framework for this research is psychoneuroimmunology (PNI), which is the study of the interconnections between psychology, neurology, and immunology as a holistic approach to health. Via SurveyMonkey, 160 participants completed the study, and data were based on self-reporting of cannabis use patterns in relation to anxiety, depression, immunity, …

Scope Of Homelessness In Kentucky, Shannon Elyse Catron

Online Theses and Dissertations

This paper is based on a data project that pulled together publicly available data from several sources to examine the scope of homelessness in the Commonwealth of Kentucky. The primary findings of the project conclude that there is a lack of data regarding counting homeless individuals, and that the available data should be examined to determine changes in the homeless population and demographics over time. Examining this data would also reveal the rate of progress in the number of counties that have began participating in the K-count since 2006. Increasing awareness about the topic and encouraging local governments to develop …

Exploring The Relationship Between Place Attachment And Attitudes Toward Tourism Development In Powell County, Lindsay Vance

Theses and Dissertations--Community & Leadership Development

This study explores the relationship between Powell County, Kentucky residents’ place attachment, and the perceived sociocultural, environmental, and financial benefits of the future Warrior’s Path development. A survey consisting primarily of five-point Likert scale questions was shared with several local organizations to distribute to their members. The Pearson’s correlation coefficient and Chi-square test of independence tests were used to discover any correlation between place attachment and perceived sociocultural, environmental, and financial benefits of tourism development. The Pearson’s correlation coefficient (r=.465) determined a moderate positive correlation between place attachment and perceived sociocultural benefits of the Warrior’s Path and tourism development. Of …