Social and Behavioral Sciences Commons^™

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

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 …

Self-Reported Consumption Of Bottled Water V. Tap Water In Appalachian And Non-Appalachian Kentucky, Jason W. Marion

Journal of Appalachian Health

Introduction: Quantitative studies on drinking water perceptions in Appalachia are limited. High-profile water infrastructure failures in the U.S. and Eastern Kentucky, coupled with human-made and natural disasters in the Appalachian Region, have likely impacted opinions regarding tap water.

Purpose: To use existing unexplored data to describe baseline tap water v. bottled water consumption in Kentucky.

Methods: Telephone-based cross-sectional data were obtained from the 2013 Kentucky Health Issues Poll (KHIP) directed by the Foundation for a Healthy Kentucky. Among many items in KHIP, self-reported consumption of bottled water over tap water, reasons for bottled water use, and demographic data were obtained. …

Exploring Environmental Racism, Quality Of Life, And Inequalities In Kentucky Counties, Bailey Harder, James Maples

Kentucky Journal of Undergraduate Scholarship

Environmental racism explores how pollution-producing industries are systematically constructed in and around poor, minority communities. Exposure to pollutants over time negatively impacts resident well being and quality of life while economic trends limit opportunities to relocated. Kentucky provides a valuable opportunity for exploring environmental racism. The state’s long dependency on coal extraction has created environmental opportunities for studying this phenomenon amid deindustrialization throughout the region. This study examines how changes in air pollution (a proxy measure of environmental toxins) correlates to poverty, quality of life, and resident racial demographics. Results indicate that Kentucky counties with higher air pollution had lower …

Comparing Substance Use Social Issues In Appalachian And Non-Appalachian Regions In Kentucky, Erica C. Bellamy, James N. Maples

Kentucky Journal of Undergraduate Scholarship

Substance use and abuse is not a uniquely Appalachian problem, but it remains a prevalent social problem for the geographical region. Kentucky has been one of the central states experiencing generations of substance abuse, ranging from methamphetamines to OxyContin to heroin. Eastern Kentucky, which includes a portion of Central Appalachia, has been a focal point for the proposed war against substance use. What remains undemonstrated in studies is exactly how substance abuse differs between the Central Appalachian counties of Eastern Kentucky and the remainder of the state, if any difference exists at all. In this study, the researchers examine how …

Sociological Explanations Of Coronavirus Incidence Rates In Kentucky Counties, Sarah Cooper, James N. Maples

Kentucky Journal of Undergraduate Scholarship

This study explores sociological explanations for Covid-19 incidence rates among Kentucky Counties. The authors examine how incidence rates varied pre/post-Omicron variant based on a county’s educational attainment, poverty rates, political perspective, health status, and place status (Appalachian status, metropolitan status). The authors discovered that none of these variables effectively explained differences in county level Covid-19 rates before Omicron. However, once Omicron became the prevalent variant in Kentucky, metropolitan status, Appalachian status, two measures of poverty rates, political perspective, and three measure of educational attainment all predicted differences in mean Covid-19 incidence rates.

An Exploration Of Service Needs And Preferences Of Dementia Caregivers In Kentucky, Heehyul Moon, Sunshine Rote, Allison Kacmar, Amy Kostelic, Bari Lewis

The Journal of Extension

As Americans live longer, the prevalence of Alzheimer’s disease and related dementias will increase. Caregivers are critical to the care and life quality of people with dementia. Yet, dementia caregivers are at increased risk for health issues, social isolation, and financial challenges. To help educators with the University of Kentucky Cooperative Extension Service work with their local Alzheimer’s Association and the University of Louisville to better support dementia families, we explored caregiver needs and service utilization using an online survey. Our findings highlighted the need for counseling/support, care management skills, resource education, self-care strategies, and legal services. Extension Service Educators …

Surviving Child Pornography: Fifty Years On, Jeanette M. Westbrook

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Southeastern Librarian 69(4) Winter 2022 (Full Issue)

The Southeastern Librarian

Complete issue of The Southeastern Librarian Volume 69 Number 4

Ballot Measures In The Tristate: An Examination Of Ohio, Indiana And Kentucky, Shauna Reilly

The Journal of Economics and Politics

This paper explores the development, use and challenges facing the use of direct democracy in the Tristate area. Specifically, we examine how ballot language suppresses participation in direct democracy measures.

Access To And Use Of Technology For Health: Comparisons Between Appalachian Kentuckians And The General U.S. Population, Robin C. Vanderpool, Lindsay R. Stradtman, Anna Gaysynsky, Quan Chen, Meghan Johnson, Bin Huang

Journal of Appalachian Health

Introduction: Technology may increase the availability of health information and enable health promoting behaviors. However, lack of access to and use of technology may also exacerbate disparities, particularly in rural communities with limited Internet access.

Purpose: The purpose of this study was to compare Internet access, device ownership, and use of technology for health between Appalachian Kentuckians and the general U.S. population.
Methods: Findings from the 2017 Assessing the Health Status of Kentucky (ASK) survey were compared to national estimates from the Health Information National Trends Survey (HINTS) 5, Cycle 1 (2017), with a particular focus on degree of rurality. …

Southeastern Librarian 69(3) Fall 2021 (Full Issue)

The Southeastern Librarian

Complete issue of The Southeastern Librarian Volume 69 Number 3

Different Hollers, Different Outcomes: Differences In Health Outcomes Among Appalachian And Non-Appalachian Counties In Kentucky, Allexys Krasnopolsky, James N. Maples

Kentucky Journal of Undergraduate Scholarship

This study examines difference in health outcomes, health insurance, and doctor access between Kentucky’s Appalachian and non-Appalachian counties. Using 2018 data curated by the Robert Wood Johnson Foundation, this study analyzes differences in means in overall health outcomes, health insurance, and the number of primary care physicians at the county level for Appalachian and non-Appalachian counties in Kentucky .This study finds that persons living in Appalachian Kentucky counties have statistically-different and worse overall health outcomes, health insurance access, and physician access compared to those living in non-Appalachian Kentucky counties.

Whither Education In Kentucky: The Challenges And Promises For The 21st Century, William E. Ellis

The Chautauqua Journal

From its founding in 1792, the Commonwealth of Kentucky, compared with the states north of the Ohio River, followed a typically southern style of education. Before the Civil War a slave oligarchy controlled the political destiny of the state. After the Civil War, ironically because two-thirds of Kentuckians who fought in that war were on the Union side, the state became even more southern in many ways. Racism and segregation prevailed until the mid-1950s when the state began making rapid and successful strides to integrate its public and private schools. Equity and equality have always been stumbling blocks for education …

The Great Divide: The Political Implications Of Southern Regional Identification In Kentucky, Joel Turner

Commonwealth Review of Political Science

Kentucky occupies a unique place on the American political landscape. The Commonwealth has never been fully embraced as Southern by most observers, but at the same time it is not necessarily a Northern state. As the intersection of North and South in the United States, Kentucky presentes a unique opportunity to study the impact of regional identity on public opinion. Utilizing data from a 2014 survey of a random sample of Kentucky residents, we are able to demonstrate that Southern regional identification is fairly high in Kentucky, and that this identification has a significant influence on opinion regard politicians and …

The Phantom Segregationist: Kentucky's 1996 Desegregation Amendment And The Limits Of Direct Democracy, D. Stephen Voss

Commonwealth Review of Political Science

Decades after Kentucky abolished de jure racial distinctions in education, the state legislature asked voters to strip segregationist language from their venerable constitution. Political elites were stunned when a third of the state's voters, and majorities in five countries, rejected the change. However, the prime culprit for Kentucky's 1996 constitutional amendment vote was not white racism, because African-American voters endorsed segregation at rates similar to whites. Rather, the Kentucky vote offers a particularly clear and particularly dramatic example of the limits of ballot-box policy making. It should alert scholars that highly publicized referenda in high-profile states - the focus of …

Holding School Leaders Accountable: Estimating The Effects Of Retrospective Evaluations Of Kentucky School District Superintendents, Martin Battle, James C. Clinger

Commonwealth Review of Political Science

This research represents an attempt to apply the theory of retrospective voting to the issue of turnover among Kentucky school district superintendents. The analysis tests the hypothesis that poor school district performance should increase superintendent performance. The hypothesis is tested using accountability data compiled by the Kentucky Department of Education. The analysis reveals somewhat mixed support for the hypothesis. Different performance measures have different kinds of impact. Schools with students scoring high on math and writing were more likely to experience superintendent turnover than other school districts were. The index scores for science and social studies had a negative, statistically …

Red Dog, Blue Dog, Yellow Dog: How Democrats Can Use Strategic Communications To Attract Republican And Conservative Voters, B. Gammon Fain

Commonwealth Review of Political Science

In recent election cycles, a rightward shift among white Southerners, and in some cases the loss of African-American supporters through racial redistricting, turned many long-held Democratic districts in the South red. Kentucky is an excellent example of this shift in voting behavior. Even though registered Democrats outnumber Republicans, the GOP controls the Governor's mansion, most other statewide elected offices, both chamber of the state legislature, and all but one of Kentucky's congressional seats. To win back those seats, Democrats in states like Kentucky will need to appeal to conservative voters. Unfortunately, little scholarly research directly addresses the practical question they …

Stone Walls And Shopping Malls: Retail Landscapes In The Bluegrass, Jason Richards

Kaleidoscope

This paper is an analysis of the recent use of veneered stone walls in the contemporary retail landscapes of the Bluegrass. These walls have been used in conjunction with other elements of the region’s landscape symbol vocabulary to re-create the equine landscape of Central Kentucky in commercial spaces. They seek to evoke the region’s symbolic landscape of wealthy horse estates, utilizing their inaccessibility to elicit an associative attitude of aspiration in the shopper. But they also speak to the values of the businesses and citizens who produce them. The earliest of these walls were found in the street frontage and …

Unbridled Spirit: A Foreigner In The Bluegrass, Mirgul Karimova

Ex-Patt Magazine

A Fulbright Scholar reflects on her time at the Patterson School and in the Bluegrass.

Do Coal Unions And Racial Diversity Affect Split Ticket Voting In Kentucky?, Kelli South, Chase Deppen, Mathew Gilbert, Ryan Mcdonald

Commonwealth Review of Political Science

This paper performs an in-depth historical analysis in order to attempt to discover why Kentucky voters often split ticket vote between the national and local levels. Two theories are analyzed for validity: the coal union influence school of thought and the racial diversity school of thought Both qualitative and quantitative analyses were performed. The coal union influence theory was p1·oved not to have significance; the coal unions have had little influence on Kentucky voting patterns throughout history and into the present day. The racial diversity school of thought was proven to have some significance; voters are influenced to a certain …

Explaining State-Level Student Dropout Rates: The Impact Of Exit Exams And Public School Resources, Martin Battle, James C. Clinger

Commonwealth Review of Political Science

This paper examines one key indicator of school performance, the dropout rate among the public school students at the state level from 1998 to 2002, using a. pooled, cross-sectional time series research design. In this analysis the effects of high stakes testing (i.e., exit exams required for graduation), funding levels, and other school resources are examined. The results ind.irate that exit exams have no statistically significant effects upon dropout rates. Per pupil expenditures do not seem to reduce dropouts and may in fact have a positive effect at the state level. However, the analysis indicates that high pupil to teacher …

School Resources And Student Outcomes In Kentucky Public High Schools, Martin Battle, James C. Clinger

Commonwealth Review of Political Science

This paper examines the effect of various input measures upon student outcomes within Kentucky public high schools from 2001 to 2004, using a pooled, cross­ sectional time series research design with panel-coIlected standard errors (PCSE). The results indicate mixed support for the proposition that school resources are related to desired school outcomes. Overall school spending seems to have no systematic impact Schools that seem to perform well have few indigent students, many teachers with master's degrees, and fairly high numbers of volunteers. The authors offer some conjectures about the significance and meaning of these findings, especially in light of different …

The Fragility Of Persistently Economically Distressed Counties In Central Appalachia And The Promise Of Public Leadership, Christine E. Emrich, Stephen Lange, Blake Bedingfield, Bonita Fraley, Justin May, Kyle Yarawsky

Commonwealth Review of Political Science

Appalachia has long experienced economic distress, but significant progress has been made since the establishment of the Appalachian Regional Commission (ARC) in the 1960s. However, many counties in central Appalachia continue to experience persistent economic distress despite several advantages that are normally conducive to progress. This study examines Rowan County, Kentucky in comparison to four other rural Kentucky counties with varying degrees of economic progress. Quantitative comparisons were made on the basis of out-migration, educational attainment, and industrial diversity. Qualitative data was then gathered till·ough interviews to understand decisive events that affected progress as well as long-term causes of change …

Kentucky In The 1880s: An Exploration In Historical Demography, Thomas R. Ford

The Kentucky Review

No abstract provided.