Appalachian Studies Commons^™

Understanding Polarizing Community Perspectives On Harm Reduction Strategies: Challenges To Addressing The Opioid Crisis In Appalachian Pennsylvania, Stephanie L. Creasy Mph, Jessica R. Thompson Med, Christina F. Mair Phd, Jessica G. Burke Phd

Journal of Appalachian Health

Introduction: Rural communities face barriers to opioid treatment and overdose prevention including concerns about stigma and lack of harm reduction services.

Purpose: The aim of this study was to explore community perspectives and understanding of harm reduction approaches to opioid use and overdose in a high-risk Northern Appalachian case community in Pennsylvania.

Methods: A small town approximately 10 miles from Pittsburgh was identified as the community with the greatest predicted probabilities of epidemic outbreak using posteriors from spatial models of hospitalizations for opioid use disorders. We interviewed 20 key stakeholders in the case community in using a semi-structured interview guide …

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. …

Risk Factors Associated With Passenger Vehicle Fatal Rollover Crashes In West Virginia, 2001-2018, Yuni Tang, Toni Marie Rudisill, Ruchi Bhandari

Journal of Appalachian Health

Background: Rollover crashes cause more injuries and fatalities than other types of motor vehicle crashes. West Virginia (WV) has high rates of drug overdose deaths and motor vehicle crash fatality. However, no studies have investigated risk factors associated with fatal rollover crashes in WV.

Purpose: The objective of this study is to evaluate whether drug use and other risk factors are associated with fatal rollover crash fatalities in WV.

Methods: This cross-sectional study utilized the Fatality Analysis Reporting System dataset from passenger vehicle crashes involving WV drivers ≥ 16 years of age with known drug test results who died within …

Perceived Hearing Loss And Availability Of Audiologists In Appalachia, Charles B. Pudrith, Ellyn Grider, Blythe Kitner

Journal of Appalachian Health

Introduction: There is a high demand for audiologists throughout the United States. Previous research has supported an additional demand for these providers within Appalachia.

Purpose: The purpose of the study was to determine if Appalachia has a disproportionally high demand for audiologists compared to the rest of the United States.

Methods: A cross-sectional retrospective study was performed with population data from the Appalachian Regional Commission, the American Academy of Audiology, and the United States Census Bureau. County-level population-weighted averages of individuals with perceived hearing loss and number of audiologists per capita were compared between Appalachian and non-Appalachian counties. …

The Library Of Appalachian Preaching At Marshall University, Robert Ellison

English Faculty Research

This note discusses the Library of Appalachian Preaching, an online project that provides access to sermons and other addresses delivered in Appalachia, or elsewhere by preachers with some kind of connection to the region. It describes the scope of the project, provides an overview of the Library’s website, and suggests several research topics and areas of inquiry that might emerge from the materials included in the project.

Matthew Brown Fellowship Brochure, Matthew Brown

Brown, Matthew, 1776-1853

In the early 2000s, the First Presbyterian Church of Washington, Pennsylvania established the Matthew Brown Fellowship. In the words of this informational brochure, the Fellowship is a "college-aged ministry program" that seeks to "increase this church's involvement with its oldest friend, the College, and to extend its ministry...to meet the growing needs throughout the greater Washington Community."

Review Of: Appalachians For Medicaid Website, Kendra Barker Dnp

Journal of Appalachian Health

The Journal of Appalachian Health is committed to reviewing published media that relates to contemporary concepts affecting the health of Appalachia. Access to care and the health disparities we face have a direct effect on our experience of illness. Dr. Kendra Barker reviews the website: Appalachians for Medicaid.

Geospatial Analysis Of Rurality And Food Banks In Appalachian Ohio, Cooper T. Johnson, Rebecca Fischbein, Kristin Baughman

Journal of Appalachian Health

Introduction: Food insecurity is a problem for individuals across Ohio, including those living in Appalachia. Adequate access to resources that help combat food insecurity is important for these populations.

Purpose: To examine how rurality relates to food insecurity and need for food resources, as well as availability of those resources including food pantries and soup kitchens, in 15 northern Ohio Appalachian counties.

Methods: A cross-sectional study with a geographical analysis was conducted using data from the American Community Survey census data, County Health Rankings data, and regional foodbank websites.

Results: Rural counties had a higher ratio of potential clients per …

Triple Negative Breast Cancer In An Appalachian Region: Exponential Tumor Grade Increase With Age Of Diagnosis, Gina Sizemore, Toni Marie Rudisill

Journal of Appalachian Health

Introduction: Triple negative breast cancer is an aggressive breast cancer with decreased five-year survival, increased risk for recurrence, and higher risk for metastases. Unlike other breast cancers, it has no targeted treatment and has heterogeneous genetics which make classification and treatment difficult.

Purpose: The purpose of our research was to compare triple negative breast cancer to non-triple negative breast cancer to identify key epidemiologic factors that might lead to improved basic science directives for biomarkers, treatments, and classification.

Methods: The state cancer registry was used to provide the first West Virginia state-wide population evaluation of triple negative breast cancer.

Results: …

Case Study Of A Comprehensive Team-Based Approach To Increase Colorectal Cancer Screening, Lauren E. Wright, Adam Baus, Andrea Calkins, Holly Hartman-Adams, Mary E. Conn, Susan Eason, Stephenie Kennedy-Rea

Journal of Appalachian Health

Introduction: Colorectal cancer is the second leading cause of cancer deaths among men and women in West Virginia. In addition, 51% of all colorectal cancers diagnosed in West Virginia from 2012 to 2016 were detected at either regional (31%) or distant (20%) stages indicating a need for improved early detection.

Methods: West Virginia University Cheat Lake Physicians participated in the West Virginia Program to Increase Colorectal Cancer Screening, a program of Cancer Prevention and Control at the WVU Cancer Institute. As a result, Cheat Lake Physicians assembled a team of health care professionals to implement evidence-based interventions and …

Addressing Diabetes Distress In Self-Management Programs: Results Of A Randomized Feasibility Study, Ranjita Misra, Samantha Shawley-Brzoska, Raihan Khan, Brenna O. Kirk, Sijin Wen, Usha Sambamoorthi

Journal of Appalachian Health

Background: West Virginia ranks 1st nationally in the prevalence of hypertension (HTN; 43.8%) and diabetes (16.2%). Patients with type 2 diabetes mellitus (T2DM) are distressed over physical and psychological burden of disease self-management.

Methods: This study investigated the effectiveness of an intervention to reduce diabetes distress and outcomes [glycemic control, blood pressure (BP)] among T2DM adults with comorbid HTN. Participants were randomized to a 12-week diabetes and hypertension self-management program versus a 3-month wait-listed control group. Trained health coaches and experts implemented the lifestyle program in a faith-based setting using an adapted evidence-based curriculum. Twenty adults with T2DM and HTN …

Emergence Of Covid-19 And Patterns Of Early Transmission In An Appalachian Sub-Region, Abbey K. Mann, Timothy A. Joyner, Ingrid E. Luffman, Megan Quinn, William Tollefson, Ashley Frazier

Journal of Appalachian Health

Background: In mid-March 2020, very few cases of COVID-19 had been confirmed in the Central Blue Ridge Region, an area in Appalachia that includes 47 jurisdictions across northeast Tennessee, western North Carolina, and southwest Virginia. Authors described the emergence of cases and outbreaks in the region between March 18 and June 11, 2020.

Methods: Data were collected from the health department websites of Tennessee, North Carolina, and Virginia beginning in mid-March for an ongoing set of COVID-19 monitoring projects, including a newsletter for local healthcare providers and a Geographic Information Systems (GIS) dashboard. In Fall 2020, using these databases, authors …

Kinstitution: A Topia Between Archive And Proposal, Christopher Lineberry

Theses and Dissertations

Situating Topher Lineberry's work, this paper offers a primer on institutional critique, preliminary developments of "kinstitutional critique," and the cultivation of family-derived art history through the work of the artist's grandmother, Helen Lineberry. Feeding into a working understanding of family-and-kin-as-institution, the paper ultimately locates Topher Lineberry's work between relations to place, historical archives, and speculative proposals.

Review Of: The Cancer Crisis In Appalachia: Kentucky Students Take Action, Stephenie Kennedy-Rea

Journal of Appalachian Health

The Journal of Appalachian Health is committed to reviewing published media that relates to contemporary concepts affecting the health of Appalachia. With cancer mortality rates higher in rural and Appalachian communities, a focus on how cancer impacts our families and communities is more important than ever. Dr. Stephenie Kennedy-Rea reviews the book The Cancer Crisis in Appalachia: Kentucky Students Take Action.

Exploring Covid-19 Case Fatality In Relation To The Prevalence Of Chronic Conditions And Health Behaviors In Appalachian Kentucky, W. Jay Christian

Journal of Appalachian Health

Background: Research has demonstrated that common chronic conditions, especially those related to cardiovascular health, are important risk factors for severe COVID-19 symptoms or hospitalization. Population prevalence rates of such conditions have not previously been examined in relation to COVID-19 case fatality rates in the Central Appalachian region.

Purpose: This study examined prevalence rates of selected chronic conditions and COVID-19 case fatality rates to determine whether the relationship between them is consistent across Appalachian and non-Appalachian regions of Kentucky.

Methods: Data from Kentucky’s Behavioral Risk Factor Survey (KyBRFS) were used to calculate prevalence rates of asthma, diabetes, influenza vaccination, hypertension, obesity, …

Effects Of Sleep Duration On Falls In A West Virginia Population-Based Study, Brfss, 2018, R. Constance Wiener, Christopher Waters

Journal of Appalachian Health

Introduction: West Virginia is a state in which most counties are rural, as well as a state with multiple health disparities among its population. The purpose of this study was to determine the association of sleep duration and falls for non-institutionalized West Virginia adults, aged 40 years and above, using the National Sleep Foundation’s definition of “may be appropriate” and “not recommended” sleep durations for specific ages.

Methods: Behavior Risk Factor Surveillance System (BRFSS) 2018 data concerning West Virginia residents were extracted for sleep duration and number of falls within the previous year. Data were analyzed with Chi square and …

Diseases Of Despair: A Commentary, Andrew Howard

Journal of Appalachian Health

Across the nation, and within Appalachia, communities that struggle economically experience greater health challenges, with disparities observed across leading causes of death. Within our region, these disparities are particularly notable across diseases of despair.

Castle Building: Contemporary Poetry And Flash Fiction From Appalachia, Sharolyn Shae Johnson

Undergraduate Honors Theses

Appalachian writing brings a voice to the region that is often obstructed or excluded by popular culture throughout the United States. Crowded with stereotypes, many stories of Appalachian culture are misconstrued or never heard at all. This makes the work of modern Appalachian writers especially significant. Perhaps one of the best ways to reach a broader audience of people in this fast-paced digital time is through shorter writings, and in this thesis I will be presenting my process of writing modern flash fiction and poetry and of sharing the truths of working class, Appalachian people.

Darkness Falls Upon America’S Backyard: An Evaluation Of Central Appalachia’S Past Economic Woes And A Blueprint For The Region’S Future Economic Development, Jack Bergantino

Honors Scholar Theses

The United States prides itself as a nation that offers equity and opportunity to its citizens. However, in recent decades, regions of relative wealth and poverty have come to define the American landscape. Coastal communities have fared well with consistently declining rates of unemployment and increasing rates of college graduation. In contrast, Central Appalachia, which comprises parts of Kentucky, Tennessee, Virginia, and West Virginia, continues to falter with diverging employment and income levels relative to other areas of the country.

This report discusses the economic history of the Appalachian region and considers three case studies, concentrated in McDowell, Harrison, and …

01. Finding Aid To The Physical Collection, Robert H. Ellison, Elizabeth James

Cummings, Melville Homer, 1890-1978

This document follows the same format as Marshall's other Guides to Manuscript Collections. It includes a biographical note, the "scope and content" of the archive, and other information, along with a complete listing of the contents of each of the 31 boxes on the shelves.

A Study Of The Social, Cultural, And Environmental Influences On Appalachian Agriculture, Morganne May

Senior Theses

Appalachia, despite its rich history and abundant biological and cultural diversity, is commonly associated with a generalized notion of ignorance, resistance to progress, and "backwardness." This study aims to shed light on the socioeconomic, cultural, and environmental influences which have shaped the present food systems of Appalachia through a review of relevant literature. This history provides the necessary context to strategize a region-specific, socioeconomically and environmentally sustainable food system moving forward.

07. Songs, Melville Homer Cummings, Robert H. Ellison

Cummings, Melville Homer, 1890-1978

The Cummings collection includes his work as a song writer and publisher: 75 stand-alone songs, approximately 40 booklets of his songs, and 18 books he published with his own songs and those of other artists. There are also approximately 420 song books (336 unique titles) from other publishers, 23 of which contain at least one of Cummings' songs. Information about each of these songs--295 in all--is provided in the User Guide.

All of these songs, along with the relevant front- and backmatter in the books, are posted here as a single PDF. It is nearly 140 MB; to make …

08. Correspondence, Melville Homer Cummings, Robert H. Ellison

Cummings, Melville Homer, 1890-1978

The Cummings collection includes 39 complete or partial letters to or from Cummings; many of his drafts are typed on the back of his sermon manuscripts. All of the letters are posted here as a single PDF; information about each one is provided in the User Guide.

13. Poems Not By Cummings, Melville Homer Cummings, Robert H. Ellison

Cummings, Melville Homer, 1890-1978

The Cummings collection includes 26 poems that were among the donated materials but turned out to be definitely or probably not by Cummings. They are posted here as a single PDF; information about each poem, including authorship when available, is provided in the User Guide.

06. Poems, Melville Homer Cummings, Robert H. Ellison

Cummings, Melville Homer, 1890-1978

The Cummings collection includes approximately 45 stand-alone poems, 9 booklets of poems, and An Earth Wayfarer, a 111-page spiral-bound book. Everything is posted here as a single PDF; information about individual poems, including each selection in the booklets and Earth Wayfarer, is provided in the User Guide.

09. Literary And Bible Training School, Melville Homer Cummings, Robert H. Ellison

Cummings, Melville Homer, 1890-1978

The Cummings collection includes items pertaining to his time at the Literary and Bible Training School (now Trevecca Nazarene University) in Nashville, Tennessee, from which he graduated in 1909. There are examination papers he wrote on homiletics and theology, along with the catalog for the 1909-10 academic year. All items are posted here as a single PDF; additional information is provided in the User Guide.

04. Radio Addresses, Melville Homer Cummings, Robert H. Ellison

Cummings, Melville Homer, 1890-1978

The Cummings collection includes 35 addresses delivered over the radio. Most aired on station WMON in Montgomery, West Virginia; a few were broadcast over WLW in Cincinnati. They are posted here as a single PDF, and combined with the sermons in a single tab in the User Guide.

12. Newspaper Articles By And About Cummings And His Family, Melville Homer Cummings, Robert H. Ellison

Cummings, Melville Homer, 1890-1978

The Cummings collection includes some 120 newspaper clippings by and about Cummings and his family; many of Cummings' pieces are short poems published as Corner Couplets or maxims from "Josh Hayseed." All of the clippings are posted here as a single PDF; additional information is provided in the User Guide.

10. Mccrum Slavonic Training School, Melville Homer Cummings, Robert H. Ellison

Cummings, Melville Homer, 1890-1978

The Cummings collection includes 2 publications by the McCrum Slavonic Training School in Uniontown, Pennsylvania. They date to 1912, the year Mary Kacmar graduated from the school, and 1918, the year she and Cummings married. They are posted here as a single PDF; additional information is provided in the User Guide.

05. Newspaper Columns, Melville Homer Cummings, Robert H. Ellison

Cummings, Melville Homer, 1890-1978

The Cummings collection includes 66 columns written for various newspapers. They were published under 4 headlines: "Clergyman Chatter," "Our Weekly Message," "Our Weekly Visit," and "The Parson Writes." In some of the clippings, only the words "Our Weekly" are visible, so we cannot be sure which category they belong to.

All 66 columns are posted here as s single PDF. There are also supplemental files for "Clergyman Chatter," "Our Weekly Message/Visit," and "The Parson Writes."

The columns do not have individual titles, but they often have section headings; for ease of navigation, the first heading in each column is included …