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Full-Text Articles in Medicine and Health Sciences

Covid-19 And Opioid Use In Appalachian Kentucky: Challenges And Silver Linings, Rachel Vickers-Smith, Hannah L.F. Cooper, April M. Young Nov 2020

Covid-19 And Opioid Use In Appalachian Kentucky: Challenges And Silver Linings, Rachel Vickers-Smith, Hannah L.F. Cooper, April M. Young

Journal of Appalachian Health

Appalachian Kentucky is currently fighting two public health emergencies – COVID-19 and the opioid epidemic – leaving the area strapped for resources to care for these ongoing crises. During this time, people who use opioids (PWUO) have increased vulnerability to fatal overdoses and drug-related harms (e.g., HIV). Disruption of already limited services posed by COVID-19 could have an especially detrimental impact on the health of PWUO. Though the COVID-19 pandemic is jeopardizing hard-won progress in fighting the opioid epidemic, innovations in state policy and service delivery brought about by the pandemic may improve the health of PWUO long-term if they …


Demographic, Psychosocial And Perceived Environmental Factors Associated With Depression Severity In A Midwest Micropolitan Community, Jason D. Daniel-Ulloa, Barbara I. Baquero, Christine M. Kava, Mayra L. Smith-Coronado, Nicole L. Novak, Dan Sewell, Adriana Maldonado, Heidi L. Haines, Claudia Gates, Edith Parker Nov 2020

Demographic, Psychosocial And Perceived Environmental Factors Associated With Depression Severity In A Midwest Micropolitan Community, Jason D. Daniel-Ulloa, Barbara I. Baquero, Christine M. Kava, Mayra L. Smith-Coronado, Nicole L. Novak, Dan Sewell, Adriana Maldonado, Heidi L. Haines, Claudia Gates, Edith Parker

Health Behavior Research

The purpose of this study was to inform a community-engaged partnership concerned with mental health in their community by exploring factors associated with depression among a sample of residents in a micropolitan city in a rural state. Social and contextual factors are important influences on depression risk, but most research in this area has focused on urban settings. Micropolitan areas (midsize rural communities centered around a population core of 10,000-50,000 people) are home to the majority of rural residents and this specific social and economic context may have unique influences on depression risk. Using a random-digit-dial sampling method, adult residents …