Rural Sociology Commons^™

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: …

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 …

Religious Mega-Events And Their Assemblages In Devotional Pilgrimages: The Case Of Círio De Nazaré In Belém, Pará State, Brazil, José Rogério Lopes, André Luiz Da Silva

Journal of Global Catholicism

The article presents a typological categorization of contemporary mega-events and their characteristics, in order to interpret the assemblages mobilized by sectors of the Catholic Church in traditional devotional pilgrimages in the northern region of Brazil. It uses ethnographic accounts of the Círio de Nazaré feast, in Belém, Pará state, Brazil, considered the largest Catholic procession in the West, in order to analyze how the promotion of this event is organized through institutional and market logics that overlap with the religious phenomenon, evincing a contemporary trend. These assemblages open a field of possibilities for institutional religious reproduction and generate concentric flows …

Young Brazilian Catholics Reaffiliating: A Case Study In The City Of Campos, Rj, Brazil, Cecilia L. Mariz, Wânia Amélia Belchior Mesquita, Michelle Piraciaba Araújo

Journal of Global Catholicism

Through a case study in Campos, a northern city of Rio de Janeiro state, Brazil, this article analyzes reports from young people who state that they have undergone a process of revival or reactivation of their Catholic faith. They all declared to have participated in the “St Andrew’s School of Evangelization.” They also mentioned having experienced an "encounter with God." Their narratives were similar to conversion accounts reported by practitioners of other religious traditions. The interviewees describe faith as a personal choice, and emphasize the need for religious study and the value of religious knowledge. To what extent these values …

Contemporary Brazilian Catholicism And Healing Practices: Notes On Environmentalism And Medicalization, Juliano F. Almeida

Journal of Global Catholicism

Anthropological studies on Brazilian Catholicism traditionally focused on popular variants of this religious practice and their relationship with the official Catholicism. Encouraged by recent anthropological perspectives, which highlight the relevance of devoting researches not only on the margins, but also on the center of social practices, this paper analyzes contemporary practices of Brazilian Catholic friars and priests on health promotion. The analysis of their publications (books that include practices and tips on health and that became best sellers etc.), as well as interviews, allows us to perceive a process of environmentalization on the contemporary Brazilian Catholicism. This process seems to …

Strong Church, Weak Catholicism: Transformations In Brazilian Catholicism, Carlos Alberto Steil, Rodrigo Toniol

Journal of Global Catholicism

In this paper we explore data on Catholicism from the 2010 census in Brazil, as well as other data from the Center for Religious Statistics and Social Investigation. Using these statistics, we question those arguments that explain the reduction in the number of Catholics in Brazilian society as a problem in the institution’s adaptation in response to the challenges of evangelization, or as a lack of ministerial vocations to meet the religious demands of the people. Pursuing an alternative argument, we consider the weakening of the relationship between the Catholic institution and traditional popular Catholicism to be a fundamental aspect …

Editor's Introduction, Marc Roscoe Loustau

Journal of Global Catholicism

No abstract provided.

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.

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.

Brain Drain In Mississippi, Clifford Adam Conner

Honors Theses

Brain drain is the out-migration of educated individuals from an area. It is a problem with which Mississippi is overly familiar. This thesis uses data gathered from a survey of 965 respondents to identify who is leaving the state and for what reasons. The data gathered suggest confirmation that brain drain is an issue for the state, with roughly two-thirds of respondents having left the state or seriously considering doing so. The impetus for this varies with each individual, but respondents underscore economic and societal factors within Mississippi as pushing them away from the state. Quality of life factors are …

We Exist Series 1: Family - Quotes, Lance Gibbs Phd

Series 1: Family - Quotes

In this section, we have selected quotes that represent how Black residents in Maine view their family life. The quotes are taken from transcripts of the oral history project “Home Is Where I Make It”: African American Community and Activism in Greater Portland, Maine.” The interview subjects are all native to Maine or are longtime residents of Maine. The original intent of the “Home Is Where I Make It” project was to highlight Black residents’ history and struggle for community in southern Maine in both their formal organizational memberships and day-to-day activities. The interviews, however, unearthed a wealth …

Catholics & Cultures: A Panoramic View In Search Of Greater Understanding, Stephanie M. Wong

Journal of Global Catholicism

While internet-based technologies can open up greater awareness of the world or create self-perpetuating echo-chambers, the Catholics & Cultures project aspires to do the former. Aiming to ‘widen the lens’ on the variety of Catholic communities and practices, the site delivers on this goal by introducing viewers to a vast array of articles, pictures and videos from around the world. The organization of the site by country and by certain key features of lived Catholicism offers some interpretive guidance. However, the project could be strengthened as a pedagogical resource if it were more extensively thematized and hosted reflections on potential …

The Value Of Online Resources: Reflections On Teaching An Introduction To Global Christianity, Hillary Kaell

Journal of Global Catholicism

Reflecting on my experience teaching Introduction to Global Christianity, this essay ponders questions at the heart of undergraduate teaching: How can we encourage students to utilize online sources? How can we empower them to seek out answers to their questions? It offers practical examples of how I have used the Catholics & Cultures website in my classroom at a large public university. In particular, I reflect on my experience working with students who are mostly of Catholic heritage, but from many cultural and social contexts.

Teaching Sexuality On The Catholics & Cultures Website: A Refreshing Turn Toward The Longue Durée, Marc Roscoe Loustau

Journal of Global Catholicism

I present a close reading of the Catholics & Cultures (C&C) website’s treatment of sexuality-related issues and discuss this material in relation to debates about how to teach sexuality in religious studies and theology classrooms. The C&C website occasionally and intermittently uses a typical “contemporary issues” approach that considers sexuality in relation to legal and legislative decisions and government policies. In contrast, country profiles consistently situate sexuality in relation processes like nation building, urbanization, and lay Catholics’ growing authority. My interpretation highlights the site’s decision to emphasize the longue durée, long-term and deep structural processes driving cultural and religious changes. …

Ritual Among The Scilohtac: Global Catholicism, The Nacirema, And Interfaith Studies, Anita Houck

Journal of Global Catholicism

More than six decades after its publication, Horace Miner’s 1956 article “Body Ritual among the Nacirema” remains a reliable pedagogical tool, remarkably successful in helping students see their own ethnocentric biases. Catholics & Cultures has potential to do similar work. The site lacks some of what makes Miner’s text so effective, in particular its capacity to bring about a sudden shift in perception. The site also shares some of the article’s limitations, particularly in focusing on ritual to the relative exclusion of other aspects of religion. That said, the site can help students gain the religious literacy and develop the …

Focus On The Busy Intersections Of Culture And Cultural Change, Laura Elder

Journal of Global Catholicism

The dynamics of religious resurgence reveal the important ways that religious ritual and performance are meaning making spaces which are not self-contained or cut off from the rest of culture, but rather are a key locus of cultural change. A renewed emphasis on the busy intersections of meaning making – as rituals are connected, disconnected, and reconnected to other domains of social life – would improve the utility of the Catholics & Cultures website for understanding global cultural change. And a renewed emphasis on cultural change would also provide a better means for exploring reflexively by seeking to understand both …

A Widened Angle Of View: Teaching Theology And Racial Embodiment, Mara Brecht

Journal of Global Catholicism

Today’s undergraduate students are digital natives, shaped by constant access to information and countless experiences of encountering the world through the convenience of a screen. The ostensible comfort students have with difference gives way to a paradox, and one that’s made especially apparent in the theology classroom: Students are comfortable with seeing difference and particularity at a distance, but not adept at locating difference and particularity “at home.” I contend that Catholics & Cultures can help students from the dominant culture—namely, white students who comprise the vast majority of Catholic college students—destabilize their notion of the Catholic tradition as tightly …

Introducing Catholics & Cultures: Ethnography, Encyclopedia, Cyborg, Mathew N. Schmalz

Journal of Global Catholicism

In introducing the Catholics & Cultures site and the articles in this special issue, this essay initially locates the overall Catholic & Cultures project within the traditions of ethnography and encyclopedia. Drawing extensively on the work of J. Z. Smith, this essay reflects upon the theoretical implications of emphasizing the diversity of Catholicism in and through a web-based platform that facilitates comparative study and pedagogy. This essay then more specifically considers the web-based aspects of Catholics & Cultures by identifying a nascent cyborgian aesthetic in the site and considering how the site might eventually engage post-modern themes and concerns.

Connections: Church In Community, Shirl Christian

Consensus

No abstract provided.

Poll Finds Rural Residents More Hesitant To Get Vaccinated, Tim Marema

Journal of Appalachian Health

Rural residents are more hesitant than their metropolitan counterparts to get a Covid-19 vaccination, even though rural areas have higher rates of infections and deaths from the coronavirus.

Review Of: Ailing In Place: Environmental Inequities And Health Disparities In Appalachia, Jerome A. Paulson Md, Faap, Jennifer A. Mallow Phd

Journal of Appalachian Health

The Journal of Appalachian Health is committed to reviewing published media that relate to contemporary concepts affecting the health of Appalachia. The Appalachian environmental inequities and the health disparities we face have a direct effect on our experience of illness. Dr. Jerome Paulson reviews the book Ailing in Place: Environmental Inequities and Health Disparities in Appalachia.

Impact Of The Covid-19 Shutdown On Mental Health In Appalachia By Working Status, Erin N. Haynes, Timothy J. Hilbert, Susan C. Westneat, Kate Leger, Katie Keynton, Heather M. Bush

Journal of Appalachian Health

Introduction: To slow the spread of COVID-19 in the United States, businesses shutdown in Spring 2020. Research has indicated the impact on frontline workers, yet little is known about the impact on those who were not working outside the home or switched to working remotely.

Purpose: The purpose of this report is to identify the financial and healthcare issues and mental health impact of the COVID-19 shutdown on Appalachians by worker categories.

Methods: An online survey was administered from May 8 – June 6, 2020 to a convenience sample of previous research participants and shared through social …

Students, Research, And The Health Of Appalachia, F. Douglas Scutchfield Md

Journal of Appalachian Health

The notion of publication in the peer-reviewed literature out of your doctoral or master’s thesis/dissertation or capstone is a characteristic of those who choose a career in the academy. This paper illustrates my pleasure by reflecting a student taking the additional step in research achievement by publishing results that contribute new knowledge to evidence-driven research and practice.

Human Capital Formation And Return Migration Within Mong Communities In Rural/Semi-Rural Northern California, Chong Yang

University of the Pacific Theses and Dissertations

This research uses computational grounded theory to explore the human capital formation and stay/return migration experiences of well-educated Mong adults living in various rural/semi-rural Northern California localities within Butte, Yuba, and Sutter Counties. Rural vitality is dependent on the return of these well-educated rural-raised adults. Out-migration of rurality’s best and brightest contributes towards a brain drain and the hallowing out of rurality’s human capital. Findings of this research is conveyed using two research articles examining two different points on the continuum of rural vitality. The first article examines 19 Mong adults’ educational experiences within their rural communities and college education. …

The Appalachian Medical Student Experience: A Case Study, Jason Scott Hedrick

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Appalachian region is a rural swath of mountainous terrain home to a historically distinct culture. The region’s population suffers from a multitude of health issues and disparities. Notably, the region also experiences a major healthcare provider shortage despite the fact that states, like West Virginia, produce per capita, a high volume of physicians. Appalachia, and particularly West Virginia, also suffers from a number of educational disparities, which culminates into low numbers of college graduates within the population. There is a plethora of research that has explored the first-generation college student, students from rural and Appalachian backgrounds, first-generation and rural …

“We Didn’T Have A Lot Of Money, We Worked Hard, And We Ate Beans”: Examining The Narrative Inheritance From An Appalachian Father To His Son, Thomas Townsend

Electronic Theses and Dissertations

The author contends that narratives, shaped not only by events but also by socioeconomic and geographic factors, are narratives that require exploration and analysis because these narratives build the lives in which individuals exist. By understanding narratives passed down with which they have built their lives, individuals can come to greater understanding of the narratives in which they live. To understand the narratives, he created and continues to craft about his life, the author needed to understand his narrative inheritance. When a proposed thesis study imploded, the focus of the study shifted to exploring the circumstances of a single interview …

Rural Appalachia Battling The Intersection Of Two Crises: Covid-19 And Substance Use Disorders, Margaret Miller, Rebekah Rollston, Kate E. Beatty, Michael Meit

Journal of Appalachian Health

During the COVID-19 pandemic, rural Appalachia is at great risk of unforeseen side effects including increased mortality from substance use disorders (SUDs). People living with SUDs are at increased risk for both exposure to and poor outcomes from COVID infection. The economic impacts of COVID-19 must also be considered. As rural Appalachia combats the substance use crisis amidst the COVID-19 pandemic, the geographic economic, health and social inequities within our region must be considered. As a national recovery is sought, we should reimagine federal policies that center the economic and public health of rural Appalachia addressing the two crises.

Review Of: From The Front Lines Of The Appalachian Addiction Crisis Healthcare Providers Discuss Opioids, Meth And Recovery, Carl G. Leukefeld

Journal of Appalachian Health

The Journal of Appalachian Health is dedicated to reviewing various types of media related to contemporary concepts that affect the health of Appalachia. As the opioid-related overdose deaths ravish Appalachia, now more than ever, we each must devote energy to understanding addiction and pathways to recovery. Dr. Carl Leukefeld reviews the book From the Front Lines of the Appalachian Addiction Crisis: Healthcare Providers Discuss Opioids, Meth and Recovery.

In Their Own Words: How Opioids Have Impacted The Lives Of “Everyday” People Living In Appalachia, Patricia Nola Eugene Roberson, Gina Cortez, Laura H. Trull, Katherine Allison Lenger

Journal of Appalachian Health

Introduction: The opioid epidemic is ravaging people, families, and communities in Appalachia. However, limited research has examined how “everyday” people (e.g., not chronic pain patients, not medical professionals) living in these communities how opioids have impacted their lives.

Objective: Identify the perception of the opioid epidemic on individuals, families, and communities from people living in region most impacted regions.

Methods: Patients were recruited at Remote Area Medical clinics throughout Central and Southern Appalachia to complete interviews online (N = 169) or over the phone (N = 26), including one open-ended question about how opioids have impacted their lives.

Results: Using …