Rural Sociology Commons^™

Seeking Care At Free Episodic Health Care Clinics In Appalachia, Malerie Lazar, Sandra Thomas, Lisa Davenport

Journal of Appalachian Health

Background: People who live in rural Appalachia experience a wide variety of problems when seeking access to health care. Health care disparities continue to be one of the most complex and prevalent problems, and many barriers exist for impoverished men and women such as a lack of education, complications with health insurance, and personal distrust of healthcare providers.

Purpose: A critical gap in the literature is the unheard voice of persons in rural underserved areas. The purpose of this study was to explore the perspectives of persons in rural Appalachia who seek healthcare services at free episodic health care clinics, …

Skin Cancer And Uv Exposure-Related Behaviors Among Appalachian And Non-Appalachian Adults, Minal Patel, Katrina Serrano, Elise Rice, Chan Thai, Kelly Blake, Robin C. Vanderpool

Journal of Appalachian Health

Introduction: Appalachian communities experience elevated rates of cancer incidence and mortality relative to other regions in the U.S. Specifically, melanoma mortality rates are higher in Appalachia compared to the national average, despite comparable incidence rates.

Purpose: To examine differences in self-reported history of skin cancer and prevalence of two UV exposure behaviors between Appalachian and non-Appalachian adults in a nationally representative sample.

Methods: Data are from four cross-sectional cycles of the Health Information National Trends Survey (2011–2014) (N=14,451). We examined sunscreen use and tanning bed use, and self-reported history of melanoma and non-melanoma skin cancer. Descriptive and weighted …

Food Insecurity Among College Students With And Without Medical Disorders At A University In Appalachia, Laura Mcarthur, Melissa D. Gutschall, Kimberly Fasczewski, Anna Jackson

Journal of Appalachian Health

Objective: This study compared severity of food insecurity, characteristics, and behaviors of college students with and without diagnosed medical disorders.

Design: Data were collected using a cross-sectional online questionnaire. Variables measured were food security status, disorders, coping strategies, and perceived barriers to food access. Descriptive and inferential statistics examined associations and compared groups. Statistical significance was p≤0.05.

Setting: Data were collected at Appalachian State University in North Carolina.

Participants: The sample was 247 food insecure students, of whom 60% were females, 50% 3rd- and 4th-year students, and 75% whites.

Results: Medical disorders were reported by 67.2% of food insecure students, …

Use And Perceptions Of A Campus Food Pantry Among Food Insecure College Students: An Exploratory Study From Appalachia, Laura Mcarthur, Kimberly S. Fasczewski, Alisha Farris, Miranda R. Petrone

Journal of Appalachian Health

Introduction: Food insecurity has emerged as a public health problem among college students in Appalachia, jeopardizing their physical, mental, and emotional health and academic success. Campus food pantries have been established in this region, but no data are available concerning student use or perception of services.

Purpose: This study measured use and perceptions of a campus food pantry by students at a mid-sized university in rural North Carolina.

Methods: An online questionnaire collected behavioral and perceptual data, and follow-up interviews explored these variables. Descriptive statistics with significance at p<0.05 and thematic analytical procedures were used.

Results: Questionnaires were submitted by 896 of 6000 recruited students (14.9%), …

The Need For Evidence-Based Interventions To Reduce Food Insecurity Among College Students, Sarah Brothers, Stephanie Jilcott-Pitts Phd

Journal of Appalachian Health

Food insecurity is defined as insufficient resources to meet food needs. This is a global problem but is not confined to those countries identified as poor. One group of Americans who are particularly affected, and for whom the effects are particularly severe, is college students.

Transformative Change In Rural Ethiopia: The Impact Of Small- And Medium-Scale Irrigation, Logan Cochrane, Anne Cafer

Journal of Rural Social Sciences

Rural livelihoods in Ethiopia are vulnerable due to their reliance upon variable rainfall and the lack of access to irrigation. Irrigation coverage in the country is low, as the existing systems tend to cover state-run and commercial operations. There is significant potential for irrigation to play a transformative role in rural lives and livelihoods. Much of the evidence available in Ethiopia focuses upon technical studies of irrigation systems or impacts on households after gaining access to irrigation. This article highlights the causes and pathways of change. We focus on more financially-viable and environmentally-sound small- and medium-scale systems, versus the large-scale …

Understanding The Impact Of Psychological Empowerment, Workplace Motivation, And Social Capital On The Job Performance Of Farmers In Honduras: A Mixed Methods Study, Susan Lale Karimiha

LSU Doctoral Dissertations

A farmer’s job performance is critical to the production of raw materials such as food, fiber, and fuel and is therefore an important concern for individuals, businesses, and economies across the world. The literature on improving farmers’ job performance has focused more on introducing new technologies, and less on the psychosocial factors that improve job performance. The primary purpose of this study was to examine the impact of psychological empowerment, workplace motivation, and social capital on farmers’ job performance in Honduras.

A mixed methods approach was used to collect and analyze both quantitative and qualitative data. For quantitative data, a …

Rural-Urban Differences In Roles And Support For Community Health Workers In The Midwest, Kate E. Trout, Virginia Chaidez, Angela L. Palmer-Wackerly

Department of Nutrition and Health Sciences: Faculty Publications

The Patient Protection and Affordable Care Act supports the integration of community health workers (CHWs) into the health care workforce, but little is known about integration and current roles of CHWs among employers in community settings. This analysis of 97 employers described the roles of CHWs in Nebraska and found significant differences between CHWs practicing in rural and urban areas in organization types employing CHWs, funding sources, and minority populations served. The findings suggest that the utility of CHWs is widely recognized among employers, but deliberate support will be needed to better define the roles of CHWs to meet the …

Changing Water Resources’ Effect On Livelihoods And Socio-Ecological Relationships In Himalayan Communities Of Nepal, Luke Bazemore

Independent Study Project (ISP) Collection

The looming threat of climate change will lead to significant alterations in livelihoods and daily practices for individuals across the world. This paper seeks to identify the effects of climate change on hydrological regimes in Himalayan communities in Nepal with particular focus towards livelihood and socio-ecological transformations. Using the socio-ecological systems framework to analyze specific communities and their resource use, along with vulnerability and adaptative capacity analysis, this paper includes a meta-analysis of existing literature. Numerous findings indicated that rural, mountainous communities of Nepal face a variety of environmental impacts which may reduce viability of two significant modes of production: …

To What Extent Did Title Ix Create Equality Within Athletics: Analyzing Female Athletic Participation In High School Institutions, Kellyn M. Webster

Political Science Theses and Capstones

Since Title IX was signed into law in 1972, the legislation has long been associated with athletics. After the passage of Title IX, high school level and any other federally funded institution, now had to promote gender equality, including athletics. However, even though equality was and still is required, those demands are still not being met. Using data from the National Center for Education Statistics and the Civil Rights Data Collection in the 2013-2014 school year, I examine equality within high school athletics. I analyze the characteristics in high schools throughout the United States to determine what types of schools …

Contemporary Challenges Facing Small, Family Farms In America: The Grant Family And Their Maraschino Cherry Farm, Haley Allaben 20

Honor Scholar Theses

No abstract provided.

Covid-19 Cases Are Clustered In Large Urban Hubs, But Rural Areas Surrounding Those Hubs Are Also Increasingly Affected, Yue Sun

Population Health Research Brief Series

As COVID-19 continues to evolve, we are seeing more cases in urban areas, however, this data slice shows where trends are heading next.

Why Coronavirus Could Hit Rural Areas Harder, Shannon M. Monnat

Population Health Research Brief Series

As rates of coronavirus (COVID-19) infection and death continue to rise, it is important to consider how rural areas may be differentially affected. Rural economies may also be affected in different ways than their urban counterparts, which has implications for long-term rural population health outcomes.

Minority Stress Among Gay And Bisexual Men In Agricultural Occupations, Michael C. Parent, Garrett M. Steede

Journal of Rural Social Sciences

Research integrating the minority stress model and vocational behavior has used broad samples of sexual minority persons. Specific work contexts, particularly traditionally masculine work contexts, may be relevant areas to the integration of minority stress theory and vocational well-being. This study examined the relationship between workplace heterosexism and job satisfaction, as moderated by identity management and person-organization fit, among a sample of 114 sexual minority men, employed in agriculture, recruited from an online social network group. Contrary to prior research, integrating identity management did not moderate the relationship between workplace heterosexism and job satisfaction. Person-organization fit did moderate this relationship, …

The Interwoven Existences Of Official Catholicism And Magical Practice In The Lived Religiosity Of A Transylvanian Hungarian Village, Cecília Sándor

Journal of Global Catholicism

During the last five years I have been doing field research in a Transylvanian Hungarian village, Sânsimion (Hu: Csíkszentsimon). I present my research on this religiously homogenous, Catholic community’s worldview. Based on interviews conducted with members of the village’s various age groups, I map religious and magical knowledge passed down through the generations, using the theoretical frame of collective memory and religious transmission. Second, I highlight two different but coexisting “constructions of reality” in this rural community. By “constructions of reality,” I mean interpretations of reality expressed in narrative discourses and local magical practices that are closely and inextricably interwoven …

Introduction: Consumer Contexts And Divine Presences In Hungarian Catholicism, Marc Roscoe Loustau

Journal of Global Catholicism

Introduction to Hungarian Catholicism: Living Faith Across Diverse Social and Intellectual Contexts, highlighting both the specific contributions of the articles to the study of Hungarian Catholicism and situating them within the broad sweep of Hungarian and Catholic Studies.

Application Of Rigour And Credibility In Qualitative Document Analysis: Lessons Learnt From A Case Study, Leanne M. Wood, Bernadette Sebar, Nerina Vecchio

The Qualitative Report

This paper probes functions and processes of qualitative document analysis (QDA), a method widely used in case study research. It firstly demonstrates the application of a QDA framework to inform a case study of women entrepreneurs in rural Australia; and provides insights into the lessons learnt, including strengths and limitations of QDA. Secondly, the paper provides guidelines for novice researchers seeking to use thematic analysis in a QDA process, arguing for rigour in naming assumptions and explicitness about the procedures employed. The paper contributes to discussion in the literature that positions QDA not only as a convenient tool, but as …

Reviewer Acknowledgments For 2019, F. Douglas Scutchfield Md, Erin N. Haynes, Erin Bouldin, Robert M. Shapiro Ii, Tim Marema, Charlotte S. Seidman

Journal of Appalachian Health

The Editorial Team extends a heart-felt “thank you” to those who have given their time and expertise in the past year to participate in this process with the Journal of Appalachian Health. We know that you have many competing pressures on your time, and that you are not financially compensated for the time you spend reviewing manuscripts. We hope that there are other forms of compensation that make the sacrifice worth the effort.

A Healthy Attitude: Rural Leaders In Tn County Organize To Address Well-Being In Appalachia, Tim Marema, Erin Bouldin

Journal of Appalachian Health

When it came to formal philanthropy, Grundy County was not on the map. That changed with the 2012 establishment of South Cumberland Community Fund, which serves the plateau portions of Grundy, Franklin, and Marion counties.

The Nuclear Legacy In Appalachia, Michele Morrone, Harold Perkins

Journal of Appalachian Health

Nestled in the rolling hills of Appalachia Ohio is a reminder of the role that the region played in winning the Cold War. For more than 40 years in rural Pike County, the 3,700-acre Portsmouth Gaseous Diffusion Plant (PORTS), or the “A-Plant” as the locals refer to it, enriched uranium for use in nuclear weapons. While the facility produced nuclear fuel for national security, it simultaneously exposed plant workers to chemicals and radiation and discharged pollution into the surrounding community. The A-Plant is now being demolished and the site repurposed. However, the site continues to affect the community as, for …

Appalachian Environmental Health Literacy: Building Knowledge And Skills To Protect Health, Anna G. Hoover, Annie Koempel, W. Jay Christian, Kimberly I. Tumlin, Kelly G. Pennell, Steven Evans, Malissa Mcalister, Lindell E. Ormsbee, Dawn Brewer

Journal of Appalachian Health

Environmental health literacy (EHL) is an emerging, multidisciplinary field that promotes understanding of how environmental exposures can affect human health. After discussing the regional relevance of environmental health knowledge and skills, this article describes three ongoing Appalachian projects that are focused on measuring and building EHL.

Development And Early Outcomes Of The Watauga Compassionate Community Initiative, North Carolina, Tim Marema, Erin Bouldin

Journal of Appalachian Health

Addressing adverse childhood experiences has become a public health imperative, and communities across the United States are working to develop and implement programs and policies to both prevent childhood trauma and support adults who experienced trauma as children. Here we describe the development of the Watauga Compassionate Community Initiative (WCCI) in Watauga, County, North Carolina.

Access To Autism Spectrum Disorder Services For Rural Appalachian Citizens, Angela Scarpa, Laura S. Jensen, Denis Gracanin, Sharon L. Ramey, Angela V. Dahiya, L. Maria Ingram, Jordan Albright, Alyssa J. Gatto, Jen P. Scott, Lisa Ruble

Journal of Appalachian Health

Background: Low-resource rural communities face significant challenges regarding availability and adequacy of evidence-based services.

Purposes: With respect to accessing evidence-based services for Autism Spectrum Disorder (ASD), this brief report summarizes needs of rural citizens in the South-Central Appalachian region, an area notable for persistent health disparities.

Methods: A mixed-methods approach was used to collect quantitative and qualitative data during focus groups with 33 service providers and 15 caregivers of children with ASD in rural southwest Virginia.

Results: Results supported the barriers of availability and affordability of ASD services in this region, especially relating to the need for more ASD-trained providers, …

Introduction To The New “Early Reports Of Innovation” Section, Erin Bouldin, Tim Marema

Journal of Appalachian Health

The Journal of Appalachian Health is introducing a new section this issue. While the journal is centralizing some of the best research and commentary on Appalachian health, the editorial team felt that practice-focused groups, organizations, and agencies may not be fully represented in the publication.

Introducing The L.A.U.N.C.H. Collaborative, F. Douglas Scutchfield Md, Kevin Patrick

Journal of Appalachian Health

The L.A.U.N.C.H. Collaborative: Linking & Amplifying User-Centered Networks through Connected Health: A Demonstration of Broadband-Enabled Connected Health and Community-Based Co-Design brings together a group of organizations that are eager to use Appalachian Kentucky as a site for the development of a project aimed at creating an environment that addresses two of the nation’s major concerns about cancer. First, individuals who live in rural and remote areas are more likely to die of cancer than those who live in urban or suburban settings. And second, geographic obstacles hinder their ability to access evidence-based strategies that can prevent cancer or treat it …

Support For Rural Practice: Female Physicians And The Life–Career Interface, Kimberly Stutzman, Ruth Ray Karpen, Pragna Naidoo, Sarah E. Toevs, Amanda Weidner, Ed Baker, David Schmitz

Public and Population Health Faculty Publications and Presentations

Introduction: The need for family physicians in rural areas across the USA and Canada is a longstanding issue that has been well documented. Since family physicians constitute the largest population of rural practitioners, the problem has been exacerbated by a sharp decline in medical students’ interest in the field of family medicine and the aging of the current rural workforce. Previous research has shown that female physicians in rural areas need strong support networks to maintain a healthy work–life balance. The purpose of this study was to better understand the types of support they need and how they find it, …

Revisiting Rural Crime: The Contributions Of Labor Markets And Interdependency, Kristina J. Thompson

Dissertations

Although rural communities – which are home to nearly 20 percent of the U.S. – have experienced disruptive labor market restructuring, few studies examine how such events influence rural crime. Moreover, general methodological approaches to rural crime treat rural places as isolated and unaffected by the broader labor market conditions around them, despite a growing body of sociological literature which suggests that urban and rural communities have varying degrees of interdependence. Drawing from urban crime theories emphasizing the importance of place and systemic relations, this dissertation explores how shifting labor market conditions and extra-local labor market opportunities influenced crime in …

Youth And Young Adults These Days: Perceptions Of Community Resources And Factors Associated With Rural Community Engagement, Wilson Majee, Adaobi Anakwe, Karien Jooste

Journal of Rural Social Sciences

Young people’s decisions to engage or disengage in community activities can be attributed to their perceptions of community resources and opportunities. This study examined South African rural young adults’ perceptions of their future communities and influences on engaging in health promoting activities and community leadership. Survey data were collected from 58 youth and 52 young adults affiliated with key community organizations. Correlational analysis examined perceptions of community resources and participation in community leadership. Perceptions about the future of their communities differed by age, educational attainment, employment status, and number of years spent in the community and were strongly correlated with …

Invisible Poverty: Awareness, Attitudes, And Action, Joseph W. Johnson

Doctor of Ministry Theses

In small-town rural America, we do not tend to see poverty. Poverty is relatively invisible, especially among our youth and children. Invisible Poverty explores the issues, challenges, stereotypes, and causes of small-town rural poverty while presenting possible solutions. Drawing from Alvin Luedke, Craig Van Gelder, Alan Roxburgh, Patrick Keifert, Cynthia Duncan, and Shannon Jung, Invisible Poverty presents a missional theology of accompaniment seeking justice and avoiding shame. In an effort to understand the complexity of rural poverty, Invisible Poverty asks; How might Action Research interventions affect awareness, attitudes, and actions of the congregation concerning the issues of poverty?

Parallel Precarity: A Comparison Of U.S. And Canadian Agricultural Guest Worker Programs, Anelyse M. Weilere, Kathleen Sexsmith, Laura-Anne Minkoff-Zern

Food Studies - All Scholarship

No abstract provided.