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I’M Afraid Of That Water: A Collaborative Ethnography Of A West Virginia Water Crisis, Luke E. Lassiter, Brian A. Hoey, Elizabeth Campbell 2020 Marshall University

I’M Afraid Of That Water: A Collaborative Ethnography Of A West Virginia Water Crisis, Luke E. Lassiter, Brian A. Hoey, Elizabeth Campbell

Brian A. Hoey, Ph.D.

On January 9, 2014, residents across Charleston, West Virginia, awoke to an unusual licorice smell in the air and a similar taste in the public drinking water. That evening residents were informed the tap water in tens of thousands of homes, hundreds of businesses, and dozens of schools and hospitals—the water made available to as many as 300,000 citizens in a nine-county region—had been contaminated with a chemical used for cleaning crushed coal. This book tells a particular set of stories about that chemical spill and its aftermath, an unfolding water crisis that would lead to months ...


Why We Can’T Solve The Opioid Problem, Wayne F. Coombs, Ph.D. 2019 None

Why We Can’T Solve The Opioid Problem, Wayne F. Coombs, Ph.D.

Journal of Appalachian Health

Appalachia’s opioid epidemic is a complex, systemic problem being addressed by limited intervention processes conceptualized through narrow disciplinary models that are not working. We need a new comprehensive, collaborative approach if we ever hope to find solutions to this problem.


A Virginia Mountain City Responds To The Challenge Of Improving Health Outcomes, Robert S. Cowell Jr. 2019 City of Roanoke, Virginia

A Virginia Mountain City Responds To The Challenge Of Improving Health Outcomes, Robert S. Cowell Jr.

Journal of Appalachian Health

In 2012, Roanoke Virginia was becoming a city of haves and have-nots, a place where many were benefitting from revitalization underway but too many were seeing their situation grow worse and becoming even more entrenched. Poverty with levels as high as 50% in some neighborhoods; life expectancy sometimes 14 years shorter than those living just one or two neighborhoods over; and lack of access to fresh food, medical care, and economic opportunities—all within view of the largest hospital in the region was unacceptable.

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Adult Food Security And The Relationship With Adverse Childhood Experiences Among Residents Of Appalachian North Carolina, Manan Roy, Erin Bouldin, Maggie Bennett, Adam Hege 2019 Appalachian State University

Adult Food Security And The Relationship With Adverse Childhood Experiences Among Residents Of Appalachian North Carolina, Manan Roy, Erin Bouldin, Maggie Bennett, Adam Hege

Journal of Appalachian Health

Introduction: The Appalachian region has worse health outcomes than the remainder of the United States. These disparities are often linked to the underlying social and environmental determinants of health. Adverse childhood experiences (ACEs) are associated with poor health outcomes across the lifespan and have a significant impact on future social determinants as an adult, including food security status.

Purpose: To explore the relationships between ACEs and food security among adults in the Appalachian counties of North Carolina and make comparisons with the rest of the state.

Methods: Researchers used North Carolina’s 2012 Behavioral Risk Factor Surveillance System data; namely ...


A Comparison Of Appalachian And Non-Appalachian Kentucky Dui Offenders, Megan F. Dickson, Megan Kissel, J. Matthew Webster 2019 University of Kentucky

A Comparison Of Appalachian And Non-Appalachian Kentucky Dui Offenders, Megan F. Dickson, Megan Kissel, J. Matthew Webster

Journal of Appalachian Health

Background: Driving under the influence has been an overlooked consequence of the opioid epidemic. Although recent reports have highlighted the increased prevalence of DUI in rural communities and the extensive mental health problems and criminal and drug use histories among rural Appalachian DUI offenders, it is unclear how Appalachian DUI populations compare to DUI offenders in other regions.

Purpose: To help fill this void in the literature, the current study uses a statewide sample to examine how Appalachian DUI offenders differ from non-Appalachian DUI offenders in a predominantly rural state.

Methods: Assessment records were examined for 11,640 Kentucky DUI ...


Roanoke's Collective Public Health Activities, Michael Lytton 2019 University of Kentucky

Roanoke's Collective Public Health Activities, Michael Lytton

Journal of Appalachian Health

Roanoke is addressing problems that confront many small and medium sized cities in the U.S., especially disparities in health and life expectancy between neighborhoods. These disparities are often legacies of decades of racial and economic segregation, resulting in low-income or disinvested communities. Typically, such neighborhoods have fewer parks, higher vacancy rates and less stable affordable housing stock, inadequate public transit systems, too few clinics, too many fast food restaurants and insufficient access to high quality schools. In Roanoke these are the northwest and southeast quadrants, both federally designated Medically Underserved Areas, and characterized by a large proportion of the ...


The Rural Health Physician Narrative: A New Historic Analysis Of Appalachian Representation In Twentieth-Century Rural Physician Narratives, Ashley Smith 2019 East Tennessee State University

The Rural Health Physician Narrative: A New Historic Analysis Of Appalachian Representation In Twentieth-Century Rural Physician Narratives, Ashley Smith

Electronic Theses and Dissertations

The rural health physician narrative is one of the most understudied genres in non-fictional Appalachian literature. Physician narratives are significant in the historical, social, and political contexts of twentieth-century Appalachian representation. These accounts provide insight into the social contexts in which physicians lived as they wrote about healthcare and Appalachian communities. New Historicism is an analytical tool used to better understand the complexity surrounding Appalachian representation, particularly in terms of the politics of representation, gender, and race that influenced these narratives in the twentieth century. I engage in close readings of narratives written by or about rural health physicians who ...


Searching For Purpose: Silas House’S The Coal Tattoo, Brooke E. Boling 2019 University of Louisville

Searching For Purpose: Silas House’S The Coal Tattoo, Brooke E. Boling

Papers & Publications: Interdisciplinary Journal of Undergraduate Research

This paper examines The Coal Tattoo by Silas House and its focus on psychological self-reflection by its two main characters, Easter and Anneth Sizemore. Anneth, the younger of the sisters, is characterized as a “wild child,” chasing after men and sex in an attempt to discover her identity and fulfill a longing within her that may be too large to satisfy. The Sizemore girls’ mother, Birdie, committed suicide when Anneth was five years old. Through a Lacanian lens, Anneth’s entrance into subjectivity is a violent and incomplete one, which evolves into an incomplete sense of her “imaginary” self and ...


A Legacy Of Disease, Arthur L. Frank 2019 Drexel University

A Legacy Of Disease, Arthur L. Frank

Journal of Appalachian Health

In Appalachia, like much of America, there are important health issues that have not always been appropriately predicted or dealt with when they occur. Lifestyle issues in Appalachia lead to obesity and heart disease, not surprisingly due to extensive use of sugary drinks. The current opioid crisis could have been better predicted given the trauma of mining and the past abuse of less-potent narcotics. A continuing major problem in the whole country is inadequate support for preventive health activities.


Improving Access To Addiction Recovery Care In Central Appalachia Through Organizational Collaboration, Katy Stigers 2019 Fahe

Improving Access To Addiction Recovery Care In Central Appalachia Through Organizational Collaboration, Katy Stigers

Journal of Appalachian Health

Fahe, a Network of 50+ members throughout Appalachia based in Berea KY, has brought together a coalition to finance, build, and manage several addiction recovery care centers across Kentucky and West Virginia, increase access to employment, and deploy vouchers for supportive services.


Disparities In Quality Of Life By Appalachian-Designation Among Women With Breast Cancer, Robin C. Vanderpool, Ann L. Coker, Heather M. Bush, Sarah E. Cprek 2019 University of Kentucky College of Public Health

Disparities In Quality Of Life By Appalachian-Designation Among Women With Breast Cancer, Robin C. Vanderpool, Ann L. Coker, Heather M. Bush, Sarah E. Cprek

Journal of Appalachian Health

Introduction: Few studies have examined the association of geography and quality of life (QOL) among breast cancer patients, particularly differences between Appalachian and non-Appalachian Kentucky women, which is important given the cancer and socioeconomic disparities present in Appalachia.

Purpose: The purpose of this study was to determine whether women with breast cancer residing in Appalachian Kentucky experience poorer health outcomes in regards to depression, stress, QOL, and spiritual wellbeing, relative to those living in non-Appalachian Kentucky after adjusting for demographic, socioeconomic, and health-related factors.

Methods: Women, aged 18–79, recruited from the Kentucky Cancer Registry between 2009 and 2013 with ...


West Virginia’S Sugary Drink Tax: Examining Print Media Frames In Local News Sources, Lauri Andress, Ogaga Urhie, Christine Compton 2019 West Virginia University

West Virginia’S Sugary Drink Tax: Examining Print Media Frames In Local News Sources, Lauri Andress, Ogaga Urhie, Christine Compton

Journal of Appalachian Health

Introduction: Framing is an important aspect of the policy process that helps the public and decision makers sort through and resolve highly charged claims about an issue. Through slight changes in the presentation of issues, a framing effect may alter public support. The way a proposed sugary drink tax is discussed in public discourse and by the media significantly influences policy acceptance. Given the public health significance of obesity and diabetes in West Virginia (WV) the study of media frames employed to represent a sugary drink tax policy is useful.

Methods: Using quantitative content analysis, this study assessed news articles ...


Investigating The Impact Of The Diseases Of Despair In Appalachia, Michael Meit, Megan Heffernan, Erin Tanenbaum 2019 NORC at the University of Chicago

Investigating The Impact Of The Diseases Of Despair In Appalachia, Michael Meit, Megan Heffernan, Erin Tanenbaum

Journal of Appalachian Health

Introduction: Appalachia is one of the regions most significantly impacted by the opioid crisis. This study investigated mortality due to diseases of despair within the Appalachian Region, with an additional focus on deaths attributable to opioid overdose.

Methods: Diseases of despair include: alcohol, prescription drug and illegal drug overdose, suicide, and alcoholic liver disease/cirrhosis of the liver. Mortality data from the National Center for Health Statistics (NCHS) National Vital Statistics System (NVSS) Multiple Cause of Death database were analyzed for this study, focusing on individuals aged 15–64.

Results: Over the past two decades, the mortality rate due to ...


Root Causes Of Appalachia’S Deaths Of Despair, F. Douglas Scutchfield MD 2019 University of Kentucky

Root Causes Of Appalachia’S Deaths Of Despair, F. Douglas Scutchfield Md

Journal of Appalachian Health

The U.S. is experiencing a decline in life expectancy, particularly among rural white males in their most productive years. Appalachia is disproportionally represented in mortality rates, accounting for 30% of the U.S. population, but 50% of the excess mortality attributed to the “deaths of despair”: drug overdose, suicide, and alcoholic cirrhosis. A substantial proportion of that excess mortality is related to the current opioid crisis we are experiencing. We have data on evidence-based solutions to the treatment of addiction, but little information on prevention of addiction as well as the other deaths of despair, likely with the same ...


Anthropocene Blues By John Lane, Jessica S. Cory 2019 Western Carolina University

Anthropocene Blues By John Lane, Jessica S. Cory

The Goose

Review of John Lane's Anthropocene Blues


Ketobliss Australia: Shark Tank Fast Fat Burning Must Read Before Buying More Benefits, KetoBliss Australia 2019 University of South Carolina - Beaufort

Ketobliss Australia: Shark Tank Fast Fat Burning Must Read Before Buying More Benefits, Ketobliss Australia

KetoBliss Australia

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Mccartt-Jackson, Sarah, B. 1982 (Fa 1290), Manuscripts & Folklife Archives 2019 Western Kentucky University

Mccartt-Jackson, Sarah, B. 1982 (Fa 1290), Manuscripts & Folklife Archives

FA Finding Aids

Finding aid only for Folklife Archives Project 1290. Student collection titled “’Clogging’s Just Clogging’: The Richard McHargue Cloggers and Approaches to Vernacular Percussive Dance Study” in which Sarah McCartt-Jackson conducts an interview with Richard McHargue, a clogging instructor from Richmond, Kentucky. The interview contains McHargue’s early dancing memories, clogging terms, and opinions about the contemporary state of clogging. The collection also contains a partial transcript, fieldnotes, interview questions, content index, photographs, and the recorded audio interview on CD.


Brown, Chloe Jo, B. 1991 (Fa 1289), Manuscripts & Folklife Archives 2019 Western Kentucky University

Brown, Chloe Jo, B. 1991 (Fa 1289), Manuscripts & Folklife Archives

FA Finding Aids

Finding aid only for Folklife Archives Project 1289. Student collection titled “Dale Cross: The Art of Flintknapping” in which Chloe Brown examines the commercial, historical, and cultural factors that have influenced the production of arrowheads. Brown interviews Dale Cross, a flintknapper from Burkesville, Kentucky who is renowned for his artistic skills. The paper addresses Cross’ personal aesthetics, flintknapping processes, and his business-related endeavors. The collection includes an academic paper, a transcription, CDs containing the recorded audio interview and photographs, and one of Cross’ arrowheads.


Jameson, Jennifer Michelle, B. 1987 (Fa 1288), Manuscripts & Folklife Archives 2019 Western Kentucky University

Jameson, Jennifer Michelle, B. 1987 (Fa 1288), Manuscripts & Folklife Archives

FA Finding Aids

Finding aid only for Folklife Archives Project 1288. Student paper titled “Finding the Folkways of a Forensic Anthropomorphologist: The Kentucky Yard Art Of Cecil and Bet Ison” in which Jennifer Jameson explores the creative endeavors and identities of two folk artists in Rowan County, Kentucky. Jameson, who conducted her fieldwork over a period of two weeks, examines flower sculptures, upholstered trees, bottle cap murals, beadwork, and other vernacular expressions pieced together by the Isons in their built environment. The paper also discusses the relationships between the Isons and their community, personal aesthetics, educational backgrounds, and connections to broader cultural issues ...


Becoming A Master Manager: An Analysis Of Snap Recipient Stories Of Navigating Government Assistance, Kallie Gay 2019 East Tennessee State University

Becoming A Master Manager: An Analysis Of Snap Recipient Stories Of Navigating Government Assistance, Kallie Gay

Electronic Theses and Dissertations

This study examines experiences of utilizing government assistance in the United States. It focuses on the ways in which persons participating in the Supplemental Nutrition Assistance Program (SNAP) communicatively managed their lives in relation to their role in the program. Specifically, the research reveals that SNAP recipients are master managers. After synthesizing the pre-existing body of research concerning social assistance in the U.S. and its effects on those who utilize it, the author argues that sharing the stories of marginalized groups can serve to reduce stigma surrounding government assistance participation. Employing a Feminist Standpoint Theory sensibility to elicit such ...


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