Appalachian Health and Well-being

by Ludke, Robert L.; Obermiller, Phillip J.; Couto, Richard A.

• ISBN13: 9780813135861
• ISBN10: 0813135869
• Format: Hardcover
• Copyright: 2012-03-07
• Publisher: Univ Pr of Kentucky

Summary

Appalachians have been characterized as a population with numerous disparities in health and limited access to medical services and infrastructures, leading to inaccurate generalizations that inhibit their healthcare progress. Appalachians face significant challenges in obtaining effective care, and the public lacks information about both their healthcare needs and about the resources communities have developed to meet those needs. In Appalachian Health and Well-Being, editors Robert L. Ludke and Phillip J. Obermiller bring together leading researchers and practitioners to provide a much-needed compilation of data- and research-driven perspectives, broadening our understanding of strategies to decrease the health inequalities affecting both rural and urban Appalachians. The contributors propose specific recommendations for necessary research, suggest practical solutions for health policy, and present best practices models for effective health intervention. This in-depth analysis offers new insights for students, health practitioners, and policy makers, promoting a greater understanding of the factors affecting Appalachian health and effective responses to those needs.

Table of Contents

List of Illustrations	p. ix
Foreword	p. xi
Introduction	p. 1
Appalachian Health Determinants
Genetic Contributions to Health	p. 27
Health and the Physical Environment	p. 47
The Quest for an Appalachian Health Lifestyle	p. 67
Health Care Systems	p. 89
Appalachian Health Status
The Heart of Appalachia	p. 111
Diabetes and Its Management	p. 131
Obesity and Food Insecurity	p. 149
Cancer-Related Disparities	p. 167
Chronic Kidney Disease-A Hidden Illness	p. 187
Trauma	p. 209
Mental Health	p. 223
Substance Abuse	p. 251
Oral Health	p. 275
Urban Appalachian Health
Identifying Appalachians Outside the Region	p. 297
The Health Status and Health Determinants of Urban Appalachian Adults and Children	p. 315
Community-Based Participatory Health Research in an Urban Appalachian Neighborhood	p. 339
Acknowledgments	p. 361
Selected Bibliography	p. 363
List of Contributors	p. 367
Index	p. 371
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