Appalachian Health and Well-Being

Index

371 Page references followed by f indicate figures; m, maps; na–ne, notes; and t, tables. access to health care. See under health services African Americans (blacks), xi, 16, 80, 115, 132, 190, 228, 306, 315, 334 age. See under demographic characteristics Alabama, 9m, 10m, 11m, 12, 51, 73t, 111, 114, 115, 117, 133, 150, 196, 197, 226, 264 alcohol use. See under lifestyle behaviors Alderson-Broaddus College, 102 Alice Lloyd College Outreach Reserves (ALCOR), 4 Allegheny County, PA, 117 allostatic load, xiii, 48, 50 all-terrain vehicles (ATVs), 212, 213 American College of Medical Genetics, 39 American Society of Human Genetics, 37 America’s Dentists Care Foundation Missions of Mercy, 283 ancestry (ethnicity) and disease susceptibility, 32–34 Appalachia definition of, 8–10, 47 and health innovation, 7–8 heterogeneity, xii, 8, 27, 33, 39, 97, 123 rurality, 11–12, 116, 225, 269 topology of, 47–48 Appalachia Leadership Initiative on Cancer (ALIC), 99, 341 Appalachia Medicine, 3–4 Appalachian Cardiovascular Research Network (ACoRN), 41 Appalachian Community Cancer Network (ACCN), 19, 167, 168, 169t, 172, 173t, 174, 178–180 Appalachian county economic status, 10, 21nc, 133, 134, 142, 243nb at-risk, 10, 10m, 21nc, 150, 151t, 152, 156, 156t, 243nb attainment, xii, 10, 10m, 21nc, 151t, 152, 156, 156t, 228, 243nb competitive, 10, 10m, 21nc, 151t, 152, 156t, 228, 243nb distressed, xii, xiii, 10, 10m, 21nc, 133, 134–135, 150, 151t, 152, 156, 156t, 243nb transitional, 10, 10m, 21nc, 150, 151t, 156t, 243nb Appalachian Diabetes Control and Translation Project, 140 Appalachian Focus, 345 Appalachian health lifestyle, 67, 68, 70–74, 81, 82–83 See also lifestyle behaviors Appalachian High-Intensity Drug Trafficking Area (HIDTA), 255, 256m, 258 Appalachian identity, 297–311 attribute-based, 302, 308–309 family roots–based, 303, 303t, 304, 304t, 305t, 306, 307t, 308 methods for establishing, 163nb, 299–308 Index 372 Index Appalachian identity (cont.) place-based, 299–301, 308 self-identification, 301–302, 304, 304t, 306, 307t, 308 Appalachian Land Ownership Study, 341 Appalachian Land Ownership Task Force, 341 Appalachian Regional Commission (ARC), xii, 8, 9, 10, 21nc, 28, 71, 72, 75, 90, 103, 140, 196, 224, 242, 242nb, 258, 261, 262, 264–265, 270nc, 310nc, 341 Appalachian Regional Healthcare, 7 Appalachian Regional Hospitals, 3 Appalachian Restoration Act, 60 Appalachian Rural Health Institute (ARHI), 113, 133 Appalachians ethnic origins, 32–34 first-generation, 117–122, 152–153, 154, 157, 163na, 299, 302, 303, 303t, 304, 304t, 305t, 306, 307t, 310nd, 311nf, 316, 317–333, 336nc second-generation, 117–122, 152– 153, 154, 157, 163na, 299, 303, 303t, 304, 304t, 305t, 306, 307t, 308, 310nd, 311nf, 316, 325–333, 336nb, 336nc See also urban Appalachians Appalachian subregions Central, xii, xiii, 9, 9m, 11, 28, 35, 48, 52, 53, 73t, 75, 79, 81, 90, 103, 123, 151t, 152, 168, 178, 217, 225, 226, 243nb, 253, 254, 263, 283–287, 341 Northern, xii, 9, 9m, 48, 52, 73t, 115, 151t, 168, 178, 225, 226, 243nb, 283–287, 341 Southern, xii, 2–3, 9, 9m, 15, 28, 48, 52, 73t, 78, 93–94, 115, 133, 151t, 168, 225, 226, 243nb, 341 Appalachian Sustainable Agriculture Project (ASAP), 158 Area Development Districts (ADD), 98 Asheville model, 141 Atlanta, GA, 16, 252 Be Active North Carolina-Appalachian Partnership, 122 Behavioral Risk Factor Surveillance System (BRFSS), 69, 71, 72, 75, 80, 125nb, 133, 134, 143–144, 145na, 153, 162na, 167, 172, 173t, 193 biomedicine, 14, 223, 224, 231, 233, 237, 238 Birmingham, AL, 11, 16, 47, 90 body mass index (BMI), 102, 103, 113, 132, 150, 152, 155, 159, 163nc, 322–323 Camp NEW You, 103 cancer access to care, 99, 177–178 breast, 28, 98, 99, 168, 169t, 170, 171t, 172, 179, 353, 354 cervical, 57, 98, 99, 168, 169t, 170, 171t, 172, 174, 176, 177, 178, 179, 180, 353, 354 colorectal, 28, 32, 57, 168, 169t, 170, 171t, 172, 176, 178, 179, 180, 353 family history of, 31–32, 350, 353 genetic condition, 28, 30, 32 incidence, 54, 57, 97, 167–170, 169t, 174, 177, 180, 252, 280, 281, 307t, 319f lung, 28, 54, 57, 58, 74, 76, 79, 98, 168, 169t, 171t, 174, 176, 178, 180, 181, 252, 353 mortality, xii, 28, 54, 57, 58, 68, 90, 96, 97, 167–170, 169t, 174, 177, 180, 252, 280, 353 oral (head and neck), 168, 169t, 170, 171t, 174, 176, 280, 281, 284 prostate, 167, 168, 169t, 170, 171t related behaviors, 174–177, 180 Index 373...