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Part II Appalachian Health Status This part discusses the nature, prevalence, interconnections, and implications of various health conditions in the region. The issue of health disparities both in the region as a whole and in the states with Appalachian counties underlies the following chapters. Although it is not known precisely why these disparities exist, the data clearly indicate that Appalachians are disproportionately affected by cardiovascular disease, diabetes, specific cancers, and obesity. Other less obvious but equally serious health concerns involve kidney disease, traumatic injuries, mental and oral health, and substance abuse. These chapters go beyond documenting Appalachian health inequalities ; they examine some of the more effective programs for dealing with them. Case studies highlight the key role of local communities in defining needs and promoting health care services. Each chapter also indicates where data crucial for program design and implementation are missing and how they might be obtained. ...

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