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Journal of Community Health
Published in: Journal of Community Health 3/2011

Open Access 01-06-2011 | original paper

Health Disparities Between Appalachian and Non-Appalachian Counties in Virginia USA

Authors: Elizabeth L. McGarvey, MaGuadalupe Leon-Verdin, Lydia F. Killos, Thomas Guterbock, Wendy F. Cohn

Published in: Journal of Community Health | Issue 3/2011

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Abstract

The examination of health disparities among people within Appalachian counties compared to people living in other counties is needed to find ways to strategically target improvements in community health in the United States of America (USA). Methods: A telephone survey of a random sample of adults living in households within communities of all counties of the state of Virginia (VA) in the USA was conducted. Findings: Health status was poorer among those in communities within Appalachian counties in VA and health insurance did not make a difference. Health perception was significantly worse in residents within communities in Appalachian counties compared to non-Appalachian community residents (30.5 vs. 17.4% rated their health status as poor/fair), and was worse even among those with no chronic diseases. Within communities in Appalachian counties, black residents report significantly better health perception than do white residents. Conclusion: Residents living in communities in Appalachian counties in VA are not receiving adequate health care, even among those with health insurance. More research with a larger ethnic minority sample is needed to investigate the racial/ethnic disparities in self-reported health and health care utilization within communities.
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Metadata
Title
Health Disparities Between Appalachian and Non-Appalachian Counties in Virginia USA
Authors
Elizabeth L. McGarvey
MaGuadalupe Leon-Verdin
Lydia F. Killos
Thomas Guterbock
Wendy F. Cohn
Publication date
01-06-2011
Publisher
Springer US
Published in
Journal of Community Health / Issue 3/2011
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-010-9315-9

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