The NIEHS-sponsored "Appalachian Health & Well-Being Community Forum" held in Eastern Kentucky brought various community members together to communicate and establish better coordination of efforts to improve health and address regional environmental issues. The 2-hour forum discussion provided bi-directional feedback about the needs…

Extension educators across the United States are being asked to expand their direct education efforts to include policy, systems, and environmental (PSE) changes. However, professional development opportunities and tools are needed to familiarize Extension professionals with PSE change approaches, build their capacity to implement PSE change, and…

In the fall of 2015, Northern Kentucky University began a sustained, multidimensional effort to explore our region's devastating heroin epidemic. The goal was to engage NKU's students, faculty, and staff with the community through public dialogue, experiential learning, and research. Taken together, our engagements would contribute to public…

Coal ash, a waste product generated from burning coal for energy, is composed of highly respirable particles containing heavy metals, radioactive elements, and polycylic aromatic hydrocarbons. Coal ash is stored in landfills and surface impoundments frequently located near neighborhoods. Fugitive dust from the storage sites exposes neighborhoods,…

Recent media reporting and research suggest that regional comprehensive universities (RCUs) and other postsecondary institutions may play an integral role in the welfare of rural regions, yet empirical research on the regional service of rural postsecondary institutions is limited. The purpose of this study was to examine how a single RCU serves…

Objective: The purpose is to describe psychometric testing and feasibility of the Tobacco-Free Compliance Assessment Tool (TF-CAT) to measure tobacco-free policy compliance at a public university and medical center. The aims are to (1) investigate concurrent validity by comparing the number of cigarette butts in areas covered by the policy with…

From the early stages of photography, photographs have been used as a method of depicting social relationships and structures. Often, photographs intending to draw attention to social and economic needs were recorded from an "outsider's" perspective. As a result, regions such as Appalachia have been portrayed as fundamentally different…

As public health organizations continue to implement maternal and child health home-visitation programs, more evaluation of these efforts is needed, particularly as it relates to improving parental behaviors. The purpose of our study was to assess the impact of families' participation in a home-visitation program offered by a central Kentucky…

This article describes a consulting project with an advocacy organization to raise cigarette excise taxes in Kentucky and to improve public health in the state. We describe the theoretical underpinnings of the project, the client, and our consultation process, objectives, products, and results.

While it is common to report the percentage of minority and female students attending universities, it is rare to perform a detailed examination of the overall composition of the student body, particularly, the proportion of International students. It is the purpose of this study to examine the proportion of International Students by School from…

Context: Prescription opioid abuse has emerged as a public health problem, particularly in rural America. Purpose: To examine temporal and geographic trends in rates of controlled-release oxycodone (OxyContin) prescribing for Kentucky Medicaid recipients. Methods: A cross-sectional analysis was completed in which the state was divided into 3…

In the previous article, the authors described the 300 million gallon coal waste spill in Martin County, Kentucky and the interviews that they had with thirty-two area residents in the aftermath of the release (Scott, McSpirit, Hardesty, and Welch 2004 --this issue). Many of these interviewees charged MCCC-Massey and federal, state, and local…

An experimental health-care delivery and teaching model, the health department-medical school affiliation, is described. Its conceptual basis and the affiliation agreement are reviewed and its impact is likened to that of the medical school-teaching hospital affiliation. The affiliation between the Lexington-Fayette County Health Department and…

Complex community health promotion programs are being held accountable for their effectiveness, but rural public health departments lack staff and expertise to carry out evaluations. In Kentucky, a university evaluation expert trains local public health staff in technical skills for program evaluation and provides ongoing mentoring and technical…