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.

poster SNM campaigns may be most effective when supported by group "clicker" heath-related sessions.

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This study examined personal alcohol use, perceptions of peer use, protective behavioral strategies, and negative consequences associated with alcohol use among 276 high- and low-quantity drinking (HQD/LQD) "Greek" members from three colleges. Overall, 32.6% of this sample met the criteria for LQD. Compared to HQDs, LQDs believe their peers consume less alcohol, and LQDs are more likely to use 6 of 10 protective behavioral strategies. These six protective behavioral strategies reinforce low-quantity drinking, whereas protective behavioral strategies used by HQDs reinforce safety while drinking. Results demonstrate the necessity of careful differentiation among Greek members prior to design and implementation of alcohol-related interventions.

ii Abstract Father involvement is often considered ancillary to maternal behaviors when predicting child outcomes. Although it is well documented that children with two parents living at home fare better than children of single parents in predictions of academic and social success, fathering behaviors are frequently overlooked when examining variance in children's achievement. The current study examined the associations between father involvement and child academic, behavioral, and social success in the pre-adolescent years of third through sixth grade.It was hypothesized that increased levels of positive father involvement, measured by both the quantity of time fathers spend with their children and by the quality of fathers' interactions with their children would predict improved child outcomes at third and fifth grades. Meaning, children of fathers with more positive and increased involvement would perform better on achievement tests of mathematics and reading, would be less likely to engage in internalizing and externalizing behavior problems, would receive higher social skills scores, would receive higher marks from their classroom teachers regarding a positive relationship with the child at third and fifth grades, and would receive higher friendship quality reports from a peer at fourth and sixth grades. Further, it was hypothesized that father involvement behaviors would remain significant in models controlling for parallel measures of maternal involvement behaviors at third and fifth grades.The data generally support these hypotheses, however quantity and quality of father involvement is not a significant predictor of child outcomes in each case. For example, positive father involvement behaviors do not significantly predict iii improvements in child academic achievement at either third or fifth grades, when controlling for children's prior achievement scores. However, father involvement is more consistently associated with child social outcomes, particularly with teacher and peer reports of a positive relationship with the study child at fifth and sixth grades, respectively. Although most of the associations with child outcomes are not strong, the significance of many father involvement variables in predicting child outcomes remains, even in models which include maternal involvement behaviors. Gender differences in the ways in which father involvement behaviors predicted child outcomes were evident.The potential contributions of this study, as well as implications for future research, are discussed.iv Acknowledgements