Cancer Incidence in Appalachia, 2004–2011

Wilson, Reda; Ryerson, A. Blythe; Singh, Sonia; King, Jessica

doi:10.1158/1055-9965.epi-15-0946

Cited by 61 publications

(73 citation statements)

References 32 publications

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“…Overall cancer incidence in the Appalachian region is higher than the United States (Wingo et al 2007;Wilson et al 2016). Trend data show that over the past quarter of a century the incidence rates of cancer in Appalachia have decreased; however, the gap between the region and the nation remains high (Wilson et al 2016).…”

Section: Health In Appalachiamentioning

confidence: 96%

“…The region has high rates of cardiovascular and heart disease (Barnett et a. 2000;Halverson, Barnett & Casper 2002;Michimi 2010), high rates of cancer (Wingo et al 2007;Wilson 2016) and a high prevalence of known negative health behavioral risk factors such as smoking (Mensah et al 2005;King, Dube, & Tynan 2012). While much of the previous research has focused on the links between low socioeconomic status and health outcomes in populations within the Appalachian region, a growing number of scholars are starting to examine the role coal mining may play in the health status of people in the region.…”

Section: List Of Tablesmentioning

confidence: 99%

“…Halverson, Barnett & Casper 2002), cancers, both mortality and incidence rates (e.g. Wilson et al 2016) among others. Scholars have focused particular attention on cancer incidence, mortality, and survivorship.…”

Section: Health In Appalachiamentioning

confidence: 99%

“…Trend data show that over the past quarter of a century the incidence rates of cancer in Appalachia have decreased; however, the gap between the region and the nation remains high (Wilson et al 2016). While rates continue to decline, survivorship remains poor for cancer in the Appalachian region (Yao et al 2016).…”

Section: Health In Appalachiamentioning

confidence: 99%

“…Lung and bronchial cancer incidence rates are higher in Appalachian counties than in non-Appalachian counties (Fisher et al 2008;Christian et al 2011;Blackley, Behringer & Zheng 2012;Wilson et al 2016). Lung cancer incidence rates are highest in the central Appalachian regions of West Virginia, Kentucky, Virginia, and Tennessee (Wingo et al 2007;Christian et al 2011).…”

Section: Mortality and Coal Miningmentioning

confidence: 99%

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Moving mountains : a study examining long-term impacts of mountaintop removal coal mining on mortality in the Appalachian region using geographic information sciences techniques.

Pugh¹

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, "Moving mountains : a study examining long-term impacts of mountaintop removal coal mining on mortality in the Appalachian region using geographic information sciences techniques." (2017 Over the last hundred years, the Appalachian region has been dominated by the coal industry. It has also been and currently is one of the unhealthiest regions in the United States. Recent scholarship has examined the relationship between coal mining and health and mortality rates in the Appalachian region. The first study incorporates air quality and pollution data to examine if coal mining counties have higher levels of pollution and if this pollution contributes to mortality disadvantage. In the second study, I construct a population-based coal-exposure measure to better evaluate the relationship between coal mining and health I find that coal mining is a poor predictor of air quality and air pollution. However, there appears to be strong links between air pollution and particulate matter pollution. In the second study, I find that the coal-exposure measure for some types of mortality (all-cause, all-cancer, lung cancer, respiratory disease, cardiovascular disease) is more predictive than dichotomous county-level coal mining measures, particularly in explaining cross-county differences in mortality rates. However, I find limited support for the effectiveness of coal-exposure measures when examining links between coal mining and mortality rates.vi

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Section: Health In Appalachiamentioning

confidence: 96%

Section: List Of Tablesmentioning

confidence: 99%

Section: Health In Appalachiamentioning

confidence: 99%

Section: Health In Appalachiamentioning

confidence: 99%

Section: Mortality and Coal Miningmentioning

confidence: 99%

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Moving mountains : a study examining long-term impacts of mountaintop removal coal mining on mortality in the Appalachian region using geographic information sciences techniques.

Pugh¹

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Financial distress among cancer survivors in Appalachian Kentucky

et al. 2019

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Background: Rural residence may exacerbate cancer-related financial distress.Limited research has focused on Appalachian cancer survivors' experience with financial distress. Aims:The primary aim of this study was to estimate the prevalence of financial distress among cancer survivors residing in Appalachian Kentucky with a specific focus on the impact of rurality and to elucidate the risk factors impacting financial distress among this population. Methods and Results: Appalachian Kentucky residents were sampled for receipt of a health survey based on county-level rurality. Analyses describe the prevalence and predictors of financial distress among cancer survivors. Subsequent analyses were conducted with Health Information National Trends Survey (HINTS) data to compare local versus national estimates of financial distress. Almost two-thirds of Appalachian survivors reported financial distress compared to one-third of the HINTS sample.Appalachian survivors residing in the most rural counties reported higher distress; this finding was not supported in the national sample. In multivariable analyses, gender, current age, and household income were associated with financial distress among Appalachians; only income was significant among the national sample.Conclusion: Appalachian cancer survivors have higher than national estimates of financial distress; rurality and socioeconomics are drivers of this disparity. K E Y W O R D SAppalachian region, financial distress, neoplasms, rural health, surveys and questionnaires, survivorship

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Epidemiology of acute myeloid leukemia in Virginia: Excellent survival outcomes for patients in rural Appalachia

et al. 2021

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Background: Acute myeloid leukemia, the most common acute leukemia in adults, has a poor overall survival. Studies have suggested that certain socioeconomic factors such as living in a rural or farming area are associated with worse outcomes. Since 42% of acute myeloid leukemia patients seen in our academic center reside in a rural area, we have a unique opportunity to study outcomes of patients in rural versus urban settings.Aim: This analysis evaluates the effect of geography and socioeconomic factors on the biology, treatment, and overall survival of patients with acute myeloid leukemia, with the goal of understanding health care disparities.Methods and results: Patient characteristics, cytogenetic data, treatment history, and overall survival were collected and analyzed to identify differences between urban and rural residency. This cohort included 42% of patients who resided in a rural area at the time of acute myeloid leukemia diagnosis. There was no difference in overall survival between the cohorts. The 1 year overall survival for the entire cohort was 47.9%. There was no difference detected in rates of adverse cytogenetics between the rural and urban cohorts. Similar numbers of patients received induction chemotherapy or proceeded to allogeneic stem cell transplant between the cohorts.Conclusions: This study highlights that similar outcomes can be achieved in rural and urban patients, suggesting that intensive efforts at telehealth, education, and collaboration with local oncology practices may be beneficial.

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Cancer Incidence in Appalachia, 2004–2011

Cited by 61 publications

References 32 publications

Moving mountains : a study examining long-term impacts of mountaintop removal coal mining on mortality in the Appalachian region using geographic information sciences techniques.

Moving mountains : a study examining long-term impacts of mountaintop removal coal mining on mortality in the Appalachian region using geographic information sciences techniques.

Financial distress among cancer survivors in Appalachian Kentucky

Epidemiology of acute myeloid leukemia in Virginia: Excellent survival outcomes for patients in rural Appalachia

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