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Differences Between Appalachian Culture And Health Awareness

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Differences Between Appalachian Culture And Health Awareness
Rachel R. Kennison
Appalachian Culture and Health Awareness
MSN 531 Advanced Health Assessment
Wheeling Jesuit University
February 22, 2013

Appalachian Culture and Health Awareness According to Kruger et al. (2012), the Appalachian region, consisting of 13 states along the east coast border, is a high risk area for cardiac, pulmonary, and cancer conditions related to smoking and coal mining. This rural population has ultimately higher rates of heart disease, stroke, COPD, asthma, lung cancer, and diabetes. Substantially higher rates of smoking, as well as the relevance of coal mining, are two major contributors to the increased risk of morbidity and mortality amongst this large population (Kruger et al., 2012).
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Unfortunately, this begins at a young age. According to Short, Oza-Frank, and Conrey (2012), there are major differences regarding preconception health awareness amongst Appalachian women as compared to non-Appalachian women. Appalachian women have higher rates of smoking, diabetes, and obesity than do non-Appalachian women. These women have poorer rates of prenatal care and higher rates of birthing and congenital complications, such as pulmonary hypertension, insufficient lung development, and cardiac abnormalities. Often due to lack of insurance, these mothers often lack appropriate health care and health awareness, thus increasing their child’s risk of further cardiac and pulmonary conditions down the road. Unfortunately, these babies grow up in an environment that, as a population, has inadequate health care, low income, and poor health. This detrimental sequence of events is what has maintained the subpar health status of the Appalachian population (Short et al., …show more content…
The authors pinpoint Appalachia as a low-income group of individuals who receive poor nutrition, thus further contributing to the preexisting risk factors of cardiovascular disease. Poor health, along with behavioral risk factors, have ultimately led to detrimental health status. Yes, we love the STEELers, but steel mills and coal mining has only contributed to these health risks. The Appalachian culture is at risk for obvious reasons. Unfortunately, these risk factors will not decline quickly. Primary prevention and health awareness programs would make a huge impact on this population. Low income is a struggle that will not be overcome easily. However, primary prevention and health awareness are often available at low cost and are highly efficient measures of decreasing risk factors by focusing on healthy lifestyles. Smoking cessation would obviously be of major importance, but compliance would be of great struggle (Kruger et al.,

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