Place, Power, and Premature Mortality: A Rapid Scoping Review on the Health of Women in Appalachia
| Autor: | Madeline Dunfee, Jessica R. Thompson, Lauren Risser, Jessica G. Burke, Nancy E. Schoenberg |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Appalachian Region
030505 public health Health (social science) Mortality Premature Public Health Environmental and Occupational Health Kentucky Health Services Middle Aged Health equity Power (social and political) 03 medical and health sciences 0302 clinical medicine Pregnancy Political science Humans Women's Health Female 030212 general & internal medicine 0305 other medical science Socioeconomics Appalachia |
| Zdroj: | American Journal of Health Promotion. 35:1015-1027 |
| ISSN: | 2168-6602 0890-1171 |
| DOI: | 10.1177/08901171211011388 |
| Popis: | Objective: Appalachian women continue to die younger than in other US regions. We performed a rapid scoping review to summarize women’s health research in Appalachia from 2000 to 2019, including health topics, study populations, theoretical frameworks, methods, and findings. Data Source: We searched bibliographic databases (eg, PubMed, PsycINFO, Google Scholar) for literature focusing on women’s health in Appalachia. Study Inclusion and Exclusion Criteria: Included articles were: (1) on women’s health in Appalachia; (2) published January 2000 to June 2019; (3) peer-reviewed; and (4) written in English. We excluded studies without reported data findings. Data Extraction: Two coders reviewed articles for descriptive information to create summary tables comparing variables of interest. Data Synthesis: Two coders co-reviewed a sub-sample to ensure consensus and refine data charting categories. We categorized major findings across the social-ecological framework. Results: A search of nearly 2 decades of literature revealed 81 articles, which primarily focused on cancer disparities (49.4%) and prenatal/pregnancy outcomes (23.5%). Many of these research studies took place in Central Appalachia (eg, 42.0% in Kentucky) with reproductive or middle-aged women (82.7%). Half of the studies employed quantitative methods, and half used qualitative methods, with few mixed method or community-engaged approaches (3.7%). Nearly half (40.7%) did not specify a theoretical framework. Findings included complex multi-level factors with few articles exploring the co-occurrence of factors across multiple levels. Conclusions: Future studies should: 1) systematically include Appalachian women at various life stages from under-represented sub-regions; 2) expand the use of rigorous methods and specified theoretical frameworks to account for complex interactions of social-ecological factors; and 3) build upon existing community assets to improve health in this vulnerable population. |
| Databáze: | OpenAIRE |
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