2010

The Relationship between Educational Attainment and Lung Cancer Mortality in Kentucky: Implications for Nurses
The professional literature indicates health has a positive correlation with socioeconomic status. More specifically, prior research documents heightened rates of lung cancer incidence and mortality in Appalachia, a region plagued by persistent poverty and below-average educational attainment. This study analyzed predictors of lung cancer mortality within Kentucky, a predominantly rural state in central Appalachia. The article was published in the Fall 2010 issue of the Online Journal of Rural Nursing and Health Care.

Hypothesis: Multiple Factors Associated with the Lack of any Beneficial Effects of Estrogen-Replacement Therapy in the Late Postmenopausal Stage
Epidemiological and clinical studies suggest that women may obtain cognitive benefits from oestrogen-replacement therapy (ERT) during menopause transition rather than in the postmenopausal stages. However, the underlying mechanisms remain to be determined. We propose that long-term oestrogen deficiency may result in abnormal distribution and localization of brain oestrogen receptors, brain mitochondrial dysfunction, septohippocampal cholinergic degeneration and reactive gliosis. These multiple pathogenic factors may account for the lack of any beneficial effects of ERT in post-menopausal women with or without Alzheimer’s disease. The article was published in the August 2010 issue of the journal Clinical and Experimental Pharmacology and Physiology. 

Policy Analysis: Is There a Relationship Between Required Physical Education in Lower Grades and Adolescent Obesity Rates? A Kentucky Case Study
Childhood obesity has emerged as a national epidemic − and one with serious short- and long-term personal health, medical system and economic consequences. The prevalence of obesity more than doubled among U.S. children ages 6 to 11 between 1980 and 2006, while the rate for those from ages 12 to 19 more than tripled. This study analyzes whether required physical education in elementary and/or middle school is associated with lower rates of obesity among U.S. high school students, with an emphasis on those living in Kentucky. The poster was presented at the National Rural Health Association’s 33rd Annual Rural Health Conference, May 18-21, 2010, in Savannah, GA.

Rural-Urban Differences in Health Insurance Coverage and Patterns among Working-Age Adults in Kentucky
In Kentucky, the overall health insurance rate of working-age adults is influenced more by employment status and income than by whether these individuals reside in rural or urban areas. However, coverage for specific types of care, and coverage patterns, differ significantly by place of residence. The article was published in the Summer 2010 issue of The Journal of Rural Health.

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