Miners, Millhands, and Mountaineers: Industrialization of the Appalachian South, 1880-1930

Tullos, Allen; Eller, Ronald D.

doi:10.2307/3104541

Cited by 1 publication

(2 citation statements)

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“…17 First, rural Appalachia has an extensive history of impoverishment due to its historical origin, exploitation of resources, and the unequal access to land within the region. [17][18][19][20][21] Accordingly, poverty rates in Tennessee are substantially higher among many eastern, rural Appalachian counties than they are for the rest of the state. 16 Research suggests that growing up in poverty and in neighborhoods low on resources has lifelong implications, including poorer physical and mental health, substance misuse, and depression in adulthood.…”

Section: Opioid-using Mothers In Rural Appalachiamentioning

confidence: 99%

“…Second, within Appalachian culture, there is an emphasis on the importance of kinship ties, self-sufficiency, and independence, which has been shown to create a culture in which outsiders are not easily allowed access. [17][18][19][20][21] Along with the frequent experience of ACEs, this creates barriers that make it difficult for Appalachians to trust outsiders, including medical professionals. 24,27 Furthermore, this cultural aspect of distrust of medical professionals may be attributed in part to a fear of stigma.…”

Section: Opioid-using Mothers In Rural Appalachiamentioning

confidence: 99%

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Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study

Beltrán-Arzate

Hodson

Tes

et al. 2021

Womens Health (Lond Engl)

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Introduction: There is an increase in cases of mothers using opioids during pregnancy in the United States but research investigating mothers’ psychosocial environments along with individual variability among this high-risk group of women is scarce. Methods: This mixed-methods study aims to examine the complex interplay of contextual risks and experiences of opioid-using mothers. A sample of 50 opioid-using biological mothers of infants diagnosed with neonatal opioid withdrawal syndrome (NOWS) were studied using a set of standardized and open-ended questions, along with medical records extraction. Results: A high-risk subgroup of 36 mothers was identified using cluster analysis, characterized by a distinct profile of psychosocial risk. Thematic content analysis revealed four themes: (1) barriers to communication and mistrust of health professionals, (2) limitations of access to health care and the amplification of disadvantages related to COVID-19, (3) lifelong consequences of adverse childhood experiences (ACEs), and (4) intimate partner violence and its influence on drug use. Conclusion: Our findings highlight important information toward health services provision for opioid-using women of childbearing age. Efforts to reduce opioid usage in mothers need to consider psychosocial and contextual risks.

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