Introduction: Rural Appalachian older adults (RAOAs) constitute a vulnerable population
and experience significant health disparities. The combination of age, poverty, rural …

In Appalachia, rates of depression and suicidality are higher than national averages.
Additional disparities of age, geographic isolation, economic distress, and mental healthcare …

This article explores the ways spirituality intertwines with the health and culture of those
living in the Appalachian region. Nursing has long considered the value of spirituality and …

BACKGROUND Vulnerable Populations Older Americans are living longer, and, as a group,
their health is improving. However, certain older Americans, particularly members of …

This phenomenological study explored the meaning of spirituality in the lives of aging adults
in Appalachia. Forty adult volunteers in varying states of health ranging in age from 59 to 94 …

Appalachia leads the country in mortality related to chronic comorbidities, such as heart
disease, cancer, depression, and suicide. Appalachian older adults experience …

While death is a universal human experience, the process of dying amplifies cultural
similarities and differences. There is insufficient evidence about providing culturally …

This analysis uses in-depth interview data collected from 145 AfricanAmerican, European
American and Native American men and women aged 70and older who reside in two rural …

Introduction: While spirituality and quality of life (QOL) are essential components of end-of-
life (EOL) care, limited studies have examined these constructs for indigenous peoples …

The authors examined the role spirituality can play as a protective factor in the wellness of
older adults residing in the Appalachian region of the United States. Analysis of participants' …