The Impact Of Poverty On The Appalachian Culture

Improved Essays
The oldest mountains in America are rich in natural beauty with their raging creeks, steep hollows and old pines. They are also one of the poorest, most disadvantaged regions in America and the problem that goes largely unnoticed by the rest of the country. The relationship between poverty and population health disparities including premature mortality is well established (Shaw & Smith, 2006). For example, a recent study found that poverty had a larger impact on reducing quality-adjusted life years than more traditional public health and health services variables including smoking, obesity, binge drinking, and health insurance (Muennig, Fiscella, Tancredi, & Franks, 2009).

Heavily strip-mined communities in Appalachia are among the
…show more content…
Poverty, education, availability of services and transportation, are a few. If you’re not familiar with the circumstances surrounding the Appalachian people, it is hard to comprehend the culture. A place plagued by poor health habits and sky-high levels of chronic disease that some experts say may be a harbinger of where the country is headed if we don't rein in epidemics like obesity. For most Americans, this lush region conjures the strum of a banjo, the songs of Loretta Lynn and the gentle twang of a thick mountain accent. The lyrics of a Loretta Lynn song really does set the scene, Born a proud coalminers daughter, in Butcher’s Holler. She depicts the real life of the Appalachian people. I am sure you ask, how would I have any idea the suffering, despair, and the hard times of Appalachia? Because it’s my story, my roots are firmly planted in those hollers, planted with the people of those hollers. They are poor, less educated, and have a health epidemic. Above average cases of cancer, black lung, and obesity. "access to health care is difficult in Appalachia," Roman says. "And there seems to be something about culture — a sense of fatalism, that whatever happens, …show more content…
Every hollow bears such stories. Kentucky has more cancer than any other state in the country. It has the highest rates of lung cancer and colorectal cancer—incidence and death—in the U.S. Several other cancers, including cervical, also occur at disproportionately high rates. The cases are heavily concentrated in the Appalachian counties and are accompanied by high instances of poverty and low educational attainment. The central Appalachian areas of West Virginia and Virginia are similarly plagued by malignancies. Cancer in central Appalachia is itself like an invasive tumor, and restoring health to the region means excising a tangled knot of issues with roots that extend far beyond the mountain range and into the very heart and soul of America.
The communication between patients and health professionals are instrumental in creating either trust or distrust between individuals and families and health care professionals and the health care system. Trust is the critical factor in individuals’ acceptance of information and use of health care services, including screening and treatment for cancer. Health professionals face the challenge of acknowledging these personal characteristics of Appalachians and using them to develop two-way communication about

Related Documents

  • Superior Essays

    Altina L. Waller exposes the old myths about the two families at war, the Hatfield’s and the McCoy’s, in the book, Feud Hatfield’s, McCoy’s, and social change in Appalachia, 1860-1900. Waller shows us that this was not only a feud between the Hatfield and McCoy families, it also included many people who were not in those families. Waller has a different perspective of the feud, and no one else has ever looked at it in the same way before. She dug up crucial facts that brought fuel to the feud. The way that she writes, may drastically change the way many people perceive the feud between the Hatfield’s and McCoy’s.…

    • 1784 Words
    • 8 Pages
    Superior Essays
  • Decent Essays

    Moran Eye Center Summary

    • 183 Words
    • 1 Pages

    Working with the Moran Eye Center helped me to see that there are health disparities in our own communities. It also taught me a valuable lesson: culture plays a direct role in health. I understood this idea in theory, but it was not until I worked with the Ute Tribe that I truly saw it in practice. Because of past injustices, the Ute Tribe is very distrustful of non-Native American programs. This imposed a significant barrier to the Moran’s capacity to provide their services, all of which are free to the Tribe.…

    • 183 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The first two readings of this week were found on D2L and they were Appalachian Values and Appalachian History. Appalachian Values is a enjoyable read, giving fantastic insight into Appalachian culture and mannerisms. Seeing as my family was raised in an Appalachian part of Tennessee, I am beginning to see that many of my family’s values reflect these values. My family has always been proud of its self-reliance and I relate that to Appalachia as well, by growing our own food, providing our own medicine and starting our own businesses my family did well by sustaining for us, many years ago. The second reading on D2L, Appalachian History by Richard Straw, had a lot of information.…

    • 840 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Red Dirt: Growing Up Okie is a bittersweet autobiography about growing up poor in Oklahoma during the depths of the Great Depression and the Dust Bowl. It unveils the bleak realities of the social hierarchy and the struggles of poor white Americans who choose to believe in the American Dream through the story of one family. Roxanne Dunbar-Ortiz shares her experience growing up as an Okie, and in doing so, gives a voice to the lower class, the “white trash” who were victimized by a system that failed to protect them. Roxanne’s story and some of her struggles relate to Lucie’s from Faces in the Moon and to those of the women in Voices from the Heartland and Women Who Pioneered Oklahoma.…

    • 1027 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The Day On Fire Analysis

    • 272 Words
    • 2 Pages

    She then tells us about when she went to the Blue Ridge Mountains in Virginia. It was in the summer and she went there by herself to camp. She then tells this to the readers “I had hauled myself and gear up there to read, among other things, James Ramsey Ullman’s The Day on Fire,…

    • 272 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    “The Horizontal World” People from the Midwest get tired of explaining that they are just like anywhere else in the country. Riding tractors to school is not one of the things Midwest people do. Everyone has a different perspective when talking about the Midwest, but if it weren't for this part of the country there would be a limited amount of food. Not only does the Midwest provide farming land, but there are different things to do that aren’t boring. Many people believe that the Midwest is just a boring place to live with nothing to do but look at farmland.…

    • 613 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Horizontal World Even though the midwest is not as sought after as other states, there are certain aspects that make it just a unique. Its ability to provide a home to many immigrants from other countries looking for a new start is one of its qualities that make it so amazing. The midwest is a vast open land in the middle of the United Stats. Many of the resident rely on agriculture as a primary source of income.…

    • 1019 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    City-dwellers and Hillbillies: An analysis of the cultural divide in James Dickey’s Deliverance James Dickey’s classic novel, Deliverance, details the troubles that befall four suburbanites on a camping trip along an unfamiliar, unfriendly river. During their trip, the friends have several encounters with locals — “hillbillies.”…

    • 1361 Words
    • 6 Pages
    Great Essays
  • Great Essays

    When the book opens we are given visualization into futuristic Appalachia, now known as District 12. It is nicknamed The Seam, a town of cinder streets with squat gray houses. The men and women are mostly coal miners. The district was recently stricken by a mining explosion which took the life of the main character, Katniss’s, father.…

    • 1194 Words
    • 5 Pages
    Great Essays
  • Superior Essays

    QHQ #2: Individual Liability Contrary to popular belief, poor access to health care is not the central problem to the health of an individual in poverty; rather, health is associated with certain social determinants of health, specifically individual risk factors. In the book Mama Might Be Better Off Dead: The Failure of Health Care in Urban America by Laurie Kaye Abraham, the concept of how an individual’s decisions can drastically impact their health is clearly expressed through the lens of Tommy, an uneducated individual who does not follow the advice given by his physician. The choices that Tommy makes in respect to his health outside the four walls of the hospital are what contributes to his declining health. There are two primary individual…

    • 1014 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    During the 19th century, America was faced with the problem of poverty. Two of the groups experiencing poverty were immigrants and African Americans. When immigrants came over to America, most were unequipped with the skills necessary to adapt and become “American,” resulting in them living in their ethnic communities in the poorer areas and being unable to get out of poverty. On the other hand, African Americans faced poverty because of the effects of slavery and racial discrimination. Reformers and self-advocates attempted to help these two communities.…

    • 1678 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    She delivers a plethora of trivial information that stems from the sole fact that she is from the same region of which she is talking about. She grew up in North Dakota, the most “unimpressive” region in the United States (L. 36). The audience are citizens of the United States who are most definitely inclined to believe everything she says because of where she hails from, giving in to her reputation and credibility as a midwestern author. Actually, she begins the passage with a specific detail only one familiar with the Midwest would know: “Driving west from Fargo on I-94” (L.1). This, right off the bat, establishes the notion that this woman knows exactly what she is talking about.…

    • 764 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Vulnerable populations are found in all countries all over the world and can affect many groups of people. These groups include “racial and ethnic minorities, uninsured women and children, persons living in rural areas, the homeless, the mentally ill, the chronically ill and disabled, and individuals with HIV/AIDS”, (Shi & Singh, 2013). There are also considerations for the impoverished, people who are incarcerated, soldiers, immigrants, and the elderly. This essay will cover the vulnerable population with regards to the impoverished and what has been done for them historically and today, why there is distrust for the health care system, and how proper care can be given to those who have lost their trust in the system. Historically speaking,…

    • 1001 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Harry Caudhill’s Night Comes to the Cumberlands is an important representation of American history of people who took a stand for an issue. In his book, Caudhill writes about his views on the strip mining industries’ effects on mid 20th century Appalachia. Caudhill’s book tells the story of modern Appalachia, specifically the coal mining areas of West Virginia and Eastern Kentucky. Caudhill was a lawyer who had stern opinions about the coal industry whose book stood as a voice for the people of Appalachia. Caudhill describes the coal industry as an industry that destroys the Appalachian hills.…

    • 1226 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    The movie In Sickness and in Wealth, gives an eye opening realization to the effect of our health based on our socioeconomic status. It appears to create a domino effect, the lower income you have the greater risk you have for health problems and a shortened life span. The health care system in the United States has many flaws. The United States spends two trillion a year on health care, almost half in the world, yet has one of the lowest life expectancy rates. Today, the top one percent of Americans owns more wealth than the bottom 90% combined (Staff, 2008).…

    • 1037 Words
    • 4 Pages
    Improved Essays