ORIGINAL ARTICLE

Correlates of Rural, Appalachian, and Community Identity in the CITIES Cohort

Corresponding Author

Electra D. Paskett PhD

[email protected]

Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio

Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, Ohio

Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, Ohio

Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio

For further information, contact: Electra D. Paskett, PhD, Division of Cancer Prevention and Control, Department of Medicine, Comprehensive Cancer Center, The Ohio State University, 1590 N High Street, Suite 525, Columbus, OH; email: [email protected].Search for more papers by this author

Gregory S. Young MS,

Gregory S. Young MS

Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, Ohio

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Brittany M. Bernardo MPH,

Brittany M. Bernardo MPH

Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio

Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio

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Chasity Washington MPH,

Chasity Washington MPH

Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, Ohio

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Cecilia DeGraffinreid MHS,

Cecilia DeGraffinreid MHS

Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio

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James L. Fisher PhD,

James L. Fisher PhD

Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, Ohio

Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio

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Timothy R. Huerta PhD,

Timothy R. Huerta PhD

Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, Ohio

Department of Family Medicine, College of Medicine, The Ohio State University, Columbus, Ohio

Division of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, Ohio

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Electra D. Paskett PhD,

Corresponding Author

Electra D. Paskett PhD

[email protected]

Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio

Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, Ohio

Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, Ohio

Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio

Gregory S. Young MS,

Gregory S. Young MS

Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, Ohio

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Brittany M. Bernardo MPH,

Brittany M. Bernardo MPH

Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio

Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio

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Chasity Washington MPH,

Chasity Washington MPH

Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, Ohio

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Cecilia DeGraffinreid MHS,

Cecilia DeGraffinreid MHS

Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio

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James L. Fisher PhD,

James L. Fisher PhD

Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, Ohio

Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio

Search for more papers by this author

Timothy R. Huerta PhD,

Timothy R. Huerta PhD

Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, Ohio

Department of Family Medicine, College of Medicine, The Ohio State University, Columbus, Ohio

Division of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, Ohio

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First published: 04 March 2019

https://doi.org/10.1111/jrh.12347

Citations: 12

Disclosures: The authors report no conflicts of interest regarding this manuscript.

Funding: This study was supported by a supplement to the National Cancer Institute Grant (P30 CA016058). The Behavioral Measurement Shared Resource at The Ohio State University Comprehensive Cancer Center, which also funded this study, is also funded by the National Cancer Institute (grant P30 CA016058) and the Ohio State University Center for Clinical and Translational Science (CTSA grant UL1TR002733).

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Abstract

Purpose: To determine correlates of rural, Appalachian, and community identity among a cohort of participants in the Community Initiative Towards Improving Equity and Health Status (CITIES) project.

Methods: Mixed linear and logistic regression effects models were utilized to determine correlates of 3 outcomes: 1) community identity, 2) rural identity, and 3) Appalachian identity among participants in the Ohio CITIES project.

Findings: Distinct demographic characteristics were found to be associated with each of the outcomes. For community identity, while no differences were found for rural or urban participants, those who were single or never married (P < .0001) as well as those who graduated from college (P = .0005) reported significantly lower community identity scores than married individuals with less than a college education. Those who resided in an Appalachian county reported higher community identity scores (P = .0009) than non-Appalachian residents. For rural identity, those who did not identify as Christian (P = .018) as well as those who identified as Democrat (P = .027) reported significantly lower rural identity scores than others. Lastly, for Appalachian identity, county-level percentage of families in poverty (P = .06), as well as gender (P = .05), were associated with self-reported Appalachian identity, but these effects were only marginally significant.

Conclusions: Although community, rural, and Appalachian identity may be viewed as similar due to their measure of attachment to a place, results from this study suggest that there are distinct individual and area-level correlates associated with community, rural, and Appalachian identity.

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Volume35, Issue2

Spring 2019

Pages 167-175

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Special Section: Rurality, Rural Identity, and Cancer Control

Correlates of Rural, Appalachian, and Community Identity in the CITIES Cohort

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