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Rural Appalachian Adolescent Alcohol Misuse and the Triple Threat for Marginalization.
Kendra Allison1, Anne Koci2,3
1School of Nursing, Clemson University, Clemson, South Carolina, USA.
Issues in Mental Health Nursing
|June 20, 2024
Summary
Rural Appalachian adolescents face higher rates of alcohol misuse and depression due to marginalization and isolation. Addressing these social determinants is crucial for improving health outcomes in this vulnerable youth population.
Area of Science:
- Public Health
- Adolescent Health
- Rural Health
Background:
- Rural Appalachian adolescents experience disproportionately high rates of alcohol misuse, depression, and mortality.
- Health disparities in Appalachia impact national health indicators and social determinants of health, increasing vulnerability.
- Geographic and social isolation limit access to preventative and mental health care, with 35% fewer providers in rural areas.
Purpose of the Study:
- To examine the influence of marginalization on rural Appalachian adolescents.
- To explore the relationship between marginalization, alcohol misuse, and adverse health outcomes.
- To highlight the role of nurses in advocating for this vulnerable population.
Main Methods:
- A case example approach was used to illustrate alcohol misuse in rural Appalachian adolescents.
- The Triple Threat for Marginalization framework was applied.
- Conversations were utilized within a naturalistic setting.
Main Results:
- Marginalization significantly contributes to alcohol misuse among rural Appalachian adolescents.
- Marginalization is linked to adverse health outcomes, including depression and increased mortality.
- Social and geographic isolation exacerbate these issues, leading to missed care opportunities.
Conclusions:
- Nurses play a vital role in advocating for marginalized rural adolescent patients.
- Interventions are needed to decrease alcohol misuse, depression, and mortality rates in this population.
- Addressing social determinants of health is essential for improving adolescent well-being in rural Appalachia.
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