Using a health risk appraisal to determine an Appalachian community's health care needs

The Health Risk Appraisal developed by The Carter Center of Emory University was used as a basis for diagnosing an Appalachian community's health care needs. Concepts identified included (a) demographics, (b) nutrition/exercise, (c) lifestyle, (d) contentment, and (e) preventive health behaviors. The sample consisted of 108 individuals residing in subsidized housing projects within Appalachia. The findings of this study suggest that although these participants perceived their health to be generally good, their health practices were poor. However, the HRA was not culturally sensitive to the specific health and social needs of this community.