A recursive system of ordered self assessed health (SAH) and a binary indicator of obesity were used to investigate the impact of socioeconomic and environmental factors on health and obesity in the predominantly rural Appalachian state of West Virginia. Behavioral Risk Factor Surveillance...

Despite comprising nearly 10% of the nation’s nursing home population, little is known about the quality of care provided by nursing homes located in rural Appalachia. However, anecdotal evidences suggests that the economic disadvantages associated with the Appalachian region may lead to...

In this paper new evidence is presented of cross-border shopping in response to sales taxation. While several instructive studies provide estimates of the cross-border shopping effect, a unique opportunity is utilized to evaluate the effect of a large discrete change in sales tax policy. Using...

A spatial panel data analysis at the county level examines how individual food consumption, recreational, and lifestyle choices ? against a backdrop of changing demographic, built environment, and policy factors ? leads to obesity. Results suggest that obesity tends to be spatially autocorrelated;...