Paul L Reiter

Summary

Affiliation: University of North Carolina
Country: USA

Publications

  1. doi request reprint Statewide HPV vaccine initiation among adolescent females in North Carolina
    Paul L Reiter
    Department of Health Behavior and Health Education, UNC Gillings School of Global Public Health, Chapel Hill, NC 27599, USA
    Sex Transm Dis 37:549-56. 2010
  2. pmc HPV vaccine for adolescent males: acceptability to parents post-vaccine licensure
    Paul L Reiter
    University of North Carolina Gillings School of Global Public Health, Department of Health Behavior and Health Education, 323D Rosenau Hall, CB 7440, Chapel Hill, NC 27599 7440, USA
    Vaccine 28:6292-7. 2010
  3. pmc Hepatitis B vaccination among a national sample of gay and bisexual men
    Paul L Reiter
    UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    Sex Transm Dis 38:235-8. 2011
  4. pmc HPV vaccine and adolescent males
    Paul L Reiter
    UNC Gillings School of Global Public Health, Chapel Hill, NC, United States Lineberger Comprehensive Cancer Center, Chapel Hill, NC 27599 7440, USA
    Vaccine 29:5595-602. 2011
  5. doi request reprint Acceptability of HPV vaccine among a national sample of gay and bisexual men
    Paul L Reiter
    Department of Health Behavior and Health Education, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC 27599 7440, USA
    Sex Transm Dis 37:197-203. 2010
  6. pmc Meta-analysis of human papillomavirus infection concordance
    Paul L Reiter
    Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    Cancer Epidemiol Biomarkers Prev 19:2916-31. 2010
  7. doi request reprint Human papillomavirus knowledge and vaccine acceptability among a national sample of heterosexual men
    Paul L Reiter
    University of North Carolina Gillings School of Global Public Health, Department of Health Behavior and Health Education, Chapel Hill, North Carolina 27599 7440, USA
    Sex Transm Infect 86:241-6. 2010
  8. doi request reprint How much will it hurt? HPV vaccine side effects and influence on completion of the three-dose regimen
    Paul L Reiter
    UNC Gillings School of Global Public Health, Chapel Hill, NC 27599 7440, United States
    Vaccine 27:6840-4. 2009
  9. pmc Uptake of 2009 H1N1 vaccine among adolescent females
    Paul L Reiter
    UNC Gillings School of Global Public Health, Chapel Hill, NC, USA
    Hum Vaccin 7:191-6. 2011
  10. pmc Measuring cervical cancer risk: development and validation of the CARE Risky Sexual Behavior Index
    Paul L Reiter
    Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA
    Cancer Causes Control 20:1865-71. 2009

Detail Information

Publications53

  1. doi request reprint Statewide HPV vaccine initiation among adolescent females in North Carolina
    Paul L Reiter
    Department of Health Behavior and Health Education, UNC Gillings School of Global Public Health, Chapel Hill, NC 27599, USA
    Sex Transm Dis 37:549-56. 2010
    ..We estimated the statewide level of HPV vaccine initiation among adolescent girls in North Carolina and identified correlates of vaccine initiation...
  2. pmc HPV vaccine for adolescent males: acceptability to parents post-vaccine licensure
    Paul L Reiter
    University of North Carolina Gillings School of Global Public Health, Department of Health Behavior and Health Education, 323D Rosenau Hall, CB 7440, Chapel Hill, NC 27599 7440, USA
    Vaccine 28:6292-7. 2010
    ..These findings are important to increasing acceptability to parents of HPV vaccine for their sons...
  3. pmc Hepatitis B vaccination among a national sample of gay and bisexual men
    Paul L Reiter
    UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    Sex Transm Dis 38:235-8. 2011
    ..Hepatitis B virus vaccination was higher among men who were 18 to 29 years old (compared to those 50-59 years old), gay, or had received flu vaccine within the last year...
  4. pmc HPV vaccine and adolescent males
    Paul L Reiter
    UNC Gillings School of Global Public Health, Chapel Hill, NC, United States Lineberger Comprehensive Cancer Center, Chapel Hill, NC 27599 7440, USA
    Vaccine 29:5595-602. 2011
    ..Vaccine acceptability was moderate among both parents and sons. Efforts to increase vaccine uptake among adolescent males should consider the important role of peer acceptance and anticipated regret...
  5. doi request reprint Acceptability of HPV vaccine among a national sample of gay and bisexual men
    Paul L Reiter
    Department of Health Behavior and Health Education, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC 27599 7440, USA
    Sex Transm Dis 37:197-203. 2010
    ..Due to higher rates of human papillomavirus (HPV) infection and anal cancer among gay and bisexual men, we aimed to characterize their willingness to get HPV vaccine and identify correlates of vaccine acceptability...
  6. pmc Meta-analysis of human papillomavirus infection concordance
    Paul L Reiter
    Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    Cancer Epidemiol Biomarkers Prev 19:2916-31. 2010
    ..Estimates of human papillomavirus (HPV) concordance among sexual partners are important for various public health activities, from counseling individual patients to predicting the effect of HPV vaccination...
  7. doi request reprint Human papillomavirus knowledge and vaccine acceptability among a national sample of heterosexual men
    Paul L Reiter
    University of North Carolina Gillings School of Global Public Health, Department of Health Behavior and Health Education, Chapel Hill, North Carolina 27599 7440, USA
    Sex Transm Infect 86:241-6. 2010
    ..We aimed to characterise heterosexual men's willingness to get HPV vaccine and identify correlates of vaccine acceptability...
  8. doi request reprint How much will it hurt? HPV vaccine side effects and influence on completion of the three-dose regimen
    Paul L Reiter
    UNC Gillings School of Global Public Health, Chapel Hill, NC 27599 7440, United States
    Vaccine 27:6840-4. 2009
    ..These findings may be important to increase HPV vaccination coverage...
  9. pmc Uptake of 2009 H1N1 vaccine among adolescent females
    Paul L Reiter
    UNC Gillings School of Global Public Health, Chapel Hill, NC, USA
    Hum Vaccin 7:191-6. 2011
    ..To better understand the lower than expected vaccine uptake, we aimed to characterize correlates of 2009 H1N1 vaccination among adolescent females in the U.S. and examine accessibility of the vaccine to parents...
  10. pmc Measuring cervical cancer risk: development and validation of the CARE Risky Sexual Behavior Index
    Paul L Reiter
    Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA
    Cancer Causes Control 20:1865-71. 2009
    ..To develop and validate a risky sexual behavior index specific to cervical cancer research...
  11. doi request reprint Parents' health beliefs and HPV vaccination of their adolescent daughters
    Paul L Reiter
    Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA
    Soc Sci Med 69:475-80. 2009
    ..These potentially modifiable beliefs offer well-defined targets for future interventions designed to increase HPV vaccine coverage. However, the beliefs' relative importance may differ between racial groups and regions...
  12. pmc Correlates of receiving recommended adolescent vaccines among adolescent females in North Carolina
    Paul L Reiter
    UNC Gillings School of Global Public Health, Chapel Hill, NC, USA
    Hum Vaccin 7:67-73. 2011
    ..Analyses used ordinal and binary logistic regression...
  13. doi request reprint The Carolina HPV immunization attitudes and beliefs scale (CHIAS): scale development and associations with intentions to vaccinate
    Annie Laurie McRee
    Department of Health Behavior and Health Education, Gillings School of Global Public Health, Chapel Hill, NC 27599 7440, USA
    Sex Transm Dis 37:234-9. 2010
    ..No standardized instruments, to our knowledge, exist to assess attitudes and beliefs about human papillomavirus (HPV) vaccination...
  14. pmc Human papillomavirus vaccine discussions: an opportunity for mothers to talk with their daughters about sexual health
    Annie Laurie McRee
    Department of Maternal and Child Health, UNC Gillings School of Global Public Health, Chapel Hill, NC 27599, USA
    Sex Transm Dis 39:394-401. 2012
    ..We sought to characterize mothers' communication with their daughters about human papillomavirus (HPV) vaccine and the potential for these discussions to provide an opportunity for talking about sexual health...
  15. pmc Longitudinal predictors of human papillomavirus vaccine initiation among adolescent girls in a high-risk geographic area
    Noel T Brewer
    University of North Carolina at Chapel Hill, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC 27599, USA
    Sex Transm Dis 38:197-204. 2011
    ..Human papillomavirus (HPV) vaccine uptake is low among adolescent girls in the United States. We sought to identify longitudinal predictors of HPV vaccine initiation in populations at elevated risk for cervical cancer...
  16. pmc HPV vaccine acceptability in heterosexual, gay, and bisexual men
    Paul Gilbert
    UNC Gillings School of Global Public Health, Chapel Hill, NC 27599, USA
    Am J Mens Health 5:297-305. 2011
    ..05). The lower acceptability and different beliefs among heterosexual men suggest that novel interventions for this group may be needed...
  17. pmc Adolescent males' awareness of and willingness to try electronic cigarettes
    Jessica K Pepper
    Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599 7440, USA
    J Adolesc Health 52:144-50. 2013
    ..We sought to understand awareness of and willingness to try e-cigarettes among adolescent males, a group that is at risk for smoking initiation and may use e-cigarettes as a "gateway" to smoking...
  18. pmc Appalachian residents' perspectives on new U.S. cigarette warning labels
    Paul L Reiter
    Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Columbus, OH 43201, USA
    J Community Health 37:1269-78. 2012
    ..S. cigarette packages, but only a few of labels received mostly positive feedback. Results offer early insight into how the new labels may be received if they are put into practice...
  19. pmc Mother-daughter communication about HPV vaccine
    Annie Laurie McRee
    Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill, NC, USA
    J Adolesc Health 48:314-7. 2011
    ..We sought to characterize mothers' communication with their adolescent daughters about HPV vaccine...
  20. pmc Gay and bisexual men's willingness to receive anal Papanicolaou testing
    Alison C Reed
    Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
    Am J Public Health 100:1123-9. 2010
    ..We assessed the willingness of gay and bisexual men, who have high rates of anal cancer that might be prevented through regular screening, to receive anal Papanicolaou tests...
  21. pmc Psychosocial predictors of adherence to risk-appropriate cervical cancer screening guidelines: a cross sectional study of women in Ohio Appalachia participating in the Community Awareness Resources and Education (CARE) project
    Electra D Paskett
    College of Public Health, The Ohio State University, Columbus, OH 43210, USA
    Prev Med 50:74-80. 2010
    ..e., guidelines that specify screening intervals based upon a woman's individual risk of developing cervical cancer)...
  22. doi request reprint Mothers' support for voluntary provision of HPV vaccine in schools
    Jessica A Kadis
    Gillings School of Global Public Health, University of North Carolina, 325 Rosenau Hall, CB 7440, Chapel Hill, NC 27599 7440, USA
    Vaccine 29:2542-7. 2011
    ..Ensuring communication of immunization records with doctors and allowing parents to be present during immunization may increase parental support...
  23. doi request reprint Awareness is not enough: the need to increase meningococcal vaccine uptake
    Tamera Coyne-Beasley
    University of North Carolina, Chapel Hill, NC 27599, USA
    Clin Pediatr (Phila) 52:441-50. 2013
    ..Adolescent meningococcal vaccine uptake remains low. We examined vaccine awareness among parents of adolescents and uptake...
  24. pmc Improving human papillomavirus vaccine delivery: a national study of parents and their adolescent sons
    Paul L Reiter
    Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Columbus, OH 43201, USA
    J Adolesc Health 51:32-7. 2012
    ....
  25. doi request reprint Association of human papillomavirus-related knowledge, attitudes, and beliefs with HIV status: a national study of gay men
    Paul A Gilbert
    Department of Health Behavior and Health Education, UNC Gillings School of Global Public Health, Chapel Hill, NC 27599 7440, USA
    J Low Genit Tract Dis 15:83-8. 2011
    ..To understand the potential role of HIV status in HPV prevention efforts, we examined HPV-related knowledge, attitudes, and beliefs among HIV-positive and HIV-negative gay men...
  26. pmc Does framing human papillomavirus vaccine as preventing cancer in men increase vaccine acceptability?
    Annie Laurie McRee
    UNC Gillings School of Global Public Health, Department of Health Behavior and Health Education, Chapel Hill, NC 27599, USA
    Cancer Epidemiol Biomarkers Prev 19:1937-44. 2010
    ..We conducted an experiment to see whether framing HPV vaccination as also preventing cancer in men would increase men's vaccination willingness...
  27. doi request reprint Men's beliefs about HPV-related disease
    Noel T Brewer
    Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 325 Rosenau Hall, CB 7440, Chapel Hill, NC 27599 7440, USA
    J Behav Med 33:274-81. 2010
    ..Many men were unaware that HPV infection can cause genital warts, oral cancer, and anal cancer...
  28. pmc Human papillomavirus vaccine and behavioural disinhibition
    Christine L Schuler
    University of North Carolina, School of Medicine, Chapel Hill, North Carolina 27599 7440, USA
    Sex Transm Infect 87:349-53. 2011
    ..We sought to identify characteristics of parents who believe in sexual disinhibition and that Pap smears can safely be stopped after females receive the human papillomavirus (HPV) vaccine...
  29. pmc Longitudinal predictors of human papillomavirus vaccination among a national sample of adolescent males
    Paul L Reiter
    Division of Cancer Prevention and Control, The Ohio State University College of Medicine, 1590 North High St, Suite 525, Columbus, OH 43201, USA
    Am J Public Health 103:1419-27. 2013
    ..We conducted a longitudinal study to examine human papillomavirus (HPV) vaccine uptake among male adolescents and to identify vaccination predictors...
  30. pmc Physical activity among Amish and non-Amish adults living in Ohio Appalachia
    Mira L Katz
    Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, 1590 North High Street, Suite 525, Columbus, OH 43201, USA
    J Community Health 37:434-40. 2012
    ..Higher levels of PA warrants further investigation as one factor potentially contributing to lower cancer incidence rates documented among the Amish...
  31. pmc How parents hear about human papillomavirus vaccine: implications for uptake
    Joan R Cates
    School of Journalism and Mass Communication, University of North Carolina, Chapel Hill, North Carolina 27599 3365, USA
    J Adolesc Health 47:305-8. 2010
    ..To examine correlates of human papillomavirus (HPV) vaccine awareness and information sources in a state requiring schools to inform parents about HPV vaccine...
  32. pmc Acceptance of the HPV vaccine among women, parents, community leaders, and healthcare providers in Ohio Appalachia
    Mira L Katz
    The Ohio State University Comprehensive Cancer Center and College of Public Health, Columbus, OH, United States
    Vaccine 27:3945-52. 2009
    ..There are differences in HPV vaccine acceptability among different types of community members highlighting the need for a range of HPV vaccine educational materials/programs to be developed that are inclusive of the Appalachian culture...
  33. pmc HPV vaccination among adolescent females from Appalachia: implications for cervical cancer disparities
    Paul L Reiter
    Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Suite 525, 1590 North High Street, Columbus, Ohio 43201, USA
    Cancer Epidemiol Biomarkers Prev 21:2220-30. 2012
    ..We determined HPV vaccine coverage among adolescent females from Appalachia, made comparisons to non-Appalachian females, and examined how coverage differs across subregions within Appalachia...
  34. pmc Assessing the burden of HPV-related cancers in Appalachia
    Paul L Reiter
    Division of Cancer Prevention and Control College of Medicine, The Ohio State University, Columbus, OH USA
    Hum Vaccin Immunother 9:90-6. 2013
    ..These results have important public health implications by beginning to demonstrate the potential impact that widespread HPV vaccination could have in Appalachia...
  35. pmc Trends in HPV vaccine initiation among adolescent females in North Carolina, 2008-2010
    Jennifer L Moss
    Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina 27599, USA
    Cancer Epidemiol Biomarkers Prev 21:1913-22. 2012
    ..To better target future immunization efforts, we assessed trends and disparities in human papillomavirus (HPV) vaccine initiation among female adolescents in North Carolina over 3 years...
  36. doi request reprint Increasing adolescent immunization by webinar: a brief provider intervention at federally qualified health centers
    Jennifer L Moss
    Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA
    Vaccine 30:4960-3. 2012
    ..To evaluate a brief intervention to increase provision of adolescent vaccines at health centers that reach the medically underserved...
  37. pmc Parents' Internet use for information about HPV vaccine
    Annie Laurie McRee
    Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 325 Rosenau Hall, CB 7440, Chapel Hill, NC 27599 7440, USA
    Vaccine 30:3757-62. 2012
    ..We sought to examine associations between parents' Internet information-seeking and their knowledge, attitudes and beliefs about human papillomavirus (HPV) vaccine...
  38. pmc HPV and HPV vaccine education intervention: effects on parents, healthcare staff, and school staff
    Paul L Reiter
    Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Suite 525, 1590 North High Street, Columbus, OH 43201, USA
    Cancer Epidemiol Biomarkers Prev 20:2354-61. 2011
    ..We report the results of an education intervention targeting three key groups who have contact with adolescent females...
  39. pmc Cancer screening practices among Amish and non-Amish adults living in Ohio Appalachia
    Mira L Katz
    College of Public Health and the Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio 43201, USA
    J Rural Health 27:302-9. 2011
    ..The purpose of this study was to examine cancer screening rates among Amish compared to non-Amish adults living in Ohio Appalachia and a national sample of adults of the same race and ethnicity in an effort to explain cancer patterns...
  40. pmc HPV prevalence among women from Appalachia: results from the CARE project
    Paul L Reiter
    Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Columbus, Ohio, United States of America Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio, United States of America College of Public Health, The Ohio State University, Columbus, Ohio, United States of America
    PLoS ONE 8:e74276. 2013
    ..We examined the prevalence of genital HPV among Appalachian women and identified correlates of HPV detection...
  41. pmc Non-smoking male adolescents' reactions to cigarette warnings
    Jessica K Pepper
    Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, United States of America
    PLoS ONE 8:e65533. 2013
    ..We sought to examine whether warnings discouraged participants from wanting to smoke and altered perceived likelihood of harms among adolescent males and whether these warning effects varied by age...
  42. pmc Advertisements promoting human papillomavirus vaccine for adolescent boys: does source matter?
    Jessica K Pepper
    UNC Gillings School of Global Public Health, Department of Health Behavior and Health Education, 325 Rosenau Hall, CB 7440, Chapel Hill, NC 27599 7440, USA
    Sex Transm Infect 88:264-5. 2012
    ..This study sought to examine whether parents accurately recall the source (ie, sponsor) of advertisements promoting HPV vaccine and the impact of drug company advertisements...
  43. pmc Ohio Appalachian residents' views on smoke-free laws and cigarette warning labels
    Paul L Reiter
    The Ohio State University, Columbus, Ohio, USA
    Rural Remote Health 12:1945. 2012
    ..The attitudes and beliefs relating to these policies were examined among residents of Ohio Appalachia, a mostly rural region with high smoking prevalence among its residents...
  44. pmc Assessing and promoting physical activity in African American barbershops: results of the FITStop pilot study
    Laura A Linnan
    University of North Carolina, Chapel Hill, USA
    Am J Mens Health 5:38-46. 2011
    ..92. Barbershops offer an effective setting for recruiting African American men and conducting physical measurements as well as an interesting possible location for conducting future interventions...
  45. doi request reprint Barriers reported among patients with breast and cervical abnormalities in the patient navigation research program: impact on timely care
    Mira L Katz
    The Ohio State University, Columbus, Ohio Electronic address
    Womens Health Issues 24:e155-62. 2014
    ..Barriers to resolution among participants in the PN intervention arm with a breast or cervical abnormality in the Patient Navigation Research Program and navigators' actions to address those barriers were examined...
  46. doi request reprint Evaluation of an Intervention Providing HPV Vaccine in Schools
    Brenda W Stubbs
    Guilford County Department of Public Health, Greensboro, NC, USA
    Am J Health Behav 38:92-102. 2014
    ..To conduct outcome and process evaluations of school-located HPV vaccination clinics in partnership with a local health department...
  47. pmc Validation of self-reported colorectal cancer screening behaviors among Appalachian residents
    Paul L Reiter
    Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Columbus, Ohio 43201, USA
    Public Health Nurs 30:312-22. 2013
    ..We determined the validity of self-reported colorectal cancer (CRC) screening data provided by Appalachian Ohio residents and identified correlates of providing accurate data...
  48. pmc HPV vaccination among adolescent males: results from the National Immunization Survey-Teen
    Paul L Reiter
    Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Columbus, OH, United States
    Vaccine 31:2816-21. 2013
    ..Given the updated recommendation for routine vaccination and the changes in health insurance coverage that are likely to follow, continued efforts are needed to monitor HPV vaccination among males...
  49. pmc Correlates of HPV vaccination among adolescent females from Appalachia and reasons why their parents do not intend to vaccinate
    Paul L Reiter
    Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Columbus, Ohio 43201, USA
    Vaccine 31:3121-5. 2013
    ..5%) and lack of knowledge (18.5%). Efforts to reduce missed opportunities for vaccination at healthcare visits and address reasons why parents are not vaccinating may help increase HPV vaccination in Appalachia...
  50. pmc Human papillomavirus (HPV) vaccine availability, recommendations, cost, and policies among health departments in seven Appalachian states
    Mira L Katz
    The Comprehensive Cancer Center, The Ohio State University, Ohio, USA
    Vaccine 27:3195-200. 2009
    ..Findings highlight the need for more comprehensive and consistent policies that maximize accessibility of the HPV vaccine to women, especially those in underserved areas...
  51. pmc Are rural Ohio Appalachia cancer survivors needs different than urban cancer survivors?
    Mira L Katz
    The Ohio State University, Columbus, OH, 43201, USA
    J Cancer Surviv 4:140-8. 2010
    ..Limited information is available about rural cancer survivors' needs and if they differ from urban cancer survivors...
  52. doi request reprint Parents' and sons' beliefs in sexual disinhibition after human papillomavirus vaccination
    Melissa K Mayer
    From the Gillings School of Global Public Health, The University of North Carolina, Chapel Hill, NC Division of Cancer Prevention and Control, College of Medicine Comprehensive Cancer Center, The Ohio State University, Columbus, OH and Lineberger Comprehensive Cancer Center, The University of North Carolina, Chapel Hill, NC
    Sex Transm Dis 40:822-8. 2013
    ..Because no studies have addressed this topic for adolescent boys, we examined parents' and their adolescent sons' beliefs in sexual disinhibition occurring after boys receive HPV vaccine...
  53. pmc Oral cancer screening and dental care use among women from Ohio Appalachia
    P L Reiter
    The Ohio State University, Columbus, Ohio, USA
    Rural Remote Health 12:2184. 2012
    ..The current study examined the oral cancer screening behaviors and recent dental care (since dentists perform most screening examinations) of women from Ohio Appalachia...