This study analyzes the impact of diseases of despair on mortality within the Appalachian Region, focusing on mortality from three main causes: alcohol, prescription drug, and illegal drug overdose; suicide; and alcoholic liver disease/cirrhosis of the liver. It includes data through 2021 and serves as an update to previous ARC…

These state-level reports offer a glimpse at private-sector employment throughout the Appalachian Region. Each report, focusing on the Appalachian portions of the states, includes employment data for 91 industries, allowing readers to see which industries account for the largest percentages of total employment. The reports also include variables measuring recent…

This research report, commissioned by the Appalachian Regional Commission’s Network Appalachia multimodal transportation advisory group, provides an assessment of the freight network in Appalachia and the global context that surrounds it. This report is an update of the 2010 Network Appalachia: Access to Global Opportunity report and maps freight network…

The East Tennessee State University (ETSU) Center for Rural Health Research, in collaboration with the ETSU Addiction Science Center, conducted an evaluation of the INSPIRE Initiative on behalf of ARC in 2022-2023. The evaluation was designed to advance understanding of the accessibility of the application process, implementation successes and…

This study examines state- and county-level data for the 13 Appalachian states from the 2017-2021 American Community Survey (ACS) and from U.S. Census Bureau population estimates on topics including population, age, race and ethnicity, housing occupancy and tenure, education, labor force, employment and unemployment, income and poverty, health insurance coverage,…