Journal of Community Health

, Volume 37, Issue 2, pp 320–327 | Cite as

Self-Reported Cancer Rates in Two Rural Areas of West Virginia with and Without Mountaintop Coal Mining

  • Michael HendryxEmail author
  • Leah Wolfe
  • Juhua Luo
  • Bo Webb
Original Paper


Mountaintop coal mining in the Appalachian region in the United States causes significant environmental damage to air and water. Serious health disparities exist for people who live in coal mining portions of Appalachia, but little previous research has examined disparities specifically in mountaintop mining communities. A community-based participatory research study was designed and implemented to collect information on cancer rates in a rural mountaintop mining area compared to a rural non-mining area of West Virginia. A door–door health interview collected data from 773 adults. Self-reported cancer rates were significantly higher in the mining versus the non-mining area after control for respondent age, sex, smoking, occupational history, and family cancer history (odds ratio = 2.03, 95% confidence interval = 1.32–3.13). Mountaintop mining is linked to increased community cancer risk. Efforts to reduce cancer and other health disparities in Appalachia must focus on mountaintop mining portions of the region.


Mountaintop coal mining Cancer Community-based participatory research West Virginia 



The authors gratefully acknowledge the assistance of Matthew Armistead, Peter Illyn, Allen Johnson, Kate Kirby, Michael McCawley, the volunteer interviewers, and other local volunteers who assisted in study activities.


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Michael Hendryx
    • 1
    • 2
    Email author
  • Leah Wolfe
    • 2
  • Juhua Luo
    • 1
    • 2
  • Bo Webb
    • 3
  1. 1.Department of Community MedicineWest Virginia UniversityMorgantownUSA
  2. 2.West Virginia Rural Health Research CenterWest Virginia UniversityMorgantownUSA
  3. 3.Coal RiverUSA

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