UofL graduate brings passion to promoting health in rural Kentucky communities

From her native India to Tennessee and now the Appalachian region in rural Kentucky, Stephie Abraham has traveled far and wide to fulfill her passion to help people be healthier.

After completing her bachelor's degree in Tennessee and medical school in India, Abraham arrived in Louisville seven years ago. She was shadowing doctors and getting ready for a medical residency when she became intrigued by the idea of helping not just individuals but populations.

"I am a numbers person so I was comparing clinical versus population health data and seeing how research could impact a lot more people," Abraham said.

Once she decided to embark on her master's degree in public health at the University of Louisville School of Public Health and Information Sciences (SPHIS), Abraham met Stephanie Boone, a two-time UofL alumna (MPH '08, PhD '13) and associate professor in the Department of Epidemiology and Population Health and faculty member at the Brown Cancer Center, Boone encouraged her to apply for the PhD program and got her involved in epidemiological research.

Now a doctoral candidate at SPHIS, Abraham, who graduates Dec. 12, has been working as the coordinator of the Kentucky Core (Boone, PI) of the RURAL (Risk Underlying Rural Areas Longitudinal) Study. This is a large National Institutes of Health-funded study to conduct community engagement and evaluate heart and lung diseases among rural populations in four states: Kentucky, Alabama, Mississippi and Louisiana.

Abraham has connected with local communities in Perry, Breathitt, Boyle and Garrard counties in Kentucky, to help recruit more than 1,000 residents and provide education and resources for unmet needs for hundreds at community meetings and events.

Since 2021, Abraham has been building a network, spreading the message and promoting the study, becoming a constant presence and trusted local contact in these counties. A mobile exam unit is traveling county by county and offering free health screenings to participants to determine lung, heart and overall wellness indicators.

Abraham, Boone and epidemiology graduate assistant Scotland Stewart, along with Community Advisory Boards established from each of the counties, meet with residents virtually or in person at city councils, church events, health fairs and festivals.

"You don't want them to think you're just there to use them for their data and leave," Abraham said. "We want to share the results with the community and help them find funding or grants and design programs for what the data shows is lacking in their community."

Establishing the participant cohort for the study has been a game changer for each community's health now and in the future. "The CT scan on the mobile unit can measure Coronary Artery Calcium, which could show an individual if they are at risk for future heart disease, but also the scans have found incidental findings in the lung or other health concerns that people did not know existed, which is life-changing," Abraham said. "It's gratifying to know that your work does mean something and it is actually making a difference."

After graduating from UofL, Abraham plans to continue in her role until study participant recruitment is completed in Kentucky. After that, Abraham said she hopes to seek post-doc opportunities to take her population level research one step further into dissemination and implementation.

"Research shouldn't just be about publishing papers, it should be about translating your findings to make a positive impact in people's lives - that's where my heart is."