Transgender clients in rural areas and small towns.

2016 ◽  
Vol 40 (3-4) ◽  
pp. 154-163 ◽  
Author(s):  
Julie M. Koch ◽  
Douglas Knutson
Keyword(s):  
Rural Areas ◽  
Small Towns

scholarly journals Homeless on Main Street: Using Photovoice to Highlight Older Adults Among the Hidden Homeless

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 728-728
Author(s):  
H Shellae Versey
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Meaning Making ◽  
Small Towns ◽  
Photo Elicitation ◽  
Service Agency ◽  
Structured Interviews ◽  
Community Based Interventions ◽  
Community Based ◽  
Formerly Homeless

Abstract Homelessness is a reality for a growing number of Americans living in small towns and rural areas. However, unlike in cities, housing instability may be less visible. Using a photo-elicitation method (i.e., Photovoice), this study explores the meaning of place and obscured visibility to currently and formerly homeless older adults living in a small town in central Connecticut. Participants (N = 27) were recruited from a local service agency, given cameras and asked to photograph areas around town that were meaningful to them. Photographs were developed and followed by in-person, semi-structured interviews with participants in which photos and experiences during the project were discussed. Primary themes included belonging, generativity, social isolation, and place-making as meaning-making. The study culminated in a community photography exhibition in which photographs from the project were displayed in public spaces around town. Implications for community-based interventions to reach homeless groups in rural areas are discussed. Part of a symposium sponsored by the Qualitative Research Interest Group.

scholarly journals Geographical access to critical care services in Scotland

2017 ◽  
Vol 19 (1) ◽  
pp. 6-14 ◽  
Author(s):  
Philip Emerson ◽  
Naomi Dodds ◽  
David R Green ◽  
Jan O Jansen
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Rural Areas ◽  
Care Facility ◽  
Population Data ◽  
Small Towns ◽  
Health Board ◽  
Care Services ◽  
Geographical Access ◽  
Scottish Population

Background Critical illness requires specialist and timely management. The aim of this study was to create a geographic accessibility profile of the Scottish population to emergency departments and intensive care units. Methods This was a descriptive, geographical analysis of population access to ‘intermediate’ and ‘definitive’ critical care services in Scotland. Access was defined by the number of people able to reach services within 45 to 60 min, by road and by helicopter. Access was analysed by health board, rurality and as a country using freely available geographically referenced population data. Results Ninety-six percent of the population reside within a 45-min drive of the nearest intermediate critical care facility, and 94% of the population live within a 45-min ambulance drive time to the nearest intensive care unit. By helicopter, these figures were 95% and 91%, respectively. Some health boards had no access to definitive critical care services within 45 min via helicopter or road. Very remote small towns and very remote rural areas had poorer access than less remote and rural regions.

An Academic-Community Collaboration to Deliver Medication Therapy Management (MTM) Services to Patients Living in Rural Counties of a Southwestern State in the United States

2021 ◽  
pp. 089719002110002
Author(s):  
David Rhys Axon ◽  
Melissa Johnson ◽  
Brittany Abeln ◽  
Stephanie Forbes ◽  
Elizabeth J. Anderson ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Program Effectiveness ◽  
Small Town ◽  
The United States ◽  
Small Towns ◽  
Academic Community ◽  
Service Needs ◽  
Medication Therapy

Background: Patients living in rural communities often experience pronounced health disparities, have a higher prevalence of diabetes and hypertension, and poorer access to care compared to urban areas. To address these unmet healthcare service needs, an established, academic-based MTM provider created a novel, collaborative program to provide comprehensive, telephonic services to patients living in rural Arizona counties. Objective: This study assessed the program effectiveness and described differences in health process and outcome measures (e.g., clinical outcomes, gaps in care for prescribed medications, medication-related problems) between individuals residing in different rural-urban commuting area (RUCA) groups (urban, micropolitan, and small town) in rural Arizona counties. Methods: Subjects eligible for inclusion were 18 years or older with diabetes and/or hypertension, living in rural Arizona counties. Data were collected on: demographic characteristics, medical conditions, clinical values, gaps in care, medication-related problems (MRPs), and health promotion guidance. Subjects were analyzed using 3 intra-county RUCA levels (i.e., urban, micropolitan, and small town). Results: A total of 384 patients were included from: urban (36.7%), micropolitan (19.3%) and small town (44.0%) areas. Positive trends were observed for clinical values, gaps in care, and MRPs between initial and follow-up consultations. Urban dwellers had significantly lower average SBP values at follow-up than those from small towns (p < 0.05). A total of 192 MRPs were identified; 75.0% were resolved immediately or referred to providers and 16.7% were accepted by prescribers. Conclusion: This academic-community partnership highlights the benefits of innovative collaborative programs, such as this, for individuals living in underserved, rural areas.

scholarly journals Youth Development in Albania

2014 ◽  
Vol 1 (1) ◽  
pp. 43
Author(s):  
Armanda Keqi ◽  
Bora Kokalari ◽  
Sabina Beqiri
Keyword(s):  
Young People ◽  
Youth Development ◽  
Rural Areas ◽  
Transition Period ◽  
Labour Force ◽  
Groundwater Resources ◽  
Small Towns ◽  
The State ◽  
The Difference ◽  
Legal Immigration

Young generations are those who make lives livelier and happier, who design the future and make the change, the ones with full hope and enthusiasm to go further and make the impossible possible. As every country of Europe, Asia or America, Albania as well is surrounded by a very fruitful young ladies and gentlemen's. This paper aims to analyse the changes of the youth development in Albania during the transition period. The young development in Albania has faced many problems, such as the difference between the levels of development of the youths that live in the other cities of Albania with the ones of the capital. Rural areas and small towns are closed where a portion of youth in minor are totally dependent from family, and they are exactly that with their weak hands are inclined to do the heavy work to keep their family one more day alive. Youth at the opening of the borders, generally tended to leave towards legal immigration either as tourist or in illegal opportunities addressing major countries like Britain, Greece, Italy, Belgium etc. Albania needs to make arrangements which will be financed by businessmen, private universities in cooperation with the state to offer young people opportunities to work together and to be closer to each other and to show their skills in conversation competitions. At the same time the state has other open universities in backward areas which will provide young entrepreneurs' with more opportunities for young people to graduate and to serve different areas. Meanwhile, there is needed a strategy to separate the fields in which there is a need to have more expert in the field which is required to work also which would come more to help the country's economy with the addition of experts. Albania is a country blessed where high mountains finish in seas, where groundwater resources are numerous, and with a conductive climate to produce almost all kinds of fruits and where vegetation is very diverse. If the youth will be directed towards learning of foreign languages and in recognition of their territories, traditions and customs, thus, we would make a big step because tourism market is precisely the kind of market where young people will find themselves more comfortable than ever, where the labour force will be insufficient paid and where the demand for products would be required as the number of tourists would be great and just the requirements would change in terms of application areas during the summer as it would be for beaches and seasonal fruits, while during the winter for skiing and mountain tourism.

Challenges in achieving sustainability in Iberian rural areas and small towns: Exploring immigrant stakeholders’ perceptions in Alentejo, Portugal, and Empordà, Spain

2018 ◽  
Vol 64 ◽  
pp. 253-266 ◽  
Author(s):  
Ricard Morén-Alegret ◽  
Sandra Fatorić ◽  
Dawid Wladyka ◽  
Albert Mas-Palacios ◽  
Maria Lucinda Fonseca
Keyword(s):  
Rural Areas ◽  
Small Towns

Still Straight

2021 ◽  
Author(s):  
Tony Silva
Keyword(s):  
Pacific Northwest ◽  
Rural Areas ◽  
Small Towns ◽  
Bisexual Men ◽  
Dominant Group ◽  
The Pacific ◽  
Sex With Men ◽  
Mountain West

Hundreds of thousands of straight American men have had sex with multiple men. Not all are closeted gay or bisexual men. Nor are they all just experimenting. This book examines the stories of sixty such men in rural areas and small towns across the Pacific Northwest, the Mountain West, and the Midwest. They identified as straight primarily because they are embedded in institutions and communities that reward male heterosexuality and masculinity. The author refers to all of this as “straight culture.” Most identified as straight not because they hated gay or bisexual men. Instead, they felt that most aspects of their lives were heterosexual. Those married to women wanted to stay that way and saw their role as a husband as key to their straightness. They considered their sex with men mostly irrelevant to their identity. All described themselves as masculine, too, and many felt that identifying as gay or bisexual would have threatened their masculinity. Wanting to avoid discrimination and enjoying being part of a socially dominant group played roles as well. Most of these men were also primarily or exclusively attracted to women. Many began having sex with men only later in life to continue having sex but without feeling as though they were cheating on their wives. The stories of the men interviewed are filled with irony and paradox yet are also genuine. Overall, the book explores this question: What if heterosexuality, and particularly male heterosexuality, is not always what it seems?

scholarly journals Sickness absence among privately employed white-collar workers: A total population study in Sweden

2020 ◽  
pp. 140349482093427
Author(s):  
Kristin Farrants ◽  
Kristina Alexanderson
Keyword(s):  
Sickness Absence ◽  
Rural Areas ◽  
White Collar ◽  
Sociodemographic Factors ◽  
Population Based ◽  
Small Towns ◽  
Older Individuals ◽  
Individual Level ◽  
White Collar Workers ◽  
The Individual

Background: Knowledge about sickness absence (SA) and disability pension (DP) among privately employed white-collar workers is very limited. Aims: This study aimed to explore SA and DP among privately employed white-collar women and men using different measures of SA to investigate differences by branch of industry, and to analyse the association between sociodemographic factors and SA. Methods: This was a population-based study of all 1,283,516 (47% women) privately employed white-collar workers in Sweden in 2012, using register data linked at the individual level. Several different measures of SA and DP were used. Logistic regression was used to investigate associations of sociodemographic factors with SA. Results: More women than men had SA (10.9% women vs. 4.5% men) and DP (1.8% women vs. 0.6% men). While women had a higher risk of SA than men and had more SA days per employed person, they did not have more SA days per person with SA than men. The risk of SA was higher for women (odds ratio (OR)=2.54 (95% confidence interval (CI) 2.51–2.58)), older individuals (OR age 18–24 years=0.58 (95% CI 0.56–0.60); age 55–64 years OR=1.43 (95% CI 1.40–1.46) compared to age 45–54 years), living in medium-sized towns (OR=1.05 (95% CI 1.03–1.06)) or small towns/rural areas (OR=1.13 (95% CI 1.11–1.15)), with shorter education than college/university (OR compulsory only=1.64 (95% CI 1.59–1.69); OR high school=1.38 (95% CI 1.36–1.40)), born outside the EU25 (OR=1.23 (95% CI 1.20–1.27)) and singles with children at home (OR=1.33 (95% CI 1.30–1.36)). Conclusions: SA and DP among privately employed white-collar workers were lower than in the general population. SA prevalence, length and risk varied by branch of industry, sex and other sociodemographic factors, however, depending on the SA measure used.

Diverse diversities—Open innovation in small towns and rural areas

2019 ◽  
Vol 50 (2) ◽  
pp. 492-514 ◽  
Author(s):  
Rahel Meili ◽  
Richard Shearmur
Keyword(s):  
Rural Areas ◽  
Open Innovation ◽  
Small Towns

scholarly journals Economies of Size Among Municipal Water Authorities in Pennsylvania

1973 ◽  
Vol 5 (2) ◽  
pp. 1-6
Author(s):  
Arthur B. Daugherty ◽  
J. Dean Jansma
Keyword(s):  
Rural Areas ◽  
Small Towns ◽  
Water Systems ◽  
Construction Costs ◽  
Water Utility ◽  
Suburban Communities ◽  
Economies Of Size ◽  
Public Water Systems ◽  
Number Of Customers ◽  
Per Capita Consumption

Water utilities are being subjected to progressively greater economic pressures. The demand for water is increasing, due to both a growing number of customers and rising per capita consumption. Consequently, many utilities are faced with declining reserves of water, necessitating additional investment to develop sources of supply. Frequently, new or enlarged facilities to treat, store and distribute the larger volume of water are required. Public policies, also, are promoting the extension or development of public water systems to serve sparsely populated suburban communities, small towns, and rural areas. All these changes affecting the demand for water, combined with rising construction costs, are causing water utility costs to skyrocket.

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