scholarly journals Strategies for Disseminating and Implementing the COVID-19 Vaccines in Rural Areas

2021 ◽  
Author(s):  
Beth Prusaczyk
Keyword(s):  
United States ◽  
Health Disparities ◽  
Urban Health ◽  
Rural Areas ◽  
The United States ◽  
Urban Residents ◽  
Rural Residents ◽  
Vaccination Programs ◽  
Vaccine Information ◽  
Roll Out

Abstract The United States has well-documented rural-urban health disparities and it is imperative that these are not exacerbated by an inefficient roll-out of the COVID-19 vaccines to rural areas. In addition to the pre-existing barriers to delivering and receiving healthcare in rural areas, such as high patient:provider ratios and long geographic distances between patients and providers, rural residents are significantly more likely to say they have no intention of receiving a COVID-19 vaccine, compared to urban residents. To overcome these barriers and ensure rural residents receive the vaccine, officials and communities should look to previous research on how to communicate vaccine information and implement successful vaccination programs in rural areas for guidance and concrete strategies to use in their local efforts.

scholarly journals Spatial Clustering of County-Level COVID-19 Rates in the U.S

2021 ◽  
Vol 18 (22) ◽  
pp. 12170
Author(s):  
Marcus R. Andrews ◽  
Kosuke Tamura ◽  
Janae N. Best ◽  
Joniqua N. Ceasar ◽  
Kaylin G. Battey ◽  
...  
Keyword(s):  
United States ◽  
Health Disparities ◽  
Rural Areas ◽  
Metropolitan Areas ◽  
Spatial Clustering ◽  
The United States ◽  
County Level ◽  
Communities Of Color ◽  
States Data ◽  
The U.S

Despite the widespread prevalence of cases associated with the coronavirus disease 2019 (COVID-19) pandemic, little is known about the spatial clustering of COVID-19 in the United States. Data on COVID-19 cases were used to identify U.S. counties that have both high and low COVID-19 incident proportions and clusters. Our results suggest that there are a variety of sociodemographic variables that are associated with the severity of COVID-19 county-level incident proportions. As the pandemic evolved, communities of color were disproportionately impacted. Subsequently, it shifted from communities of color and metropolitan areas to rural areas in the U.S. Our final period showed limited differences in county characteristics, suggesting that COVID-19 infections were more widespread. The findings might address the systemic barriers and health disparities that may result in high incident proportions of COVID-19 clusters.

scholarly journals Addressing Health Disparities in the Rural United States: Advocacy as Caregiving among Community Health Workers and Promotores de Salud

2020 ◽  
Vol 17 (24) ◽  
pp. 9223
Author(s):  
Ryan I. Logan ◽  
Heide Castañeda
Keyword(s):  
United States ◽  
Health Disparities ◽  
Community Health ◽  
Social Services ◽  
Community Health Workers ◽  
Rural Areas ◽  
Policy Development ◽  
Health Workers ◽  
The United States ◽  
Rural Populations

Rural populations in the United States are faced with a variety of health disparities that complicate access to care. Community health workers (CHWs) and their Spanish-speaking counterparts, promotores de salud, are well-equipped to address rural health access issues, provide education, and ultimately assuage these disparities. In this article, we compare community health workers in the states of Indiana and Texas, based on the results of two separate research studies, in order to (1) investigate the unique role of CHWs in rural communities and (2) understand how their advocacy efforts represent a central form of caregiving. Drawing on ethnographic, qualitative data—including interviews, photovoice, and participant observation—we analyze how CHWs connect structurally vulnerable clients in rural areas to resources, health education, and health and social services. Our primary contribution to existing scholarship on CHWs is the elaboration of advocacy as a form of caregiving to improve individual health outcomes as well as provoke structural change in the form of policy development. Finally, we describe how CHWs became especially critical in addressing disparities among rural populations in the wake of COVID-19, using their advocacy-as-caregiving role that was developed and well-established before the pandemic. These frontline workers are more vital than ever to address disparities and are a critical force in overcoming structural vulnerability and inequities in health in the United States.

Vaccine Information Statements. Revolutionary but Neglected Educational Advances in Healthcare in the United States

2005 ◽  
Vol 15 (1) ◽  
pp. 91-114 ◽  
Author(s):  
Richard F. Edlich ◽  
Marcus L. Martin ◽  
Marni L. Foley ◽  
Jocelynn H. Gebhart ◽  
Kathryne L. Winters ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Vaccine Information

scholarly journals Factors Influencing Land Values in the Presence of Suburban Sprawl

1974 ◽  
Vol 3 (1) ◽  
pp. 112-124 ◽  
Author(s):  
Bruce E. Lindsay ◽  
Cleve E. Willis
Keyword(s):  
United States ◽  
Rural Areas ◽  
The United States ◽  
Land Values ◽  
Suburban Sprawl ◽  
Factors Influencing ◽  
Definition Of

The spread of suburbs into previously rural areas has become commonplace in the United States. A rather striking aspect of this phenomenon has been the discontinuity which results. This aspect is often manifest in a haphazard mixture of unused and densely settled areas which has been described as “sprawl”. A more useful definition of suburban sprawl, its causes, and its consequences, is provided below in order to introduce the econometric objectives of this paper.

scholarly journals A Confluence of Policy Inequality: Health Disparities in Old Age Among American Indian and Alaska Native Populations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 37-37
Author(s):  
Sadie Giles
Keyword(s):  
United States ◽  
Health Disparities ◽  
Life Course ◽  
American Indian ◽  
Old Age ◽  
Alaska Native ◽  
Political History ◽  
The United States ◽  
The Political ◽  
The Life Course

Abstract Racial health disparities in old age are well established, and new conceptualizations and methodologies continue to advance our understanding of health inequality across the life course. One group that is overlooked in many of these analyses, however, is the aging American Indian/Native Alaskan (AI/NA) population. While scholars have attended to the unique health inequities faced by the AI/NA population as a whole due to its discordant political history with the US government, little attention has been paid to unique patterns of disparity that might exist in old age. I propose to draw critical gerontology into the conversation in order to establish a framework through which we can uncover barriers to health, both from the political context of the AI/NA people as well as the political history of old age policy in the United States. Health disparities in old age are often described through a cumulative (dis)advantage framework that offers the benefit of appreciating that different groups enter old age with different resources and health statuses as a result of cumulative inequalities across the life course. Adding a framework of age relations, appreciating age as a system of inequality where people also gain or lose access to resources and status upon entering old age offers a path for understanding the intersection of race and old age. This paper will show how policy history for this group in particular as well as old age policy in the United States all create a unique and unequal circumstance for the aging AI/NA population.

scholarly journals Italianness in the United States between migrants’ informal gardening practices and agricultural diplomacy (1880–1912)

Modern Italy ◽  
2021 ◽  
pp. 1-17
Author(s):  
Gilberto Mazzoli
Keyword(s):  
United States ◽  
Environmental History ◽  
Rural Areas ◽  
Food Production ◽  
East Coast ◽  
The United States ◽  
Southern United States ◽  
Mass Migration ◽  
Us Cities ◽  
Political Radicalism

During the Age of Mass Migration more than four million Italians reached the United States. The experience of Italians in US cities has been widely explored: however, the study of how migrants adjusted in relation to nature and food production is a relatively recent concern. Due to a mixture of racism and fear of political radicalism, Italians were deemed to be undesirable immigrants in East Coast cities and American authorities had long perceived Italian immigrants as unclean, unhealthy and carriers of diseases. As a flipside to this narrative, Italians were also believed to possess a ‘natural’ talent for agriculture, which encouraged Italian diplomats and politicians to propose the establishment of agricultural colonies in the southern United States. In rural areas Italians could profit from their agricultural skills and finally turn into ‘desirable immigrants’. The aim of this paper is to explore this ‘emigrant colonialism’ through the lens of environmental history, comparing the Italian and US diplomatic and public discourses on the potential and limits of Italians’ agricultural skills.

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