Reimagining Rural: Shifting Paradigms About Health and Well-Being in the Rural United States

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
R.A. Afifi ◽  
E.A. Parker ◽  
G. Dino ◽  
D.M. Hall ◽  
B. Ulin
Keyword(s):  
Rural Communities ◽  
Rural Health ◽  
Health Equity ◽  
Rural Areas ◽  
Paradigm Shift ◽  
Well Being ◽  
Annual Review ◽  
Publication Date ◽  
Rural Places ◽  
Health And Well Being

Rural health disparities have attracted increased national attention, compelling an expanded focus on rural health research. In this manuscript, we deconstruct the definitions and narratives of “rural” communities and suggest that a paradigm shift is needed that centers the complexity and strength of rural places. We discuss the relevance of health equity frameworks, implementation science, and community-engaged approaches to promote rural well-being. Focusing on rural in its own right will lead to intervention innovations and reinvention with implications beyond rural areas. We conclude with suggestions for research and practice to inspire renewed interest in partnering with rural communities to promote health equity. Expected final online publication date for the Annual Review of Public Health, Volume 43 is April 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Compositional, Contextual, and Collective Community Factors in Mental Health and Well-Being in Australian Rural Communities

2016 ◽  
Vol 27 (5) ◽  
pp. 677-687 ◽  
Author(s):  
Jessica Collins ◽  
Bernadette M. Ward ◽  
Pamela Snow ◽  
Sandra Kippen ◽  
Fiona Judd
Keyword(s):  
Mental Health ◽  
Rural Communities ◽  
Mental Health Professionals ◽  
Rural Areas ◽  
Well Being ◽  
Underlying Mechanism ◽  
Physical And Mental Health ◽  
Geographic Variations ◽  
Community Factors ◽  
Health And Well Being

There are disproportionately higher and inconsistently distributed rates of recorded suicides in rural areas. Patterns of rural suicide are well documented, but they remain poorly understood. Geographic variations in physical and mental health can be understood through the combination of compositional, contextual, and collective factors pertaining to particular places. The aim of this study was to explore the role of “place” contributing to suicide rates in rural communities. Seventeen mental health professionals participated in semi-structured in-depth interviews. Principles of grounded theory were used to guide the analysis. Compositional themes were demographics and perceived mental health issues; contextual themes were physical environment, employment, housing, and mental health services; and collective themes were town identity, community values, social cohesion, perceptions of safety, and attitudes to mental illness. It is proposed that connectedness may be the underlying mechanism by which compositional, contextual, and collective factors influence mental health and well-being in rural communities.

Digital Inclusion and Women’s Health and Well-Being in Rural Communities

2020 ◽  
pp. 110-135
Author(s):  
Sharon Wagg ◽  
Louise Cooke ◽  
Boyka Simeonova
Keyword(s):  
Rural Communities ◽  
Women’S Health ◽  
Women's Health ◽  
Rural Areas ◽  
Theory Development ◽  
Well Being ◽  
Digital Inclusion ◽  
Complex Situation ◽  
Health And Well Being

This review explores the role of digital inclusion in women’s health and well-being in rural communities. This involves reviewing existing research that focuses on the information experiences of women, specifically those who were digitally excluded or limited users of the Internet, who have benefitted from the support of digital inclusion initiatives and technology. There is a global gender digital divide in which more women than men often lack access to information and digital skills, particularly in rural areas. Digital inclusion initiatives are attempting to close this divide and to enable women to make informed decisions about their health and well-being and their families. The review also identifies that digital inclusion is a complex situation of enquiry; there is limited, fragmented research in which the concepts of information literacy and digital inclusion have been brought together; and significant tensions and contradictions exist within digital inclusion practice. The review also highlights the opportunity for further research and theory development.

scholarly journals Procedural Telementoring in Rural, Underdeveloped, and Austere Settings: Origins, Present Challenges, and Future Perspectives

2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Juan P. Wachs ◽  
Andrew W. Kirkpatrick ◽  
Samuel A. Tisherman
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
The United States ◽  
Rural Practice ◽  
Annual Review ◽  
Publication Date ◽  
Future Perspectives ◽  
Medical Assistance ◽  
Residency Programs ◽  
Rural Settings

Telemedicine is perhaps the most rapidly growing area in health care. Approximately 15 million Americans receive medical assistance remotely every year. Yet rural communities face significant challenges in securing subspecialist care. In the United States, 25% of the population resides in rural areas, where less than 15% of physicians work. Current surgery residency programs do not adequately prepare surgeons for rural practice. Telementoring, wherein a remote expert guides a less experienced caregiver, has been proposed to address this challenge. Nonetheless, existing mentoring technologies are not widely available to rural communities, due to a lack of infrastructure and mentor availability. For this reason, some clinicians prefer simpler and more reliable technologies. This article presents past and current telementoring systems, with a focus on rural settings, and proposes a set of requirements for such systems. We conclude with a perspective on the future telementoring systems and the integration of artificial intelligence within those systems. Expected final online publication date for the Annual Review of Biomedical Engineering, Volume 23 is June 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

Negative Social Ties: Prevalence and Consequences

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Shira Offer
Keyword(s):  
Job Performance ◽  
Social Relationships ◽  
Well Being ◽  
Future Research ◽  
Annual Review ◽  
Publication Date ◽  
Individual Outcomes ◽  
Key Issues ◽  
Job Performance And Satisfaction ◽  
Health And Well Being

Recent decades have seen a surge of interest in negative ties and the negative aspects of social relationships. Researchers in different fields have studied negative ties and their consequences for various individual outcomes, including health and well-being, social status in schools and other organizations, and job performance and satisfaction, but they have mainly done so in disconnect. The result is a dearth of theoretization, manifested in a multitude of concepts and measures, that has made synthesis difficult and left numerous questions unanswered. By critically assessing these literatures, this review maps unresolved issues and identifies important lacunae in current investigations of negative ties. It is organized around three key issues: What are negative ties? How prevalent are they and where do they come from? And what are their consequences? The review concludes by proposing an agenda for future research. Expected final online publication date for the Annual Review of Sociology, Volume 47 is July 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals EURIPA – THE PAST, PRESENT AND FUTURE

2014 ◽  
Vol 8 (3) ◽  
pp. 22-25
Author(s):  
Jose Lopez-Abuin ◽  
Jane Randall-Smith
Keyword(s):  
Rural Communities ◽  
Rural Health ◽  
Well Being ◽  
Family Doctors ◽  
European Section ◽  
International Advisory ◽  
Policy Engagement ◽  
Health And Well Being ◽  
Remote Health ◽  
Rural And Remote Health

EURIPA (European Rural and Isolated Practitioners Association) is a regional rural health network, which was founded by family doctors to address the health and well-being needs of rural communities, on one hand, and the practitioners’ needs across Europe, on the other. EURIPA began its activity in 1995 with a small group of family doctors from across Europe, and in 1997 the structure was formalised into that of EURIPA today. EURIPA was initially recognized by WONCA Europe as a special interest group and subsequently as a representative network for rural family doctors across Europe. Now, it actively participates in WONCA Europe meetings and their annual conferences. The constitution was revised in 1997 when the International Advisory Board was created to support the work of EURIPA and its Executive Committee. EURIPA has worked hard to raise the profile of rural general practice, from its first research project in 1997, to the series of Annual Rural Health Forums, which started in 2010. These forums have focussed on quality, education and research with the 5th Forum taking place in September 2014 focussing on policy engagement. EURIPA uses social media to engage its membership and publishes regular newsletters - “Grapevine”, as well as encourages rural GPs to publish in the European Section of the Journal of Rural and Remote Health.

scholarly journals Tackling Rural Health, Energy, … and Technological Issues All at Once: A Call for a Global Interdisciplinary Platform for Strengthening Rural Setting Amid the COVID-19 Pandemic

Challenges ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 16
Author(s):  
Farshad Amiraslani
Keyword(s):  
Rural Communities ◽  
Rural Health ◽  
Rural Areas ◽  
Rural Setting ◽  
Global Challenges ◽  
Rural Settings ◽  
Research Studies

The recent COVID-19 pandemic has revealed flaws in rural settings where most people live without the necessary tools, income, and knowledge to tackle such unprecedented global challenges. Here, I argue that despite the research studies conducted on rural areas, these have not solved rising rural issues, notably poverty and illiteracy. I propound a global institute to be formed by governments that provides a platform for empowering rural communities through better training, skills, and competencies. Such global endeavour will ensure the remaining rural communities withstand future pandemics if they occur.

scholarly journals HESR innovation in analysis that supports decision making and action

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B Barr
Keyword(s):  
Decision Making ◽  
Health Equity ◽  
Social Protection ◽  
Well Being ◽  
Status Report ◽  
Policy Performance ◽  
European Health ◽  
The Individual ◽  
Health And Well Being ◽  
Inform Decision Making

Abstract The European Health Equity Status Report makes innovative use of microdata, at the level of the individual, to decompose the relative contributions of five essential underlying conditions to inequities in health and well-being. These essential conditions comprise: (1) Health services (2) Income security and social protection (3) Living conditions (4) Social and human capital (5) Employment and working conditions. Combining microdata across over twenty sources, the work of HESRi has also produced disaggregated indicators in health, well-being, and each of the five essential conditions. In conjunction with indicators of policy performance and investment, the HESRi Health Equity Dataset of over 100 indicators is the first of its kind, as a resource for monitoring and analysing inequities across the essential conditions and policies to inform decision making and action to reduce gaps in health and well-being.

The Role of Citizen Science in Promoting Health Equity

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Lisa G. Rosas ◽  
Patricia Rodriguez Espinosa ◽  
Felipe Montes Jimenez ◽  
Abby C. King
Keyword(s):  
Public Health ◽  
Citizen Science ◽  
Health Equity ◽  
Healthy Eating ◽  
Mobile Applications ◽  
Health Inequities ◽  
Annual Review ◽  
Publication Date ◽  
Scientific Process

While there are many definitions of citizen science, the term usually refers to the participation of the general public in the scientific process in collaboration with professional scientists. Citizen scientists have been engaged to promote health equity, especially in the areas of environmental contaminant exposures, physical activity, and healthy eating. Citizen scientists commonly come from communities experiencing health inequities and have collected data using a range of strategies and technologies, such as air sensors, water quality kits, and mobile applications. On the basis of our review, and to advance the field of citizen science to address health equity, we recommend ( a) expanding the focus on topics important for health equity, ( b) increasing the diversity of people serving as citizen scientists, ( c) increasing the integration of citizen scientists in additional research phases, ( d) continuing to leverage emerging technologies that enable citizen scientists to collect data relevant for health equity, and ( e) strengthening the rigor of methods to evaluate impacts on health equity. Expected final online publication date for the Annual Review of Public Health, Volume 43 is April 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

Personal Values Across Cultures

2021 ◽  
Vol 73 (1) ◽  
Author(s):  
Lilach Sagiv ◽  
Shalom H. Schwartz
Keyword(s):  
Personal Values ◽  
Well Being ◽  
Annual Review ◽  
Publication Date ◽  
Subjective Well Being ◽  
Value Differences ◽  
Many Instruments ◽  
Value Priorities ◽  
The Many ◽  
Basic Personal Values

Values play an outsized role in the visions, critiques, and discussions of politics, religion, education, and family life. Despite all the attention values receive in everyday discourse, their systematic study took hold in mainstream psychology only in the 1990s. This review discusses the nature of values and presents the main contemporary value theories, focusing on the theory of basic personal values. We review evidence for the content and the structure of conflict and compatibility among values found across cultures. We discuss the assumptions underlying the many instruments developed to measure values. We then consider the origins of value priorities and their stability or change over time. The remainder of the review presents the evidence for the ways personal values relate to personality traits, subjective well-being, and the implications of value differences for religiosity, prejudice, pro- and antisocial behavior, political and environmental behavior, and creativity, concluding with a discussion of mechanisms that link values to behavior. Expected final online publication date for the Annual Review of Psychology, Volume 73 is January 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Online multidisciplinary integrated rural healthcare education programs during the COVID-19 pandemic for students from different universities: experiences and guidelines

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Frances Barraclough ◽  
Sabrina Pit
Keyword(s):  
Rural Communities ◽  
Rural Health ◽  
Health Workforce ◽  
Rural Areas ◽  
Critical Mass ◽  
Aged Care ◽  
Residential Aged Care ◽  
Teaching Program ◽  
Content Type ◽  
Rural Health Workforce

PurposeThe COVID-19 pandemic has led to “forced innovation” in the health education industry. High-quality training of the future rural health workforce is crucial to ensure a pipeline of rural health practitioners to meet the needs of rural communities. This paper describes the implementation of an online multidisciplinary teaching program focusing on integrated care and the needs of rural communities.Design/methodology/approachA multidisciplinary teaching program was adapted to allow students from various disciplines and universities to learn together during the COVID-19 pandemic. Contemporary issues such as the National Aged Care Advocacy Program for Residential Aged Care COVID-19 Project were explored during the program.FindingsThis case study describes how the program was adopted, how learning needs were met, practical examples (e.g. the Hand Hygiene Advocacy within a Rural School Setting Project), the challenges faced and solutions developed to address these challenges. Guidelines are proposed for remote multidisciplinary learning among health professional students, including those in medical, nursing, pharmacy, dentistry, and allied health disciplines.Originality/valueThe originality of this program centers around students from multiple universities and disciplines and various year levels learning together in a rural area over an extended period of time. Collaboration among universities assists educators in rural areas to achieve critical mass to teach students. In addition it provides experiences and guidance for the work integrated learning sector, rural health workforce practitioners, rural clinical schools, universities, policy makers, and educators who wish to expand rural online multidisciplinary learning.

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