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Rural residents represent a large sector of the United States (U.S.) population. About 22 percent of Americans, approximately 55 million people, are considered "rural" residents. Rural people have a unique set of health issues; they experience social, cultural, and economic disadvantages that can increase their risk for adverse health consequences. The first of its kind, Critical Issues in Rural Health, provides comprehensive sociological treatment of rural health and health care trends in the U.S. The editors have presented both integrative reviews of theory and research on rural health issues, as well as the most up-to-date findings of empirical research. This book emphasizes differences between rural and urban areas in health and health care, and chapter authors report the impact of age or life stage, race and ethnicity, social class, rural occupations, and community structure on various substantive health issues. Previous research has examined morbidity differentials between rural and urban areas; however, surprisingly little research has examined the differences in disability and mortality rates by place of residence or degree of rurality this book does. This informative and groundbreaking text/reference goes beyond the scope of previous studies by examining the health and well-being of rural people at all stages of life with the most up-to-date statistics available. This book will be of interest to students, academics and practitioners in the fields of rural sociology, environmental sociology, public health, human medicine, nursing, epidemiology, psychology, political science, dentistry, governmental policy, consumer science and rural history.
1. Introduction. (Nina Glasgow, Nan E. Johnson, and Lois Wright Morton).
Part I. Rural Morbidity, Disability, and Mortality.
2. Rural/Urban Contrast in Population Morbidity Status. (Robert B. Wallace, Ligia A. Grindeanu, and Dominic J. Cirillo).
3. Spatial Patterning of Disabilities among Adults. (Nan E. Johnson).
4. Spatial Patterns of Rural Mortality. (Lois Wright Morton).
Part II. Challenges to a Healthy Rural America.
5. Health Hazards of Rural Extractive Industries and Occupations. (Michael D. Schulman and Doris P. Slesinger).
6. Rural Environmental Health and Industrial Agriculture: A Case Example of Concentrated Animal Feeding Operations. (Carol J. Hodne).
7. Rural Mental Health: Comparing Differences and Modeling Change. (Frederick O. Lorenz, K.A.S. Wickrama, and Hsiu-Chen Yeh).
8. Risky Behaviors Affecting Rural Adolescents’ Health. (Anastasia R. Snyder and Diane K. McLaughlin).
9. Rural Food Insecurity and Health. (Lois Wright Morton, H. Dreamal I. Worthen, and Lorraine J. Weatherspoon).
10. Rural Eating, Diet, Nutrition, and Body Weight. (W. Alex McIntosh and Jeffery Sobal).
Part III. Health Disparities among People of Color/Disadvantaged Groups.
11. American Indians and Alaska Native. (Everett R. Rhoades and Kymberly Cravatt).
12. The Health of African Americans Living in Nonmetropolitan Areas. (Chck W. Peek and Barbara A. Zsembik).
13. Health of Rural Latinos. (Cruz C. Torres).
14. Migrant Farmworkers. (Louise S. Ward and A. Serdar Atav).
15. Health Disparities in Rural Appalachia. ( Jennifer L. Gatz, Graham D. Rowles, and Suzanne L. Tyas).
Part IV. Formal Health Care in Rural America.
16. Health Insurance Coverage in Nonmetropolitan America. (Robert A. Hummer, Jan Pacewicz, Shu-Chuan Wang, and Chiquita Collins).
17. Funding Health Services in the Rural United States. (Mary K. Zimmerman, Rodney McAdams, and Buron P. Halpert).
18. Networking in Rural Health. (Anthony Wellever).
19. Telehealth: What Promise Does It Hold for Rural Areas? (William Grigsby and Stephan J. Goetz).
20. Nursing Homes and Community-Based Long-Term Care. (R. Paul Duncan and Tiffany A. Radcliff).
Part V. Improving Health: Can Theory Be the Guide?.
21. Community Structure and Population Health: The Challenge of Explanation. (Frank W. Young).
22. Healthy Aging in Rural America. (Nina Glasgow).
23. Reaching the Goal: Less Disparity, Better Rural Health. (Lois Wright Morton, Nina Glasgow and Nan E. Johnson).