Overcoming the triad of rural health disparities

How local culture, lack of economic opportunity, and geographic location instigate health disparities

Tami L. Thomas, Ralph DiClemente, Samuel Snell

Research output: Contribution to journalArticle

Abstract

Objective: To discuss how the effects of culture, economy, and geographical location intersect to form a gestalt triad determining health-related disparities in rural areas. Methods: We critically profile each component of the deterministic triad in shaping current healthrelated disparities in rural areas; evaluate the uniquely composed intersections of these disparities in relation to Human Papillomavirus (HPV)-related cancer prevention in three isolated rural Georgia counties; and develop implications for future leadership in rural healthcare research, policy, and practice. Results: The deterministic triad of culture, economy, and geographical location is unique to a rural community, and even if two rural communities experience the same health disparity, each community is likely to have a discretely different composition of cultural, economic, and geographic determinants. Conclusion: The deterministic triad presents a challenge for health policymakers, researchers, and practitioners trying to develop health-related interventions that are equitable, efficacious, and practical in low-resource rural communities. The situation is worsened by the limited opportunities for employment, which leads to greater disparities and creates propagating cultural norms that further reduce access to healthcare and opportunities for sustainable health promotion.

Original languageEnglish (US)
Pages (from-to)285-294
Number of pages10
JournalHealth Education Journal
Volume73
Issue number3
DOIs
StatePublished - Jan 1 2014

Fingerprint

Rural Health
Geographic Locations
Rural Population
Economics
Health
Health Services Research
Health Promotion
Research Personnel
Delivery of Health Care
Neoplasms

Keywords

  • access to care
  • health disparities
  • health promotion
  • rural communities
  • USA

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Overcoming the triad of rural health disparities : How local culture, lack of economic opportunity, and geographic location instigate health disparities. / Thomas, Tami L.; DiClemente, Ralph; Snell, Samuel.

In: Health Education Journal, Vol. 73, No. 3, 01.01.2014, p. 285-294.

Research output: Contribution to journalArticle

@article{0b3bcd29b2704914906f39fe63c0e1ad,
title = "Overcoming the triad of rural health disparities: How local culture, lack of economic opportunity, and geographic location instigate health disparities",
abstract = "Objective: To discuss how the effects of culture, economy, and geographical location intersect to form a gestalt triad determining health-related disparities in rural areas. Methods: We critically profile each component of the deterministic triad in shaping current healthrelated disparities in rural areas; evaluate the uniquely composed intersections of these disparities in relation to Human Papillomavirus (HPV)-related cancer prevention in three isolated rural Georgia counties; and develop implications for future leadership in rural healthcare research, policy, and practice. Results: The deterministic triad of culture, economy, and geographical location is unique to a rural community, and even if two rural communities experience the same health disparity, each community is likely to have a discretely different composition of cultural, economic, and geographic determinants. Conclusion: The deterministic triad presents a challenge for health policymakers, researchers, and practitioners trying to develop health-related interventions that are equitable, efficacious, and practical in low-resource rural communities. The situation is worsened by the limited opportunities for employment, which leads to greater disparities and creates propagating cultural norms that further reduce access to healthcare and opportunities for sustainable health promotion.",
keywords = "access to care, health disparities, health promotion, rural communities, USA",
author = "Thomas, {Tami L.} and Ralph DiClemente and Samuel Snell",
year = "2014",
month = "1",
day = "1",
doi = "10.1177/0017896912471049",
language = "English (US)",
volume = "73",
pages = "285--294",
journal = "Health Education Journal",
issn = "0017-8969",
publisher = "SAGE Publications Ltd",
number = "3",

}

TY - JOUR

T1 - Overcoming the triad of rural health disparities

T2 - How local culture, lack of economic opportunity, and geographic location instigate health disparities

AU - Thomas, Tami L.

AU - DiClemente, Ralph

AU - Snell, Samuel

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Objective: To discuss how the effects of culture, economy, and geographical location intersect to form a gestalt triad determining health-related disparities in rural areas. Methods: We critically profile each component of the deterministic triad in shaping current healthrelated disparities in rural areas; evaluate the uniquely composed intersections of these disparities in relation to Human Papillomavirus (HPV)-related cancer prevention in three isolated rural Georgia counties; and develop implications for future leadership in rural healthcare research, policy, and practice. Results: The deterministic triad of culture, economy, and geographical location is unique to a rural community, and even if two rural communities experience the same health disparity, each community is likely to have a discretely different composition of cultural, economic, and geographic determinants. Conclusion: The deterministic triad presents a challenge for health policymakers, researchers, and practitioners trying to develop health-related interventions that are equitable, efficacious, and practical in low-resource rural communities. The situation is worsened by the limited opportunities for employment, which leads to greater disparities and creates propagating cultural norms that further reduce access to healthcare and opportunities for sustainable health promotion.

AB - Objective: To discuss how the effects of culture, economy, and geographical location intersect to form a gestalt triad determining health-related disparities in rural areas. Methods: We critically profile each component of the deterministic triad in shaping current healthrelated disparities in rural areas; evaluate the uniquely composed intersections of these disparities in relation to Human Papillomavirus (HPV)-related cancer prevention in three isolated rural Georgia counties; and develop implications for future leadership in rural healthcare research, policy, and practice. Results: The deterministic triad of culture, economy, and geographical location is unique to a rural community, and even if two rural communities experience the same health disparity, each community is likely to have a discretely different composition of cultural, economic, and geographic determinants. Conclusion: The deterministic triad presents a challenge for health policymakers, researchers, and practitioners trying to develop health-related interventions that are equitable, efficacious, and practical in low-resource rural communities. The situation is worsened by the limited opportunities for employment, which leads to greater disparities and creates propagating cultural norms that further reduce access to healthcare and opportunities for sustainable health promotion.

KW - access to care

KW - health disparities

KW - health promotion

KW - rural communities

KW - USA

UR - http://www.scopus.com/inward/record.url?scp=84898938419&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84898938419&partnerID=8YFLogxK

U2 - 10.1177/0017896912471049

DO - 10.1177/0017896912471049

M3 - Article

VL - 73

SP - 285

EP - 294

JO - Health Education Journal

JF - Health Education Journal

SN - 0017-8969

IS - 3

ER -