4.4 Article

Racial and Ethnic Differences in Self-Rated Health Among Rural Residents

期刊

JOURNAL OF COMMUNITY HEALTH
卷 46, 期 2, 页码 434-440

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SPRINGER
DOI: 10.1007/s10900-020-00914-9

关键词

Rural; Structural racism; Race and ethnicity; Self-rated health

资金

  1. Federal Office of Rural Health Policy (FORHP), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS) under PHS Grant [5U1CRH03717]

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This study found that non-Hispanic Black and American Indian rural residents have poorer self-rated health compared to their non-Hispanic White counterparts, and these differences cannot be fully explained by socio-demographic characteristics. Disparities still exist for non-Hispanic Black rural residents even after adjusting for individual characteristics.
This study examines racial and ethnic differences in self-rated health among rural residents and whether these differences can be explained by socio-demographic characteristics. We used data from the 2011-2017 National Health Interview Survey to assess differences in self-rated health by race and ethnicity among rural residents (living in non-metropolitan counties; n = 46,883). We used logistic regression analyses to estimate the odds of reporting fair/poor health after adjusting for individual socio-demographic characteristics. Non-Hispanic Black and American Indian rural residents reported worse self-rated health than their non-Hispanic White counterparts (25.8% and 20.8% reporting fair/poor health, respectively, vs. 14.8%; p < 0.001). After adjusting for socio-demographic characteristics, disparities remained for non-Hispanic Black rural residents (Adjusted Odds Ratio = 1.55; 95% CI 1.36, 1.76). This study suggests more attention is required to address inequities among rural people and to develop policies to address structural racism and improve the health of all rural residents.

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