期刊
HEALTH EDUCATION JOURNAL
卷 73, 期 3, 页码 285-294出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/0017896912471049
关键词
access to care; health disparities; health promotion; rural communities; USA
资金
- NIMHD NIH HHS [L60 MD007217] Funding Source: Medline
- NINR NIH HHS [R03 NR013558] Funding Source: Medline
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 health-related 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.
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