Achieving Rural Health Equity and Well-Being

Achieving Rural Health Equity and Well-Being

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-10-17

Total Pages: 95

ISBN-13: 0309469058

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Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.


Dangerous Exits

Dangerous Exits

Author: Walter DeKeseredy

Publisher: Rutgers University Press

Published: 2009-05-28

Total Pages: 185

ISBN-13: 0813548608

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Decade after decade, violence against women has gained more attention from scholars, policy makers, and the general public. Social scientists in particular have contributed significant empirical and theoretical understandings to this issue. Strikingly, scant attention has focused on the victimization of women who want to leave their hostile partners. This groundbreaking work challenges the perception that rural communities are safe havens from the brutality of urban living. Identifying hidden crimes of economic blackmail and psychological mistreatment, and the complex relationship between patriarchy and abuse, Walter S. DeKeseredy and Martin D. Schwartz propose concrete and effective solutions, giving voice to women who have often suffered in silence.


Rebuilding the Unity of Health and the Environment in Rural America

Rebuilding the Unity of Health and the Environment in Rural America

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2006-02-28

Total Pages: 116

ISBN-13: 0309180570

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Throughout much of its history, the United States was predominantly a rural society. The need to provide sustenance resulted in many people settling in areas where food could be raised for their families. Over the past century, however, a quiet shift from a rural to an urban society occurred, such that by 1920, for the first time, more members of our society lived in urban regions than in rural ones. This was made possible by changing agricultural practices. No longer must individuals raise their own food, and the number of person-hours and acreage required to produce food has steadily been decreasing because of technological advances, according to Roundtable member James Merchant of the University of Iowa. The Institute of Medicine's Roundtable on Environmental Health Science, Research, and Medicine held a regional workshop at the University of Iowa on November 29 and 30, 2004, to look at rural environmental health issues. Iowa, with its expanse of rural land area, growing agribusiness, aging population, and increasing immigrant population, provided an opportunity to explore environmental health in a region of the country that is not as densely populated. As many workshop participants agreed, the shifting agricultural practices as the country progresses from family operations to large-scale corporate farms will have impacts on environmental health. This report describes and summarizes the participants' presentations to the Roundtable members and the discussions that the members had with the presenters and participants at the workshop.


Dignity

Dignity

Author: Chris Arnade

Publisher: Penguin

Published: 2019-06-04

Total Pages: 306

ISBN-13: 0525534733

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NATIONAL BESTSELLER "A profound book.... It will break your heart but also leave you with hope." —J.D. Vance, author of Hillbilly Elegy "[A] deeply empathetic book." —The Economist With stark photo essays and unforgettable true stories, Chris Arnade cuts through "expert" pontification on inequality, addiction, and poverty to allow those who have been left behind to define themselves on their own terms. After abandoning his Wall Street career, Chris Arnade decided to document poverty and addiction in the Bronx. He began interviewing, photographing, and becoming close friends with homeless addicts, and spent hours in drug dens and McDonald's. Then he started driving across America to see how the rest of the country compared. He found the same types of stories everywhere, across lines of race, ethnicity, religion, and geography. The people he got to know, from Alabama and California to Maine and Nevada, gave Arnade a new respect for the dignity and resilience of what he calls America's Back Row--those who lack the credentials and advantages of the so-called meritocratic upper class. The strivers in the Front Row, with their advanced degrees and upward mobility, see the Back Row's values as worthless. They scorn anyone who stays in a dying town or city as foolish, and mock anyone who clings to religion or tradition as naïve. As Takeesha, a woman in the Bronx, told Arnade, she wants to be seen she sees herself: "a prostitute, a mother of six, and a child of God." This book is his attempt to help the rest of us truly see, hear, and respect millions of people who've been left behind.


Ditch the City and Go Country

Ditch the City and Go Country

Author: Alissa Hessler

Publisher: Page Street Publishing

Published: 2017-07-18

Total Pages: 593

ISBN-13: 1624144101

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The No-Nonsense Guide For Country Dreamers Though moving to the country takes determination, every ex-urbanite says it was the best decision they ever made. The same rings true for Alissa Hessler, who relocated from Seattle to rural Maine years ago and has never looked back. In this book she uses her wit, charm and experience to help you chart a path to successful country living. Ditch the City and Go Country covers the ins and outs of how to find a home, how to keep your current job remotely or where to look for a new one, how to own livestock and prepare for disasters, how to make a smooth transition and become a part of your new community and how to embrace the seasons. With this must-have guide, you’ll be able to stop daydreaming and finally live the life you’ve always wanted in the country. Alissa Hessler was inspired to launch her blog Urban Exodus after relocating to Maine in 2011. She has been featured in Modern Farmer, Popular Photography, Click Magazine and Maine Home.


Starting A New Life In Rural America

Starting A New Life In Rural America

Author: Ragnar Benson

Publisher: Paladin Press

Published: 2006-01-01

Total Pages: 194

ISBN-13: 9781581604931

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Has the threat of urban terrorism, debacles like the disastrous response to Hurricane Katrina in New Orleans or just the general hassle of city life got you thinking about moving to the country? Good idea, but before you pull up stakes, here's a chance to learn about some of the realities of rural living that you might never have faced in your city or suburban home. Ragnar Benson grew up on a farm and has lived in the sticks for decades, and he has helped dozens of transplants settle into their new homes in the country. Now he has gathered his advice into this handy familiarization manual to introduce you to some of the issues you need to know about life in rural communities. Get an informed head-start on the adventure, independence and tranquility of a new life in rural America.


Small-Town America

Small-Town America

Author: Robert Wuthnow

Publisher: Princeton University Press

Published: 2015-05-26

Total Pages: 518

ISBN-13: 0691165823

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A revealing examination of small-town life More than thirty million Americans live in small, out-of-the-way places. Many of them could have joined the vast majority of Americans who live in cities and suburbs. They could live closer to more lucrative careers and convenient shopping, a wider range of educational opportunities, and more robust health care. But they have opted to live differently. In Small-Town America, we meet factory workers, shop owners, retirees, teachers, clergy, and mayors—residents who show neighborliness in small ways, but who also worry about everything from school closings and their children's futures to the ups and downs of the local economy. Drawing on more than seven hundred in-depth interviews in hundreds of towns across America and three decades of census data, Robert Wuthnow shows the fragility of community in small towns. He covers a host of topics, including the symbols and rituals of small-town life, the roles of formal and informal leaders, the social role of religious congregations, the perception of moral and economic decline, and the myriad ways residents in small towns make sense of their own lives. Wuthnow also tackles difficult issues such as class and race, abortion, homosexuality, and substance abuse. Small-Town America paints a rich panorama of individuals who reside in small communities, finding that, for many people, living in a small town is an important part of self-identity.


Rationalizing Rural Area Classifications for the Economic Research Service

Rationalizing Rural Area Classifications for the Economic Research Service

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-02-05

Total Pages: 191

ISBN-13: 0309380561

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The U.S. Department of Agriculture Economic Research Service (USDA/ERS) maintains four highly related but distinct geographic classification systems to designate areas by the degree to which they are rural. The original urban-rural code scheme was developed by the ERS in the 1970s. Rural America today is very different from the rural America of 1970 described in the first rural classification report. At that time migration to cities and poverty among the people left behind was a central concern. The more rural a residence, the more likely a person was to live in poverty, and this relationship held true regardless of age or race. Since the 1970s the interstate highway system was completed and broadband was developed. Services have become more consolidated into larger centers. Some of the traditional rural industries, farming and mining, have prospered, and there has been rural amenity-based in-migration. Many major structural and economic changes have occurred during this period. These factors have resulted in a quite different rural economy and society since 1970. In April 2015, the Committee on National Statistics convened a workshop to explore the data, estimation, and policy issues for rationalizing the multiple classifications of rural areas currently in use by the Economic Research Service (ERS). Participants aimed to help ERS make decisions regarding the generation of a county rural-urban scale for public use, taking into consideration the changed social and economic environment. This report summarizes the presentations and discussions from the workshop.


Heartland

Heartland

Author: Sarah Smarsh

Publisher: Scribner

Published: 2019-09-03

Total Pages: 320

ISBN-13: 1501133101

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*Finalist for the National Book Award* *Finalist for the Kirkus Prize* *Instant New York Times Bestseller* *Named a Best Book of the Year by NPR, New York Post, BuzzFeed, Shelf Awareness, Bustle, and Publishers Weekly* An essential read for our times: an eye-opening memoir of working-class poverty in America that will deepen our understanding of the ways in which class shapes our country and “a deeply humane memoir that crackles with clarifying insight”.* Sarah Smarsh was born a fifth generation Kansas wheat farmer on her paternal side, and the product of generations of teen mothers on her maternal side. Through her experiences growing up on a farm thirty miles west of Wichita, we are given a unique and essential look into the lives of poor and working class Americans living in the heartland. During Sarah’s turbulent childhood in Kansas in the 1980s and 1990s, she enjoyed the freedom of a country childhood, but observed the painful challenges of the poverty around her; untreated medical conditions for lack of insurance or consistent care, unsafe job conditions, abusive relationships, and limited resources and information that would provide for the upward mobility that is the American Dream. By telling the story of her life and the lives of the people she loves with clarity and precision but without judgement, Smarsh challenges us to look more closely at the class divide in our country. Beautifully written, in a distinctive voice, Heartland combines personal narrative with powerful analysis and cultural commentary, challenging the myths about people thought to be less because they earn less. “Heartland is one of a growing number of important works—including Matthew Desmond’s Evicted and Amy Goldstein’s Janesville—that together merit their own section in nonfiction aisles across the country: America’s postindustrial decline...Smarsh shows how the false promise of the ‘American dream’ was used to subjugate the poor. It’s a powerful mantra” *(The New York Times Book Review).