13 Flashcards
(31 cards)
the urbanization of industrialized nations has shifted the dominant lifestyle from
rural to urban
as a result of urbanization a stark gap in _____ and ____ have emerged between rural communities and their urban counterparts
risk factors
health status
rural population is
less well of than urban population (respect to health)
experienec higher rates of chronic conditions and activity limitations
more likely to be uninsured
less likely to receive some types of healthcare
definitions of rurality
population size
population density
proximity to urban centers
proximity of healthcare
qualitative factors of rurality
strong ties to agriculture
prominent role of religion
remoteness
isolation
self-reliance
behavioral norms
health stigma (mental health)
rural health disparities
shorter life expectancy
increased risk of death from stroke and heart disease
fewer doctors/hospitals
higher rates of tobacco use/HBP/diabetes
less access to healthy food
poverty
deaths of despair
low access to healthcare
obesity
mental and behavioral health
one of the largest focal areas for those working on health equity and social justice because of its pervasive effect on the ability to achieve and maintain health
poverty
CDC documented that the rates of deaths from suicide and substance use has _______ more sharply in rural areas compared to urban areas
risen
85% of ______ professional shortage areas are located in rural regions
mental health professional
_______ and ________ makes seeking mental healthcare less likely compared to urban areas
stigma
lack of anonymity
rural youth at increased risk for ________
substance use
substances
tobacco
alcohol
prescription drugs
inhalants
marijuana
meth
cocaine
________ death by suicide than in urban areas
higher
40% of rural residents with mental illness have a comorbid ______
substance use disorder
risk factors for rural suicide
increased access to lethal means
social isolation
mental health stigma
limited access to mental health services
rural children and adults _____ likely to be obese than urban counterparts
more
rural areas have higher rates of _____ and _____ from cardiovascular diseases
hypertension and death
Appalachian residents exhibit high rates of _____ and ______
stroke and heart attack
rural south core of “_________”
diabetes belt
three core factors impacting health in rural areas
availability
accessibility
acceptability
rural residents less likely to receive
annual physical
preventative care
routine screenings (cholesterol and cancer)
largest barriers in access to healthcare
health insurance coverage
availability of local PCP and specialists
transportation challenges
compared to their urban counterparts, rural residents are more likely to be (insurance wise)
uninsured
on public insurance programs
underinsured
coverage disparities attributed to several factors
residents more likely to be older
increased likelihood of living in poverty
large proportion of workforce is self-employed (e.g. farmer)
large proportion of workforce employed by small businesses that do not offer health insurance
