Rural Health Flashcards

(39 cards)

1
Q

Why are differences in rural and urban areas less significant now?

A
  • transportation

- technology

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2
Q

*The rural-urban continum

A

Remote farm -> Village -> small town -> larger town/city -> large metropolitain area with a care inner city

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3
Q

*Define Metropolitan are

A

Has a core urban area of 50,000 or more

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4
Q

*Define Micropolitan area

A

Has an urban core between 10,000-50,000

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5
Q

Define non-core area

A

No urban core, but has 14,000 residents on average

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6
Q

Define subrbs

A

“doughnut effect”

Areas surrounding an core/inner city

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7
Q

what is the doughnut effect

A

The occurrence of rich suburbs around collapsed inner city

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8
Q

*Define Rural

A
  • Multiple definitions
  • continuum
  • from farm residency to non farm residency and small tows away from others

7-98 people per square mile

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9
Q

*Define Frontier

A

<6 people per square mile

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10
Q

*Population Characteristic of Rural Areas: race

A

More caucasions

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11
Q

*Population Characteristic of Rural Areas: Age

A

Higher portions of younger (<18) and older (>65)

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12
Q

*Population Characteristic of Rural Areas: marrage/

A

More likely married

More likely to be widowed

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13
Q

*Population Characteristic of Rural Areas: socioeconomic

A

more likely to be poor

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14
Q

*Population Characteristic of Rural Areas: Education

A

Fewer years of formal education

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15
Q

*Population Characteristic of Rural Areas: Insurance

A

At risk for being under and un-insured

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16
Q

*Health Status of Rural Residence: Access/Use

A
  • Health professional shortage area
  • Poor access
  • Wait to use a health care service due to distance
17
Q

*Health Status of Rural Residence: Chronic illness

A

higher rates

-more likely to commodities

18
Q

*Health Status of Rural Residence: At risk population

A
  • Children
  • Minorities
  • Migrant workers
  • Pregnant women
19
Q

*Health Status of Rural Residence: Physical

A
  • Elderly, physical limitation
  • Injury, physical limitation
  • Environmental and occupational risk
20
Q

*Barriers to care for rural residence

A
  • Distance
  • Lack of providers
  • Lack or transportation~personal or public
  • Weather
  • Outreach services unavailable
21
Q

*What is telemedicine/telehealth

A

-giving care or tracking status from a different location then the individual

22
Q

*Examples of telehealth

A
  • Video conference
  • phone call
  • fit bit
  • heart monitors
23
Q

*Define migrant farmworker

A

Travels to do farm work

Unable to return to permanent resident within the same day

24
Q

*Define Seasonal farmworker

A

Returns to seasonal resident each day
Does not work year round in agriculture
Works in farming at least 25 days or part-day per year

25
*Migrant workers are at high risk for what conditions?
- Chronic disease - Poor dental health - Mental Health problems - TB - Anemia - Diabetes - HTN - Work injury - Chemical exposure - HIV/AIDS
26
*Things helping migrant workers in access to health care
-Migrant Health Act (1962) ~vital in the creation of migrant health care centers -Migrant health centers
27
*limitations to health care access for migrants
- Lack of knowledge - lack of affordability - Availability of serveses - Transportation - Hours of services - Discrimination - Documentation - Language
28
Occupational health risks for migrant worers
- injuries - chemicals - inadequate surveillance - physical demands
29
Housing issues for migrant workers
- -crowded - lack of showers and laundry - hard to locate and get affordable housing
30
Risk to children and youth of migrant workers
- Malnutrition - infectious disease - Dental - Poor immunization - Pesticides - injuries - social and school life disruptions - obesity - stunting - HTN - anemia
31
Cultural considerations for Mexican migrant workers
- likely to turn to family before health care workers | - listent o folk healers
32
Health values of Mexican communities
- Females are caretakers, males are decision-maers - family has a significant influences - may listen to freind with a similar health problem over the health proffessional - Health may be considered a gift from god
33
*Primary prevention/role r/t migrant workers
- commmunity educator | - signs of pesticide poisoning
34
*secondary prevention/role r/t migrant workers
- Screening and monitoring | - depression, diabetes
35
*Tertiary prevention/role | r/t migrant workers no
n
36
*Vulnerability model related to migrant workers: Behavioral domain
- poor diet and nutrition - high stress and poor coping - Alcohol and drug abuse - activity and rest imbalance
37
*Vulnerability model related to migrant workers: Environmental domain
- Pesticides - Crowded housing - climate/sun
38
*Vulnerability model related to migrant workers: Sociocultural domain
- Underimployment - Poor education - Poor economic status - Uninsured - Poor access to health care
39
*Vulnerability model related to migrant workers: Biological domain
- All ages and genders - Children work - Race and ethnicity; mexican