Open AccessRural Health Disparities, Population Health, and Rural Culture
Author(s) -
David Hartley
Publication year - 2004
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.94.10.1675
Subject(s) - health equity , rural health , health policy , population health , health care , environmental health , public health , context (archaeology) , race and health , population , health promotion , rural area , economic growth , socioeconomics , geography , medicine , sociology , nursing , economics , archaeology , pathology
In this commentary, I place the maturing field of rural health research and policy in the context of the rural health disparities documented in Health United States, 2001, Urban and Rural Health Chartbook. Because of recent advances in our understanding of the determinants of health, the field must branch out from its traditional focus on access to health care services toward initiatives that are based on models of population health. In addition to presenting distinct regional differences, the chartbook shows a pattern of risky health behaviors among rural populations that suggest a "rural culture" health determinant. This pattern suggests that there may be environmental and cultural factors unique to towns, regions, or United States Department of Agriculture (USDA) economic types that affect health behavior and health.