Rural Population Health and Aging: Toward a Multilevel and Multidimensional Research Agenda for the 2020s
Rural Population Health and Aging: Toward a Multilevel and Multidimensional Research Agenda for the 2020s
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DOI：
10.2105/ajph.2020.305782
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发表时间：
2020-09-01
影响因子：
12.7
通讯作者：
Sliwinski, Martin J.
中科院分区：
文献类型：
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作者：
Jensen, Leif;Monnat, Shannon M.;Sliwinski, Martin J.
农村人口独特的健康和老龄化挑战往往被忽视。事实上，美国农村地区的老年人和病人比例过高，城乡之间和农村内部的死亡率差距很大，而且还在不断扩大，许多农村社区的人口在减少，农村种族/民族的多样性在增加，但农村社区并不是单一的，尽管一些农村地区的健康状况在下降，但其他地方的人口健康状况却有了很大的改善。我们利用这些现实，呼吁在五个领域进行新的研究：首先，需要研究更好地描述农村和城市地区之间的健康差距，因为农村地区不是单一的，整个美国农村地区。其次，需要研究农村人口健康和老龄化趋势如何影响农村社区。第三，需要研究经济福祉和生计战略如何与农村健康和老龄化相互作用。第四，我们需要更好地理解许多农村社区特有的物质和社会隔离对健康的影响。最后，我们主张对当地自然环境和气候变化对农村人口健康和老龄化的影响进行新的研究。
The unique health and aging challenges of rural populations often go unnoticed. In fact, the rural United States is home to disproportionate shares of older and sicker people, there are large and growing rural-urban and within-rural mortality disparities, many rural communities are in population decline, and rural racial/ethnic diversity is increasing.Yet rural communities are not monolithic, and although some rural places are characterized by declining health, others have seen large improvements in population health. We draw on these realities to call for new research in five areas.First, research is needed to better describe health disparities between rural and urban areas and, because rural places are not monolithic, across rural America. Second, research is needed on how trends in rural population health and aging are affecting rural communities. Third, research is needed on the ways in which economic well-being and livelihood strategies interact with rural health and aging. Fourth, we need to better understand the health implications of the physical and social isolation characterizing many rural communities. Finally, we argue for new research on the implications of local natural environments and climate change for rural population health and aging.