Overcoming the triad of rural health disparities: How local culture, lack of economic opportunity, and geographic location instigate health disparities.
Overcoming the triad of rural health disparities: How local culture, lack of economic opportunity, and geographic location instigate health disparities.
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DOI：
10.1177/0017896912471049
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发表时间：
2014-05
影响因子：
1.3
通讯作者：
Snell S
中科院分区：
文献类型：
--
作者：
Thomas TL;DiClemente R;Snell S
讨论文化、经济和地理位置的影响如何相互交叉，形成一个格式塔三位一体，决定农村地区与健康有关的差异。我们对形成当前农村地区与健康有关的差异的确定性三位一体的每个组成部分进行了批判性分析；评估在佐治亚州三个孤立的农村县，与人乳头瘤病毒（HPV）相关的癌症预防相关的这些差异的独特组成交叉点；并发展对未来农村医疗保健研究、政策和实践的领导意义。文化、经济和地理位置的决定性三位一体对农村社区来说是独特的，即使两个农村社区经历同样的健康差距，每个社区也可能有不同的文化、经济和地理决定因素组成。这种决定性的三位一体对卫生政策制定者、研究人员和从业者提出了挑战，他们试图在资源匮乏的农村社区开发公平、有效和实用的卫生干预措施。就业机会有限使情况更加恶化，这导致了更大的差距，并造成了宣传文化规范，进一步减少了获得保健的机会和可持续促进健康的机会。
To discuss how the effects of culture, economy, and geographical location intersect to form a gestalt triad determining health-related disparities in rural areas. We critically profile each component of the deterministic triad in shaping current health-related disparities in rural areas; evaluate the uniquely composed intersections of these disparities in relation to Human Papillomavirus (HPV)-related cancer prevention in three isolated rural Georgia counties; and develop implications for future leadership in rural healthcare research, policy, and practice. The deterministic triad of culture, economy, and geographical location is unique to a rural community, and even if two rural communities experience the same health disparity, each community is likely to have a discretely different composition of cultural, economic, and geographic determinants. The deterministic triad presents a challenge for health policymakers, researchers, and practitioners trying to develop health-related interventions that are equitable, efficacious, and practical in low-resource rural communities. The situation is worsened by the limited opportunities for employment, which leads to greater disparities and creates propagating cultural norms that further reduce access to healthcare and opportunities for sustainable health promotion.
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影响因子：
3.2
作者：
Holt, CL;McClure, SM
通讯作者：
McClure, SM
影响因子：
1.8
作者：
KEARNS, RA
通讯作者：
KEARNS, RA
影响因子：
3.4
作者：
Holmes, GM;Slifkin, RT;Poley, S
通讯作者：
Poley, S
DOI：
10.1080/13691058.2011.600460
发表时间：
2011-10
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Foster ML;Arnold E;Rebchook G;Kegeles SM
通讯作者：
Kegeles SM
DOI：
10.3122/jabfm.2010.02.090091
发表时间：
2010-03-01
影响因子：
2.9
作者：
Ferris, Daron;Horn, Leslie;Waller, Jennifer L.
通讯作者：
Waller, Jennifer L.