Rural definitions for health policy and research

Rural definitions for health policy and research
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DOI:
10.2105/ajph.2004.042432
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发表时间:
2005-07-01
影响因子:
12.7
通讯作者:
Lishner, DM
Lishner, DM
中科院分区:
医学2区
文献类型:
--
作者:
Hart, LG;Larson, EH;Lishner, DM

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对许多人来说,“农村”一词意味着许多东西,如农业景观、孤立、小城镇和低人口密度,然而,为卫生政策和研究目的界定“农村”需要研究人员和政策分析人员具体说明农村的哪些方面与手头的专题最相关,然后选择适当的定义。农村和城市的分类往往没有讨论重要的人口,文化和经济差异在农村地区的差异,有重大影响的政策和研究。还必须考虑地理规模和区域等因素。本文讨论并比较了几种有用的农村分类法,需要仔细关注“农村”的定义,以便有效地针对旨在改善美国农村人健康的政策和研究。
The term "rural" suggests many things to many people, such as agricultural landscapes, isolation, small towns, and low population density.However, defining "rural" for health policy and research purposes requires researchers and policy analysts to specify which aspects of rurality are most relevant to the topic at hand and then select an appropriate definition. Rural and urban taxonomies often do not discuss important demographic, cultural, and economic differences across rural places-differences that have major implications for policy and research. Factors such as geographic scale and region also must be considered.Several useful rural taxonomies are discussed and compared in this article, Careful attention to the definition of "rural" is required for effectively targeting policy and research aimed at improving the health of rural Americans.