Rural health disparities, population health, and rural culture
Rural health disparities, population health, and rural culture
复制标题
DOI：
10.2105/ajph.94.10.1675
复制
发表时间：
2004-10-01
影响因子：
12.7
通讯作者：
Hartley, D
中科院分区：
文献类型：
--
作者：
Hartley, D
在这篇评论中，我把成熟的农村卫生研究和政策领域放在2001年《健康美国》《城乡卫生图表》中记录的农村健康差距的背景下。由于我们对健康决定因素的理解最近取得了进展，该领域必须从传统的对获得卫生保健服务的关注扩展到基于人口健康模型的倡议。除了展示明显的地区差异外，该图表还显示了农村人口中危险健康行为的模式，这表明了一种“农村文化”健康决定因素。这种模式表明，可能存在城镇、地区或美国农业部(USDA)经济类型特有的环境和文化因素，影响健康行为和健康。
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.