The southern rural health and mortality penalty: A review of regional health inequities in the United States.

The southern rural health and mortality penalty: A review of regional health inequities in the United States.
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DOI:
10.1016/j.socscimed.2020.113443
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发表时间:
2021-01
期刊:
Social science & medicine (1982)
影响因子:
--
通讯作者:
Vasan RS
Vasan RS
中科院分区:
其他
文献类型:
--
作者:
Miller CE;Vasan RS

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美国各地城乡发病率和死亡率的差异已有详细记录,并被称为“农村死亡惩罚”。然而,研究往往把农村地区作为同质的,往往没有考虑到地理空间的差异,农村健康风险的县,州,地区,种族和性别在美国。此外,生活在美国南部农村的人与城市和其他农村地区相比,发病率和死亡率更高。在那些生活在南部农村社区的人中,与白色人口相比,有色人种的死亡率和疾病率更高。虽然有大量的研究使用个人层面的行为来解释城乡健康差异,但很少关注社区和结构因素如何影响这些差异。这篇综述集中在“南部农村健康惩罚”,作者创造的一个术语,这是指在美国南部农村地区的死亡率和发病率高城市地区和非南部农村地区相比。我们用健康的宏观社会决定因素来解释“南方农村健康惩罚”的可能原因。这篇综述可以指导未来的研究在美国南部和非南部人口之间的农村健康和健康的宏观社会决定因素可以解释南部农村人口的健康差异。
Rural-urban differences in morbidity and mortality across the United States have been well documented and termed the “rural mortality penalty”. However, research studies frequently treat rural areas as homogeneous and often do not account for geospatial variability in rural health risks by both county, state, region, race, and sex within the United States. Additionally, people living in the rural South of the US have higher rates of morbidity and mortality compared to both their urban counterparts and other rural areas. Of those living in southern rural communities, people of color experience higher rates of death and disease compared to white populations. Although there is a wealth of research that uses individual-level behaviors to explain rural-urban health disparities, there is less focus on how community and structural factors influence these differences. This review focuses on the “southern rural health penalty”, a term coined by the authors, which refers to the high rate of mortality and morbidity in southern rural areas in the USA compared to both urban areas and non-southern rural places. We use macrosocial determinants of health to explain possible reasons for the “southern rural health penalty”. This review can guide future research on rural health between southern and non-southern populations in the US and examine if macrosocial determinants of health can explain health disparities within southern rural populations.
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