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The U.S. Department of Agriculture Economic Research Service (USDA/ERS) maintains four highly related but distinct geographic classification systems to designate areas by the degree to which they are rural. The original urban-rural code scheme was developed by the ERS in the 1970s. Rural America today is very different from the rural America of 1970 described in the first rural classification report. At that time migration to cities and poverty among the people left behind was a central concern. The more rural a residence, the more likely a person was to live in poverty, and this relationship held true regardless of age or race. Since the 1970s the interstate highway system was completed and broadband was developed. Services have become more consolidated into larger centers. Some of the traditional rural industries, farming and mining, have prospered, and there has been rural amenity-based in-migration. Many major structural and economic changes have occurred during this period. These factors have resulted in a quite different rural economy and society since 1970. In April 2015, the Committee on National Statistics convened a workshop to explore the data, estimation, and policy issues for rationalizing the multiple classifications of rural areas currently in use by the Economic Research Service (ERS). Participants aimed to help ERS make decisions regarding the generation of a county rural-urban scale for public use, taking into consideration the changed social and economic environment. This report summarizes the presentations and discussions from the workshop.
In a 2004 study by the Annie E. Casey, Ford, and Rockefeller Foundations it was reported that a large number of American families are currently faring poorly in their struggle to provide for themselves. Low-income and poor families were found to contain one-third of all of the children in American working families. Low-wage jobs without benefits mean that families at or below the poverty line live a precarious existence. This four-volume set is designed to reveal, explicate, analyze, and assess the effects of an inadequate income on children. Each volume contains original essays written by an interdisciplinary roster of contributors. The first volume, Children and the State addresses policy and legislation that affect low-income families. One issue that is considered in this volume is the lack of a national housing policy in the United States. The second volume, Health and Medical Issues includes discussions on the status of Medicaid, the lack of mental health services available for low-income families, and the difficult-to-access healthcare for the rural poor. Volume three, Families and Children explores the effects of welfare reform, especially the issue of childcare and the increased work expectations of parents. Other compelling topics in this volume include low-income families and the Family and Medical Leave Act, poor children and the internet, and the increase in economic insecurity among low-income families who increasingly live on credit. In the final volume, The Promise of Education, universal pre-kindergarten, Head Start, and the education of immigrant children are all explored.
Health services are often fragmented along organizational lines with limited communication among the public health–related programs or organizations, such as mental health, social services, and public health services. This can result in disjointed decision making without necessary data and knowledge, organizational fragmentation, and disparate knowledge development across the full array of public health needs. When new questions or challenges arise that require collaboration, individual public health practitioners (e.g., surveillance specialists and epidemiologists) often do not have the time and energy to spend on them. Smart Use of State Public Health Data for Health Disparity Assessment promotes data integration to aid crosscutting program collaboration. It explains how to maximize the use of various datasets from state health departments for assessing health disparity and for disease prevention. The authors offer practical advice on state public health data use, their strengths and weaknesses, data management insight, and lessons learned. They propose a bottom-up approach for building an integrated public health data warehouse that includes localized public health data. The book is divided into three sections: Section I has seven chapters devoted to knowledge and skill preparations for recognizing disparity issues and integrating and analyzing local public health data. Section II provides a systematic surveillance effort by linking census tract poverty to other health disparity dimensions. Section III provides in-depth studies related to Sections I and II. All data used in the book have been geocoded to the census tract level, making it possible to go more local, even down to the neighborhood level.
"[A] welcome addition to the rural health care practitioner's tool kit. It will energize those interested in vulnerable rural residents and their unique characteristics through a public health perspective... Highly recommended."--CHOICE: Current Reviews for Academic Libraries "This call to action for healthcare providers is a comprehensive review of issues in rural healthcare, including both obstacles and ways to begin to overcome them. It is easy to read... This enjoyable book encourages healthcare providers working or considering working in rural healthcare with clear direction."--Doody's Medical Reviews "The Warren & Smalley book is an excellent look at the challenges while also presenting solutions and hope. It recognizes the medical challenges that are present and the cost of bring medical care to these communities... There is so much in this book that will be refreshing and encouraging. The book needs to be read. It is also a book that needs to be placed in the hands of the movers and shakers, as well other interested parties who are in a position to 'make this happen.'" -- Illness, Crisis & Loss Rural residents face distinct health challenges due to economic conditions, cultural/behavioral factors, and health provider shortages that combine to impose striking disparities in health outcomes among rural populations. This comprehensive text about the issues of rural public health is the only book to focus on rural health from the perspectives of public health and prevention. It covers specific diseases and disorders faced by rural populations, service delivery challenges, practitioner shortfalls in rural areas, and promising community health approaches and preventive measures. The text also addresses rural health care ethics and international perspectives. Nearly all chapters offer best practice recommendations and evidence-based prevention programs. This book is a cohesive, centralized resource for researchers, public health practitioners, health organizations, and graduate education programs that focus on the public health of rural populations. Key Features: Comprises the only text to address rural health from the perspectives of public health and prevention Includes best practice recommendations and evidence-based prevention programs in each chapter Presents a cohesive, expansive synthesis of current research and practice Addresses specific diseases and disorders of rural populations, service delivery problems, and practitioner shortfalls in rural areas Discusses promising community health approaches and preventative measures
Gregory M. Fulkerson offers a complete portrait of what communities are, how they work, and how they are embedded in urban–rural systems at regional, national, and global scales. After explaining the concept of urban–rural systems, Fulkerson walks through the central dynamics of environmental demography, political economy, culture, social interaction, the built environment, and community connections. His focus on urban–rural systems ensures that communities are understood as nodes within a network, overcoming the tendency to view them as self-contained. Each chapter in Community in Urban–Rural Systems: Theory, Planning, and Development offers a blend of classical and contemporary theories and concludes with relevant planning considerations. An additional chapter on community development provides strategies for translating planning considerations into action. The conclusion offers insights into long-term principles of community sustainability and justice.