Milkove, Daniel L.; And Others
Problem farm debts may translate into slow growth for rural communities, with local banks unable to offer credit even to credit worthy borrowers. Communities served by branches of large banking organizations are probably better off than communities served only by small independent banks. (Author)
Montgomery, Jim C., Ed.; Kitchenham, Andrew D., Ed.
This proceedings of a conference held in May 2000 at Malaspina University-College (British Columbia) contains approximately 63 conference papers, abstracts of papers, and keynote speeches. The conference examined issues affecting rural communities, with major themes being rural education, health, human services, families, and the sustainability of…
Abstract Shucksmith (2012) has recently suggested that rural research might be refreshed by incorporating theoretical insights that have emerged through a renewal of class analysis. This article seeks to advance this proposed research agenda by exploring the concept of asset‐based class analysis and its association with the concept of social capital. The article explores connections between social capital, class analysis and understandings of community, noting how all have been associated with long running and unresolved debates. Attention is drawn to the problems of modernist legislative approaches to these debates and the value of adopting more interpretive perspectives. A distinction between ‘infrastructural’ and ‘culturalist’ interpretations of social capital is explored in relation to ‘asset‐based’ theorisations of class and culture. It is argued that an infrastructural conception of social capital might usefully be employed in association with a disaggregated conception of cultural capital that includes consideration of emotion and affect, as well as institutional, objectified and technical assets. These arguments are explored using studies of rural communities, largely within Britain. PMID:27563158
Supporting Sustainable Rural Communities summarizes the findings of a work group of EPA, HUD, DOT, and USDA and creates a framework for the Partnership for Sustainable Communities’ future work with rural communities.
McWhinney, Sharon; McDonald, Andrea; Dawkins-Moultin, Lenna; Outley, Corliss; McKyer, E. Lisako; Thomas, Audrene
A comprehensive understanding of the barriers inhibiting physical activity among children is critical in the fight against childhood obesity. This qualitative interview study examined parents' and children's perceptions of the barriers to physical activity in rural communities of low socioeconomic status. Parents and children concurred that the…
Presentation about creating sustainable rural communities discussing principles, energy efficiency, water quality, waste, business, building improvements and restoration, transportation, and green building.transportation, and green building.
SALEHI ZALANI, Gholamhossein; BAYAT, Mahboubeh; SHOKRI, Azad; MIRBAHAEDDIN, S. Elmira; RASI, Vahid; ALIREZAEI, Samira; MANAFI, Fatemeh
Background: This study aimed to use a mixed-method approach to investigate affecting factors on the performance of Community Health Workers (CHW) in Iran’s villages. Methods: This study was conducted during 2014–2015 with a mixed method in three phases of literature review, Delphi technique and developing a rich picture. Overall, in order to finalize the affecting factors and their relationships between qualitative content analysis, Delphi technique, AHP technique and Focus Group Discussion were used, respectively. Results: Affecting factors on CHW performance were divided into four main categories, 10 sub-themes and 35 contents. Increase in the level of people’s awareness, disease patterns, demographic structure and lifestyle were placed in four priorities respectively on the basis of importance. Conclusion: To the most extent CHW cannot face current needs of rural communities. It challenges equitable access to healthcare services and also conflicts with the primary philosophy of CHW presence in rural areas. CHW can be used in two forms; either as an assistant to rural family physicians or with the same previous functions. PMID:28032057
Young-Lorion, Julia; Davis, Melinda M.; Kirks, Nancy; Hsu, Anna; Slater, Jana Kay; Rollins, Nancy; Aromaa, Susan; McGinnis, Paul
The Community Health Improvement Partnership (CHIP) model has supported community health development in more than 100 communities nationally. In 2011, four rural Oregon CHIPs collaborated with investigators from the Oregon Rural Practice-based Research Network (ORPRN), a component of the Oregon Clinical and Translational Research Institute (OCTRI), to obtain training on research methods, develop and implement pilot research studies on childhood obesity, and explore matches with academic partners. This article summarizes the experiences of the Lincoln County CHIP, established in 2003, as it transitioned from CHIP to Community Health Improvement and Research Partnership (CHIRP). Our story and lessons learned may inform rural community-based health coalitions and academicians who are engaged in or considering Community-based participatory research (CBPR) partnerships. Utilizing existing infrastructure and relationships in community and academic settings provides an ideal starting point for rural, bidirectional research partnerships. PMID:24056513
Hall, Mark; Nimmo, Dale; Bennett, Andrew F
In agricultural regions worldwide, linear networks of vegetation such as hedges, fencerows and live fences provide habitat for plant and animal species in heavily modified landscapes. In Australia, networks of remnant native vegetation along roadsides are a distinctive feature of many rural landscapes. Here, we investigated the richness and composition of woodland-dependent bird communities in networks of eucalypt woodland vegetation along roadsides, in an agricultural region in which >80% of native woodland and forest vegetation has been cleared. We stratified sites in a) cross sections and b) linear strips of roadside vegetation, to test the influence on woodland birds of site location and configuration in the linear network (the 'intersection effect'). We also examined the influence of tree size at the site, the amount of wooded vegetation surrounding the site, and the abundance of an aggressive native species, the noisy miner Manorina melanocephala. Birds were surveyed at 26 pairs of sites (cross section or linear strip) on four occasions. A total of 66 species was recorded, including 35 woodland species. The richness of woodland bird species was influenced by site configuration, with more species present at cross sections, particularly those with larger trees (>30 cm diameter). However, the strongest influence on species richness was the relative abundance of the noisy miner. The richness of woodland birds at sites where noisy miners were abundant was ~20% of that where miners were absent. These results recognise the value of networks of roadside vegetation as habitat for woodland birds in depleted agricultural landscapes; but highlight that this value is not realised for much of this vast vegetation network because of the dominance of the noisy miner. Nevertheless, roadside vegetation is particularly important where the configuration of networks create nodes that facilitate movement. Globally, the protection, conservation and restoration of such linear
Hall, Mark; Nimmo, Dale; Bennett, Andrew F.
In agricultural regions worldwide, linear networks of vegetation such as hedges, fencerows and live fences provide habitat for plant and animal species in heavily modified landscapes. In Australia, networks of remnant native vegetation along roadsides are a distinctive feature of many rural landscapes. Here, we investigated the richness and composition of woodland-dependent bird communities in networks of eucalypt woodland vegetation along roadsides, in an agricultural region in which >80% of native woodland and forest vegetation has been cleared. We stratified sites in a) cross sections and b) linear strips of roadside vegetation, to test the influence on woodland birds of site location and configuration in the linear network (the ‘intersection effect’). We also examined the influence of tree size at the site, the amount of wooded vegetation surrounding the site, and the abundance of an aggressive native species, the noisy miner Manorina melanocephala. Birds were surveyed at 26 pairs of sites (cross section or linear strip) on four occasions. A total of 66 species was recorded, including 35 woodland species. The richness of woodland bird species was influenced by site configuration, with more species present at cross sections, particularly those with larger trees (>30 cm diameter). However, the strongest influence on species richness was the relative abundance of the noisy miner. The richness of woodland birds at sites where noisy miners were abundant was ~20% of that where miners were absent. These results recognise the value of networks of roadside vegetation as habitat for woodland birds in depleted agricultural landscapes; but highlight that this value is not realised for much of this vast vegetation network because of the dominance of the noisy miner. Nevertheless, roadside vegetation is particularly important where the configuration of networks create nodes that facilitate movement. Globally, the protection, conservation and restoration of such linear
Visits to nine of the smallest rural elementary schools in Colorado were conducted to gain insights into types of communities served by the schools. No one definition of "rural" covered all nine communities, so they were classified into six types: predominantly agricultural, rural industrial, stable recreational, ranching/railraod, rural…
During the past two decades, rural America has undergone substantial restructuring that affects both rural education and prospects for rural economic development. Rural restructuring has made rural America more economically dependent and more economically and socially diverse, has replaced relatively autonomous communities with regional units of…
Ganasegeran, Kurubaran; Rajendran, Anantha Kumar; Al-Dubai, Sami Abdo Radman
Introduction The use of complementary and alternative medicine (CAM) as a source of cure has gained much spectrum worldwide, despite skeptics and advocates of evidence-based practice conceptualized such therapies as human nostrum. Objective This study aimed to explore the factors affecting CAM use among rural communities in Malaysia. Methods A cross-sectional study was carried out on 288 occupants across four rural villages within the District of Selama, Perak, Malaysia. A survey that consisted of socio-economic characteristics, history of CAM use and the validated Holistic Complementary and Alternative Medicine Questionnaire (HCAMQ) were used. Results The prevalence of self-reported CAM use over the past one year was 53.1%. Multiple logistic regression analyses yielded three significant predictors of CAM use: monthly household income of less than MYR 2500, higher education level, and positive attitude towards CAM. Conclusion Psycho-socioeconomic factors were significantly associated with CAM use among rural communities in Malaysia. PMID:25375256
Hirsh, Michael; Wootton, J.S.C.
Recruitment of physicians for rural communities is a continuing problem in Canada. Medical schools can be involved through preferential admission policies. Departments of family medicine across the country are including on-site training in rural communities and are seeking to improve their rural program curriculum. The McGill rural program is described from its origins to its present state. A rural coordinator oversees 12 sites at which both residents and students are trained. One site at Shawville, Que, is described from a rural physician's point of view. Imagesp2011-ap2012-ap2014-a PMID:21233945
Williams, Mitchell R.; Pennington, Kevin L.; Couch, Gene; Dougherty, Michael A.
A limited number of universities offer graduate programs that focus specifically on preparing rural community college leaders. At the same time, community colleges are facing projections of unprecedented turnover in both administrative and instructional leadership. The rural community college is a unique educational institution which faces…
Harmon, Hobart; Howley, Craig; Smith, Charles; Dickens, Ben
School improvement in rural places cannot succeed without attention to the rural context of learning. Most especially, smaller schools need to be preserved and sustained in rural areas, particularly impoverished communities, for the sake of student achievement and personal development. This school improvement tool suggests the character of a "good…
Taylor, Henry L.
Problems in rural communities stem from the steady downtrend of employment in agriculture, forestry, and mining, while gains in non-farm industries have not been sufficient to offset this decline and provide jobs for a growing rural labor force. There is an increasing deficit of talent in rural areas due to urban migration. The overall strategy to…
Al-Dubai, Sami Abdo Radman; Ganasegeran, Kurubaran; Mohanad Rahman, Alwan; Alshagga, Mustafa Ahmed; Saif-Ali, Riyadh
Dengue fever is a major public health problem in Malaysia. This study aimed to assess factors affecting knowledge, attitudes, and practices regarding dengue fever among a selected population in Malaysia. A descriptive, community-based, cross sectional study was conducted with 300 participants from three different geographical settings in urban, semi-urban, and rural areas within the states of Selangor and Kuala Lumpur. The questionnaire included questions on demographic data, knowledge, attitudes, and practices regarding dengue fever. Mean age of respondents was 34.4 (+/- 5.7) years, and the age ranged from 18 to 65 years. The majority of respondents were married (54.7%), Malays (72.7%) and heard about dengue fever (89.7%). Television was the common source of information about dengue fever (97.0%). Participants answered 4 out of 15 items of knowledge incorrectly. There was no significant association between knowledge score and socio-demographic factors. About one-fifth of the respondents (24%) believed that immediate treatment is not necessary for dengue fever, and the majority of them were not afraid of the disease (96.0%). Attitudes toward dengue fever were significantly associated with the level of education and employment status (p < 0.05). Practice was associated significantly with age, marital status, and geographic area (p < 0.05) and knowledge on dengue fever (p = 0.030). There is a need to increase health promotion activities through campaigns and social mobilization to increase knowledge regarding dengue fever. This would help to mold positive attitudes and cultivate better preventive practices among the public to eliminate dengue in the country.
Federal Resources for Sustainable Rural Communities (2012) highlights federal resources rural communities can use to promote economic competitiveness, protect healthy environments, and enhance quality of life.
Rural Policy Matters, 1999
This document consists of the 10 issues of the newsletter Rural Policy Matters published in 1999. The newsletter seeks to promote understanding of the complex issues affecting rural schools and communities, to inform the public debate over rural education policy, and to report what rural people are doing to shape education policy in their state.…
Ayode, Desta; McBride, Colleen M; de Heer, Hendrik; Watanabe, Emi; Gebreyesus, Tsega; Tadele, Getnet; Tora, Abebayehu; Davey, Gail
Little is known about how beliefs about heredity as a cause of health conditions might influence preventive and interpersonal behaviors among those individuals with low genetic and health literacy. We explored causal beliefs about podoconiosis, a neglected tropical disease (NTD) endemic in Ethiopia. Podoconiosis clusters in families but can be prevented if individuals at genetically high risk wear shoes consistently. Adults (N = 242) from four rural Ethiopian communities participated in qualitative assessments of beliefs about the causes of podoconiosis. Heredity was commonly mentioned, with heredity being perceived as (1) the sole cause of podoconiosis, (2) not a causal factor, or (3) one of multiple causes. These beliefs influenced the perceived controllability of podoconiosis and in turn, whether individuals endorsed preventive and interpersonal stigmatizing behaviors. Culturally informed education programs that increase the perceived controllability of stigmatized hereditary health conditions like podoconiosis have promise for increasing preventive behaviors and reducing interpersonal stigma.
AID's prevention efforts can benefit from taking into account 5 main aspects (KEPRA) of community structure identified by anthropologists: 1) kinship patterns, 2) economics, 3) politics, 4) religion, and 5) associations. For example, in Uganda among the Basoga and paternal aunt or senga is responsible for female sex education. Such culturally determined patterns need to be targeted in order to enhance education and effectiveness. Economics can reflect differing systems of family support through sexual means. The example given involves a poor family with a teenager in Thailand who exchanges a water buffalo or basic necessity for this daughter's prostitution. Politics must be considered because every society identifies people who have the power to persuade, influence, exchange resources, coerce, or in some way get people to do what is wanted. Utilizing these resources whether its ministers of health, factory owners, or peers is exemplified in the Monterey, Mexico factor floor supervisor and canteen worker introducing to workers the hows and whys of a new AID's education program. His peer status will command more respect than the director with direct authority. Religious beliefs have explanations for causes of sickness or disease, or provide instruction in sex practices. The example given is of a health workers in Uganda discussing AIDS with rural women by saying that we all know that disease and deaths are caused by spells. "But not AIDS - slim. AIDS is different." Associations can help provide educational, economic, and emotional assistance to the AID's effort or families affected.
Whittall, Dawn; Lee, Susan; O'Connor, Margaret
To review factors shaping volunteering in palliative care in Australian rural communities using Australian and International literature. Identify gaps in the palliative care literature and make recommendations for future research. A comprehensive literature search was conducted using Proquest, Scopus, Sage Premier, Wiley online, Ovid, Cochran, Google Scholar, CINAHL and Informit Health Collection. The literature was synthesised and presented in an integrated thematic narrative. Australian Rural communities. While Australia, Canada, the United States (US) and the United Kingdom (UK) are leaders in palliative care volunteer research, limited research specifically focuses on volunteers in rural communities with the least occurring in Australia. Several interrelated factors influence rural palliative care provision, in particular an increasingly ageing population which includes an ageing volunteer and health professional workforce. Also current and models of palliative care practice fail to recognise the innumerable variables between and within rural communities such as distance, isolation, lack of privacy, limited health care services and infrastructure, and workforce shortages. These issues impact palliative care provision and are significant for health professionals, volunteers, patients and caregivers. The three key themes of this integrated review include: (i) Geography, ageing rural populations in palliative care practice, (ii) Psychosocial impact of end-end-of life care in rural communities and (iii) Palliative care models of practice and volunteering in rural communities. The invisibility of volunteers in rural palliative care research is a concern in understanding the issues affecting the sustainability of quality palliative care provision in rural communities. Recommendations for future Australian research includes examination of the suitability of current models of palliative care practice in addressing the needs of rural communities; the recruitment
Beck, Rubye Wilkerson
Describes one researcher's experiences as she interviewed rural families during a comprehensive survey of Johnson County, Tennessee. Discusses health care problems and needs, family support systems for the sick and elderly, fears about cancer risks, and the real picture of underemployment versus the official unemployment rate. (SV)
A cooperative experiment among Pennsylvania rural communities and the University of Delaware and La Salle College, this course ("Re-Emerging Issues in Social Welfare: The Rural and Small Community") was developed to expose urban students to a rural environment and to utilize rural educational resources. (JC)
Voices for Children in Nebraska, Omaha.
A study examined the unique conditions affecting quality of life for low-income rural children and their families in Nebraska, North Dakota, and South Dakota. Qualitative data were gathered from 11 focus groups conducted in a variety of rural communities, including tribal reservations, across the three states, and from interviews with professional…
Hagevig, William A.
Fire protection in rural Alaskan communities depends on individual home fire prevention and protection rather than on the services offered by a centralized fire department. Even when help is summoned to extinguish a blaze, aid does not come in the form of a cadre of highly trained firefighters; it comes instead from whomever happens to be in the…
Annenberg Rural Challenge, Granby, CO.
The Annenberg Rural Challenge locates and funds exemplary rural public school programs to serve as models for rural education reform. The guiding theory of the Rural Challenge is that when rural schools base their teaching on the economy, ecology, history, and culture of their communities while fully engaging the community in the school's work,…
Cosgrave, Catherine; Maple, Myfanwy; Hussain, Rafat
Objective The aim of the present study was to identify factors affecting the job satisfaction and subsequent retention of Aboriginal mental health workers (AMHWs).Methods Five AMHWs working in New South Wales (NSW) for NSW Health in rural and remote community mental health (CMH) services participated in in-depth, semi-structured interviews to understand how employment and rural living factors affected workers' decisions to stay or leave their CMH positions.Results Using a constructivist grounded theory analysis, three aspects negatively impacting the job satisfaction of AMHWs were identified: (1) difficulties being accepted into the team and organisation; (2) culturally specific work challenges; and (3) professional differences and inequality.Conclusions Policy and procedural changes to the AMHW training program may address the lower remuneration and limited career opportunities identified with regard to the Bachelor Health Sciences (Mental Health) qualification. Delivering training to increase levels of understanding about the AMHW training program, and cultural awareness generally, to CMH staff and NSW Health management may assist in addressing the negative team, organisational and cultural issues identified.What is known about the topic? The Bachelor Health Sciences (Mental Health) qualification and traineeship pathway undertaken by AMHWs differs significantly from that of other health professionals working in NSW Health's CMH services. The health workforce literature identifies that each health professional group has its own culture and specific values and that forming and maintaining a profession-specific identity is an extremely important aspect of job satisfaction for health workers.What does the paper add? AMHWs working in rural and remote NSW CMH services commonly experience low levels of job satisfaction, especially while undertaking the embedded training program. Of particular concern is the health sciences qualification not translating into NSW Health
This paper examines specific problems facing community service delivery in rural Australia and efforts to overcome these deficiencies. The generic term "rural" is advantageous in that it delineates particular problems facing rural communities, aids in resource allocation, raises public awareness of rural disadvantage, and provides an…
Fitchen, Janet M.
Examines the collapse of the rural community attendant on the demise of agriculture. Reports results of interviews of dairy farmers and their families in rural New York which suggest that farm problems exacerbate problems of rural poverty. Recommends effective intervention to prevent increasing rural economic poverty and social marginality. (DHP)
The school/community improvement process adapted by the Rural, Small Schools Program at the Appalachia Educational Laboratory (AEL) serves to revitalize and improve rural schools, incorporating commitment of both school and community leaders to rural school improvement. This paper describes implementation of the process in four school districts,…
Harmon, Hobarat L.; Schafft, Kai
In this article we address the role of rural schools in community development. We first discuss the largely historical linkages between rural schools and the communities they serve, and what this means for both school and community well-being. We then consider the newly revised standards for preparing school administrators, developed by the…
Kilpatrick, Sue; Stirling, Christine; Orpin, Peter
This paper examines the skills required of volunteers in the voluntary sector organisations that operate in three rural Tasmanian communities. It reports how volunteers acquire those skills and reveals the challenges faced by voluntary sector organisations in rural communities whose industries and, following from this, community members have a…
Larsson, Laura S; Butterfield, Patricia; Christopher, Suzanne; Hill, Wade
Qualitative description was used to explore how rural community leaders frame, interpret, and give meaning to environmental health issues affecting their constituents and communities. Six rural community leaders discussed growth, vulnerable families, and the action avoidance strategies they use or see used in lieu of adopting health-promoting behaviors. Findings suggest intervention strategies should be economical, use common sense, be sensitive to regional identity, and use local case studies and "inside leadership." Occupational health nurses addressing the disparate environmental health risks in rural communities are encouraged to use agenda-neutral, scientifically based risk communication efforts and foster collaborative relationships among nurses, planners, industry, and other community leaders.
This study examined how a rural school district and the communities in which the district belonged collaborated on a community development initiative. This dissertation examined the opportunities and constraints rural communities are facing and the role that a rural school system could play in increasing social and economic sustainability of rural…
Hutcheson, Tresza D.; Greiner, K. Allen; Ellerbeck, Edward F.; Jeffries, Shawn K.; Mussulman, Laura M.; Casey, Genevieve N.
Context: Rural communities are adversely impacted by increased rates of tobacco use. Rural residents may be exposed to unique communal norms and other factors that influence smoking cessation. Purpose: This study explored facilitating factors and barriers to cessation and the role of rural health care systems in the smoking-cessation process.…
Murray, John P.
Much is being written about a potential shortage of qualified community college faculty. Rural community colleges may be at the greatest disadvantage in attracting and retaining new faculty because they cannot offer the financial, cultural, and social advantages that more urban institutions can. This chapter describes the factors rural community…
Black, Alan; Duff, John; Saggers, Sherry; Baines, Patricia
This report recommends priorities for research into rural communities and rural social issues in Australia, based on an extensive literature review, surveys of policymaking agencies and researchers, and discussion at a national workshop in May 1999. Chapters 1-2 outline the study's background, purpose, and methodology; discuss issues in the…
... to urban (Urban, 38.4%, High Poverty Rural 51.3%, Other Rural, 45%). Counties with high rates ... for information about oral health programs in my area? The Association of State and Territorial Dental Directors ( ...
Heffernan, William D.; Heffernan, Judith Bortner
This is an early assessment of the Rural Community Service Coordinator Program (RCSCP), organized by the University of Missouri Extension Service using funds from the federal Food Security Act of 1985. Five full-time coordinators were named by area mental health officials to help rural people cope with despair and emotional disturbances caused by…
Danielson, Kathy Everts
Lists books with rural or small community themes available for children, grades K-eight, to serve as motivational reading texts or resources in units on farming or rural life in social studies or science. Categorizes selections as informational, poetry, traditional, contemporary realistic fiction, fantasy, historical fiction, or concept books.…
Alexy, B B; Elnitsky, C A
With the increased emphasis on cost containment, hospital administrators are investigating community outreach projects to remain economically viable. The authors describe the planning and implementation of a mobile health unit for rural elderly residents. This project represents an alternative model of healthcare delivery in a rural area with limited resources and healthcare providers.
This paper explores what the rural library will look like in 2001, and envisions rural information needs and the roles the library will assume to meet those needs. Demographically, the year 2001 will see an aging population, low population growth, and a rising percentage of racial minorities. Key areas of public concern will be the environment and…
Yaunches, Alison, Ed.; Loveland, Elaina, Ed.
This document contains the six issues of "Rural Roots" published bimonthly in 2002. A newsletter of the Rural School and Community Trust, "Rural Roots" provides news, information, and commentary from the Rural Trust and highlights the wide variety of place-based education work happening in rural schools and communities across…
McCracken, J. David
Reports on interviews with community leaders associated with four rural Ohio high schools. Finds that these schools are the nuclei of their communities, are highly valued, and provide a community facility for recreational and cultural activities and for adult meetings. (SV)
Phillips, Ruthellen; Harper, Stacey; Gamble, Susan
During the past several decades, child poverty rates have been higher in rural than in urban areas, and now 2.5 million children live in deep poverty in rural America. Studies indicate that poor children are most affected by the typical "summer slide." Summer programming has the ability to address the issues of academic loss, nutritional…
Service learning is a pedagogical model that connects community service experiences with academic course learning. Large urban centers are often the leaders in developing service learning programs, due to the central locations of both institutions of higher education and community needs. This paper argues that rural areas have the same problems…
Torres, Vasti; Viterito, Arthur; Heeter, Aimee; Hernandez, Ebelia; Santiague, Lilia; Johnson, Susan
This assessment considers the sustainability of initiatives begun as a result of participation in the Rural Community College Initiative (RCCI). Case studies were conducted at eight community colleges, and quantitative data was gathered from the U.S. Census, the Department of Labor, and the Integrated Postsecondary Education Data System (IPEDS).…
A 5-year collaborative project between Missouri, Michigan State, and Nebraska Universities to provide new opportunities for rural community self-development through sustainable agriculture had mixed results. This happened because community members did not understand the principles of sustainability, and because the extension education system was…
Thomas, Reine M.
The purpose of this qualitative research study was to examine the role a rural community college plays in the development of its community, using a holistic, community-based lens that considered college and community context, interactions and results to answer the question: "How does the rural community college impact the development of the…
Holub, Jonathan D.
Rural community colleges have an important role to play in the economic development of their communities and in preparing community members for technological, economic, and societal changes. Community-based programming (CBP) is one tool utilized by colleges to become aware of local problems by collaborating with citizens, leaders, and…
Pennington, Kevin; Williams, Mitchell R.
Rural communities often lag behind urban and suburban areas in economic development. Community colleges often contribute to economic development projects in rural areas, but they often seek collaboration with other community partners. This research study was conducted to better understand rural community college presidents' perceptions of the…
Doeden, Carol Lee
In September 2000, grantmakers from around the country traveled to three Nebraska communities--Albion, Crete, and Henderson--to see how community-based education can positively affect the economic, environmental, and cultural development of a rural community. In Albion, the school is an open laboratory in which students, teachers, and parents work…
The extent of economic and social decay in rural America has yet to be recognized by the community college. Instead of emphasizing rural survival, community college programs often weaken rural institutions and encourage the migration of rural students to the cities. Recommendations to alleviate the problem are suggested. (AH)
The Carter Administration is adopting a Small Community and Rural Development Policy because: (1) rural America's human and natural resources are a mainstay of the nation's economy and way of life; (2) many rural areas are in the midst of significant economic and demographic change; (3) rural people and communities have greater unmet basic human…
Tseloni, Andromachi; Zissi, Anastasia; Skapinakis, Petros
Which facets of social capital affect mental health in rural settings? This study explores the association between different aspects of social capital and psychiatric morbidity in rural communities of the Greek North Aegean islands. A large number of individual and community characteristics that may influence psychiatric morbidity are concurrently…
Ahmad, Junaid; Goldar, Bishwanath; Misra, Smita
In the context of arsenic contamination of groundwater in Bangladesh, this paper analyses rural people's preferences for arsenic-free drinking water options. A particular focus is on rural households' willingness to pay for piped water supply which can provide a sustainable solution to the arsenic problem, and how the preference for piped water supply compares with that for various other household/community-based arsenic mitigation technologies. The analysis is based on data collected in a survey of over 2700 households in rural Bangladesh. Six arsenic mitigation technologies were selected for the study: three-kolshi (pitcher) method, activated alumina method (household-based and community-based), dugwell, pond sand filter and deep tubewell (handpump). The survey results indicate that, after taking into consideration the initial and recurring costs, convenience, associated risks and the advantages and disadvantages of each selected technology, the preference of the rural people is overwhelmingly in favor of deep tubewells, followed by the three-kolshi method. The analysis reveals a strong demand for piped water in both arsenic-affected and arsenic-free rural areas, and scope of adequate cost recovery. Between piped water and other arsenic mitigation technologies, the preference of the rural people is found to be predominantly in favor of the former.
Allan, Julaine; Pope, Rod; O'Meara, Peter; Higgs, Joy; Kent, Jenny
Aim: To effectively provide clinical placements for students and increase healthcare options for rural communities, an investigation of university clinics was conducted. Method: This project adopted a consultative inquiry strategy and involved two processes: (1) a review of literature; and (2) interviews with existing health sciences clinic staff.…
Allen, Nathan T.; Cejda, Brent D.
External culture acts as a powerful force on rural community colleges and the presidents that lead them. This article examines whether rural community colleges comprise an administrative labor market, based on the careers of 69 chief academic officers employed in rural community colleges. Findings indicate the characteristics of both an…
De Largy, Paul
A community education project in Brooks County, Georgia, began in 1977 with five people, developed county-wide support, and now includes a community education county council, federal funding, volunteer programs, after-school programs, agricultural education (especially swine production), and a day-care center. (AN)
Sullivan, Ashley F.
Community gardening projects can enhance community food security and improve the nutrition of project participants. However, limited information exists on the most effective models and methods for establishing community gardens in rural areas. A survey of 12 rural community gardening projects found a variety of program models: community gardens…
Nielsen, N Ole; Evans, Brian; King, Lonnie J
The need to devote more human resources to veterinary public practice to cope with escalating threats to biological security, public health, and economic prosperity, while also addressing societal value changes, has been widely recognized and supported. Most envisage increasing the numbers of veterinarians in government employment. Why not at least combine this initiative, wherever possible, with far greater involvement of rural practitioners to deliver contractual public-practice services and provide an enhanced community interface? This could make the difference between having a local practice in a community or none at all, as well as promising to be more cost effective. The concept of rural community practice (RCP) envisages combining traditional services provided in a "mixed-animal" veterinary practice with an expanded portfolio of public-practice and communication services that meet the emerging animal, public, and ecosystem health needs of the collective community, not just those of animal owners. These services could include those involving active sentinel surveillance programs for both domestic animal and wildlife diseases; on-farm food safety; bio-security; traceability and export certification and audit programs; disease investigation, including foreign animal diseases; surge capacity emergency response; managing for ecosystem health; and client and community education. An expanded practice team of animal-health professionals and technologists, led by veterinarians, would deliver these services. This RCP approach should have the potential to make rural practice more attractive from economic, lifestyle, and job-satisfaction perspectives; to enhance the visibility and recognition of the profession; and to respond to changing and new societal needs. It also promises to maintain a stable network of veterinary practices in rural communities. In addition, the recognition of veterinary medicine as a public good should provide for consideration of increased
Miller, Michael T.; Tuttle, Courtney C.
Rural America, in direct competition with growing suburban and urban America, has struggled to maintain a high quality of life. Rural out-migration levels are high, as are poverty and illiteracy rates. Rural community colleges have worked to defend and expand opportunities in rural settings, yet face their own challenges tied to resources,…
Regional suburbanization processes are transforming rural America socially and physically, threatening the uniqueness of small towns whose diversity is a national resource. This article reviews existing holistic descriptions of American rural communities since post-World War II by rural sociologists and anthropologists. Three new community case…
External culture acts as a powerful force on rural community colleges and the presidents that lead them. This article is concerned with external culture and its impact on a rural community college president. Interviews with 15 senior leaders explored the typical mindsets and values existing in a rural setting. Findings indicate that to improve the…
McManus, Phil; Walmsley, Jim; Argent, Neil; Baum, Scott; Bourke, Lisa; Martin, John; Pritchard, Bill; Sorensen, Tony
Many studies have highlighted the phenomenon of rural decline in parts of the developed world, summarised as a loss in agricultural employment leading to a decline in the number and size of rural settlements. This study of small towns in part of Australia's inland rural "heartland" employs the concepts of interactional rural community of…
The complexity of rural practice in rural and remote communities means that higher order skills are required by rural social workers. In 1991, the University of Ballarat in Victoria (Australia) began teaching a course to prepare students for work in rural social welfare. The course was developed partly to meet industry needs, as local agencies…
Westra, Kathryn E., Ed.; Yaunches, H. Alison, Ed.
This document contains the first eight issues of "Rural Roots"--two published in 2000 and six published bimonthly in 2001. A newsletter of the Rural School and Community Trust, "Rural Roots" provides news, information, and commentary from the Rural Trust and highlights the wide variety of place-based education work happening in…
Miller, Bruce A.
Rural schools traditionally have played a central role in their communities. Now, as rural communities face declining quality of life and threats to their viability, collaborative partnerships between communities and schools offer a promising approach to community revitalization and survival. Researchers have identified three distinct, yet related…
Bryant, Miles; Canniff, Julie; Casey, Mary; Christian, Scott; Cochrane, Candace; Fontaine, Carla; Landry, Richard; Leiter, Bob; Shirley, Dennis; Sosniak, Lauren; Stafanakis, Evangeline; Titone, Connie; Ulichny, Polly; Williams, Ben; Wood, Doug
The Annenberg Rural Challenge represents a large national effort to transform rural schools and communities. Among its dominant themes are that students should come to know their local communities well, that communities should see schools and students as critical assets, and that communities and schools need to become more integrated. As part of a…
Esbeck, Tim, Comp.; Falcone, Lisa, Ed.
In developing this compendium of exemplary economic development practices among small and/or rural two-year colleges, the American Association of Community Colleges Commission on Small/Rural Community Colleges (CSMCC) sent out a call for program descriptions to all community colleges with less than 3,000 full-time employees or that were…
Cook, Christine C.; Crull, Sue R.; Bruin, Marilyn J.; Yust, Becky L.; Shelley, Mack C.; Laux, Sharon; Memken, Jean; Niemeyer, Shirley; White, B. J.
The purpose of this research was to explore and explain the role housing plays in rural community vitality. Community vitality refers to economic strength and social well-being. In spring 2002 we collected primary interview data from informants in 134 small rural communities in nine north-central states and identified related secondary data from…
MDC, Inc., Chapel Hill, NC.
The Rural Community College Initiative (RCCI) is a national program that supports the efforts of community colleges in distressed rural areas to move their people and communities toward prosperity. RCCI's goals are increasing access to education and developing regional economies. RCCI demonstration sites have produced a wealth of information about…
Auh, Seongyeon; Cook, Christine C.
The purpose of this research was to explore the relationships among housing satisfaction, community attachment and community satisfaction and the complex mechanisms involved in predicting community satisfaction among residents in rural communities. The role of housing satisfaction and community attachment in predicting community satisfaction was…
Bernhard, M.C.; Evans, M.B.; Kent, S.T.; Johnson, E.; Threadgill, S.L.; Tyson, S.; Becker, S.M.; Gohlke, J.M.
Objectives Understanding and effectively addressing persistent health disparities in minority communities requires a clear picture of members’ concerns and priorities. This study was intended to engage residents in urban and rural communities in order to identify environmental health priorities. Specific emphasis was placed on how the communities defined the term environment, their perceptions of environmental exposures as affecting their health, specific priorities in their communities, and differences in urban versus rural populations. Study design A community-engaged approach was used to develop and implement focus groups and compare environmental health priorities in urban versus rural communities. Methods A total of eight focus groups were conducted: four in rural and four in urban communities. Topics included defining the term environment, how the environment may affect health, and environmental priorities within their communities, using both open discussion and a predefined list. Data were analysed both qualitatively and quantitatively to identify patterns and trends. Results There were important areas of overlap in priorities between urban and rural communities; both emphasized the importance of the social environment and shared a concern over air pollution from industrial sources. In contrast, for urban focus groups, abandoned houses and their social and physical sequelae were a high priority while concerns about adequate sewer and water services and road maintenance were high priorities in rural communities. Conclusions This study was able to identify environmental health priorities in urban versus rural minority communities. In contrast to some previous risk perception research, the results of this study suggest prioritization of tangible, known risks in everyday life instead of rare, disaster-related events, even in communities that have recently experienced devastating damage from tornadoes. The findings can help inform future efforts to study
Hardin-Fanning, Frances; Rayens, Mary Kay
Promotion of healthy eating is an effective public health strategy to prevent chronic disease incidence and progression. However, food prices can impede healthy eating, especially in rural communities. The purpose of this study was to determine whether food costs are associated with nutritional quality, geographic location, and month of year. The Overall Nutritional Quality Index and cost of 92 foods were assessed four times over a 10-month period in the primary grocery stores in four Kentucky counties, two rural and two urban. Repeated measures analysis of variance was used to assess differences in food costs by nutritional quality, county, and month. Among more nutritious food items, costs were lower in urban areas. This was particularly true among foods in the highest quartile of nutritional quality. Across all counties, there was a pattern of highest per-serving costs in the second quartile of nutritional quality, whereas more nutritious foods were less expensive. Strategies that help individuals improve the ability to identify and prepare less costly foods with high nutritional value may be effective in improving dietary habits, particularly in rural, impoverished food deserts.
Hardin-Fanning, Frances; Rayens, Mary Kay
Promotion of healthy eating is an effective public health strategy to prevent chronic disease incidence and progression. However, food prices can impede healthy eating, especially in rural communities. The purpose of this study was to determine whether food costs are associated with nutritional quality, geographic location, and month of year. The Overall Nutritional Quality Index and cost of 92 foods were assessed four times over a 10-month period in the primary grocery stores in four Kentucky counties, two rural and two urban. Repeated measures analysis of variance was used to assess differences in food costs by nutritional quality, county, and month. Among more nutritious food items, costs were lower in urban areas. This was particularly true among foods in the highest quartile of nutritional quality. Across all counties, there was a pattern of highest per-serving costs in the second quartile of nutritional quality, whereas more nutritious foods were less expensive. Strategies that help individuals improve the ability to identify and prepare less costly foods with high nutritional value may be effective in improving dietary habits, particularly in rural, impoverished food deserts. PMID:25305093
Ginsberg, Leon H., Ed.
Designed to serve as a resource tool for educators and social work practitioners, this collection of articles on social work in rural communities presents: (1) "An Overview of Social Work Education for Rural Areas"; (2) "Social Work Education for Rural Program Development" (the "generalist" and the principles, dynamics, and educational content and…
Torabi, Mohammad R., Ed.
This third special issue of the Health Education Monograph Series on HIV/AIDS Prevention in Rural Communities presents 9 articles on: "Rural Adolescent Views of HIV Prevention: Focus Groups at Two Indiana Rural 4-H Clubs" (William L. Yarber and Stephanie A. Sanders); "Implementing HIV Education: Beyond Curriculum" (Susan…
Morgan, Don A., Ed.
Topics discussed at this conference concerned with education for the rural poor were: (1) "The Community College and the Rural Poor," (2) "The Rural Low Income Student--What a Small College Can Do to Get Them Into School and Keep Them There," (3) "The New Iron Ore Industry Worker Needs New Schools and New Programs to Keep Marketable," (4) "The…
Peter, Graciana; Nkambule, Sizwe E.
The Millennium Development Goal (MDG) target to reduce the proportion of people without sustainable access to safe drinking water by the year 2015 has been met as of 2010, but huge disparities exist. Some regions, particularly Sub-Saharan Africa are lagging behind it is also in this region where up to 30% of the rural schemes are not functional at any given time. There is need for more studies on factors affecting sustainability and necessary measures which when implemented will improve the sustainability of rural water schemes. The main objective of this study was to assess the main factors affecting the sustainability of rural water schemes in Swaziland using a Multi-Criteria Analysis Approach. The main factors considered were: financial, social, technical, environmental and institutional. The study was done in Lubombo region. Fifteen functional water schemes in 11 communities were studied. Data was collected using questionnaires, checklist and focused group discussion guide. A total of 174 heads of households were interviewed. Statistical Package for Social Sciences (SPSS) was used to analyse the data and to calculate sustainability scores for water schemes. SPSS was also used to classify sustainability scores according to sustainability categories: sustainable, partially sustainable and non-sustainable. The averages of the ratings for the different sub-factors studied and the results on the sustainability scores for the sustainable, partially sustainable and non-sustainable schemes were then computed and compared to establish the main factors influencing sustainability of the water schemes. The results indicated technical and social factors as most critical while financial and institutional, although important, played a lesser role. Factors which contributed to the sustainability of water schemes were: functionality; design flow; water fetching time; ability to meet additional demand; use by population; equity; participation in decision making on operation and
Nachtigal, Paul M.
The urbanization and industrialization of a society based on commercial competitiveness has resulted in the marginalization of rural communities and the disempowerment of rural people. An alternative view of the future is needed, and rural schools have a part to play in creating it. Four sets of forces are driving society toward a different…
Miller, Michael T.; Tuttle, Courtney C.
Community colleges in rural environments provide a variety of services. There is a great deal of documentation supporting those services that are academic and economic. The noneconomic and nonacademic results of community college activities, however, have an undocumented yet significant impact on local communities. The current study focused on how…
Holmes, George M; Slifkin, Rebecca T; Randolph, Randy K; Poley, Stephanie
Objective To examine the effect of rural hospital closures on the local economy. Data Sources U.S. Census Bureau, OSCAR, Medicare Cost Reports, and surveys of individuals knowledgeable about local hospital closures. Study Design Economic data at the county level for 1990–2000 were combined with information on hospital closures. The study sample was restricted to rural counties experiencing a closure during the sample period. Longitudinal regression methods were used to estimate the effect of hospital closure on per-capita income, unemployment rate, and other community economic measures. Models included both leading and lagged closure terms allowing a preclosure economic downturn as well as time for the closure to be fully realized by the community. Data Collection Information on closures was collected by contacting every state hospital association, reconciling information gathered with that contained in the American Hospital Association file and OIG reports. Principal Findings Results indicate that the closure of the sole hospital in the community reduces per-capita income by $703 (p<0.05) or 4 percent (p<0.05) and increases the unemployment rate by 1.6 percentage points (p<0.01). Closures in communities with alternative sources of hospital care had no long-term economic impact, although income decreased for 2 years following the closure. Conclusions The local economic effects of a hospital closure should be considered when regulations that affect hospitals' financial well-being are designed or changed. PMID:16584460
... AGENCY Farm, Ranch, and Rural Communities Committee AGENCY: Environmental Protection Agency (EPA). ACTION... of a meeting of the Farm, Ranch, and Rural Communities Committee (FRRCC). The FRRCC is a policy... on a range of environmental issues and policies that are of importance to agriculture and...
Heffernan, William D.; Green, Gary
In order to assess the impact of the growing number of part-time farm families on the nature of social relations in rural communities, part-time and full-time farmers from five counties in South-Central Missouri were compared on three aspects: (1) community integration; (2) perceived benefits from rural living; and (3) goals and priorities they…
Charlier, Hara Dracon
As rural community colleges face mounting fiscal pressure, the ability to attract adjunct faculty members to support the institutional mission becomes increasingly important. Although the professional literature documents differences between rural, suburban, and urban community colleges, the effect of this institutional diversity on the role and…
Mathis, William J.
A meeting of education finance scholars discussed finance issues relevant to rural schools and communities. This paper summarizes major themes that emerged during the meeting. Notions of efficiency and economies of scale have contributed to widespread consolidation of rural schools and school districts. The value of community is not easily…
Braak, Willem J.; Lewin, Paul A.
Rural wealth creation and local entrepreneurship are emerging economic development approaches that bring back a sense of self-determination to rural communities. However, their potential is often greatly diminished by preconceived and opposing notions within the community on what drives economic growth. The Dollar Game is an innovative curriculum…
Rosenfeld, Stuart A.
The rural community college has evolved into a multipurpose institution that meets lifelong learning needs and the economy's demand for information and skills. The best institutions merge an applied higher education with extension-like services for local industry. New challenges facing rural community colleges include competition from other…
Wendt, Sarah; Hornosty, Jennie
Research on family violence in rural communities in Australia and Canada has shown that women's experience of family violence is shaped by social and cultural factors. Concern for economic security and inheritance for children, closeness and belonging, and values of family unity and traditional gender roles are factors in rural communities that…
Baral, Kedar; Allison, Jill; Upadhyay, Shambu; Bhandary, Shital; Shrestha, Shrijana
Nepal is a low-income, landlocked country located on the Indian subcontinent between China and India. The challenge of finding human resources for rural community health care settings is not unique to Nepal. In spite of the challenges, the health sector has made significant improvement in national health indices over the past half century. However, in terms of access to and quality of health services and impact, there remains a gross urban-rural disparity. The Patan Academy of Health Sciences (PAHS) has adopted a community-based education model, termed “community based learning and education" (CBLE), as one of the principal strategies and pedagogic methods. This method is linked to the PAHS mission of improving rural health in Nepal by training medical students through real-life experience in rural areas and developing a positive attitude among its graduates towards working in rural areas. This article outlines the PAHS approach of ruralizing the academy, which aligns with the concept of community engagement in health professional education. We describe how PAHS has embedded medical education in rural community settings, encouraging the learning context to be rural, fostering opportunities for community and peripheral health workers to participate in teaching-learning as well as evaluation of medical students, and involving community people in curriculum design and implementation. PMID:27980887
Baral, Kedar; Allison, Jill; Upadhyay, Shambu; Bhandary, Shital; Shrestha, Shrijana; Renouf, Tia
Nepal is a low-income, landlocked country located on the Indian subcontinent between China and India. The challenge of finding human resources for rural community health care settings is not unique to Nepal. In spite of the challenges, the health sector has made significant improvement in national health indices over the past half century. However, in terms of access to and quality of health services and impact, there remains a gross urban-rural disparity. The Patan Academy of Health Sciences (PAHS) has adopted a community-based education model, termed "community based learning and education" (CBLE), as one of the principal strategies and pedagogic methods. This method is linked to the PAHS mission of improving rural health in Nepal by training medical students through real-life experience in rural areas and developing a positive attitude among its graduates towards working in rural areas. This article outlines the PAHS approach of ruralizing the academy, which aligns with the concept of community engagement in health professional education. We describe how PAHS has embedded medical education in rural community settings, encouraging the learning context to be rural, fostering opportunities for community and peripheral health workers to participate in teaching-learning as well as evaluation of medical students, and involving community people in curriculum design and implementation.
Fujimoto, Isao; Zone, Martin
As part of a series prepared to acquaint small community officials with information on the latest community related research findings at the University of California at Davis, this monograph explicates the way in which tax structure, rural development assumptions, and even rural development policies and subsidies contribute to the inequities found…
Shy, Carl M.; Finklea, John F.
Community Health and Environmental Surveillance System (CHESS), a nationwide program relating community health to environmental quality, is designed to evaluate existing environmental standards, obtain health intelligence for new standards, and document health benefits of air pollution control. (BL)
Cameron, J. M. R., Ed.; Griffith, D. A., Ed.
This document summarizes the proceedings of a national forum for persons with an interest in and commitment to research into issues affecting people living in rural and remote areas across Australia. The six sub-themes of the conference were: (1) the role of the community in teacher preparation; (2) the quality of education in rural Australia; (3)…
Rhomberg, H P; Soldan, J; Drexel, H
In 1987 the population of a rural community in Tyrol aged 20 to 74 years was screened for plasma lipids (cholesterol, HDL cholesterol and triglycerides). The mean cholesterol value was 205.8 mg/dl (5.31 mml/l) in men and 207.9 mg/dl (5.37 mmol/l) in women. These values seem to be the lowest so far recorded for population-based cholesterol values in Austria. This might be partly explained by an intensive risk factor intervention programme which has been implemented in this community throughout the past ten years. HDL cholesterol was significantly higher in women (63.7 mg/dl or 1.64 mmol/l) than in men (51.1 mg/dl or 1.32 mmol/l). The opposite was true for non-fasting triglycerides, with mean values of 186.3 mg/dl (2.1 mmol/l) in men, and 122.1 mg/dl (1.4 mmol/l) in women.
Flage, Lynette Jo
Many rural North Dakota communities struggle with the loss of services, schools, and population due to a changing landscape, but does a strong sense of community help anchor residents to their town? The purpose of this study was to describe sense of community and its relationship to actions promoting social capital in rural North Dakota towns.…
Lan, Chiao-Wen; Li, Li; Lin, Chunqing; Feng, Nan; Ji, Guoping
The decision to disclose HIV serostatus is a complex and a challenging task because of potential stigma, blame, and fear associated with HIV infection. Despite continued research on HIV disclosure, literature on HIV disclosure to community is still scarce. The purpose of the study is to describe patterns of HIV status disclosure to community members in a sample of HIV-infected men and women in rural China. This study used the baseline data of a randomized controlled intervention trial for HIV-affected families in China. The data was collected between late 2011 to early 2013. In addition to demographic and HIV-related clinical characteristics, we collected the extent of HIV disclosure to members within the community. We first calculated descriptive statistics and frequencies to describe the demographics of the sample. We then compared the extents of HIV disclosure to different community members. We performed chi-square tests to determine whether the demographic and socioeconomic variables were associated with the extent of HIV disclosure to community. A total of 522 PLH were included in the study. The results show that age and family income are associated with the extent of disclosure of HIV status to members within the community, including neighbor, village leaders, people in the village, and coworkers. More disclosures were found among older age groups. People with less family income tend to disclose more to the community than those with higher family income. There is a need to explore the association of HIV disclosure to the community to help realize the public health and personal implications of disclosure. Our results underscore the potential benefits of age and socioeconomic status–specific interventions in the efforts to dispel barriers to HIV status disclosure to the community. PMID:27427924
Caffrey, Rosalie A
Rural elderly individuals are an underserved population with limited access to health care. There is an increasing need for independent community care nurses to provide assistance to home-based elderly individuals with chronic illnesses to prevent unnecessary medical and placement decisions and, thus, allow them to maintain independence and quality of life. This article describes the rural setting and why community care nurses are needed, and explores strategies for implementing the role of the independent nurse entrepreneur in caring for community-based elderly individuals in rural settings.
Epstein, Beth; Grant, Therese; Schiff, Melissa; Kasehagen, Laurin
Context: Identifying how maternal residential location affects late initiation of prenatal care is important for policy planning and allocation of resources for intervention. Purpose: To determine how rural residence and other social and demographic characteristics affect late initiation of prenatal care, and how residence status is associated…
Beaulieu, Lionel J.
Although the economic expansion of the 1990s was felt even in small towns and rural areas, events in recent months point out that the economic health of rural America remains fragile. Rural manufacturing has suffered sizable employment declines in recent months and only modest expansion has occurred in the service sector--the lifeblood of rural…
Reasor, Erin Wilson
This dissertation depicts the lives of ten students who are enrolled in developmental education courses at a rural community college in Appalachian Mountains. They share their home life, life experiences and struggles faced; however, they want to better themselves and that motivation keeps them going. This study is important study due to the fact…
Van Vorst, Rebecca F.; Crane, Lori A.; Barton, Phoebe Lindsey; Kutner, Jean S.; Kallail, K. James; Westfall, John M.
Context: Barriers to providing optimal palliative care in rural communities are not well understood. Purpose: To identify health care personnel's perceptions of the care provided to dying patients in rural Kansas and Colorado and to identify barriers to providing optimal care. Methods: An anonymous self-administered survey was sent to health care…
Bright, Larry K.; Evans, Wayne H.; Marmet, Kathy
Outmigration in the rural Upper Midwest prompted a group of citizens and University of South Dakota faculty to form the Center for the Advancement of Rural Communities (ARC). ARC considers how to stimulate traditionally competitive and isolated South Dakota peoples to collaborate for economic, social, educational, political, and cultural gains. As…
Torabi, Mohammad R., Ed.
This second special issue of the Health Education Monograph Series on HIV/AIDS Prevention in Rural Communities presents seven articles: (1) "Preventing Maternal-Infant Transmission of HIV: Social and Ethical Issues" (James G. Anderson, Marilyn M. Anderson, and Tara Booth); (2) "HIV Infection in Diverse Rural Population: Migrant Farm…
Street, Richard Steven; Orozco, Samuel
Since the late 1970s, California's rural poor (frequently immigrants and refugees) have been engaged in grassroots efforts to change the cultural and political landscapes of their communities. Told in the words of rural people, this book presents six stories of struggle and empowerment. In Yuba City, Latino and East Indian farmworkers felt that…
In Oklahoma, the state's CareerTech system is helping to provide resources and expertise to preserve the quality of life in rural communities. Just as many metropolitan areas feel the choke of urban sprawl, rural Oklahoma has, to a great extent, become the carbon copy of small towns across this country that are losing jobs, people and wealth.…
Shears, Jeffrey; Edwards, Ruth W.; Stanley, Linda R.
Adolescent substance use in U.S. rural communities is now equal to or greater than urban use for many substances. Yet much research focuses on urban and suburban populations, raising doubt as to the generalizability of etiological models of substance use to rural populations.This study examines whether the relationship between school bonding and…
Smith, Chery; Miller, Hannah
Objective: Explore how urban and rural Minnesotans access the food system and to investigate whether community infrastructure supports a healthful food system. Design: Eight (4 urban and 4 rural) focus groups were conducted. Setting and Participants: Eight counties with urban influence codes of 1, 2, 4, 5, 8, and 10. Fifty-nine (urban, n = 27;…
Rural community colleges are faced with issues similar to their urban counterparts, but many challenges for rural schools are further exacerbated by limited resources, geographic isolation, and a static economy. This paper argues that the difference between success and failure can be the ability to create strong partnerships. Of the 15 colleges in…
Hill, Tracy A.
In recent years, enrollment and overall student performance in rural schools have declined. Research shows that principals are critical to the success of a school system and that implementing a virtual community of practice (CoP) at the principal level has solved some of the issues associated with rurality in some organizations. Such…
Iowa State Univ. of Science and Technology, Ames. Center for Agricultural and Rural Development.
A seminar was conducted which provides a foundation upon which research, education, and action programs might be based as a state university brings its programs to focus more fully on the economic and social problems of rural areas. Papers presented covered the following subjects: objectives of community development, trends related to rural areas,…
Moeck, Pat G.; Hardy, David E.; Katsinas, Stephen G.; Leech, J. Mark
A certain "mythology" appears to exists within higher education that residence halls do not exist at community colleges. The reality is that residence halls do exist at community colleges, and they play an integral role in the fabric of the institutions that have them. This article identifies the number of rural-serving community colleges, and it…
Fairbrother, Peter; Tyler, Meagan; Hart, Alison; Mees, Bernard; Phillips, Richard; Stratford, Julie; Toh, Keith
The term "community" has a long and contested lineage in social analysis and debate. This lineage, however, is not generally recognized in policy and public debates on community and bushfire in Australia. "Community" is thought to be central to bushfire preparedness in Australia, especially in rural areas, but what…
Henderson, Paul, Ed.; Francis, David, Ed.
This book contains 10 case studies of rural community development in England, Wales, Scotland, Ireland, and Catalonia, as seen from the perspective of community-work practitioners. Development projects encompassed such activities as promotion of tourism, establishment of community centers, vocational training for school dropouts, adult community…
Tool to help small towns and rural communities assess their existing policies, plans, codes, and zoning regulations to determine how well they work to create healthy, environmentally resilient, and economically robust places.
... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY Farm, Ranch, and Rural Communities Committee AGENCY: Environmental Protection Agency (EPA). ACTION... on a range of environmental issues and policies that are of importance to agriculture and...
Gjesfjeld, Christopher D.; Weaver, Addie; Schommer, Kathryn
Social support protects women from various negative consequences, yet we have little understanding of how rural women acquire and utilize social support. Using interviews of 24 women in a North Dakota community, this research sought to understand how rural women were supported as new mothers. One, familial women and partners were vital supports to…
Muus, K J; Ludtke, R L; Gibbens, B
Hospital closure, a devastating event in the life of small communities, can have long-lasting medical, economic, and psychological consequences. This study focuses on a 1991 closure that occurred in the rural North Dakota town of Beach that left local residents 40 and 61 miles away from the nearest hospitals. Two hundred residents of the hospital's former service area were selected via systematic random sampling to share their perceptions on the causes and effects of closing their local hospital. According to respondents, this hospital closure was caused by a number of influences, with the most commonly cited being under-utilization of services by local residents, exacting government rules and regulations, doleful economic climate, dwindling population, poor and unstable local physician care, and poor management of hospital matters. Findings further indicated that Beach area residents were most concerned with poor access to emergency medical care as a result of the closing. Area dwellers perceived that the hospital closure's aftermath would include the loss of local jobs, further declines in the local economy, the suffering of elderly and children, transportation problems, and out-migration of some area residents. These concerns, coupled with the notable decrease in hospital care access, motivated many area residents to think of solutions to these problems rather than to place blame on others for the closure.
Strasser, Roger P
Evaluation of rural clinical attachments has demonstrated that the rural setting provides a high-quality clinical learning environment that is of potential value to all medical students. Specifically, rural clinical education provides more 'hands on' experience for students in which they are exposed to a wide range of common health problems and develop a high level of clinical competence. Northern Ontario in Canada is a large rural region that has a chronic shortage of healthcare providers. The Northern Ontario School of Medicine (NOSM) was established with a social accountability mandate to contribute to improving the health of the people and communities of Northern Ontario, and is a joint initiative of Laurentian University, Sudbury, and Lakehead University, Thunder Bay, which are over 1000 km apart. The NOSM has developed a distinctive model of medical education known as distributed community engaged learning (DCEL), which weaves together various recent trends in medical education including case-based learning, community-based medical education, electronic distance education and rural-based medical education (including the preceptor model). The NOSM curriculum is grounded in Northern Ontario and relies heavily on electronic communications to support DCEL. In the classroom and in clinical settings, students explore cases from the perspective of doctors in Northern Ontario. In addition, DCEL involves community engagement through which communities actively participate in hosting students and contribute to their learning.This paper explores the conceptual and practical issues of community engagement, with specific focus on successful rural clinical education. Community engagement takes the notion of 'community' in health sciences education beyond being simply community based in that the community actively contributes to hosting the students and enhancing their learning experiences. This is consistent with the focus on social accountability in medical education
Betz, Leslie M.
The population of rural America has faced changes as the manufacturing industries that once assured jobs for those living in rural areas have moved or closed. Small towns have become smaller as younger residents move away for employment or educational opportunities. As these changes take place rural citizens face increased challenges in the wake…
Yousefian, Anush; Ziller, Erika; Swartz, Jon; Hartley, David
Rural youth are at greater risk than urban youth for obesity and physical inactivity. Active living research incorporates an ecological approach to promoting physical activity (PA) by recognizing that individual behavior, social environments, physical environments, and policies contribute to behavior change. Active living research and interventions have been limited primarily to urban settings. Because rural communities have unique environmental features and sociocultural characteristics, this project combines insights from current active living models with more focused consideration of the physical and social realities of rural areas. In this study, we report on our efforts to develop, test, and refine a conceptual model describing the interaction between the individual and the environment as it enhances or thwarts active living in rural communities. Our findings revealed a host of relevant "predisposing" and "enabling" factors, including sociodemographic, environmental, policy, and programmatic elements, that extend across the four domains of active living--transportation, recreation, occupation, and household. A one-size approach to PA promotion will not fit the needs of rural youth. Given the unique challenges that rural communities face, efforts to combat childhood obesity must consider rural residents a priority population. More research, interventions, and evaluations on ways to promote rural PA are needed.
Zapke, Robert A.
The importance of the rural police function is likely to mount due to increasing urban to rural migration and a climbing crime rate (up as much as 30 percent in some parts of the midwest). Although 92 percent of police departments in the U.S. are comprised of less than 10 officers, there is little information available on the organization and…
Kulig, Judith C; Edge, Dana; Joyce, Brenda
Community resiliency is a theoretical framework useful for describing the process used by communities to address adversity. A mixed-method 2-year case study was conducted to gather information about community resiliency in 2 rural communities. This article focuses on the themes generated from qualitative interviews with 55 members of these communities. The participants viewed community as a place of interdependence and interaction. The majority saw community resiliency as the ability to address challenges. Characteristics included physical and social infrastructure, population characteristics, conceptual characteristics, and problem-solving processes. Barriers included negative individual attitudes and lack of infrastructure in rural communities. Nurses could play a key role in enhancing the resiliency of rural communities by developing and implementing programs based on the Community Resiliency Model, which was supported in this study.
National Rural Health Association, Kansas City, MO.
The intent of this project was to determine the financial impact of the rural economic crisis on rural community health centers. A 1986-87 survey reported changes in accounts receivable, bad debt, and sliding fee use, and the effect such changes may have on the cash position of rural community health centers. Of 284 rural community and migrant…
Theobald, Paul; Rochon, Ronald S.
The following is an historically-based analysis of a new phenomenon affecting rural schools and communities: animal confinement operations. A contrast is made between "enclosure" as it unfolded in England a few centuries ago and the way animal concentration units constitute a second, "modern" form of enclosure today. In both…
This article reports the findings of a study exploring the effects of using videoconferencing (VC) to deliver dance instruction to rural communities. The context of the study is a university community partnership run through blended live and VC instruction with elementary and middle school students in Eloy, Arizona. This research is part of a…
Nilson, Ralph; And Others
The Wellness Mobile transports medical supplies, equipment, informational materials, and staff to rural Saskatchewan communities to assist them in developing wellness programs that stress disease prevention. Staff from the Wellness Mobile offer health-risk screening and appraisal to community members and work with local practitioners and schools…
Warnock, Mary M.
A rural community established an after-school child care program by forming a community coalition, acquiring funding, obtaining space, and arranging for children's transportation. The program enriched the quality of life for children, parents, and staff. Children's grades improved and the number of mothers satisfied with child care services…
Hosler, Akiko S.
Context: Disparities in the availability of nutritionally important foods and their influence on health have been studied in US urban communities. Purpose: To assess the availability of selected retail foods and cigarettes, and explore ecologic relationships of the availability with obesity and smoking in rural communities. Methods: Inventories of…
This paper summarizes the history of rural communities (moshavim and kibbutzim) in Israel and attempts to rehabilitate those that have experienced difficulties. The first section of the paper outlines the context of these communities, most of which are cooperatives. Before the establishment of the State of Israel in 1948, most of the communities…
Howley, Craig B., Ed.; Eckman, John M., Ed.
This book aims to help parents, community members, and educators find resources, design school options, and take action together to improve small rural schools in ways that meet community and student needs. Chapter 1 discusses the virtues of smallness, outlines basic assumptions about the role and nature of good education, examines the…
Eddy, Pamela L.
Pending retirements underscore the need to develop community college campus leaders. Rural community colleges will be particularly hard-hit by changes in leadership as they represent the majority of 2-year colleges and face unique challenges given their location. To help address the anticipated leadership transition, the American Association of…
Burgraff, Donna L.
This article describes the formation of an educational partnership developed in a rural, Appalachian, coal-mining community. Williamson Main Street, Inc., a downtown revitalization program, and Southern West Virginia Community and Technical College (Southern) combined their efforts to create the Tug Valley Economic Development Institute (TVEDI).…
Marquart-Pyatt, Sandra T.; Petrzelka, Peggy
A number of dimensions of the democratic political process are important for understanding civic communities and civic engagement. While many of these aspects have been examined at the federal level, less is known about how these dynamics operate at the local level, especially in rural communities, and that, moreover, involve a specific issue. In…
Weiss, Mitchell G.; Rao, Shobha; Ali, Firdaus; Prentice, Tracey
Stigma is a recognized barrier to early detection of HIV and causes great suffering for those affected. This paper examines HIV-related stigma in rural and tribal communities of Maharashtra, an area of relatively high HIV prevalence in India. The study used a mix of qualitative and quantitative methods to compare adult women and adolescents in a rural area, women in a rural area, and women in a tribal area. The respondents included 494 married women and 186 adolescents in a rural community and 49 married women in six tribal villages. HIV-related stigma was prevalent in all communities and was the highest among tribal and older respondents. High-risk behaviour was reported in both areas, accompanied with denial of personal risk. Our findings suggest that HIV may be spreading silently in these communities. To our knowledge, this is the first community-based study to make an in-depth assessment of HIV-related stigma in rural and tribal areas of India. By situating our findings within the broader discourse on stigma in the national and state-level data, this study helps explain the nature and persistence of stigma and how to address it more effectively among subcultural groups in India. PMID:23304905
Background This paper explores how community participation can be used in designing rural primary healthcare services by describing a study of Scottish communities. Community participation is extolled in healthcare policy as useful in planning services and is understood as particularly relevant in rural settings, partly due to high social capital. Literature describes many community participation methods, but lacks discussion of outcomes relevant to health system reconfiguration. There is a spectrum of ideas in the literature on how to design services, from top-down standard models to contextual plans arising from population health planning that incorporates community participation. This paper addresses an evidence gap about the outcomes of using community participation in (re)designing rural community health services. Methods Community-based participatory action research was applied in four Scottish case study communities in 2008–10. Data were collected from four workshops held in each community (total 16) and attended by community members. Workshops were intended to produce hypothetical designs for future service provision. Themes, rankings and selections from workshops are presented. Results Community members identified consistent health priorities, including local practitioners, emergency triage, anticipatory care, wellbeing improvement and health volunteering. Communities designed different service models to address health priorities. One community did not design a service model and another replicated the current model despite initial enthusiasm for innovation. Conclusions Communities differ in their receptiveness to engaging in innovative service design, but some will create new models that fit in a given budget. Design diversity indicates that context influences local healthcare planning, suggesting community participation impacts on design outcomes, but standard service models maybe useful as part of the evidence in community participation discussions
Rep. Pomeroy, Earl [D-ND-At Large
11/16/2010 Referred to the Subcommittee on Rural Development, Biotechnology, Specialty Crops, and Foreign Agriculture. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
White, Paula A; Belant, Jerrold L
Sport hunting has reportedly multiple benefits to economies and local communities; however, few of these benefits have been quantified. As part of their lease agreements with the Zambia Wildlife Authority, sport hunting operators in Zambia are required to provide annually to local communities free of charge i.e., provision a percentage of the meat obtained through sport hunting. We characterized provisioning of game meat to rural communities by the sport hunting industry in Zambia for three game management areas (GMAs) during 2004-2011. Rural communities located within GMAs where sport hunting occurred received on average > 6,000 kgs per GMA of fresh game meat annually from hunting operators. To assess hunting industry compliance, we also compared the amount of meat expected as per the lease agreements versus observed amounts of meat provisioned from three GMAs during 2007-2009. In seven of eight annual comparisons of these GMAs, provisioning of meat exceeded what was required in the lease agreements. Provisioning occurred throughout the hunting season and peaked during the end of the dry season (September-October) coincident with when rural Zambians are most likely to encounter food shortages. We extrapolated our results across all GMAs and estimated 129,771 kgs of fresh game meat provisioned annually by the sport hunting industry to rural communities in Zambia at an approximate value for the meat alone of >US$600,000 exclusive of distribution costs. During the hunting moratorium (2013-2014), this supply of meat has halted, likely adversely affecting rural communities previously reliant on this food source. Proposed alternatives to sport hunting should consider protein provisioning in addition to other benefits (e.g., employment, community pledges, anti-poaching funds) that rural Zambian communities receive from the sport hunting industry.
White, Paula A.; Belant, Jerrold L.
Sport hunting has reportedly multiple benefits to economies and local communities; however, few of these benefits have been quantified. As part of their lease agreements with the Zambia Wildlife Authority, sport hunting operators in Zambia are required to provide annually to local communities free of charge i.e., provision a percentage of the meat obtained through sport hunting. We characterized provisioning of game meat to rural communities by the sport hunting industry in Zambia for three game management areas (GMAs) during 2004–2011. Rural communities located within GMAs where sport hunting occurred received on average > 6,000 kgs per GMA of fresh game meat annually from hunting operators. To assess hunting industry compliance, we also compared the amount of meat expected as per the lease agreements versus observed amounts of meat provisioned from three GMAs during 2007–2009. In seven of eight annual comparisons of these GMAs, provisioning of meat exceeded what was required in the lease agreements. Provisioning occurred throughout the hunting season and peaked during the end of the dry season (September–October) coincident with when rural Zambians are most likely to encounter food shortages. We extrapolated our results across all GMAs and estimated 129,771 kgs of fresh game meat provisioned annually by the sport hunting industry to rural communities in Zambia at an approximate value for the meat alone of >US$600,000 exclusive of distribution costs. During the hunting moratorium (2013–2014), this supply of meat has halted, likely adversely affecting rural communities previously reliant on this food source. Proposed alternatives to sport hunting should consider protein provisioning in addition to other benefits (e.g., employment, community pledges, anti-poaching funds) that rural Zambian communities receive from the sport hunting industry. PMID:25693191
Edington, Everett D.
Change in rural schools is difficult to achieve because the diversity of these schools does not allow for one set implementation program. Small rural schools are an integral part of the rural community, and as such are as different as the part of the country where they are located. Change in rural areas is unsuccessful due to: the amount of…
Allen, John C.; Dillman, Don A.
This book explores how community functions in "Bremer," a small rural town in eastern Washington. Human interactions in a variety of contexts are analyzed within a framework that posits three distinct eras of social and economic organization: community-control, mass-society, and information eras. Contexts examined are farming (the…
Casey, M; Finch, C F; Mahoney, M; Townsend, M
Australian football and netball are the predominant sports played in rural Victoria, Australia. This exploratory study is the first to report the sport safety policies and practices adopted by junior Australian football and netball clubs in small rural communities. Eleven informants from four clubs completed a semi-structured interview and survey. Whilst the clubs performed a range of injury prevention activities, they did not have formal sports safety policies. Generally, netball informants reported fewer safety practices than football informants. Crucial factors influencing safety policies and practices were the reliance on volunteers and a lack of senior players. Barriers towards the adoption of safety policies and practices appeared to be related to rural population declines, a lack of qualified people and attitudes to injury in rural areas. Future research needs to identify how widespread this lack of sport safety policies and practices is across rural Australia and to identify strategies to overcome barriers to implementing them.
Leung, Janni; Smith, Annetta; Atherton, Iain; McLaughlin, Deirdre
Patients have a right to privacy in a health care setting. This involves conversational discretion, security of medical records and physical privacy of remaining unnoticed or unidentified when using health care services other than by those who need to know or whom the patient wishes to know. However, the privacy of cancer patients who live in rural areas is more difficult to protect due to the characteristics of rural communities. The purpose of this article is to reflect on concerns relating to the lack of privacy experienced by cancer patients and health care professionals in the rural health care setting. In addition, this article suggests future research directions to provide much needed evidence for educating health care providers and guiding health care policies that can lead to better protection of privacy among cancer patients living in rural communities.
Selfa, Theresa L; Goe, Richard; Kulcsar, Laszlo; Middendorf, Gerad; Bain, Carmen
The aim of this research was an in-depth analysis of the impacts of biofuels industry and ethanol plants on six rural communities in the Midwestern states of Kansas and Iowa. The goal was to provide a better understanding of the social, cultural, and economic implications of biofuels development, and to contribute to more informed policy development regarding bioenergy.Specific project objectives were: 1. To understand how the growth of biofuel production has affected and will affect Midwestern farmers and rural communities in terms of economic, demographic, and socio-cultural impacts; 2. To determine how state agencies, groundwater management districts, local governments and policy makers evaluate or manage bioenergy development in relation to competing demands for economic growth, diminishing water resources, and social considerations; 3. To determine the factors that influence the water management practices of agricultural producers in Kansas and Iowa (e.g. geographic setting, water management institutions, competing water-use demands as well as producers attitudes, beliefs, and values) and how these influences relate to bioenergy feedstock production and biofuel processing; 4. To determine the relative importance of social-cultural, environmental and/or economic factors in the promotion of biofuels development and expansion in rural communities; The research objectives were met through the completion of six detailed case studies of rural communities that are current or planned locations for ethanol biorefineries. Of the six case studies, two will be conducted on rural communities in Iowa and four will be conducted on rural communities in Kansas. A multi-method or mixed method research methodology was employed for each case study.
Jie, Yu; Isa, Zaleha Md; Jie, Xu; Ju, Zhang Long; Ismail, Noor Hassim
In this review, our aim was to examine the influence of geographic variations on asthma prevalence and morbidity among adults, which is important for improving our understanding, identifying the burden, and for developing and implementing interventions aimed at reducing asthma morbidity. Asthma is a complex inflammatory disease of multifactorial origin, and is influenced by both environmental and genetic factors. The disparities in asthma prevalence and morbidity among the world's geographic locations are more likely to be associated with environmental exposures than genetic differences. In writing this article, we found that the indoor factors most consistently associated with asthma and asthma-related symptoms in adults included fuel combustion, mold growth, and environmental tobacco smoke in both urban and rural areas. Asthma and asthma-related symptoms occurred more frequently in urban than in rural areas, and that difference correlated with environmental risk exposures, SES, and healthcare access. Environmental risk factors to which urban adults were more frequently exposed than rural adults were dust mites,high levels of vehicle emissions, and a westernized lifestyle.Exposure to indoor biological contaminants in the urban environment is common.The main risk factors for developing asthma in urban areas are atopy and allergy to house dust mites, followed by allergens from animal dander. House dust mite exposure may potentially explain differences in diagnosis of asthma prevalence and morbidity among adults in urban vs. rural areas. In addition, the prevalence of asthma morbidity increases with urbanization. High levels of vehicle emissions,Western lifestyles and degree of urbanization itself, may affect outdoor and thereby indoor air quality. In urban areas, biomass fuels have been widely replaced by cleaner energy sources at home, such as gas and electricity, but in most developing countries, coal is still a major source of fuel for cooking and heating
Nattinger, Matthew; Ullrich, Fred; Mueller, Keith J
Prior RUPRI Center policy briefs have described the role of rural pharmacies in providing many essential clinical services (in addition to prescription and nonprescription medications), such as blood pressure monitoring, immunizations, and diabetes counseling, and the adverse effects of Medicare Part D negotiated networks on the financial viability of rural pharmacies.1 Because rural pharmacies play such a broad role in health care delivery, pharmacy closures can sharply reduce access to essential health care services in rural and underserved communities. These closures are of particular concern in rural areas served by a sole, independently owned pharmacy (i.e., a pharmacy unaffiliated with a chain or franchise). This policy brief characterizes the population of rural areas served by a sole, independently owned pharmacy. Dependent on a sole pharmacy, these areas are at highest risk to lose access to many essential clinical services. Key Findings. (1) In 2014 over 2.7 million people lived in 663 rural communities served by a sole, independently owned pharmacy. (2) More than one-quarter of these residents (27.9 percent) were living below 150 percent of the federal poverty level. (3) Based on estimates from 2012, a substantial portion of the residents of these areas were dependent on public insurance (i.e., Medicare and/or Medicaid, 20.5 percent) or were uninsured (15.0 percent). (4) If the sole, independent retail pharmacy in these communities were to close, the next closest retail pharmacy would be over 10 miles away for a majority of rural communities (69.7 percent).
In 1999 the Victorian primary care and community support system began a process of substantial reform, involving purchasing reforms and a contested selection process between providers in large catchment areas across the State. The Liberal Government's electoral defeat in September 1999 led to a review of these reforms. This paper questions the reforms from a rural perspective. They were based on a generic template that did not consider rural-urban differences in health needs or other differences including socio-economic status, and may have reinforced if not aggravated rural-urban differences in the quality of and access to primary health care in Victoria.
Robinson, Ruby; Rud, A. G.
Rural community schools and their educational mission have always provided a sort of connectivity for the rural community. This research takes a closer look at the closing of a small rural community school located in a southern Appalachian region and determines its effects upon the teachers, students, and community culture. Although these students…
Onugu, C U
This paper examined the development role of community banks in rural Nigeria by using the deposit mobilization capability and funding capacity in key sectors of the rural economy as yardsticks. By using a cluster sampling technique, it looks at the achievements of the community banking scheme initiative in terms of economic development. The scheme, established in 1991, has sustained itself and promoted rural development in the country. It is noted that communities have, for the first time, realized that they can advance their own economic fortunes. However, the scheme's performance as supporter of the agricultural sector has not been as well as expected, despite the fact that agriculture dominates Nigeria's rural economy. In view of this, non-banking activities are a welcome development since some of their approaches are proven to be knowledge enhancing and empowering for the rural population. Overall, community banks should attempt to strengthen non-banking approaches by collaborating more with self-help groups or nongovernmental organizations to be more empowering, results-oriented, and sustainable. Moreover, regulatory authorities should ensure that guidelines relate to credit application in terms of volume and sector allocation.
This paper provides a detailed discussion of substance use and misuse in a rural community in the Western Highlands of Scotland, United Kingdom. Attention is focused on the way in which patterns of substance use arise from a complex interplay of historical, cultural, social, and personal events. The discussion illustrates how large changes in patterns of intoxication in rural communities can be rendered intelligible through an understanding of the impact of economic, religious, and social changes. The analysis is based on an historical and ethnographic account, carried out between 1987 and 1990 with adolescents, of patterns of use which range from pagan ceremonies in the 16th century to contemporary "soft drug" use.
The Country Women's Association (CWA) is a nationwide Australian group that started in the 1920s in response to isolated women's need to socialize. The group's activities have expanded greatly over time. It distributes essential food and clothing to needy rural families, and its extensive involvement in incidental education for women includes…
Guion, W. Kent; Mishoe, Shelley C.; Taft, Arthur A.; Campbell, Carol A.
Context: Statewide studies indicate a continuing shortfall of personnel in several allied health disciplines in rural Georgia. National trends indicate lagging enrollment in allied health education programs, suggesting that the workforce shortages will worsen. Purpose: This article describes the efforts of the School of Allied Health Sciences at…
Moon, Henry E., Jr.
Highway interchanges offer rural counties practically ready-made sites for development, but some interchanges offer better development opportunities than others. A study of a Kentucky interchange identified seven factors that make a difference in development, including traffic volume, distance to an urban area, ruggedness of terrain, and sale of…
... the Under Secretary for Rural Development § 2.45 Deputy Under Secretary for Rural Economic and... Under Secretary for Rural Economic and Community Development, to be exercised only during the absence or... may hereafter be delegated to the Under Secretary for Rural Economic and Community Development....
de Lange, Naydene; Mitchell, Claudia
This article advances the idea that rural youth and teachers are the key in leading community dialogue towards addressing gender-based violence (GBV) in their community through their film making. The youth voices on the realities of GBV in their school and community, in rural KwaZulu-Natal, South Africa, captured through the process of…
Markus, Susan F.
This article provides an example of a culturally responsive, community-based project for addressing social determinants of health in rural American Indian (AI) communities through: 1) empowering youth and community voices to set directions for HIV, sexually transmitted infections, and unintended pregnancy prevention and education efforts; 2) using…
Cox, Robin S.; Espinoza, Adriana
The authors propose a framework for career counseling in rural communities that addresses the psychosocial and economic challenges of natural disasters and other catastrophic transitions. The career-community development framework expands the notion of "client" to include a community-as-client approach within a capacity building…
Whitehead, Kevin A.; Kriel, Anita J.; Richter, Linda M.
In the face of extreme poverty and inequality in South Africa, community mobilization interventions represent an important way in which people can be empowered to improve their life. Successfully conducting community mobilization interventions in rural South African communities requires anticipating and addressing a number of potential barriers in…
The Community Development Employment Projects (CDEP) scheme provides funds to help Indigenous communities in rural and remote Australia provide employment, skills development, and various essential and desirable municipal services. However, there is room to improve the range and quality of employment and community development activities available.…
... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY Farm, Ranch, and Rural Communities Advisory Committee (FRRCC) AGENCY: Environmental Protection... Farm, Ranch, and Rural Communities Advisory Committee (FRRCC) will be renewed for an additional...
... URBAN DEVELOPMENT Announcement of Funding Awards for the Rural Capacity Building for Community... Community Planning and Development, HUD. ACTION: Announcement of funding awards. SUMMARY: In accordance with... the 2012 Notice of Funding Availability (NOFA) for the Rural Capacity Building for...
Context: Identifying ways to meet the health care needs of older adults is important because their numbers are increasing and they often have more health care issues. High resilience level may be one factor that helps older adults adjust to the hardships associated with aging. Rural community-dwelling older adults often face unique challenges such…
Scott, Shanda; Miller, Michael T.; Morris, Adam A.
Rural community college students face unique difficulties in higher education for many reasons, including the resources they typically have access to, their collective histories, and in many cases, the preparation they received in high school. These challenges might be low-performing secondary schools, a lack of tradition and precedence in…
Katsinas, Stephen; Miller, Michael T.
Eight challenges for rural vocational education in community colleges include (1) inadequate state funding; (2) higher professional development costs; (3) higher business costs; (4) difficulty assessing labor market needs; (5) flooding the market with graduates; (6) focus on preserving local culture; (7) difficulty launching new programs; and (8)…
Active Learner: A Foxfire Journal for Teachers, 1998
The experiences of two teachers describe how BreadNet, an online professional-development and educational conference, enables teachers with similar interests to work together and maintain a sense of community. BreadNet allowed their rural schools to participate in projects with distant schools, leading to improvements in the quantity and quality…
Stedman, Richard C.; Parkins, John R.; Beckley, Thomas M.
The well-being of residents of resource dependent communities is a question of traditional interest to rural sociologists. The label "resource dependent" obscures how this relationship may vary between particular resource industries, regions, or indicators of well-being. Few analyses have compared the relationship between well-being and resource…
... 42 Public Health 1 2012-10-01 2012-10-01 false Definition of Underserved Rural Community. 5a.3 Section 5a.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL... Professions Shortage Area, (under section 332(a)(1)(A) of the Public Health Service Act) or (2)...
... 42 Public Health 1 2014-10-01 2014-10-01 false Definition of Underserved Rural Community. 5a.3 Section 5a.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL... Professions Shortage Area, (under section 332(a)(1)(A) of the Public Health Service Act) or (2)...
... 42 Public Health 1 2011-10-01 2011-10-01 false Definition of Underserved Rural Community. 5a.3 Section 5a.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL... Professions Shortage Area, (under section 332(a)(1)(A) of the Public Health Service Act) or (2)...
... 42 Public Health 1 2010-10-01 2010-10-01 false Definition of Underserved Rural Community. 5a.3 Section 5a.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL... Professions Shortage Area, (under section 332(a)(1)(A) of the Public Health Service Act) or (2)...
... 42 Public Health 1 2013-10-01 2013-10-01 false Definition of Underserved Rural Community. 5a.3 Section 5a.3 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL... Professions Shortage Area, (under section 332(a)(1)(A) of the Public Health Service Act) or (2)...
Delany, John; Wenmoth, Derek
Christchurch College of Education (New Zealand) offers a distance teacher education course to a rural Maori community experiencing a teacher shortage. Program success is attributed to local initiative in establishing the program, significant local input into program development, attention to the student profile in course design and delivery,…
Lack of adequate access to capital is a major barrier for rural entrepreneurs. Washington State University Extension and the Association of Washington Cities partnered to explore and test an innovative local investment approach that provides access to capital and engages the community in the success of individual businesses. The approach offers…
... as oral and written communication skills; and an ability and willingness to participate in a... range of environmental issues and policies that are of importance to agriculture and rural communities... identified by name, occupation, organization, position, current business address, email address, and...
Kidd, Scott T.; Meyer, Cheryl L.
A study examined characteristics common among young offenders from rural communities who were involved in multiple-fatality school shootings. Data on six cases involving eight offenders revealed six common offender characteristics: verbal threats, peer rejection, interest in violent media, previous violent behavior, suicidal ideation, and violent…
Hobbs, Beverly B.
A multiple-case study examined how schools and community human-services agencies collaborate to meet the needs of at-risk youth in two rural Oregon counties. Four youth services teams (YST) were composed of approximately 10 members each, representing local public schools, county social and health services agencies, and local law enforcement units.…
Pennington, Kevin; Williams, Mitchell R.
According to this paper, rural community colleges face new challenges, which require openness to institutional partnerships that in the past may have been unthinkable due to traditional institutional competitiveness. These challenges include enrollment fluctuation, increased legislative scrutiny, calls for accountability, inadequate and…
Richardson, James C.
As the United States has become progressively more diverse in rural areas, America's higher education system has wrestled to comprehend and resolve issues related to diversity in higher education. Community colleges enrolled nearly 50% of culturally diverse college students (Cohen & Brawer, 2002) because they often afford the only points of…
Gray, Fred, Ed.
This document contains 12 papers about lifelong learning in rural communities in Great Britain. The papers, which are intended for lecturers, tutors, and guidance professionals but may also prove useful to organizations providing lifelong learning and policymakers, include conceptual tools as well as empirical case studies documenting lifelong…
Hlinka, Karen R.; Mobelini, Deronda C.; Giltner, Terri
This article describes a qualitative study examining factors influencing the decision-making processes of traditional-age students living in rural, southeastern Kentucky as they progress toward acquiring a bachelor's degree using the community college as a steppingstone. Specifically, this study explored students' perspectives of the factors that…
Aware of the increasing burden of fuel costs on their students, administrators of rural community colleges are looking for ways to help students stay on track with their studies even as their monthly transportation bills rise. Two common tactics are increasing the number of online courses and offering block scheduling that allows students to pack…
... 7 Agriculture 11 2011-01-01 2011-01-01 false Assistance to High Energy Cost Rural Communities... Assistance to High Energy Cost Rural Communities. RUS, through the Electric Program, makes grants and loans to assist high energy cost rural communities. The Assistant Administrator, Electric Program,...
Miller, Michael T.; Deggs, David
Rural community colleges have an often understated impact on the communities they serve, especially in regard to their role in developing the identity of individuals. The ability of the rural community college to influence individual identity development is often exasperated due to the challenges associated with rural American life. The role of…
... 7 Agriculture 11 2014-01-01 2014-01-01 false Assistance to High Energy Cost Rural Communities... Assistance to High Energy Cost Rural Communities. RUS, through the Electric Program, makes grants and loans to assist high energy cost rural communities. The Assistant Administrator, Electric Program,...
... 7 Agriculture 11 2012-01-01 2012-01-01 false Assistance to High Energy Cost Rural Communities... Assistance to High Energy Cost Rural Communities. RUS, through the Electric Program, makes grants and loans to assist high energy cost rural communities. The Assistant Administrator, Electric Program,...
... 7 Agriculture 11 2013-01-01 2013-01-01 false Assistance to High Energy Cost Rural Communities... Assistance to High Energy Cost Rural Communities. RUS, through the Electric Program, makes grants and loans to assist high energy cost rural communities. The Assistant Administrator, Electric Program,...
Illustrates complexities involved in establishing school-community partnership in a cross-cultural setting--an Alaskan village of 500 inhabitants. Analyzes outcomes of a three-week multidisciplinary program developed jointly by high school students and teachers which utilized Native community members and resources to study kayak and boat building,…
Fang, Lei; Zhang, Xiaomei
Rural community is an important institutional innovation,which has important effect and edification to future new rural management.There are three new rural community management patterns in shandong province:divisions of the village community,many villages community and village merge community. This article not only introduce three models,but also compare them in four aspects: community scale, community management,infrastructure,resource utilization.Pointing out the strength and weakness of three models.Drawing a conclusion that village merge community is the active reaction for rural urbanization. And could be the important recommended breed.
Li, Y.-H.; Liao, W.-T.; Tung, C.-P.
The purpose of this study is to develop several water resources simulation models for residence houses, constructed wetlands and farms and then integrate these models for a rural community. Domestic and irrigation water uses are the major water demand in rural community. To build up a model estimating domestic water demand for residence houses, the average water use per person per day should be accounted first, including water uses of kitchen, bathroom, toilet and laundry. On the other hand, rice is the major crop in the study region, and its productive efficiency sometimes depends on the quantity of irrigation water. The water demand can be estimated by crop water use, field leakage and water distribution loss. Irrigation water comes from rainfall, water supply system and reclaimed water which treated by constructed wetland. In recent years, constructed wetlands play an important role in water resources recycle. They can purify domestic wastewater for water recycling and reuse. After treating from constructed wetlands, the reclaimed water can be reused in washing toilets, watering gardens and irrigating farms. Constructed wetland is one of highly economic benefits for treating wastewater through imitating the processing mechanism of natural wetlands. In general, the treatment efficiency of constructed wetlands is determined by evapotranspiration, inflow, and water temperature. This study uses system dynamics modeling to develop models for different water resource components in a rural community. Furthermore, these models are integrated into a whole system. The model not only is utilized to simulate how water moves through different components, including residence houses, constructed wetlands and farms, but also evaluates the efficiency of water use. By analyzing the flow of water, the water resource simulation model can optimizes water resource distribution under different scenarios, and the result can provide suggestions for designing water resource system of a
Swaim, Randall C.; Stanley, Linda R.
Purpose: As the most widely used substance among adolescents in the United States, alcohol remains a critical public health issue. The majority of research in this area has focused on individual-level variables. This study examined the contextual effects of rurality, geographic region, and community ethnicity in the prediction of alcohol use among…
Leonard, Olen; Loomis, C. P.
Located on the Pecos River in San Miguel County, El Cerrito (New Mexico) was a culturally stable rural community. Almost a cultural island, its inhabitants were of native or Spanish American stock, descendants of conquistadores who mixed their blood with that of the indigenous population. Religion and the Catholic church had a profound influence…
This essay examines how the social construction of community may influence faculty perceptions, roles, and actions in rural community development outreach. Special attention is given to the social construction of rural communities and how disciplinary perspective and popular culture influence these perceptions of community. The essay considers how…
Kostygina, Ganna; Hahn, Ellen J; Rayens, Mary Kay
Rural residents are exposed to sophisticated tobacco advertising and tobacco growing represents an economic mainstay in many rural communities. There is a need for effective health messages to counter the pro-tobacco culture in these communities. To determine relevant cultural themes and key message features that affect receptivity to pro-health advertisements among rural residents, 11 exploratory focus groups and surveys with community advocates (N = 82) in three rural Kentucky counties were conducted. Participants reviewed and rated a collection of print media advertisements and branding materials used by rural communities to promote smoke-free policies. Findings reveal that negative emotional tone, loss framing, appeals to religiosity, and shifting focus away from smokers are effective strategies with rural audiences. Potential pitfalls were identified. Attacks on smokers may not be a useful strategy. Health risk messages reinforced beliefs of secondhand smoke harm but some argued that the messages needed to appeal to smokers and emphasize health hazards to smokers, rather than to non-smokers only. Messages describing ineffectiveness of smoking sections were understood but participants felt they were only relevant for restaurants and not all public spaces. Emphasis on religiosity and social norms shows promise as a culturally sensitive approach to promoting smoke-free environments in rural communities.
Mlangeni, Angstone Noel J. Thembachako; Chiotha, Sosten Staphael
A study was conducted to investigate factors that affect students' poor performance in physical science examinations at Malawi School Certificate of Education and Junior Certificate of Education levels in Community day secondary schools (CDSS) in Lilongwe Rural West Education District in Malawi. Students' performance was collected from schools'…
Building community capacity for health promotion in small rural communities is essential if health promotion research is to yield sustainable outcomes. Since its inception, capacity-building has been a stated goal of the Delta Nutrition Intervention Research Initiative, a tri-state collaboration in ...
Building community capacity for health promotion in small rural communities is essential if health promotion research is to yield sustainable outcomes. Since its inception, capacity-building has been a stated goal of the Delta Nutrition Intervention Research initiative, a tri-state collaboration in ...
Frankenstein, Elizabeth A.
The problem facing many higher education institutions is the ability to engage freshmen students during the first semester of college in order to sustain their enrollment. This study assessed the effectiveness of a freshmen learning community as a retention strategy at a small, rural, and public community college. The purpose of this ex post facto…
Resilience, and specifically the resilience of (rural) communities, is an increasingly-ubiquitous concept, particularly in the contexts of resistance to shocks, climate change, and environmental disasters. The dominant discourse concerning (community) resilience centres around bounce-back from external shocks. In this paper, I argue that it is…
Behr, Chris; Lamb, Greg; Miller, Al; Sadowske, Sue; Shaffer, Ron
In rural coastal communities, trade-offs between conserving and developing environmentally sensitive resources are acute. At the community level, part-time volunteers and citizen officials are asked to make complex decisions based on ambiguous and frequently contradictory "scientific" evidence of economic and environmental relationships.…
This document was produced by the author(s) based on their research for the report, "The Role of Community Development Employment Projects in Rural and Remote Communities," (ED495158) and is an added resource for further information. The contents of this support docment include: (1) Regional Council--Roma; (2) Regional Council--Tennant…
Abramson, Richard A.
The list of issues confronting education leaders today seems to be growing longer, with school wellness being pushed to the forefront by the surge in childhood obesity rates. Whether walking the halls of the schools or the local shopping mall, it is easy to see why society needs to adopt healthier lifestyles. That is why more community leaders,…
Blake, Brian F.; Lawton, M. Powell
Perceived community function (PCF) provides a model for assessing the role of environmental attributes in individual well-being. Subjects over 60 viewed health and nutritional programs as maintenance functions, while turning to senior centers for both maintenance and recreation. Delivery systems must consider the different expectations of…
Osgood, D. Wayne; Chambers, Jeff M.
Social disorganization is the primary theory by which criminologists account for crime rates. Current versions of social disorganization theory assume that strong networks of social relationship prevent crime and delinquency. A community's capacity to develop and maintain strong systems of social relationship is influenced by residential…
Baskerville, Roger A.
The Lohrville Career Education Model (LCEM) is a successful program to influence the decision of rural high school students to remain in the community after graduation and to help them examine local occupational opportunities and potential. The LCEM consists of a 7-unit course in local history, rural living, rural economy, rural attitudes,…
This is a case study about how teacher education might better prepare rural teacher candidates for rural schools. Parents, teachers, community members, and students associated with a rural school described what is important in the preparation of teachers for today's rural schools. Their goals and wishes for their children's school and community…
Corruccini, R S; Whitley, L D
Some major theories concerning the etiology of malocclusion and its modern increase in frequency include genetic explanations, such as inbreeding, racial crossing, and accumulation of mutations, as well as such environmental causes as "habits," allergies, and caries causing reduced arch space of premature deciduous tooth loss. Reduction of masticatory stress resulting from modern urbanism is less often considered as an agent. Many examples of acquisition of gross malocclusion in aboriginal peoples immediately following dietary "modernization" contradict the genetic explanations. A rural population from central Kentucky presents several propitious social characteristics for epidemiologic study of occlusion. They have experienced almost no professional dental care, they are highly inbred (but less so during the last 30 years), and their diet included many difficult-to-chew foods until the recent introduction of industry to the area. Occlusion was evaluated according to the criteria of the Treatment Priority Index. The temporal change and correlates of occlusal variation were assessed on wax-bite impressions of thirty-four persons, informant dietary histories, and other information. The older inhabitants raised on more traditional diets show significantly better occlusion. Dietary consistency provides the most powerful explanation for the transition in occlusal variation, through it was not conclusive in these data.
Rural School and Community Trust, Washington, DC.
The Rural School and Community Trust has made place central to its educational and community-building work. Because the understanding of a place is fundamental to building sustainable communities, Rural Trust schools and communities are committed to providing their children and young people with opportunities to explore, analyze, and contribute to…
Howley, Caitlin; Chavis, Barbara; Kester, John
Drawing on data from a program serving displaced workers and adult students, this article explores how students at a small rural-serving community college in North Carolina believe rurality influences their retention. We review the research and descriptive literature on rural community college challenges, advantages, and approaches to supporting…
Moeck, Pat G.; Katsinas, Stephen G.; Hardy, David E.; Bush, V. Barbara
Many rural community colleges have long provided on-campus housing. This article profiles the availability of housing at rural community colleges in 2001-2002 and 2005-2006, examines the factors that will continue to make on-campus housing an important service at rural institutions, and draws on 2005-2006 data from the Institutional…
Alleman, Nathan F.; Holly, L. Neal
In the past decade, rural education has been critiqued for contributing to brain drain and social stratification that saps the human, social, and economic resources of rural communities. This article, based on an investigation of six small rural school districts in the same state, offers an alternative view of the role of community groups and…
Palmer, Ryan Tyler
There is a severe shortage of rural physicians in America. One reason physicians choose not to practice, or persist in practice, in rural areas is due to a lack of professional community, i.e., community of practice (CoP). Online, "virtual" CoPs, enabled by now common Internet communication technology can help give rural physicians the…
Cole, Jennifer; Sprang, Ginny
The purpose of the study was to examine professionals' awareness, knowledge, and experiences working with youth victims of sex trafficking in metropolitan and non-metropolitan communities. Professionals who worked with at-risk youth and/or crime victims were recruited from all counties in a southern, rural state in the U.S. to complete a telephone survey. Surveys included closed and open-ended questions, which were theme coded. Professionals' (n=289) were classified into one of four categories based on the counties in which they worked: metropolitan, micropolitan, rural, and all three community types. Although there were many similarities found in trafficking situations across the different types of communities, some expected differences were found. First, as expected, more professionals in metropolitan communities perceived CSEC as being a fairly or very serious problem in the state overall. Consistent with other studies, more professionals in metropolitan communities had received training on human trafficking and reported they were familiar with the state and federal laws on human trafficking (Newton et al., 2008). Significantly more professionals in metropolitan (54.7%) communities reported they had worked with a suspected or definite victim of STM compared to professionals in micropolitan communities (29.8%). There were few differences in victim characteristics, vulnerability factors, and trafficking situations (e.g., relationship to trafficker, traffickers' techniques for controlling victims, transportation, and Internet-facilitation of trafficking) across the community types. There is a continued need for awareness building of STM and training, particularly in non-metropolitan communities, as well as adoption of screening tools, integration of trauma-informed care, and identification of best practices.
Olatunji, Victoria A.; Adepoju, Feyi G.; Owoeye, Joshua F. A.
Aim: To determine the perception and attitudes of a rural community regarding the etiology, prevention, and treatment of blindness in adults. Methods: A cross-sectional, descriptive study was performed in a rural community in Kwara State, Nigeria using semi-structured questionnaire. All adults aged 40 years or older who were residents for a minimum of 6 months in the community were included. Data were collected on patient demographics, knowledge, attitude, perception, and use of the eye care facility. Results: A total of 290 participants were interviewed. The male-to-female ratio was 1:2. Consumption of certain types of food was an important cause of blindness as perceived by 57.9% of the respondents, followed by supernatural forces (41.7%) and aging (19%). Sixty percent of respondents thought blindness could be prevented. Age (P = 0.04) and level of education (P =0.003) significantly affected the beliefs on the prevention of blindness. Most respondents (79.3%) preferred orthodox eye care, but only 65% would accept surgical intervention if required. The level of education significantly affected the acceptance of surgery (P = 0.04). Reasons for refusing surgery were, fear (64%), previous poor outcomes in acquaintances (31%), belief that surgery is not required (3%), and cost (2%). About 65% used one form of traditional eye medication or the other. Over half (56.6%) believed that spectacles could cure all causes of blindness. Of those who had ocular complaints, 57.1% used orthodox care without combining with either traditional or spiritual remedies. Conclusion: This rural Nigerian community had some beliefs that were consistent with modern knowledge. However, the overall knowledge, attitude, and perceptions of this community need to be redirected to favor the eradication of avoidable blindness. Although an eye care facility was available, use by the community was suboptimal. Age and the level of education affected their overall perception and attitudes. PMID:26692726
Maley, Moira A; Lockyer-Stevens, Vanessa L; Playford, Denese E
This reflective work considered the journey of rural doctors from diverse backgrounds as teachers and academics during the establishment and rapid expansion of an Australian rural clinical school. The observed social and academic processes are analysed in the context of social learning theory. The extent to which the theoretical social processes match observations during a period of transformational change indicates how social learning processes contributed to the outcome. Ten areas of thematic teacher concerns were identified during teachers' professional development and the strategies used to address these declared. Despite the concurrent evolution of both the overall organisation (teacher environment) and teachers' task (curriculum approach), a community of rural educational practice (CREP) formed and thrived. It adopted a culture of sharing experiences which enabled ongoing knowledge brokering, engaged experts and transformed members. Critical reflection resulting from engagement in mutual activity and a supporting culture of enablement driven by senior leadership was central to success. A generic framework for building a successful CREP includes, leadership that 'enables' its members to flourish, a rural academic identity with a 'Community of Practice' governance, internal benchmarking by members to measure and refine practice, critical reflection 'in' and 'on' academic practice, vertical and horizontal mentoring.
Johnson, E. S.
Coastal communities are vulnerable to floods from storm events which are further exacerbated by storm surges. Additionally, coastal towns provide specific challenges during flood events as many coastal communities are peninsular and vulnerable to inundation of road access points. Publicly available lidar data has been used to model areas of inundation and resulting flood impacts on road networks. However, these models may overestimate areas that are inaccessible as they rely on publicly available Digital Terrain Models. Through incorporation of Digital Surface Models to estimate bridge height, a more accurate model of flood impacts on rural coastal residents can be estimated.
Shannon, C Ken; Price, Shelia S; Jackson, Jodie
Community-based clinical rotations in rural areas expose dental students to diverse patient populations, practice models, and career opportunities as well as rural culture. The aims of this study at West Virginia University were to determine the best predictors of rural practice, assess the predictive validity of students' intention to practice in a rural area before and after their rural rotations, and evaluate the relationship between students' intention to practice in a rural area and intention to provide care for indigent patients. Online survey data were submitted pre- and post-rural clinical rotation by 432 of 489 dental students over the study period 2001-12, yielding an 88% response rate. In 2013, practice addresses from the West Virginia Board of Dentistry were added to the student database. The results showed that significant predictors of rural practice site were intended rural practice choice, rural hometown, and projected greater practice accessibility for indigent patients. The likelihood of students' predicting they would choose a rural practice increased after completion of their rural rotations. After the rotations, students predicted providing greater accessibility to indigent patients; these changes occurred for those who changed their predictions to rural practice choice after the rotations and those who subsequently entered rural practice. The dental students with a rural background or a greater service orientation were also more likely to expect to enter a rural practice and actually to do so after graduation. These findings suggest that dental school curricula that include rural rotations may increase students' sensitivity to issues of indigent patients and increase students' likelihood of rural practice choice.
Edwards, Katie M; Mattingly, Marybeth J; Dixon, Kristiana J; Banyard, Victoria L
Drawing on social disorganization theory, the current study examined the extent to which community-level poverty rates and collective efficacy influenced individual reports of intimate partner violence (IPV) perpetration, victimization, and bystander intervention among a sample of 178 young adults (18-24; 67.4% women) from 16 rural counties across the eastern US who completed an online survey that assessed demographic information, IPV perpetration, victimization, bystander intervention, and collective efficacy. We computed each county's poverty rate from the 2007-2011 American Community Survey. Generalized estimating equations demonstrated that after controlling for individual-level income status, community-level poverty positively predicted IPV victimization and perpetration for both men and women. Collective efficacy was inversely related to IPV victimization and perpetration for men; however, collective efficacy was unrelated to IPV victimization and perpetration for women. Whereas IPV bystander intervention was positively related to collective efficacy and inversely related to individual-level income status for both men and women, community-level poverty was unrelated to IPV bystander intervention for both men and women. Overall, these findings provide some support for social disorganization theory in explaining IPV among rural young adults, and underscore the importance of multi-level IPV prevention and intervention efforts focused around community-capacity building and enhancement of collective efficacy.
Intervention research in rural health disparities communities presents challenges for study design, implementation, and evaluation, thus threatening scientific rigor, reducing response rates, and confounding study results. A multisite nutrition intervention was conducted in the rural Lower Mississip...
Idaho State Dept. of Commerce, Boise.
This document examines population trends and economic and social indicators in rural Idaho. The first few sections discuss the definition of "rural," rural challenges and strengths, and outside economic and political forces impacting Idaho's rural areas. Subsequent sections present data on population trends, migration patterns, race and…
Njume, Collise; Goduka, Nomalungelo I.
Diarrhoea is a major cause of morbidity and mortality in rural communities in Africa, particularly in children under the age of five. This calls for the development of cost effective alternative strategies such as the use of herbal drugs in the treatment of diarrhoea in these communities. Expenses associated with the use of orthodox medicines have generated renewed interest and reliance on indigenous medicinal plants in the treatment and management of diarrhoeal infections in rural communities. The properties of many phenolic constituents of medicinal plants such as their ability to inhibit enteropooling and delay gastrointestinal transit are very useful in the control of diarrhoea, but problems such as scarcity of valuable medicinal plants, lack of standardization of methods of preparation, poor storage conditions and incertitude in some traditional health practitioners are issues that affect the efficacy and the practice of traditional medicine in rural African communities. This review appraises the current strategies used in the treatment of diarrhoea according to the Western orthodox and indigenous African health-care systems and points out major areas that could be targeted by health-promotion efforts as a means to improve management and alleviate suffering associated with diarrhoea in rural areas of the developing world. Community education and research with indigenous knowledge holders on ways to maximise the medicinal potentials in indigenous plants could improve diarrhoea management in African rural communities. PMID:23202823
Eyre, Rachel; Gauld, Robin
Since the mid-1980s, the New Zealand health sector has been in a state of continual change. The most radical changes were in the early-1990s, with the creation of an internal market system for public health care delivery. Rural health services, seen to be unviable, were given the option of establishing themselves as 'community trusts', owning and running their own services. Community trusts have since become a feature of rural health care in New Zealand. An expectation was that community trusts would facilitate community participation. This article reports on a study of participation in a rural community health trust. The 'pentagram model' of Rifkin and coworkers, with its five dimensions of participation-needs assessment, leadership, resource mobilization, management and organization-was applied. High levels of participation were found across each of these dimensions. The research revealed additional dimensions that could be added to the framework, including 'sustainability of participation', 'equity in participation' and 'the dynamic socio-political context'. In this regard, it supports recent theoretical work by Laverack (2001) and Laverack and Wallerstein (2001). Finally, the article comments on the future of rural health trusts in the current round of health sector restructuring.
In 1994 the Ford Foundation launched the Rural Community College Initiative (RCCI) as a "national demonstration project to help community colleges in distressed regions move their people and communities toward prosperity. It challenged community colleges to become catalysts for economic development and supported aggressive efforts to increase…
Foster, G; Makufa, C; Drew, R; Mashumba, S; Kambeu, S
Focus group discussions and interviews were held with 40 orphans, 25 caretakers and 33 other community workers from a rural area near Mutare, Zimbabwe. Orphan concerns included feeling different from other children, stress, stigmatization, exploitation, schooling, lack of visits and neglect of support responsibilities by relatives. Many community members, while recognizing their limitations due to poverty, were already actively helping orphans and caretakers. Extended family networks are the primary resource for orphans, though some relatives exploit orphans or fail to fulfil their responsibilities. Interventions are suggested which support community coping mechanisms by strengthening the capacities of families to care for orphans. Outside organizations can develop partnerships with community groups, helping them to respond to the impact of AIDS, by building upon existing concern for orphan families. They can help affected communities to develop orphan support activities which encourage caring responses by community leaders and relatives and which discourage property-grabbing and orphan neglect. Material support channelled through community groups to destitute families at critical times can strengthen family coping mechanisms. Income-generating activities should build upon communities' existing capabilities and benefit the most vulnerable orphan households. Some communities are responding to the AIDS disaster by adaptations to cope with devastating changes taking place in their communities.
Kilpatrick, Sue; Falk, Ian; Harrison, Lesley
Rural communities with populations of under 15,000 are the least resilient to negative economic shocks, but local initiatives can reduce the negative impact of rapid economic change. Data from a study of three rural Australian communities and one "community-of-common-purpose" were used to develop a model of how the informal learning…
Nyenswah, Tolbert; Keita, Sakoba; Diallo, Boubakar; Kateh, Francis; Amoah, Aurora; Nagbe, Thomas K.; Raghunathan, Pratima; Neatherlin, John C.; Kinzer, Mike; Pillai, Satish K.; Attfield, Kathleen R.; Hajjeh, Rana; Dweh, Emmanuel; Painter, John; Barradas, Danielle T.; Williams, Seymour G.; Blackley, David J.; Kirking, Hannah L.; Patel, Monita R.; Dea, Monica; Massoudi, Mehran S.; Barskey, Albert E.; Zarecki, Shauna L. Mettee; Fomba, Moses; Grube, Steven; Belcher, Lisa; Broyles, Laura N.; Maxwell, T. Nikki; Hagan, Jose E.; Yeoman, Kristin; Westercamp, Matthew; Mott, Joshua; Mahoney, Frank; Slutsker, Laurence; DeCock, Kevin M.; Marston, Barbara; Dahl, Benjamin
Persons who died of Ebola virus disease at home in rural communities in Liberia and Guinea resulted in more secondary infections than persons admitted to Ebola treatment units. Intensified monitoring of contacts of persons who died of this disease in the community is an evidence-based approach to reduce virus transmission in rural communities. PMID:27268508
Eller, Ron; Jensen, Jane McEldowney; Robbins, Rebecca L.; Russell, Jack; Salant, Priscilla; Torres, Vasti; Viterito, Arthur
The Rural Community College Initiative (RCCI), supported by the Ford Foundation, sought to energize distressed rural communities and the local colleges that serve them. Through a structured process of guided intervention, 24 colleges and their communities learned how to build new partnerships, adapt new ideas to local needs, and implement…
Kamrath, Barry; Brunner, C. Cryss
This article examines high superintendency turnover through rural community members' perceptions of such attrition in their districts. Findings indicate that community members perceived high turnover as negative and believed that turnover was created by financial pressures, rural community resistance to educational trends, and bias against…
Lovell, Ned; Crittenden, Laura; Davis, Melvin; Stumpf, Dan
Discusses an atypical doctoral degree program in Community College Leadership at Mississippi State University, which takes an interdisciplinary approach to educating future rural community college administrators. Program characteristics include: (1) instruction and research driven by priorities established by rural community colleges; (2) a degree…
Rust, George; Baltrus, Peter; Ye, Jiali; Daniels, Elvan; Quarshie, Alexander; Boumbulian, Paul; Strothers, Harry
Context: Community health centers (CHCs) provide essential access to a primary care medical home for the uninsured, especially in rural communities with no other primary care safety net. CHCs could potentially reduce uninsured emergency department (ED) visits in rural communities. Purpose: We compared uninsured ED visit rates between rural…
McCoy, Dana Charles; Morris, Pamela A.; Connors, Maia C.; Gomez, Celia J.; Yoshikawa, Hirokazu
Recent research suggests that Head Start may be differentially effective in improving low-income children’s early language and literacy skills based on a number of individual- and family-level characteristics. Using data from the Head Start Impact Study (n = 3503; 50% male, 63% treatment group), the present study extends this work to consider program impact variation based on centers’ location in urban versus rural communities. Results indicate that Head Start is more effective in increasing children’s receptive vocabulary (as measured by the PPVT) in urban areas and their oral comprehension (as measured by the Woodcock-Johnson Oral Comprehension task) in rural areas. Additional analyses suggest that related characteristics of the center – including concentration of dual language learners and provision of transportation services – may underlie these associations. Implications for research on program evaluation and policy are discussed. PMID:26834304
Brown, Louis D; Alter, Theodore R; Brown, Leigh Gordon; Corbin, Marilyn A; Flaherty-Craig, Claire; McPhail, Lindsay G; Nevel, Pauline; Shoop, Kimbra; Sterner, Glenn; Terndrup, Thomas E; Weaver, M Ellen
Community research and action projects undertaken by community-university partnerships can lead to contextually appropriate and sustainable community improvements in rural and urban localities. However, effective implementation is challenging and prone to failure when poorly executed. The current paper seeks to inform rural community-university partnership practice through consideration of first-person accounts from five stakeholders in the Rural Embedded Assistants for Community Health (REACH) Network. The REACH Network is a unique community-university partnership aimed at improving rural health services by identifying, implementing, and evaluating innovative health interventions delivered by local caregivers. The first-person accounts provide an insider's perspective on the nature of collaboration. The unique perspectives identify three critical challenges facing the REACH Network: trust, coordination, and sustainability. Through consideration of the challenges, we identified several strategies for success. We hope readers can learn their own lessons when considering the details of our partnership's efforts to improve the delivery infrastructure for rural healthcare.
Perrone, Vito; Canniff, Julie G.; Casey, Mary E.; Cochrane, Candace; Fontaine, Carla; Ulichny, Polly; Williams, Ben; Wood, Douglas
This volume compiles descriptions of the work being done by rural students in 13 schools/sites with grants from the Annenberg Rural Challenge. The work reflects a belief in education that privileges the local nature of learning and connects schools and communities for their mutual benefit. Entries include focused lessons, long-term projects, and…
Allensworth, Elaine M.; Rochin, Refugio I.
This paper examines both the out-migration of non-Hispanic Whites and the in-migration of Latinos in rural California, to better understand the relationship between ethnicity and the well-being of California's rural communities. Theoretical explanations for ethnic transformation and community well-being focus on agricultural and industrial…
Ferreira, Efigênia F; Vargas, Andréa Maria D; Castilho, Lia S; Velásquez, Leila Nunes M; Fantinel, Lucia M; Abreu, Mauro Henrique N G
The present paper examines the relationship between hydrochemical characteristics and endemic dental fluorosis, controlling for variables with information on an individual level. An epidemiological survey was carried out in seven rural communities in two municipalities in the state of Minas Gerais, Brazil. The Thystrup & Fejerskov index was employed by a single examiner for the diagnosis of dental fluorosis. A sampling campaign of deep groundwater in the rural communities of interest was carried out concomitantly to the epidemiological survey for the determination of physiochemical parameters. Multilevel modeling of 276 individuals from seven rural communities was achieved using the non-linear logit link function. Parameters were estimated using the restricted maximum likelihood method. Analysis was carried out considering two response variables: presence (TF 1 to 9) or absence (TF = 0) of any degree of dental fluorosis; and presence (TF ≥ 5-with loss of enamel structure) or absence of severe dental fluorosis (TF ≤ 4-with no loss of enamel structure). Hydrogeological analyses revealed that dental fluorosis is influenced by the concentration of fluoride (OR = 2.59 CI95% 1.07-6.27; p = 0.073) and bicarbonate (OR = 1.02 CI95% 1.01-1.03; p = 0.060) in the water of deep wells. No other variable was associated with this prevalence (p > 0.05). More severe dental fluorosis (TF ≥ 5) was only associated with age group (p < 0.05). No other variable was associated to the severe dental fluorosis (p > 0.05). Dental fluorosis was found to be highly prevalent and severe. A chemical element besides fluoride was found to be associated (p > 0.05) to the prevalence of dental fluorosis, although this last finding should be interpreted with caution due to its p value.
Ferreira, Efigênia F.; Vargas, Andréa Maria D.; Castilho, Lia S.; Velásquez, Leila Nunes M.; Fantinel, Lucia M.; Abreu, Mauro Henrique N. G.
The present paper examines the relationship between hydrochemical characteristics and endemic dental fluorosis, controlling for variables with information on an individual level. An epidemiological survey was carried out in seven rural communities in two municipalities in the state of Minas Gerais, Brazil. The Thystrup & Fejerskov index was employed by a single examiner for the diagnosis of dental fluorosis. A sampling campaign of deep groundwater in the rural communities of interest was carried out concomitantly to the epidemiological survey for the determination of physiochemical parameters. Multilevel modeling of 276 individuals from seven rural communities was achieved using the non-linear logit link function. Parameters were estimated using the restricted maximum likelihood method. Analysis was carried out considering two response variables: presence (TF 1 to 9) or absence (TF = 0) of any degree of dental fluorosis; and presence (TF ≥ 5—with loss of enamel structure) or absence of severe dental fluorosis (TF ≤ 4—with no loss of enamel structure). Hydrogeological analyses revealed that dental fluorosis is influenced by the concentration of fluoride (OR = 2.59 CI95% 1.07–6.27; p = 0.073) and bicarbonate (OR = 1.02 CI95% 1.01–1.03; p = 0.060) in the water of deep wells. No other variable was associated with this prevalence (p > 0.05). More severe dental fluorosis (TF ≥ 5) was only associated with age group (p < 0.05). No other variable was associated to the severe dental fluorosis (p > 0.05). Dental fluorosis was found to be highly prevalent and severe. A chemical element besides fluoride was found to be associated (p > 0.05) to the prevalence of dental fluorosis, although this last finding should be interpreted with caution due to its p value. PMID:20948951
Reid-Arndt, Stephanie A.; Cox, Cathy R.
Purpose: The present research examined the extent to which rural residence and social support seeking are associated with quality of life (QOL) among breast cancer patients following chemotherapy. Methods: Female breast cancer patients (n = 46) from communities of varying degrees of rurality in a Midwestern state completed psychological and QOL…
Cochran, Carole; Skillman, Gemma D; Rathge, Richard W; Moore, Kathy; Johnston, Janet; Lochner, Ann
The Great Plains Rural Collaborative project explored rural poverty through the experiences of people living at or below 185% of poverty. Researchers collected information through qualitative and quantitative research methods. They designed focus group questions to identify obstacles rural families face when trying to access economic opportunities, social networks, and services and supports. The article highlights the salient findings.
Reiger, Sheridan; Harris, Jeffrey R; Chan, Kwun Chuen Gary; Oqueli, Hector Lopez; Kohn, Marlana
Background We formed a self-funded hypertension treatment group in a resource-poor community in rural Honduras. After training community health workers and creating protocols for standardized treatment, we used group membership fees to maintain the group, purchase generic medications in bulk on the local market, and hire a physician to manage treatment. We then assessed whether participation in the group improved treatment, medication adherence, and hypertension control. Design This is a program evaluation using quasi-experimental design and no control group. Using data from the 86 members of the hypertension treatment group, we analyzed baseline and follow-up surveys of members, along with 30 months of clinical records of treatment, medication adherence, and blood pressure readings. Results Our initial hypertension needs assessment revealed that at baseline, community hypertensives relied on the local Ministry of Health clinic as their source of anti-hypertensive medications and reported that irregular supply interfered with medication adherence. At baseline, hypertension group members were mainly female, overweight or obese, physically active, non-smoking, and non-drinking. After 30 months of managing the treatment group, we found a significant increase in medication adherence, from 54.8 to 76.2% (p<0.01), and hypertension control (<140/90 mmHg), from 31.4 to 54.7% (p<0.01). We also found a mean monthly decrease of 0.39 mmHg in systolic blood pressure (p<0.01). At the end of the 30-month observation period, the local Ministry of Health system had increased provision of low-cost anti-hypertensive medications and adopted the hypertension treatment group's treatment protocols. Conclusions Formation of a self-funded, community-based hypertension treatment group in a rural, resource-poor community is feasible, and group participation may improve treatment, medication adherence, and hypertension control and can serve as a political driver for improving hypertension
Pitzel, Gerald R.; Benavidez, Alicia C.; Bianchi, Barbara C.; Croom, Linda L.; de la Riva, Brandy R.; Grein, Donna L.; Holloway, James E.; Rendon, Andrew T.
The Rural Education Bureau of the New Mexico Public Education Department has established a program to address the special needs of schools and communities in the extensive rural areas of the state. High poverty rates, depopulation and a general lack of viable economic opportunity have marked rural New Mexico for decades. The program underway aims…
This paper explores the relationships between population density, social interaction patterns, and morale in rural communities. It tests two apparently competing hypotheses concerning rural population density, social interaction patterns and overall levels of morale: one, that low (and rapidly declining) rural densities lead to feelings of…
... America. USDA understands that investors have a responsibility to provide market rate returns for their... USDA has a long and successful history of making loans to rural communities. USDA's Rural Development... whether there is also a demand for low-risk, long-term investments in rural America with stable cash...
New York State Legislative Commission on Rural Resources, Albany.
Trends, strengths and assets, weaknesses and problem areas, goals, and public policy questions in the area of human relations and community life in rural New York state are presented with supporting statistics. Trends considered include rural and elderly rural population increases; suicide, homicide, and domestic violence rate increases; demands…
Bhaerman, Robert; And Others
In 1994, a 2-day symposium was conducted on a broadened, more inclusive mission for rural schools--rural schools functioning as community learning and service centers. The symposium aimed to enhance the knowledge base related to five key dimensions that must be planned, implemented, and evaluated when designing rural schools in this fashion:…
Langhaug, Lisa F; Pascoe, Sophie J; Mavhu, Webster; Woelk, Godfrey; Sherr, Lorraine; Hayes, Richard J; Cowan, Frances M
Poor mental health accounts for considerable disease burden among young people globally. We investigated the prevalence and determinants of affective disorders among rural Zimbabwean youth in 2006. We undertook a cross-sectional survey among 1495 Zimbabwean youth aged 15-23 (median 18) from 12 rural communities in three provinces in south-eastern Zimbabwe. Mental health was assessed using the Shona Symptom Questionnaire (SSQ), a locally validated 14-item indigenous screening tool for affective disorders, notably depression and anxiety disorders. Participants scoring >or=8/14 were considered at risk of being affected and >or=11 as at risk of being severely affected. Most participants (93.1%) completed the SSQ. Of these, 51.7% (95%CI:49.0-54.3%) scored >or=8/14 and 23.8% (95%CI:21.5-26.0%) scored >or=11. Affective disorders were independently associated with household poverty (adjusted odds ratio (AOR) 1.9, 95%CI:1.4-2.7), living in a female-headed household (AOR 1.3, 95%CI:1.0-1.7), having moved home within last 5 years (AOR 1.4, 95%CI:1.0-1.9) and feeling stigmatized (AOR being shunned by others 3.7, 95%CI:2.5-5.7). There was a strong linear association between risk of affective disorders and sexual risk taking (ever sex AOR 1.5, 95%CI:1.0-2.4, and 2.8, 95%CI:1.9-4.2 for affected and severely affected, respectively, test for trend P < 0.001; >or=2 lifetime partners AOR 2.3, 95%CI:1.1-4.8 and 5.4, 95%CI:2.7-10.7, test for trend P < 0.001). This study indicates high levels of psychological morbidity among rural Zimbabwean youth which was associated with sexual risk taking. Interventions to prevent, identify and treat mental health disorders in this vulnerable population are urgently required. In HIV-endemic countries, such interventions may also help reduce HIV transmission.
Pascoe, Sophie J.; Mavhu, Webster; Woelk, Godfrey; Sherr, Lorraine; Hayes, Richard J.; Cowan, Frances M.
Poor mental health accounts for considerable disease burden among young people globally. We investigated the prevalence and determinants of affective disorders among rural Zimbabwean youth in 2006. We undertook a cross-sectional survey among 1495 Zimbabwean youth aged 15–23 (median 18) from 12 rural communities in three provinces in south-eastern Zimbabwe. Mental health was assessed using the Shona Symptom Questionnaire (SSQ), a locally validated 14-item indigenous screening tool for affective disorders, notably depression and anxiety disorders. Participants scoring ≥8/14 were considered at risk of being affected and ≥11 as at risk of being severely affected. Most participants (93.1%) completed the SSQ. Of these, 51.7% (95%CI:49.0–54.3%) scored ≥8/14 and 23.8% (95%CI:21.5–26.0%) scored ≥11. Affective disorders were independently associated with household poverty (adjusted odds ratio (AOR) 1.9, 95%CI:1.4–2.7), living in a female-headed household (AOR 1.3, 95%CI:1.0–1.7), having moved home within last 5 years (AOR 1.4, 95%CI:1.0–1.9) and feeling stigmatized (AOR being shunned by others 3.7, 95%CI:2.5–5.7). There was a strong linear association between risk of affective disorders and sexual risk taking (ever sex AOR 1.5, 95%CI:1.0–2.4, and 2.8, 95%CI:1.9–4.2 for affected and severely affected, respectively, test for trend P < 0.001; ≥2 lifetime partners AOR 2.3, 95%CI:1.1–4.8 and 5.4, 95%CI:2.7–10.7, test for trend P < 0.001). This study indicates high levels of psychological morbidity among rural Zimbabwean youth which was associated with sexual risk taking. Interventions to prevent, identify and treat mental health disorders in this vulnerable population are urgently required. In HIV-endemic countries, such interventions may also help reduce HIV transmission. PMID:20571897
Uvarov, Alexei V; Karaban, Kamil
Interactions between the saprotrophic animal groups that strongly control soil microbial activities and the functioning of detrital food webs, such as earthworms and mesofauna, are not well understood. Earthworm trophic and engineering activities strongly affect mesofauna abundance and diversity through various direct and indirect pathways. In contrast, mesofauna effects on earthworm populations are less evident; however, their importance may be high, considering the keystone significance of earthworms for the functioning of the soil system. We studied effects of a diverse mesofauna community of a deciduous forest on two earthworm species representing epigeic (Lumbricus rubellus) and endogeic (Aporrectodea caliginosa) ecological groups. In microcosms, the density of total mesofauna or its separate groups (enchytraeids, collembolans, gamasid mites) was manipulated (increased) and responses of earthworms and soil systems were recorded. A rise in mesofauna density resulted in a decrease of biomass and an increased mortality in L. rubellus, presumably due to competition with mesofauna for litter resources. In contrast, similar mesofauna manipulations promoted reproduction of A. caliginosa, suggesting a facilitated exploitation of litter resources due to increased mesofauna activities. Changes of microcosm respiration rates, litter organic matter content and microbial activities across the manipulation treatments indicate that mesofauna modify responses of soil systems in the presence of earthworms. However, similar mesofauna manipulations could induce different responses in soil systems with either epigeic or endogeic lumbricids, which suggests that earthworm/mesofauna interactions are species-specific. Thus, mesofauna impacts should be treated as a factor affecting the engineering activities of epigeic and endogeic earthworms in the soil.
Lodwick, Dora G.; McIntosh, William A., Ed.
Reviews a book assessing the effects of central grid rural electrification on the social and economic development of 192 communities in India and Colombia. The study examines the impact on agricultural productivity (through increased irrigation), the quality of life of women and children, business activities, and regional inequities. (SV)
Karamolegkos, Pantelis; Maroudas, Axel; Manouselis, Nikos
Metadata plays a critical role in the design and development of online repositories. The efficiency and ease of use of the repositories are directly associated with the metadata structure, since end-user functionalities such as search, retrieval and access are highly dependent on how the metadata schema and application profile have been conceptualized and implemented. The need for efficient and interoperable application profiles is even more substantial when it comes to services related to the e-government (eGov) paradigm, given a) the close association between services related to eGov and the metadata usage and b) the fact that the eGov concept is associated with time and cost critical processes, i.e. interaction of citizens and services with public authorities. In this paper, we outline an effort related to application profiling for eGov services and training resources, used in the platform of RuralObservatory2.0, which will underpin a major objective of the ICT PSP Rural Inclusion project, i.e. the eGov paradigm uptake by rural communities.
Lachapelle, Paul; Austin, Eric; Clark, Daniel
Community strategic visioning is a citizen-based planning process in which diverse sectors of a community collectively determine a future state and coordinate a plan of action. Twenty-one communities in rural Montana participated in a multi-phase poverty reduction program that culminated in a community strategic vision process. Research on this…
Farmer, Jane; Prior, Maria; Taylor, Judy
Study and opinion suggest that health services play a significant role in supporting the social fabric of fragile rural communities. We draw on empirical evidence about the added-value contributions of health services to communities and unite it with theory of capitals to propose a theoretical model depicting how rural health services contribute to community sustainability. While providing an analytical framework, the paper also points to construction of a measurement tool for enabling planners to measure the contributions of diverse sectors to community sustainability and predict or measure the impact of changes to models of service delivery on the future of rural communities.
Rural Policy Matters, 2001
This document contains the 11 issues of the newsletter "Rural Policy Matters" published in 2001. Issues examine recent educational research on small and rural schools; report on court litigation related to rural school finance, local advocacy efforts in support of rural schools, and the condition of rural school facilities; outline policy issues…
Al-Mekhlafi, M S Hesham; Atiya, A S; Lim, Y A L; Mahdy, A K Mohammed; Ariffin, W A Wan; Abdullah, H Che; Surin, Johari
Despite great development in socioeconomic status throughout 50 years of independence, Malaysia is still plagued with soil-transmitted helminthiases (STH). STH continue to have a significant impact on public health particularly in rural communities. In order to determine the prevalence of STH among rural Orang Asli children and to investigate the possible risk factors affecting the pattern of this prevalence, fecal samples were collected from 292 Orang Asli primary schoolchildren (145 males and 147 females) age 7-12 years, from Pos Betau, Kuala Lipis, Pahang. The samples were examined by Kato-Katz and Harada Mori techniques. Socioeconomic data were collected using pre-tested questionnaires. The overall prevalence of ascariasis, trichuriasis, and hookworm infections were 67.8, 95.5 and 13.4%, respectively. Twenty-nine point eight percent of the children had heavy trichuriasis, while 22.3% had heavy ascariasis. Sixty-seven point seven percent of the children had mixed infections. Age > 10 years (p = 0.016), no toilet in the house (p = 0.012), working mother (p = 0.040), low household income (p = 0.033), and large family size (p = 0.028) were identified as risk factors for ascariasis. Logistic regression confirmed low income, no toilet in the house and working mother as significant risk factors for ascariasis. The prevalence of STH is still very high in rural Malaysian communities. STH may also contribute to other health problems such as micronutrient deficiencies, protein-energy malnutrition and poor educational achievement. Public health personnel need to reassess current control measures and identify innovative and integrated ways in order to reduce STH significantly in rural communities.
... 7 Agriculture 11 2011-01-01 2011-01-01 false Assistance to high energy cost rural communities....58 Assistance to high energy cost rural communities. (a) Administrator: The authority to approve the following is reserved to the Administrator: (1) Allocation of appropriated funds among high energy...
Alleman, Nathan F.; Holly, L. Neal
Formal and informal partnerships between rural schools and their communities can provide a wide range of supports for all students, but particularly those from low-income families. In this analysis of six small rural school districts in Virginia we show how the broad participation of community groups and individuals supports academic achievement…
Scott, Bradwell D.
Seven case studies illustrate how rural people and communities have resisted the arbitrary limits of public policy. In contrast to one-size-fits-all education policy, a history teacher in rural southern Texas motivated his Mexican American high school students to collect oral histories in their community, develop them into a curriculum, and teach…
Often considered harmonious places, rural communities are in reality spaces often fragmented along class lines, with political factions promoting competing values and interests regarding the purpose of schooling. Using an exemplar case, this study affords us a new interpretation of rural school-community relations in times of conflict. It…
Further Education Unit, London (England).
In 1983, a project at East Devon College of Further Education sought to identify learning needs in scattered rural communities, particularly among the unemployed, and to meet those needs with distance education technology. The project team identified the characteristics of several types of rural Devon communities and assessed curricular needs…
Thorpe, Joshua M.; Van Houtven, Courtney H.; Sleath, Betsy L.; Thorpe, Carolyn T.
Context: Alzheimer's patients living in rural communities may face significant barriers to effective outpatient medical care. Purpose: We sought to examine rural-urban differences in risk for ambulatory care sensitive hospitalizations (ACSH), an indicator of access to outpatient care, in community-dwelling veterans with dementia. Methods: Medicare…
... 7 Agriculture 11 2013-01-01 2013-01-01 false Assistance to high energy cost rural communities....58 Assistance to high energy cost rural communities. (a) Administrator: The authority to approve the following is reserved to the Administrator: (1) Allocation of appropriated funds among high energy...
Jacob, Nelson L.; Lilley, Stephen C.
Two problem identification surveys conducted to support Extension Community and Resource Development programs in South Carolina's rural Williamsburg County focused on some implications for citizen involvement in public decision making, specifically in rural community development. A 1975 survey of 41 leaders and 1976 citizen survey of 214 rural…
Di Gropello, Emanuela; Marshall, Jeffery H.
We analyze the effectiveness of the Programa Hondureno de Educacion Comunitaria (PROHECO) community school program in rural Honduras. The data include standardized tests and extensive information on school, teacher, classroom and community features for 120 rural schools drawn from 15 states. Using academic achievement decompositions we find that…
Flaherty, Mary Grace; Miller, David
Rural residents are at a disadvantage with regard to health status and access to health promotion activities. In many rural communities, public libraries offer support through health information provision; there are also opportunities for engagement in broader community health efforts. In a collaborative effort between an academic researcher and a…
Richards, Rebecca T.; Brod, Rodney L.
Previous studies have established that community residents and leaders differ in their support for hazardous waste facility siting in rural areas (Spies et al. 1998). We examine whether these same differences exist in rural communities that face other high-risk development decisions by analyzing resident and leader support for a proposed gold…
Hale, Sylvie van Heusden
This article provides resources for school-community collaboration to support at-risk students and their families in rural settings. Rural schools and their communities must work together efficiently and economically to counteract problems such as geographic isolation, shortage of resources, economic decline, lack of political power and…
This study examines the relationship between academic undermatch theory and the college-going decisions, experiences, and aspirations of first-generation, rural Hispanic community college students in the new destination meatpacking town of Winstead, Kansas. Ethnographic data from rural high school guidance counselors, community college faculty,…
Corbie-Smith, Giselle; Isler, Malika Roman; Miles, Margaret Shandor; Banks, Bahby
Background Although racial and ethnic minorities have disproportionately high rates of HIV infection, these groups are underrepresented in HIV-related clinical trials. This illustrates the need for more innovation in attempts to engage underrepresented populations in calls for interdisciplinary and translational research. Objectives Eleven focus groups and 35 interviews were conducted with people living with HIV/AIDS (PLWHA) to explore the perspectives of rural community leaders, service providers, and PLWHA about bringing HIV-related research, including clinical trials, into rural communities. Methods Over a period of 3 months in spring 2007, we collected qualitative data from three sources: Community leaders, service providers, and PLWHA. Text data were analyzed using the constant comparative method and content analysis techniques of theme identification. Results Respondents want an integrated approach to HIV research that builds trust, meets community needs, and respects their values. They conceptualize HIV research as part of a broader spectrum of HIV testing, prevention, and care, and suggest integrating HIV trials with existing community services, organizations, and structures, engaging various segments of the community, and conducting research using a personal approach. Conclusions These findings support calls for more relevant, translational, and engaged research. An integrated approach may be an important innovation to transform the research enterprise to meet these goals and more directly improve the health of individuals. PMID:22820222
Donovan, Erin; O'Neil, Jean F., Ed.
Featuring the Teens, Crime, and Community (TCC) program, this monograph focuses on youth crime and crime prevention in rural settings. TCC actively involves teens and adults in a partnership designed to reduce teen victimization and to encourage teens to be catalysts of change for community safety. The guide provides teachers, administrators, and…
Stoops, Jack W.
This report examines the use of community-based support to facilitate curriculum renewal efforts in small rural school districts. Interviews with educators from five school districts in Alaska, Idaho, Montana, Oregon, and Washington describe three approaches to curriculum renewal: community-initiated approaches, state-directed reform efforts, and…
Abbott, Eric A., Ed.
This proceedings contains keynote speeches, community case studies, and small-group recommendations concerned with successful telecommunications initiatives in rural communities. The four keynote addresses are: "Electronic Highways and Byways: Converging Technologies and Rural Development" (Heather E. Hudson); "Information…
Hahn, Ellen J; Rayens, Mary Kay; York, Nancy
Rural, tobacco-growing areas are disproportionately affected by tobacco use, secondhand smoke, and weak policies. The study determined whether overall strength of Resources, Capacity, and Efforts in tobacco control predicts readiness for smoke-free policy in rural communities, controlling for county population size and pounds of tobacco produced. This was a correlational, cross-sectional analysis of data from key informants (n = 148) and elected officials (n = 83) from 30 rural counties who participated in telephone interviews examining smoke-free policy. Six dimensions of community readiness (knowledge, leadership, resources, community climate, existing smoke-free policies, and political climate) were identified and summed to assess overall readiness for smoke-free policy. General strength of overall Resources, Capacity and Efforts in tobacco control at the county level was measured. Readiness for smoke-free policy was lower in communities with higher smoking rates, higher tobacco production, and smaller population. Efforts related to general tobacco control (i.e., media advocacy, training, and technical assistance) predicted readiness for local smoke-free policy development (standardized β = .35, p = .05), controlling for county population size and pounds of tobacco produced. Given that small, rural tobacco-growing communities are least ready for smoke-free policy change, tailoring and testing culturally sensitive approaches that account for this tobacco-growing heritage are warranted.
Reiger, Sheridan; Harris, Jeffrey R.; Chan, Kwun Chuen Gary; Oqueli, Hector Lopez; Kohn, Marlana
Background We formed a self-funded hypertension treatment group in a resource-poor community in rural Honduras. After training community health workers and creating protocols for standardized treatment, we used group membership fees to maintain the group, purchase generic medications in bulk on the local market, and hire a physician to manage treatment. We then assessed whether participation in the group improved treatment, medication adherence, and hypertension control. Design This is a program evaluation using quasi-experimental design and no control group. Using data from the 86 members of the hypertension treatment group, we analyzed baseline and follow-up surveys of members, along with 30 months of clinical records of treatment, medication adherence, and blood pressure readings. Results Our initial hypertension needs assessment revealed that at baseline, community hypertensives relied on the local Ministry of Health clinic as their source of anti-hypertensive medications and reported that irregular supply interfered with medication adherence. At baseline, hypertension group members were mainly female, overweight or obese, physically active, non-smoking, and non-drinking. After 30 months of managing the treatment group, we found a significant increase in medication adherence, from 54.8 to 76.2% (p<0.01), and hypertension control (<140/90 mmHg), from 31.4 to 54.7% (p<0.01). We also found a mean monthly decrease of 0.39 mmHg in systolic blood pressure (p<0.01). At the end of the 30-month observation period, the local Ministry of Health system had increased provision of low-cost anti-hypertensive medications and adopted the hypertension treatment group's treatment protocols. Conclusions Formation of a self-funded, community-based hypertension treatment group in a rural, resource-poor community is feasible, and group participation may improve treatment, medication adherence, and hypertension control and can serve as a political driver for improving hypertension
Blakely, Edward J.
The major features previously used to define rural life now fail to describe much of rural America, as changes that place rural areas in the vanguard of American society are manifest in rural landscape, institutions, economic activity, and life. The principal policy thrusts of modernization and urbanization and the related theories of product…
Marcin, James P; Shaikh, Ulfat; Steinhorn, Robin H
The regionalization of pediatric services has resulted in differential access to care, sometimes creating barriers to those living in underserved, rural communities. These disparities in access contribute to inferior healthcare outcomes among infants and children. We review the medical literature on telemedicine and its use to improve access and the quality of care provided to pediatric patients with otherwise limited access to pediatric subspecialty care. We review the use of telemedicine for the provision of pediatric subspecialty consultations in the settings of ambulatory care, acute and inpatient care, and perinatal and newborn care. Studies demonstrate the feasibility and efficiencies gained with models of care that use telemedicine. By providing pediatric subspecialty care in more convenient settings such as local primary care offices and community hospitals, pediatric patients are more likely to receive care that adheres to evidence-based guidelines. In many cases, telemedicine can significantly improve provider, patient, and family satisfaction, increase measures of quality of care and patient safety, and reduce overall costs of care. Models of care that use telemedicine have the potential to address pediatric specialists' geographic misdistribution and address disparities in the quality of care delivered to children in underserved communities.
Regional Laboratory for Educational Improvement of the Northeast & Islands, Andover, MA.
This packet includes reprints of journal articles and other resources concerning building a sense of community among staff and learners in small, rural schools. The four sections of the packet cover involving the community in education, establishing a learning community within the school, using the community as a resource for the classroom, and…
Fregona, Charl; Harris, Maureen; Kruger, Johann
The Department of Community Nursing and the Open Learning Centre of Technikon Natal (South Africa) and the community-owned Community Development Programme are collaborating to provide online learning to rural and urban community nurses. The project involves the development of a multimedia pharmacology course, a virtual Internet class, and the…
A one-to-one learning environment, where each participating student and the teacher use a laptop computer, provides an invaluable opportunity for rethinking learning and studying the ways in which children can program computers and learn to think about their own thinking styles and become epistemologists. This article presents a study done in a rural school in Costa Rica in which students used computers to create media. Three important components of the work are described: (1) student-owned technology that can accompany students as they interact at home and in the broader community, (2) activities that are designed with sufficient scope to encourage the appropriation of powerful ideas, and (3) teacher engagement in activity design with simultaneous support from a knowledge network of local and international colleagues and mentors.
Adamu, Abebaw Yirga
This study investigated factors that contributed to the participation of a rural community in health education. It was conducted in the Awi zone of the Amhara region in Ethiopia. The participants were rural community members and health extension workers. Purposive and snowball sampling techniques were used to recruit rural community members, whereas convenient sampling was used to recruit health extension workers. Data was collected through in-depth individual interviews, and focus group discussions. The study revealed various factors contributing to the participation of a rural community in health education, including attainability of the objectives of health education, profiles of the health extension workers, peer influence, organization of the health education program in terms of place and time, and meaningfulness of the health education in terms of rural community lives. Although the ultimate goal of participation in health education is similar for all rural community members, they were attracted to the program by one or more than one different factor. Efforts aimed at enhancing participation of a rural community in health education program should address each factor that contributes to the participation of community members.
Auffret, Alistair G.; Cousins, Sara A. O.
Humans are known for their capacity to disperse organisms long distances. Long-distance dispersal can be important for species threatened by habitat destruction, but research into human-mediated dispersal is often focused upon few and/or invasive species. Here we use citizen science to identify the capacity for humans to disperse seeds on their clothes and footwear from a known species pool in a valuable habitat, allowing for an assessment of the fraction and types of species dispersed by humans in an alternative context. We collected material from volunteers cutting 48 species-rich meadows throughout Sweden. We counted 24 354 seeds of 197 species, representing 34% of the available species pool, including several rare and protected species. However, 71 species (36%) are considered invasive elsewhere in the world. Trait analysis showed that seeds with hooks or other appendages were more likely to be dispersed by humans, as well as those with a persistent seed bank. More activity in a meadow resulted in more dispersal, both in terms of species and representation of the source communities. Average potential dispersal distances were measured at 13 km. We consider humans capable seed dispersers, transporting a significant proportion of the plant communities in which they are active, just like more traditional vectors such as livestock. When rural populations were larger, people might have been regular and effective seed dispersers, and the net rural-urban migration resulting in a reduction in humans in the landscape may have exacerbated the dispersal failure evident in declining plant populations today. With the fragmentation of habitat and changes in land use resulting from agricultural change, and the increased mobility of humans worldwide, the dispersal role of humans may have shifted from providers of regular local and landscape dispersal to providers of much rarer long-distance and regional dispersal, and international invasion. PMID:23658770
This qualitative study critically explores the barriers experienced by diverse rural community stakeholders in facilitating environments that enable age-friendly social participation. Twenty-six semi-structured interviews were conducted across two rural Australian communities with stakeholders from local government, health, social care, and community organizations. Findings identify that rural community stakeholders face significant difficulties in securing resources for groups and activities catering to older adults, which subsequently impacts their capacity to undertake outreach to older adults. However, in discussing these issues, questions were raised in relation to whose responsibility it is to provide resources for community groups and organizations providing social initiatives and whose responsibility it is to engage isolated seniors. These findings provide a much-needed critical perspective on current age-friendly research by acknowledging the responsibilities of various macro-level social structures-different community-level organizations, local government, and policy in fostering environments to enable participation of diverse rural older adults.
Winterton, Rachel; Hulme Chambers, Alana
This qualitative study explores barriers to delivering sustainable rural community programmes to increase social participation among Australian ethnic seniors. In 2013, in-depth interviews were conducted with 14 stakeholders across eight rural/regional organisations that had received state government funding to provide social participation initiatives for ethnic seniors. Within interviews, participants were asked to outline factors that had enhanced or hindered their capacity to deliver the funded projects, and their plans for sustainability. Data were analysed thematically in accordance with Shediac-Rizkallah and Bone's (1998) tripartite programme sustainability framework (project design and implementation, organisational setting and broader community environment). Findings indicate that in the context of resource and staffing constraints and a lack of ethnic critical mass, programme sustainability reflected the increased capacity of rural ethnic seniors to integrate into existing community groups and maintain their own groups and activities. However, this is dependent on the ability of mainstream government, health and social care services to cater for diverse cultural needs and preferences, the ability of rural organisations to support ethnic seniors to manage their own cultural groups and activities, and the capacity of funding bodies, rural community and policy structures to maintain cultural sensitivity while compensating for the rural premium. In addition to identifying some key learnings for rural governments, health and community organisations, this research highlights the precarious nature of rural programme sustainability for ethnic seniors in the context of wider community, organisational and policy constraints.
Hagen, Beverly Hartung
Reviews relevant literature on the subject of rural adolescent mental health. Discusses demographics, unique situations, and problems of rural youth. Presents impact of the rural economic crisis. Suggests treatment strategies to deal with mental health problems of rural adolescents: individual therapy, family therapy, and peer group programs. (NEC)
Asare-Kyei, Daniel; Renaud, Fabrice G; Kloos, Julia; Walz, Yvonne; Rhyner, Jakob
West Africa has been described as a hotspot of climate change. The reliance on rain-fed agriculture by over 65% of the population means that vulnerability to climatic hazards such as droughts, rainstorms and floods will continue. Yet, the vulnerability and risk levels faced by different rural social-ecological systems (SES) affected by multiple hazards are poorly understood. To fill this gap, this study quantifies risk and vulnerability of rural communities to drought and floods. Risk is assessed using an indicator-based approach. A stepwise methodology is followed that combines participatory approaches with statistical, remote sensing and Geographic Information System techniques to develop community level vulnerability indices in three watersheds (Dano, Burkina Faso; Dassari, Benin; Vea, Ghana). The results show varying levels of risk profiles across the three watersheds. Statistically significant high levels of mean risk in the Dano area of Burkina Faso are found whilst communities in the Dassari area of Benin show low mean risk. The high risk in the Dano area results from, among other factors, underlying high exposure to droughts and rainstorms, longer dry season duration, low caloric intake per capita, and poor local institutions. The study introduces the concept of community impact score (CIS) to validate the indicator-based risk and vulnerability modelling. The CIS measures the cumulative impact of the occurrence of multiple hazards over five years. 65.3% of the variance in observed impact of hazards/CIS was explained by the risk models and communities with high simulated disaster risk generally follow areas with high observed disaster impacts. Results from this study will help disaster managers to better understand disaster risk and develop appropriate, inclusive and well integrated mitigation and adaptation plans at the local level. It fulfills the increasing need to balance global/regional assessments with community level assessments where major decisions
Netshandama, V. O.
The premise of this article is that the "jury is still out" to describe what effective Community Engagement entails in South African higher education institutions. The current discussions about community engagement and service learning do not cover the primary objective of adding value to the community, particularly of the rural-based…
Kontar, Y. Y.
Communication is the process of exchanging and relaying vital information that has bearing on the effectiveness of all phases of emergency management: mitigation, preparedness, response, and recovery, making it one of the most important activities in disasters. Lack of communication between emergency managers, policy makers, and communities at risk may result in an inability to accurately identify disaster risk, and failure to determine priorities during a hazard event. Specific goals of communication change during the four phases of emergency management. Consequently, the communication strategy changes as well. Communication strategy also depends on a variety of attitudinal and motivational characteristics of the population at risk, as well as socioeconomic, cultural, and geographical features of the disaster-prone region. In May 2013, insufficient communication patterns between federal, state, tribal agencies, and affected communities significantly contributed to delays in the flood response and recovery in several rural villages along the Yukon River in central Alaska. This case study finds that long term dialogue is critical for managing disaster risk and increasing disaster resilience in rural Northern communities. It introduces new ideas and highlights best practices in disaster communication.
Nicdao, Ethel G.; Trott, Elise M.; Kellett, Nicole C.
Incarceration and community reentry for rural women reflect gendered processes. We draw upon in-depth semi-structured interviews and focus groups to examine the return of women prisoners to underserved rural communities, while attending to the perspectives of their closest social supporters. Our findings underscore the complexity of the reentry process for rural women and its particular impact on their families. We challenge dominant discourses of personal responsibility that detract from the structura violence and injustice shaping reentry experiences for women and their social supporters. We also consider the policy implications of discharge and reentry planning for rural women and their families, as well as strategies to reduce recidivism. PMID:27274615
Bradley, A.; McDermot, D. J.; Langenfeld, K.; Kruger, A.; Niemeier, J. J.
Footbridges across streams and rivers provide rural communities in many countries essential access to hospitals, schools, and economic opportunities. Without these, communities experience isolation during the rainy season. However, many of these bridges are subject to immersion at times, and there is a need for sensing the river stage before venturing onto a bridge. We have developed an inexpensive, robust, self-contained sensor that meets this need. A two-wire electrical cord, purchased in bulk from a home improvement supplier, is the basic sensing element. The two conductors of the cord form a transmission line capacitor. The cord is suspended below the footbridge and the capacitance is a function of the fraction of the electrical cord that is immersed in water. The cord/capacitor is part of the timing element of an electronic oscillator circuit. As the water level rises, the capacitance and oscillator frequency decrease. The oscillator frequency is measured with a microcontroller. The microcontroller calculates the corresponding water stage and displays it on a small LCD display. The electronics are contained in a 12×7×7 cm watertight container. Four AA batteries power the sensor. The device has calibration features to accommodate different types of electrical cord.
Stephenson, Nicole; Blaney, Alexandra; Clifford, Deana; Gabriel, Mourad; Wengert, Greta; Foley, Patrick; Brown, Richard N; Higley, Mark; Buckenberger-Mantovani, Sarah; Foley, Janet
Far northern California forests are highly biodiverse in wildlife reservoirs and arthropod vectors that may propagate rickettsial pathogens in nature. The proximity of small rural communities to these forests puts people and domestic animals at risk of vector-borne infection due to spillover from wildlife. The current study was conducted to document exposure to rickettsial pathogens in people and domestic animals in a rural community, and identify which rickettsiae are present in sylvatic and peri-domestic environments near this community. Blood samples from people, domestic animals (dogs, cats, and horses) and wild carnivores were tested for Rickettsia spp. antibodies and DNA (people and domestic animals only) by serology and real time (RT)-PCR, respectively. Ectoparasites were collected from dogs, wild carnivores and from vegetation by flagging, and tested for Rickettsia spp. DNA by RT-PCR. DNA sequencing of the rickettsial 17kDa protein gene or the ompA gene was used for species identification. Despite a seroprevalence of 3% in people, 42% in dogs, 79% in cats, 33% in gray foxes, and 83% in bobcats, RT-PCR on blood was consistently negative, likely because the sensitivity of this test is low, as Rickettsia spp. do not often circulate in high numbers in the blood. Rickettsia spp. DNA was found in four flea species collected from bobcats and Ctenocephalides felis collected from domestic dogs. All amplicons sequenced from fleas were R. felis. Ixodes pacificus collected by flagging were commonly infected with a Rickettsia sp. endosymbiont. Rickettsia rhipicephali DNA was found in Dermacentor variabilis from dogs, black bears, a gray fox, and a D. occidentalis collected by flagging. Dermacentor variabilis from dogs and black bears also contained R. montanensis DNA. Multiple Rickettsia spp. (including species with zoonotic and pathogenic potential) were found among human biting arthropod vectors of both wild and domestic carnivores and on flags. Knowledge of the
Background Cardiovascular disease (CVD) is emerging as a public health menace among low and middle income countries. It has particularly affected the poorest. However, there is paucity of information about CVD risk factors profile among Nepalese rural communities where the majority of people live in poverty. Therefore, this study aimed to identify the prevalence of cardiovascular health risk behaviors in an outback community of Nepal. Methods We conducted a descriptive cross-sectional study in Tinkanya Village Development Committee (VDC), Sindhuli between January and March, 2014. Total 406 participants of age 20 to 50 years were selected randomly. Data were collected using WHO-NCD STEPwise approach questionnaires and analyzed with SPSS V.16.0 and R i386 2.15.3 software. Result The mean age of participants was 36.2 ± 9 years. Majority of participants (76.3%) were from lower socio-economic class, Adibasi/Janajati (63.1%), and without formal schooling (46.3%). Smoking was present in 28.6%, alcohol consumption in 47.8%, insufficient fruits and vegetables intake in 96.6%, insufficient physical activity in 48.8%; 25.6% had high waist circumference, 37.4% had overweight and obesity. Average daily salt intake per capita was 14.4 grams ±4.89 grams. Hypertension was detected in 12.3%. It had an inverse relationship with education and socio-economic status. In binary logistic regression analysis, age, smoking, body mass index (BMI) and daily salt intake were identified as significant predictors of hypertension. Conclusion Present study showed high prevalence of smoking, alcohol consumption, insufficient fruit and vegetable intake, daily salt intake, overweight and obesity and hypertension among remote rural population suggesting higher risk for developing CVD in future. Nepalese rural communities, therefore, are in need of population-wide comprehensive intervention approaches for reducing CVD health risk behaviors. PMID:25066117
Kuipers, P; Kendall, E; Hancock, T
In response to widely recognised dilemmas associated with rehabilitation and disability service provision in remote and rural areas of Australia, a community-based, participatory approach to service development was adapted for a disability service project in central Queensland. The service framework, known as Community Based Rehabilitation (CBR), fosters the involvement of community members in disability service provision. Although this framework has been described previously, few guidelines exist regarding appropriate implementation of such an approach. Consequently, the implementation strategy known as Participatory Rural Appraisal (PRA) was adopted. Participatory Rural Appraisal has been reported to foster the participation and decision-making of community members in community projects. The present article describes the application of this implementation strategy to disability service provision in a relatively under-resourced rural shire. The rationale, framework and process of the pilot are described. A subsequent publication will document the service component, detail evaluation findings and describe the long-term outcomes of this research.
Pellegrin, Karen L; Barbato, Anna; Holuby, R Scott; Ciarleglio, Anita E; Taniguchi, Ronald
Three strategies designed to maximize attendance at educational sessions on chronic disease medication safety in older adults in rural areas were implemented sequentially and compared for cost-effectiveness: 1) existing community groups and events, 2) formal advertisement, and 3) employer-based outreach. Cost-effectiveness was measured by comparing overall cost per attendee recruited and number of attendees per event. The overall cost per attendee was substantially higher for the formal advertising strategy, which produced the lowest number of attendees per event. Leveraging existing community events and employers in rural areas was more cost-effective than formal advertisement for recruiting rural community members.
Spina, John; Menec, Verena H
Age-friendly initiatives are increasingly promoted as a policy solution to healthy aging, The primary objective of this article was to examine older adults' and key stakeholders' perceptions of the factors that either help or hinder a community from becoming age-friendly in the context of rural Manitoba, a Canadian prairie province. Twenty-four older adults and 17 key informants completed a qualitative interview. The findings show that contextual factors including size, location, demographic composition, ability to secure investments, and leadership influence rural communities' ability to become age-friendly. Government must consider the challenges these communities face in becoming more age-friendly and develop strategies to support communities.
Background HIV has left many African children caring for sick relatives, orphaned or themselves HIV-positive, often facing immense challenges in the absence of significant support from adults. With reductions in development funding, public sector budgetary constraints, and a growing emphasis on the importance of indigenous resources in the HIV response, international policy allocates schools a key role in ‘substituting for families’ (Ansell, 2008) in supporting child health and well-being. We explore children’s own accounts of the challenges facing their HIV-affected peers and the role of schools in providing such support. Methods Contextualised within a multi-method study of school support for HIV-affected children in rural Zimbabwe, and regarding children’s views as a key resource for child-relevant intervention and policy, 128 school children (10–14) wrote a story about an HIV-affected peer and how school assisted them in tackling their problems. Results Children presented harrowing accounts of negative impacts of HIV on the social, physical and mental well-being of peers, and how these manifested in the school setting. Whilst relationships with fellow learners and teachers were said to provide a degree of support, this was patchy and minimal, generally limited to small-scale and often one-off acts of material help or kindness (e.g. teachers giving children pens and exercise books or peers sharing school lunches), with little potential to impact significantly on the wider social drivers of children’s daily challenges. Despite having respect for the enormity of the challenges many HIV-affected peers were coping with, children tended to keep a distance from them. School was depicted as a source of the very bullying, stigma and social exclusion that undermined children’s opportunities for well-being in their lives more generally. Conclusions Our findings challenge glib assumptions that schools can serve as a significant ‘indigenous’ supports of
Reif, S S; DesHarnais, S; Bernard, S
The purpose of this case study was to ascertain the perceptions of health professionals who were located in six rural communities where hospital closure occurred, regarding the impact of closure on community residents. These health professionals were asked to respond to questions about effects of hospital closures on the availability of medical services such as emergency care, physician services, hospital services and nursing home care. To control for trends in medical services utilization that were unrelated to hospital closure, the study design included comparison areas where similar hospitals remained open. A standardized questionnaire was administered to three health professionals in each of the areas that experienced a hospital closure and also in the matched comparison areas. Interviews of the health professionals in closure areas provide evidence suggestive of some perceived negative effects of hospital closure on these communities. These negative effects include difficulty recruiting and retaining physicians, concern of residents about the loss of their local emergency room, and increased travel times to receive hospital services. The perceived effects of closure appeared to be mediated by the distance required for travel to the nearest hospital. Respondents perceived increased travel times to most significantly affect vulnerable populations, such as the elderly, the disabled and the economically disadvantaged. Respondents in the majority of comparison areas also reported access barriers for vulnerable populations. These barriers primarily center on problems of obtaining transportation and enduring the rigors of travel. Improvements in the availability of transportation to medical care may offer some stabilization to communities where hospitals closed; however, it also is the case that transportation improvements are needed to increase access to care in rural communities where hospitals remained open.
Chatio, Samuel; Akweongo, Patricia
Background The shortage of formal health workers has led to the utilization of Community-Based Health Volunteers (CBHV) to provide health care services to people especially in rural and neglected communities. Community-based health volunteers have been effective partners in health care delivery at the community level for many years. The challenge is how to retain these volunteers and also sustain their activities. This study explored factors affecting retention and sustainability of community-based health volunteers’ activities in a rural setting in Northern Ghana. Methods This was a qualitative study comprising thirty-two in-depth interviews (IDIs) with health volunteers and health workers in-charge of health volunteers’ activities. Purposive sampling technique was used to select study participants for the interviews. The interviews were transcribed and coded into themes using Nvivo 10 software. The thematic analysis framework was used to analyze the data. Results Study participants reported that the desire to help community members, prestige and recognition as doctors in community mainly motivated them to work as health volunteers. Lack of incentives and logistical supplies such as raincoats, torch lights, wellington boots and transportation in the form of bicycles to facilitate the movement of health volunteers affected the work. They suggested that lack of these things discouraged them from working as health volunteers. Most of the dropout volunteers said lack of support and respect from community members made them to stop working as health volunteers. They recommended that community support, incentives and logistical supplies such as raincoats, torch light, wellington boots, bicycles, awards to hard working volunteers are mechanisms that can help retain community-based health volunteers and also sustain their activities. Conclusion Providing means of transport and non-monetary incentives would help to retain community-based health volunteers and also
National Association of State Universities and Land Grant Colleges, Washington, DC.
Home to 65 million people, rural America is no longer insulated from national and international events. Once dependent entirely upon agriculture and natural resource industries, today rural America relies upon manufacturing and service industries. Jobs and other income opportunities in rural America must respond to global business cycles and…
O'Fallon, L R; Dearry, A
The National Institute of Environmental Health Sciences (NIEHS) is the leading biomedical research institution in the United States whose mission is to support research that seeks to understand how environmental exposures affect human health. NIEHS possesses a longstanding interest in the health effects of agrochemical and other environmental exposures in rural America, including pesticides, to farmers and their families and to migrant farmworkers and their families. In recent years, NIEHS has begun augmenting traditional basic science investigations with innovative programs that translate findings from the laboratory to affected populations. It is through community-based participatory research that NIEHS strives to advance the public health field by fostering the development of culturally relevant interventions that will reduce exposures to environmental contaminants and the risk of environmentally induced disease. In this article, we describe the translational research program at NIEHS as it relates to the NIEHS mission and highlight activities pertinent to the health of rural communities, especially underserved populations. We provide an overview of NIEHS-supported projects addressing health concerns of Native American and rural African-American communities in addition to farmworkers. We conclude with a discussion of future plans for community-based participatory research at NIEHS.
Marcet, P L; Mora, M S; Cutrera, A P; Jones, L; Gürtler, R E; Kitron, U; Dotson, E M
To gain an understanding of the genetic structure and dispersal dynamics of Triatoma infestans populations, we analyzed the multilocus genotype of 10 microsatellite loci for 352 T. infestans collected in 21 houses of 11 rural communities in October 2002. Genetic structure was analyzed at the community and house compound levels. Analysis revealed that vector control actions affected the genetic structure of T. infestans populations. Bug populations from communities under sustained vector control (core area) were highly structured and genetic differentiation between neighboring house compounds was significant. In contrast, bug populations from communities with sporadic vector control actions were more homogeneous and lacked defined genetic clusters. Genetic differentiation between population pairs did not fit a model of isolation by distance at the microgeographical level. Evidence consistent with flight or walking bug dispersal was detected within and among communities, dispersal was more female-biased in the core area and results suggested that houses received immigrants from more than one source. Putative sources and mechanisms of re-infestation are described. These data may be use to design improved vector control strategies.
Marcet, PL; Mora, MS; Cutrera, AP; Jones, L; Gürtler, RE; Kitron, U; Dotson, EM
To gain an understanding of the genetic structure and dispersal dynamics of T. infestans populations, we analyzed the multilocus genotype of 10 microsatellite loci for 352 T. infestans collected in 21 houses of 11 rural communities in October 2002. Genetic structure was analyzed at the community and house compound levels. Analysis revealed that vector control actions affected the genetic structure of T. infestans populations. Bug populations from communities under sustained vector control (core area) were highly structured and genetic differentiation between neighboring house compounds was significant. In contrast, bug populations from communities with sporadic vector control actions were more homogeneous and lacked defined genetic clusters. Genetic differentiation between population pairs did not fit a model of isolation by distance at the microgeographical level. Evidence consistent with flight or walking bug dispersal was detected within and among communities, dispersal was more female-biased in the core area and results suggested that houses received immigrants from more than one source. Putative sources and mechanisms of re-infestation are described. These data may be use to design improved vector control strategies PMID:18773972
Townsend, Barbara K.
Uses the examples of remedial education, K-16 initiatives, and workforce preparation to illustrate how these values influence higher education policy at community colleges. Policymakers should recognize that these values may conflict, therefore leading to controversy. States that cultural/social values dominating the development of educational…
Multi-anode microbial electrochemical cells (MXCs) are considered as one of the most promising configurations for scale-up of MXCs, but fundamental understanding of anode kinetics governing current density is limited in the MXCs. In this study we first assessed microbial community and electrochemical kinetic parameters for biofilms on individual anodes in a multi-anode MXC to better comprehend anode fundamentals. Microbial community analysis using 16S rRNA illumine sequencing showed that Geobactor genus, one of the most kinetically efficient anode-respiring bacteria (ARB), was abundant (87%) only on the biofilm anode closest to a reference electrode in which current density was the highest among four anodes. In comparison, Geobacter populations were less than 11% for other three anodes more distant from the reference electrode, generating small current density. Half-saturation anode potential (EKA) was the lowest at -0.251 to -0.242 V (vs. standard hydrogen electrode) for the closest anode, while EKA was as high as -0.134 V for the farthest anode. Our study clearly proves that ohmic resistance changes anode potential which mainly causes different biofilm communities on individual anodes and consequently influences anode kinetics. This study explored the use of multiple anodes in microelectrochemical cells and the microbial community on these anodes, as a function of the efficiency in producing hydrogen peroxide.
Collins, Jessica; Ward, Bernadette M.; Snow, Pamela; Kippen, Sandra; Judd, Fiona
There are disproportionately higher and inconsistently distributed rates of recorded suicides in rural areas. Patterns of rural suicide are well documented, but they remain poorly understood. Geographic variations in physical and mental health can be understood through the combination of compositional, contextual, and collective factors pertaining to particular places. The aim of this study was to explore the role of “place” contributing to suicide rates in rural communities. Seventeen mental health professionals participated in semi-structured in-depth interviews. Principles of grounded theory were used to guide the analysis. Compositional themes were demographics and perceived mental health issues; contextual themes were physical environment, employment, housing, and mental health services; and collective themes were town identity, community values, social cohesion, perceptions of safety, and attitudes to mental illness. It is proposed that connectedness may be the underlying mechanism by which compositional, contextual, and collective factors influence mental health and well-being in rural communities. PMID:26848083
Ratliff, Victoria Sue
The education attainment level of residents in rural Appalachia has consistently ranked below the remaining populous of the United States. Although distance education initiatives have attempted to bridge the disparities between rural Appalachia and the rest of the nation, online community college students in this region are likely to drop out or…
Atkinson, Nancy L.; Desmond, Sharon M.; Saperstein, Sandra L.; Billing, Amy S.; Gold, Robert S.; Tournas-Hardt, Amy
Objective: To examine assets of and challenges to getting adequate nutrition and physical activity among low-income rural residents, and the potential for technology to provide health education. Methods: Environmental scans and community stakeholder interviews were conducted in 5 rural counties in Maryland. During environmental scans, stakeholders…
Schultz, James E.
Despite the considerable efforts now under way to improve our nation's mathematics education for all students, students in rural settings do not receive their share of attention. This paper considers school mathematics in rural communities in the larger context of current reform from a number of perspectives, including curricular materials,…
Malek, Jalaluddin Abdul; Razaq Ahmad, Abdul; Mahzan Awang, Mohd; Alfitri
Telecentres in the 21st century may be able to improve standard of living, quality of life, and stability of knowledge for the rural population. The role of telecentres is widely increasing in developing political and management awareness, economic, socio-culture, technology, education and regulation awareness in rural communities. Telecentres in…
Smith, Carol A.; Kennedy, Diane M.; Lahoz, Monina Rasay; Hislop, David A.; Erkel, Elizabeth E.
The South Carolina Rural Interdisciplinary Program in Training (SCRIPT) provides practical educational experiences for students from multiple health care majors in rural communities in the Low Country (Southern region) of South Carolina. Faculty from the Medical University of South Carolina joined with staff from the Low Country Area Health…
Schools have always been central to rural communities, but today they are critical to the sustainability of social and economic life for people who live beyond major centres of population. The development of virtual structures and processes that enhance classes in and between rural schools has provided extended educational and, indirectly,…
Petrin, Robert A.; Farmer, Thomas W.; Meece, Judith L.; Byun, Soo-yong
Adolescents who grow-up in rural areas often experience a tension between their attachment to the rural lifestyle afforded by their home community and a competing desire to gain educational, social, and occupational experiences that are only available in metropolitan areas. While these diverging pressures are well-documented, there is little…
Francis, J.; Dube, B.; Mokganyetji, T.; Chitapa, T.
Children, youth, women, the elderly, men and their leaders are integral components of rural communities. It is important to ensure that their unique needs and perceptions shape development programming. However, despite having various policies and legal frameworks introduced to deepen democracy in South Africa, current rural development programming…
This paper considers the important issue of women's economic participation in rural community development and regeneration. The paper explores the economic lives and actions of women residents in ''Ilston'', a village in the Northumberland Rural Coalfield. The women's narratives illustrate the economic connections between private and public…
Zimmermann, Kristine; Khare, Manorama M.; Huber, Rachel; Moehring, Patricia A.; Koch, Abby; Geller, Stacie E.
Background: Cardiovascular disease is the leading cause of death in women in the United States. Rural women have an increased risk of cardiovascular disease due to both behavioral and environmental factors. Models of prevention that are tailored to community needs and build on existing resources are essential for effective outreach to rural women.…
Affonso, Dyanne D.; Mayberry, Linda; Shibuya, June Y.; Archambeau, Olga G.; Correa, Mary; Deliramich, Aimee N.; Frueh, B. Christopher
Background: Escalation of youth violence within a large geographic school-complex area in southeastern rural Hawaii became a major problem in 2006. How cultural forces impact the problem was an impetus to examine youth violence from perspectives of adults and children in rural communities. Gathering these data was an essential first step toward…
Chang, Jen Jen; Salas, Joanne; Habicht, Katherine; Pien, Grace W.; Stamatakis, Katherine A.; Brownson, Ross C.
Purpose: To determine the association between sleep duration and depressive symptoms in a rural setting. Methods: We conducted a cross-sectional study using data from Wave 3 of the Walk the Ozarks to Wellness Project including 12 rural communities in Missouri, Arkansas, and Tennessee (N = 1,204). Sleep duration was defined based on average…
O'Farrell, Denise; Aubrey, Debra Larsen
This paper examines a regional 2009 H1N1 rural response model, which utilises community partnerships with local government, county emergency management, public health, private healthcare, Medical Reserve Corps volunteers, and other organisations in rural Southeast Idaho. Unique aspects of the collaborative use of federal, state, county, and…
When metropolitan universities refer to serving the entire metropolitan area, they often refer to rural fringes as well as concentrated urban populations. Working with rural communities requires somewhat different approaches to planning programs and understanding needs. Survey research helps the campus understand the perceptions and realities of…
Sheridan, Susan M.; Holmes, Shannon R.; Coutts, Michael J.; Smith, Tyler E.
Families in rural communities are often poorly connected to schools due to challenges associated with geographic isolation, poverty, inexperienced staff, inadequate resources, scheduling challenges, and low parental education. This creates problems with the access, availability, and acceptability of services. Teachers in rural schools often have…
Within sub-Saharan Africa, AIDS is becoming a greater threat to rural communities due to the high numbers of urban dwellers and migrant labourers who return to their rural villages when they fall ill and due to the lack of information and health services. Previous studies have found a reduced rate of infection among people who have high…
... 7 Agriculture 11 2010-01-01 2010-01-01 false Assistance to High Energy Cost Rural Communities. 1700.34 Section 1700.34 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE GENERAL INFORMATION Agency Organization and Functions § 1700.34 Assistance to High Energy Cost...
... 7 Agriculture 11 2010-01-01 2010-01-01 false Assistance to high energy cost rural communities. 1700.58 Section 1700.58 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE GENERAL INFORMATION Loan and Grant Approval Authorities § 1700.58 Assistance to high energy cost...
Kilpatrick, Sue; Bell, Rowena; Kilpatrick, Peter
A study examined the impact of high school vocational education and training (VET) courses on small, rural communities in Tasmania (Australia). Data were gathered from site visits and interviews with school principals, VET coordinators, and VET students from three rural Tasmanian high schools. Findings show that the programs met the immediate…
Cornwell, Lisa; Hawley, Suzanne R.; St. Romain, Theresa
Background: Coordinated school health programs (CSHPs) bring together educational and community resources in the school environment. This method is particularly important in rural areas like Kansas, where resources and trained health professionals are in short supply. Rural Stafford County, Kansas, struggles with health professional shortages and…
Research aimed to enhance rural women's access to communication and information technologies and to assess the impact of their technology use on their participation in small business development and community development. Over 200 women throughout Queensland (Australia) were involved. A trial electronic mailing list linking rural women to urban…
Falk, Ian; Kilpatrick, Sue
A case study in a rural Australian township sought to determine the nature of the interactive productivity between the local networks in a community. Participants were chosen based on recommendations of community members concerning to whom they turn for help, advice, or information. Community interactivity was recorded using interviews,…
Cornell, C. E.; Littleton, M. A.; Greene, P. G.; Pulley, L.; Brownstein, J. N.; Sanderson, B. K.; Stalker, V. G.; Matson-Koffman, D.; Struempler, B.; Raczynski, J. M.
The Uniontown, Alabama Community Health Project trained and facilitated Community Health Advisors (CHAs) in conducting a theory-based intervention designed to reduce the risk for cardiovascular disease (CVD) among rural African-American women. The multiphased project included formative evaluation and community organization, CHA recruitment and…
Communities, schools, their music programs, and the individuals who participate in these groups are tied to the social, cultural, and political contexts in which they reside. Schools are often connected to their communities, and are often deeply cherished in rural communities. School music programs hold the potential to influence a small…
Clark, David; Southern, Rebekah; Beer, Julian
This article compares two different institutional models--state-sponsored rural partnerships and community-based development trusts--for engaging and empowering local communities in area-based regeneration, using the Isle of Wight as a case study. Following a critical review of the literature on community governance, we evaluate the effectiveness…
Henness, Steven A.; Ball, Anna L.; Moncheski, MaryJo
Using 4-H and FFA case study findings, this article explores how community service-learning supports the building of social capital between rural youth and adults and the positive effects on community viability. Key elements of practice form a community development approach to service-learning, which opens up doorways for youth to partner with…
The concept of community has been central to the discourse of rural education for generations. At the same time, community has been and continues to be a deeply problematic concept. I begin this analysis with Raymond Williams's characterization of the idea of community as a uniquely positive concept, arguing that this framing is, as Williams…
Craft, John L.; Staudt, Marlys M.
Contrasts urban and rural community perceptions of neglect by lay citizens and protective service workers. Even though citizens in both types of communities generally agreed as to what they would report, workers did not agree about the likelihood of substantiating cases in the different communities. (GH)
Katsinas, Stephen G.
Community colleges in all areas of the country offer students opportunities for postsecondary education that they might not otherwise have. The nearly 600 community colleges that serve rural communities play a special role in providing access, one that the author believes deserves greater understanding and recognition. He shares some of what he…
United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Asian Centre for Educational Innovation for Development.
The five studies on education for rural development are directed to teachers, administrators, and others concerned with education in rural areas in their efforts to raise the social and economic status of the rural poor. The Indian study discusses the problem of wastage at the primary school level (with specific reference to Tamil Nadu), and…
Lara, Maristela Oliveira; Brito, Maria José Menezes; Rezende, Lilian Cristina
The daily practice of Community Health Agents (CHAs) is permeated with educational interventions aimed at preventive care and health promotion. The sociocultural universe of these professionals can affect the dynamics of their practice within the community, particularly in rural areas, where there is evidence that the population expects to obtain information relative to their health and/or disease by means of cultural rites. Based on a case study, we sought to analyze the influence of the cultural practices of the agents working in a rural area in the interior of the state of Minas Gerais. The analysis revealed the presence of a strong connection between the culture and their activities. Religious beliefs and knowledge developed from the fusion of biomedical information and values based on family tradition regarding the health-disease process have a direct effect on their practices. It is emphasized that they have an important role as facilitators in the practice of health care, with a positive effect stemming from the similarity of their life experiences and inherited cultures with those of the clients, thus making it possible to develop effective interventions.
Data from a household survey were used to analyse the distribution of newborn deliveries in a rural area of Kenya. It was found that 52% of deliveries occurred at home or with traditional birth attendants. Using regression techniques, the most significant predictors of choosing an informal delivery setting are the household's distance from the nearest maternity bed and whether a household member has insurance. The results suggest that travel time is an important barrier to access. Therefore, quality improvements at existing facilities may not result in greater use of modern sector delivery, particularly if improvements are partially offset by user fees.
Regional Laboratory for Educational Improvement of the Northeast & Islands, Andover, MA.
This packet includes reprints of articles concerning the development of a caring and ethical rural school community. The four sections of the packet overview theories and rationale for developing a caring classroom, successful programs in ethical schools and classrooms, leadership and decision making for building a caring and ethical school…
Lowe, Cynthia Louise Altman
This dissertation study was a descriptive case study of a minority community service organization whose members were actively involved in local school decision-making and activities in a rural Northeast Georgia community. Rural schools face unique challenges in light of current educational trends. To address the challenges, rural schools must…
Brown, Louis D.; Alter, Theodore R.; Brown, Leigh Gordon; Corbin, Marilyn A.; Flaherty-Craig, Claire; McPhail, Lindsay G.; Nevel, Pauline; Shoop, Kimbra; Sterner, Glenn; Terndrup, Thomas E.; Weaver, M. Ellen
Community research and action projects undertaken by community-university partnerships can lead to contextually appropriate and sustainable community improvements in rural and urban localities. However, effective implementation is challenging and prone to failure when poorly executed. The current paper seeks to inform rural community-university partnership practice through consideration of first-person accounts from five stakeholders in the Rural Embedded Assistants for Community Health (REACH) Network. The REACH Network is a unique community-university partnership aimed at improving rural health services by identifying, implementing, and evaluating innovative health interventions delivered by local caregivers. The first-person accounts provide an insider’s perspective on the nature of collaboration. The unique perspectives identify three critical challenges facing the REACH Network: trust, coordination, and sustainability. Through consideration of the challenges, we identified several strategies for success. We hope readers can learn their own lessons when considering the details of our partnership’s efforts to improve the delivery infrastructure for rural healthcare. PMID:22547002
When India became independent, primary education in the state of Rajasthan was made the responsibility of the Panchayats (Village Councils), and a number of village schools were opened. However they only drew around 40 per cent of the 6-11 age group, and the curricula, text books, and even the teachers themselves, recruited from the cities, were out of touch with the needs of the rural communities. A study conducted in 1974 showed that, to improve the situation, it would be necessary to make the school more relevant to village life, to involve the parents in planning, and to run it at times when the children could be spared from domestic or farm work; to select the teachers from village residents; and to adapt the curricula and teaching methods to the environment. An appropriate programme was worked out and introduced in three villages in 1975. It provided for morning classes for the regular pupils and evening school for children who worked during the day. The emphasis in the curricula was to be on agriculture and animal husbandry, and teaching methods were to be closely in keeping with the life of the village. Suitable local people were found and trained as teachers. The author describes the implementation of this programme in detail. It proved a success and has now been extended to ten villages with a total attendance at the schools of more than five hundred children.
Allen, James A.
Tree planting practices were investigated on a total of 95 homesteads in two communities in rural Swaziland. Information was also collected on socioeconomic characteristics of the homesteads. In both the study areas, Sigombeni and Bhekinkosi, there was considerable variation amongst individual homesteads in size, relative wealth (as indicated by cattle and motor vehicle ownership), and amount and types of trees planted. Eighty-five percent of all homesteads in Sigombeni and 73% in Bhekinkosi had planted at least one tree. Common forms of planting included small woodlots, fruit trees, and ornamentals. Virtually all the woodlots consisted of two introduced wattle species (Acacia mearnsii and A. decurrens). The most commonly planted fruit trees were avocados, bananas, and peaches. No complex or labor-intensive agroforestry practices (such as maize/leucaena intercropping) were observed. There was some evidence that the poorest and newest homesteads were the least likely to have planted any trees and that the richest homesteads were the most likely to have planted woodlots. The results indicate that forestry research and extension efforts should take into account homestead characteristics, and strive to offer a range of tree planting options that vary in input requirements, labor needs, and complexity.
Zhao, Qun; Li, Xiaoming; Zhao, Guoxiang; Zhao, Junfeng; Fang, Xiaoyi; Lin, Xiuyun; Stanton, Bonita
The current study was designed to assess the level of AIDS knowledge and its relationship with personal stigma toward people living with HIV/AIDS (PLWHA) among children living in communities of high HIV prevalence in rural China. The data were collected in 2009 from 118 orphanage orphans (children who had lost both of their parents to HIV and…
Quaglia, R J; Perry, C M
Aspirations are comprised of two major components--inspiration and ambition. Ambitions represents the ability to look ahead and invest in the future. Inspiration can be described as the ability to invest the time, energy, and effort to reach those ambitions. Variables such as how and why students spend their time illustrate the dynamics of these two components. The data in this report are based on the responses to the Aspirations Survey of 2,677 eighth- to twelfth-grade students from seven rural schools in Maine. The data suggest that many students have no understanding of why they engage in certain activities. If students are to be responsible for their education and more importantly for themselves, they must see purpose in their pursuits.
Kiguli, Juliet; Namusoko, Sarah; Kerber, Kate; Peterson, Stefan; Waiswa, Peter
Background Stillbirths do not register amongst national or global public health priorities, despite large numbers and known solutions. Although not accounted in statistics – these deaths count for families. Part of this disconnect is that very little is known about the lived experiences and perceptions of those experiencing this neglected problem. Objective This study aimed to explore local definitions and perceived causes of stillbirths as well as coping mechanisms used by families affected by stillbirth in rural eastern Uganda. Design A total of 29 in-depth interviews were conducted with women who had a stillbirth (14), men whose wives experienced a stillbirth (6), grandmothers (4), grandfathers (1), and traditional birth attendants (TBAs) (4). Participants were purposively recruited from the hospital maternity ward register, with additional recruitment done through community leaders and other participants. Data were analysed using content analysis. Results Women and families affected by stillbirth report pregnancy loss as a common occurrence. Definitions and causes of stillbirth included the biomedical, societal, and spiritual. Disclosure of stillbirth varies with women who experience consecutive or multiple losses, subject to potential exclusion from the community and even the family. Methods for coping with stillbirth were varied and personal. Ritual burial practices were common, yet silent and mainly left to women, as opposed to public mourning for older children. There were no formal health system mechanisms to support or care for families affected by stillbirths. Conclusion In a setting with strong collective ties, stillbirths are a burden borne by the affected family, and often just by the mother, rather than the community as a whole. Strategies are needed to address preventable stillbirths as well as to follow up with supportive services for those affected. PMID:25843493
Bonomo, Mariana; de Souza, Lídio; Trindade, Zeidi Araujo; Menandro, Maria Cristina Smith
The present work is part of a series of studies that primarily focus on social representations of rural and city objects in the process of constructing a social identity of the countryside. Using social representation theory, this study aimed to investigate the representational field linked to the rural and city objects for the members of a peasant community. A total of 200 members of a Brazilian rural community from four generational groups, of both sexes and aged between 7 and 81 years, participated in this study. We conducted individual interviews with semi-structured scripts. The data corpora, processed using EVOC software, consisted of free associations of the rural and city inductor terms. In constitutive terms, the results allow for the identification of antinomies between the objects discussed; in functional terms, they indicate that the process of constructing social identity is based on the symbolic field, which acts as a reference system for the preparation of the rural identity shared by the participants.
Roberts, Debbie; Hibberd, Pat; Lewis, Christopher Alan; Turley, Joanne
To date, quality indicators that have been developed for nursing tend to focus on acute, secondary care settings. It remains unclear whether such quality indicators are applicable to community settings, particularly in rural environments. This research aims to identify the consensus view among specialist nurses regarding their unique nursing contribution within their rural community. Identifying agreed aspects of the unique role within the rural community area will enable quality care metrics to be developed, allowing specialist nurses to measure their unique contribution to rural health care in the future. The research used the Delphi technique to identify a consensus view among a population of specialist community nurses working in a designated rural area in Wales. The strongest area of consensus related to clinical and teaching expertise, where participants perceive educational expertise as being at the forefront of their role. In terms of care for individuals, consensus was focused on four main areas: developing appropriate criteria for referral in to the service, collaborative working, education, and advocacy roles. The findings highlight similarities to models of care provision elsewhere. Specific quality indicators are required for clinical nurse specialists working in rural areas. Current quality indicators may not be applicable across all clinical settings. Further work is required to explore the nature of rural nursing practice.
Freire, Silvana; Espinosa, Agustín; Rottenbacher, Jan Marc
Currently, in rural communities from the Peruvian northern coast, it is common to find a climate of distrust and pessimism that accompanies the lack of coordinated social action and community participation among residents. This study analyzes the relationships that people develop with regard to the place where they live in, how it associates to the ways they participate in their community and the relationship that these two variables have with the perceived emotional climate, in a rural community from the northern coast of Peru (n = 81). Results indicate that place identity is significantly associated with a high community participation and a climate of trust in the community. Finally, a Path Analysis is performed to analyze comprehensively the relationship between these variables. The results suggest that place identity does have an influence on perceived positive climate in the community, being mediated by the dimensions of community participation.
Background An ageing population is seen as a threat to the quality of life and health in rural communities, and it is often assumed that e-Health services can address this issue. As successful e-Health implementation in organizations has proven difficult, this systematic literature review considers whether this is so for rural communities. This review identifies the critical implementation factors and, following the change model of Pettigrew and Whipp, classifies them in terms of “context”, “process”, and “content”. Through this lens, we analyze the empirical findings found in the literature to address the question: How do context, process, and content factors of e-Health implementation influence its adoption in rural communities? Methods We conducted a systematic literature review. This review included papers that met six inclusion and exclusion criteria and had sufficient methodological quality. Findings were categorized in a classification matrix to identify promoting and restraining implementation factors and to explore whether any interactions between context, process, and content affect adoption. Results Of the 5,896 abstracts initially identified, only 51 papers met all our criteria and were included in the review. We distinguished five different perspectives on rural e-Health implementation in these papers. Further, we list the context, process, and content implementation factors found to either promote or restrain rural e-Health adoption. Many implementation factors appear repeatedly, but there are also some contradictory results. Based on a further analysis of the papers’ findings, we argue that interaction effects between context, process, and content elements of change may explain these contradictory results. More specifically, three themes that appear crucial in e-Health implementation in rural communities surfaced: the dual effects of geographical isolation, the targeting of underprivileged groups, and the changes in ownership required
Effective Collaboration Among Health Care and Education Professionals: A Necessary Condition for Successful Early Intervention in Rural Areas. Making It Work in Rural Communities. A Rural Network Monograph.
Smith-Dickson, Bonnie, Ed.; Hutinger, Patricia, Ed.
Addressing the lack of cooperation between early intervention programs and the rural health community, this monograph presents eight papers by educators and health professionals who identify specific problems and offer solutions in the form of effective collaboration techniques and model programs. Papers by Susan Hastings and Stewart Gabel…
Huerta, Juan Carlos; Bray, Jennifer J.
Do learning communities with pedagogies of active learning, collaborative learning, and integration of course material affect the learning, achievement, and persistence of first-year Latino university students? The data for this project was obtained from a survey of 1,330 first-year students in the First-Year Learning Community Program at Texas…
Frossard, Frédérique; Trifonova, Anna; Barajas Frutos, Mario
The isolation of rural communities creates special necessities for teachers and students in rural schools. The present article describes "Rural Virtual School", a Virtual Community of Practice (VCoP) in which Spanish teachers of rural schools share learning resources and teaching methodologies through social software applications. The article arrives to an evolutionary model, in which the use of the social software tools evolves together with the needs and the activities of the VCoP through the different stages of its lifetime. Currently, the community has reached a high level of maturity and, in order to keep its momentum, the members intentionally use appropriate technologies specially designed to enhance rich innovative educational approaches, through which they collaboratively generate creative practices.
Research Exchange, 2002
Nonmetropolitan areas have the highest percentage of people with disabilities, including severe disabilities. However, rural people with disabilities may represent a population that is underserved or difficult to reach. Barriers to information dissemination in rural areas include limited transportation and communications infrastructures, greater…
Carlson, Karen Townsend
Violence exposure among rural youths is a significant public health problem, yet little research has been conducted on violence in this setting. This study explored rural youths' direct and indirect experience of violence in the neighborhood, school, and home. The author used hierarchical regression analyses to explore youth violence exposure,…
Bigbee, Jeri L.; Abood, Richard; Landau, Sharon Cohen; Maderas, Nicole Monastersky; Foster, Diana Greene; Ravnan, Susan
Context: Timely access to emergency contraception (EC) has emerged as a major public health effort in the prevention of unintended pregnancies. The recent FDA decision to allow over-the-counter availability of emergency contraception for adult women presents important rural health implications. American women, especially those living in rural and…
Medves, Jennifer; Paterson, Margo; Chapman, Christine Y; Young, John H; Tata, Elizabeth; Bowes, Denise; Hobbs, Neil; McAndrews, Brian; O'Riordan, Anne
The 'Professionals in Rural Practice' course was developed with the aim of preparing students enrolled in professional programs in Canada to become better equipped for the possible eventuality of professional work in a rural setting. To match the reality of living and working in a rural community, which by nature is interprofessional, the course designers were an interprofessional teaching team. In order to promote group cohesiveness the course included the participation of an interprofessional group of students and instructors from the disciplines of medicine, nursing, occupational therapy, physical therapy, teacher education, and theology. The format of the course included three-hour classes over an eight-week period and a two-day field experience in a rural community. The course utilized various experiential and interactive teaching and learning methods, along with a variety of assessment methods. Data were collected from student participants over two iterations of the course using a mixed methods approach. Results demonstrate that students value the interprofessional and experiential approach to learning and viewed this course as indispensable for gaining knowledge of other professions and preparation for rural practice. The data reveal important organizational and pedagogical considerations specific to interprofessional education, community based action research, and the unique interprofessional nature of training for life and work in a rural community. This study also indicates the potential value of further longitudinal study of participants in this course. Key words: Canada, community based action research, education, interdisciplinary, interprofessional.
Farmer, Jane; Currie, Margaret; Kenny, Amanda; Munoz, Sarah-Anne
This article explores what happened, over the longer term, after a community participation exercise to design future rural service delivery models, and considers perceptions of why more follow-up actions did or did not happen. The study, which took place in 2014, revisits three Scottish communities that engaged in a community participation research method (2008-2010) intended to design rural health services. Interviews were conducted with 22 citizens, healthcare practitioners, managers and policymakers all of whom were involved in, or knew about, the original project. Only one direct sustained service change was found - introduction of a volunteer first responder scheme in one community. Sustained changes in knowledge were found. The Health Authority that part-funded development of the community participation method, through the original project, had not adopted the new method. Community members tended to attribute lack of further impact to low participation and methods insufficiently attuned to the social nuances of very small rural communities. Managers tended to blame insufficient embedding in the healthcare system and issues around power over service change and budgets. In the absence of convincing formal community governance mechanisms for health issues, rural health practitioners tended to act as conduits between citizens and the Health Authority. The study provides new knowledge about what happens after community participation and highlights a need for more exploration.
Tasmania's Rural and Isolated Young People: Issues, Solutions and Strategies. Report of a Community Consultation with Young People, Government, Youth and Organisations, in Rural and Isolated Communities.
Tasmanian Office of Youth Affairs, Hobart (Australia).
The Tasmanian (Australia) Office of Youth Affairs and Family conducted consultations concerning issues impacting young people living in rural and isolated areas. Eight workshops specifically for youth were attended by 123 young people. Five community forums were attended by 25-30 participants each. The difficulties of living in isolated situations…
Childhood cancer is associated with individual ambient environmental exposures such as hazardous air pollutants and pesticides. However, the role of cumulative ambient environmental exposures is not well-understood. An Environmental Quality Index (EQI) for 2000-2005 was constructed to estimate cumulative environmental exposures. The EQI represents five environmental domains (air, water, land, built and sociodemographic) for each U.S. county. Annual county-level, age-adjusted, childhood (≤ 19 years) cancer incidence rates for 2006-2010 from Surveillance, Epidemiology, and End Results Program (SEER) 18 Registries were linked to the EQI. Random intercept fixed slope linear models were used to estimate the relationship between EQI quintiles and childhood cancer incidence for counties for which data were available (n=611). Incidence rate differences (95% confidence intervals (95%CI)) comparing highest quintile/worst environmental quality to lowest quintile/best quality are reported. All cause childhood cancer was positively, though not significantly, associated with EQI (1.20(-2.60, 5.00)). Models were also stratified by four rural-urban continuum codes (RUCC) ranging from metropolitan urbanized (RUCC1) to thinly-populated (RUCC4). We observed positive associations between all cause childhood cancer and EQI by RUCC; however, significant positive associations were seen in only in the most urbanized areas (RUCC1: 1.79 (0.24, 3.34); RUCC2: 3.45 (-1.05, 5.84), RUCC3: 0
Cunha, Rivaldo V.; Trinta, Karen S.; Montalbano, Camila A.; Sucupira, Michel V. F.; de Lima, Maricelia M.; Marques, Erenilde; Romanholi, Izilyanne H.
Background The emergence of the Chikungunya virus (CHIKV) is currently expanding. In 2015, 38,332 cases of Chikungunya were reported to the Brazilian epidemiological surveillance system. Eighteen months after notification of the first case in the city of Feira de Santana, we conducted the first serosurvey to define the magnitude of transmission in a rural community in Brazil. Methodology/Main findings The serosurvey was conducted in a random sample of 450 residences in the Chapada district, located 100 kilometers from Feira de Santana. We administered questionnaires and tested 120 sera from Chapada district residents for CHIKV IgM- and IgG-specific antibodies. An individual with CHIKV infection was defined as any person with CHIKV IgM or IgG antibodies detected in the serum. One Hundred cases of Chikungunya were reported after prolonged rainfall, which reinforced the relationship between the rainfall index and CHIKV transmission. Eighteen months after the start of the outbreak, we identified a seroprevalence of 20% (95% CI, 15.4–35%). CHIKV IgG- and IgM-specific antibodies were detected in 22/120 (18.3%) and 6/120 (5.0%) individuals, respectively. Among seropositive patients, 13/24 (54.2%) reported fever and joint pain over the previous two years (p<0.01). The rate of symptomatic CHIKV infection was 40.7%. Conclusions/Significance We identified a moderate seroprevalence of Chikungunya in the Chapada district, and in half of the confirmed CHIKV infections, patients reported arthralgia and fever over the previous two years. PMID:28107342
Volkmann, Tyson; Fraga, Miguel A.; Brodine, Stephanie K.; Iñiguez-Stevens, Esmeralda; Cepeda, Alice; Elder, John P.; Garfein, Richard S.
We examined drug-scene familiarity and exposure to gang violence among residents of a migrant farming community in rural Baja California, Mexico. In October 2010, 164 members of a single colonia (community) underwent an interviewer-administered survey to assess ‘exposure to gang violence’ and ‘drug-scene familiarity’, as well as other health indicators. Logistic regression was used to identify correlates of exposure to gang violence. Overall, 20% of participants were male, the median age was 27 years, 24% spoke an indigenous language, 42% reported exposure to gang violence, and 39% reported drug-scene familiarity. Factors independently associated with exposure to gang violence included being younger (AOR=0.80 per 5-year increase, 95% CI=0.67–0.96), living in the community longer (AOR=1.47 per 5-year increase, 95% CI=1.11–1.72), higher educational attainment (AOR=1.70 per 5-year increase, 95% CI=1.07–1.12), and drug-scene familiarity (AOR=5.10, 95%CI=2.39–10.89). Exposure to gang violence was very common in this community and was associated with drug-scene familiarity, suggesting a close relationship between drugs and gang violence in this rural community. In a region characterised by mass migration from poorer parts of Mexico, where drugs and gangs have not been previously reported, emerging social harms may affect these communities unless interventions are implemented. PMID:23072623
Volkmann, Tyson; Fraga, Miguel A; Brodine, Stephanie K; Iñiguez-Stevens, Esmeralda; Cepeda, Alice; Elder, John P; Garfein, Richard S; Viidai Team
We examined drug-scene familiarity and exposure to gang violence among residents of a migrant farming community in rural Baja California, Mexico. In October 2010, 164 members of a single colonia (community) underwent an interviewer-administered survey to assess 'exposure to gang violence' and 'drug-scene familiarity', as well as other health indicators. Logistic regression was used to identify correlates of exposure to gang violence. Overall, 20% of participants were male, the median age was 27 years, 24% spoke an indigenous language, 42% reported exposure to gang violence and 39% reported drug-scene familiarity. Factors independently associated with exposure to gang violence included being younger (adjusted odds ratio [AOR] =0.80 per 5-year increase, 95% confidence interval [CI]=0.67-0.96), living in the community longer (AOR=1.47 per 5-year increase, 95% CI=1.11-1.72), higher educational attainment (AOR=1.70 per 5-year increase, 95% CI=1.07-1.12) and drug-scene familiarity (AOR=5.10, 95% CI=2.39-10.89). Exposure to gang violence was very common in this community and was associated with drug-scene familiarity, suggesting a close relationship between drugs and gang violence in this rural community. In a region characterised by mass migration from poorer parts of Mexico, where drugs and gangs have not been previously reported, emerging social harms may affect these communities unless interventions are implemented.
Wood, Chelsea L.; Lafferty, Kevin D.
To understand how fisheries affect parasites, we conducted a meta-analysis of studies that contrasted parasite assemblages in fished and unfished areas. Parasite diversity was lower in hosts from fished areas. Larger hosts had a greater abundance of parasites, suggesting that fishing might reduce the abundance of parasites by selectively removing the largest, most heavily parasitized individuals. After controlling for size, the effect of fishing on parasite abundance varied according to whether the host was fished and the parasite's life cycle. Parasites of unfished hosts were more likely to increase in abundance in response to fishing than were parasites of fished hosts, possibly due to compensatory increases in the abundance of unfished hosts. While complex life cycle parasites tended to decline in abundance in response to fishing, directly transmitted parasites tended to increase. Among complex life cycle parasites, those with fished hosts tended to decline in abundance in response to fishing, while those with unfished hosts tended to increase. However, among directly transmitted parasites, responses did not differ between parasites with and without fished hosts. This work suggests that parasite assemblages are likely to change substantially in composition in increasingly fished ecosystems, and that parasite life history and fishing status of the host are important in predicting the response of individual parasite species or groups to fishing.
World Bank, Washington, DC. Human Development Network.
The challenges of making rural schools more effective vary with different types of rural conditions. But typically these challenges might include any of the following: teacher shortages, lack of facilities, isolation, HIV/AIDS and related social stigma, war crises and displaced populations, multigrade and shift teaching, administration of small…
Purpose: The overall purpose of this exploratory research was to better understand rural educators' feelings about school-based sex education in order to foster better communication and collaboration between prevention researchers and rural teachers and administrators. In order to accomplish this purpose, the research question asked "How does…
Kozhimannil, Katy B.; Enns, Eva; Blauer-Peterson, Cori; Farris, Jill; Kahn, Judith; Kulasingam, Shalini
Purpose Identifying co-occurring community risk factors, specific to rural communities, may suggest new strategies and partnerships for addressing sexual health issues among rural youth. We conducted an ecological analysis to identify the county-level correlates of pregnancy and chlamydia rates among adolescents in rural (nonmetropolitan) counties in Minnesota. Methods Pregnancy and chlamydia infection rates among 15–19 year-old females were compared across Minnesota’s 87 counties, stratified by rural/urban designations. Regression models for rural counties (n=66) in Minnesota were developed based on publicly available, county-level information on behaviors and risk exposures to identify associations with teen pregnancy and chlamydia rates in rural settings. Findings Adolescent pregnancy rates were higher in rural counties than in urban counties. Among rural counties, factors independently associated with elevated county-level rates of teen pregnancy included inconsistent contraceptive use by 12th-grade males, fewer 12th graders reporting feeling safe in their neighborhoods, more 9th graders reporting feeling overweight, fewer 12th graders reporting 30 min of physical activity daily, high county rates of single parenthood, and higher age-adjusted mortality (P < .05 for all associations). Factors associated with higher county level rates of chlamydia among rural counties were inconsistent condom use reported by 12th-grade males, more 12th graders reporting feeling overweight, and more 12th graders skipping school in the past month because they felt unsafe. Conclusions This ecologic analysis suggests that programmatic approaches focusing on behavior change among male adolescents, self-esteem, and community health and safety may be complementary to interventions addressing teen sexual health in rural areas; such approaches warrant further study. PMID:25344773
Gadomski, Anne; McLaud, Barbara; Lewis, Carol; Kjolhede, Chris
Evaluated the need for school-based health centers in rural New York state. Examination of existing data, community organizational activities, parent telephone surveys, school staff surveys, and focus groups with community members, school staff, and 6th- to 12th-grade students indicated that respondents had varying opinions about school-based…
The experiences of two schoolmasters in the small Western Port Bay fishing community of Hastings (Australia) in the last century are presented to provide insights to present-day teachers about the nature of living and teaching in a rural community. The second schoolmaster did a much better job than the first in involving parents in school…
Griessman, B. Eugene; Bertrand, Alvin L.
Two rural Louisiana communities were selected to evaluate the effectiveness of certain types of communication in preventing man-caused forest fires. The communities were selected on the basis of differences in fire occurrence rates and other factors related to conservation. Questionnaires and personal interviews were utilized to determine views of…
Sherbini, Jaleh T.
The purpose of this study was to examine institution-based leadership development programs in rural community colleges in Illinois, and the impact of these programs in supporting and preparing future community college leaders. The study also explored the efficacy of these programs and whether their implementation aligns with the institutions'…
BENSMAN, JOSEPH; VIDICH, ARTHUR J.
A RURAL DAIRY COMMUNITY IN UPSTATE NEW YORK IS THE SUBJECT OF THIS STUDY WRITTEN AFTER 3 YEARS OF PARTICIPATION BY THE AUTHORS IN THE DAILY LIFE OF THE COMMUNITY. THE ANALYSIS INCLUDES DESCRIPTIONS OF (1) THE VARIOUS SOCIAL CLASS GROUPS AND THEIR ECONOMIC PHILOSOPHIES AND SOCIAL ATTITUDES, (2) THE POLITICAL POWERS, BOTH VISIBLE AND INVISIBLE, AND…
Jervis-Tracey, Paula; Chenoweth, Lesley; McAuliffe, Donna; O'Connor, Barry; Stehlik, Daniela
Delivering essential health, education and human services in rural and remote communities remains a critical problem for Australia. When professionals have mandatory responsibilities (e.g. in child protection, law enforcement, education or mental health), tensions can arise between workers and the communities in which they live. This paper reports…
Roberts, Lydia J.
In 1958 a project was begun in a small, isolated, rural farm community in Puerto Rico to provide nutrition education and improve other conditions of home and community living. Preliminary meetings, interviews, and examinations revealed the interest and great need of the 100 families. Progress reports were made after 1 year, 2 years, and 5 years.…
Stommes, Eileen S.
The need for passenger transportation is widely recognized by rural communities. Shrinking federal funding has led many communities and human service agencies to experiment with innovative approaches to provide transportation services. One such approach is the use of cooperative organizations to provide needed services. A study conducted by the…
Religious communities are important sources of bridging and bonding social capital that have varying implications for perceptions of social cohesion in rural areas. In particular, as well as cultivating cohesiveness more broadly, the bridging social capital associated within mainline religious communities may represent an especially important…
Gilder, David A.; Luna, Juan A.; Roberts, Jennifer; Calac, Daniel; Grube, Joel W.; Moore, Roland S.; Ehlers, Cindy L.
This study examined the usefulness of a survey on underage drinking in a rural American Indian community health clinic. One hundred ninety-seven youth (90 male, 107 female; age range 8-20 years) were recruited from clinic waiting rooms and through community outreach. The study revealed that the usefulness of the survey was twofold: Survey results…
Fitchen, Janet M.
Case study describes a depressed rural New York community that became a migration destination for urban poor people, causing dramatic increases in poverty rate, welfare rolls, and service needs. In-migrants were attracted by low-income housing and, because of their limited job skills, were not deterred by lack of jobs. Discusses community impacts…
This paper uses the Quality of Life research carried out by the Wellbeing in Developing Countries (WeD) Research Group to examine the importance respondents have attributed to a variety of goals in two rural communities in Ethiopia. The results are analysed at the community, household and individual levels to expose the contestation involved in…
Schafft, Kai A.; Alter, Theodore R.; Bridger, Jeffrey C.
We draw on interactional community theory to analyze the relationship between information technology and local development through a case study of a geographically isolated and economically disadvantaged rural school district. This district has used state-of-the-art information technology infrastructure in a broad-based community and economic…
Maley, Mary Maly; Warren, Barbour S.; Devine, Carol M.
Objective: To understand how members of a rural community perceive the effect of the built, natural, and social environments on their food choice and physical activity behaviors. Methods: A constructivist community environmental assessment was conducted including 17 individual qualitative interviews, 2 focus groups, and photo elicitation (n = 27)…
Kilpatrick, Sue; Johns, Susan; Vitartas, Peter; Homisan, Martin
Many small rural communities have a flow of skilled people through the community, including employees from the government, non government and private sectors on fixed-term contracts, and a range of professionals, often attracted by amenity and seeking a sea change or tree change. The aim of the study reported in this paper was to investigate how…
Torres, Vasti; Viterito, Arthur
A request from the Ford Foundation prompted a fourth and final assessment of the demonstration phase of the Rural Community College Initiative (RCCI), established by the Ford Foundation. Between 1994 to 2002, 24 community colleges answered the foundation's charge to improve access to higher education and to expand the economic development of their…
Chilenski, Sarah M; Syvertsen, Amy K; Greenberg, Mark T
Rural communities make up much of America's heartland, yet we know little about their social organization, and how elements of their social organization relate to crime rates. The current study sought to remedy this gap by examining the associations between two measures of social organization - collective efficacy and social trust - with a number of structural community characteristics, local crime rates, and perceptions of safety in a sample of 27 rural and small town communities in two states. Measures of collective efficacy, social trust, and perceived safety, were gathered from key community members in 2006; other measures were drawn from the 2000 Census and FBI Uniform Crime Reporting system. A series of competing hypotheses were tested to examine the relative importance of social trust and collective efficacy in predicting local crime rates. Results do not support the full generalization of the social disorganization model. Correlational analyses showed that neither collective efficacy nor social trust had a direct association with community crime, nor did they mediate the associations between community structural characteristics and crime. However, perceived safety mediated the association between community crime and both measures of social organization. Analyses suggest that social trust may be more important than collective efficacy when understanding the effect of crime on a community's culture in rural areas. Understanding these associations in rural settings can aid decision makers in shaping policies to reduce crime and juvenile delinquency.
Harrris, Cortney R.
Research studies show that there is a skills gap in American society today. This research study examined employability perceptions of community college students at a rural community college in Mississippi. Students were asked to complete an online survey that questioned the degree of importance placed on several employability skills, as well as…
Kawalilak, Colleen; Wells, Noella; Connell, Lynn; Beamer, Kate
This exploratory qualitative study focused on 1) the learning needs of Aboriginal adult learners residing in selected First Nations communities in rural Alberta and 2) the potential for increasing access to e-learning education. Through open dialogue with First Nations community leaders, Aboriginal adult learners, and Aboriginal and non-Aboriginal…
Torres, Irene; Simovska, Venka
Purpose: The purpose of this paper is to contribute to the debate concerning community participation in school-based health education and health promotion, with regard to food and nutrition. Design/methodology/approach: Based on empirical data generated over the course of one year of fieldwork in three rural communities and schools in Ecuador, the…
Altman, Mary; Caddy, John
This book describes the process and results of a 5 year arts initiative, Artists in Minnesota Schools and Communities (AMSC). Based on the premise that rural communities hold an undervalued wealth of artistic and cultural resources rarely tapped by schools, the project piloted a variety of models for integrating art in the educational experiences…
Edith Cowan Univ., Perth (Australia).
This document consists of an overview and five papers examining the findings of a comparative analysis of literacy practices in urban and rural Australian communities. The study included case studies of 23 families in 6 communities and documentation of the literacy practices within the 9 schools attended by the children of those families.…
Gouveia, Lourdes; Stull, Donald D.
In 1988, IBP, the world's largest meat processing firm, announced it would open a beefpacking plant in Lexington, Nebraska. This was part of the latest wave of meatpacking restructuring which moved plants away from urban centers and union strongholds to rural communities. This paper examines community changes accompanying the opening of a large…
Cho, Woong K.; Ritter, Gerald
Researchers used data from a 1981 questionnaire survey of 248 heads of household in 3 Mississippi counties to examine efficient predictors of community and life satisfaction in rural Mississippi. Analyzing the impact of 43 variables on 25 questionnaire items concerning community satisfaction, researchers found 13 significant predictors of…
Miller, Bruce A.
Small, sometimes multi-cultural, rural schools need specialized preservice teacher education programs to prepare teachers. After outlining the classroom, school, and sociocultural characteristics affecting a teacher's success and survival in a rural community, this paper discusses the apparent lack of rural content in teacher preparation programs…
Many rural youth leave their small home towns, at least temporarily, to pursue education and work opportunities after high school. A strong sense of purpose will likely help these young people navigate their transition to adulthood away from the comforts of home. A case study of high school students in a remote rural county in the Pacific Northwest using survey and ethnographic data showed that traditional out-of-school activities (for example, sports, theater, band, Future Farmers of America) and community-based activities (for example, community symphony, community classes, community events), along with work experiences, were all important for developing a strong sense of purpose. The case study points to the important role small rural schools can play in supporting youth and connecting them to activities that foster a strong sense of purpose. In addition, this article discusses the importance of paying attention to the development of a sense of purpose alongside traditional measures of academic achievement and social competence.
Report from a technical assistance project to help Madison County, NY, develop a tool to help rural local governments assess how well their policies are helping them achieve the type of development they want.
The provision of quality mental health services in rural areas continues to be an ongoing challenge for nurses and the patients they serve. The use of computer mediated communication to construct collaborative learning environments similar to those suggested in Wenger's community of practice framework has the potential to mitigate a number of the difficulties faced by rural health care providers. The author presents a brief discussion of social learning theories, the communities of practice framework, and related concepts. Examples of current online communities of practice used as a means for knowledge construction in various professional disciplines are presented in building the case for the fit between online communities of practice and the needs of nurses in rural mental health. Nurses providing mental health care in rural areas have documented needs for interdisciplinary teamwork, access to a collaborative learning environment, and ongoing contact with expert resources. The construction of online communities of practice could potentially address a multitude of concerns identified by nurses practicing mental health care in rural areas.
Wagner, Fernando; Diaz, David B; López, Aida L; Collado, Ma Elena; Aldaz, Evelyn
The objective of this study was to explore drug use in Mexican rural communities and its relationship to social cohesion, cultural identity, migration, and transculturation. Community models typification was used, considering cohesion as the central point of analysis. The research was conducted during 15-day periods in each of nine communities during 1991. Both documentary and ethnographic techniques were used to gather information. Results indicated that rural communities where there was little or no drug use among its members show more social cohesion, cultural identity, and community links consolidation, and more capacity for integrating change. This pattern is most apparent among young community members who have had more contact with the outer world (drug trafficking, North American culture, and Mexican urban culture).
Nimegeer, Amy; Farmer, Jane; West, Christina; Currie, Margaret
Policy suggests that health service providers should plan services with communities. In remote and rural areas this is sometimes ineffective, resulting in resistance to change. An action research project investigated best practise in rural community engagement. As a result a planning 'game' was developed that uses a number of types and levels of cards and allows community members, as part of a process of engagement, to express their priorities and designs in a form that is directly usable by health service managers. The game is a unique community engagement resource in that it combines the priorities of the community (including their experiences of using services) with existing service data. It allows community members and service managers to apply their priorities for services to a healthcare budget to identify appropriate and affordable ways of providing safe local services.
van Zyl, Marjorie; Eygelaar, Johanna
Background Interventions by community care workers within the context of community-based integrated management of childhood illness (CIMCI) may have a positive effect on child health if the health workers have adequate knowledge about key family practices. Setting The study was conducted in rural areas of the West Coast district in the Western Cape, South Africa. Objectives The objective of this study was to determine the knowledge of community care workers about five of the 16 key family practices of CIMCI. Methods A descriptive survey collected a self-administered questionnaire from 257 community care workers out of a possible total of 270 (95.2% response rate). Descriptive and inferential statistical analysis was applied. Results Only 25 of the respondents (10%) obtained a score higher than 70% on the knowledge-based items of the questionnaire. Less than 25% of respondents answered questions in these key areas correctly (pneumonia [17%], tuberculosis [13%], HIV/AIDS [9%] immunisation [3%] and recommendations for a child with fever [21%]). Statistically significant correlations were found between the total score a respondent achieved and the highest level of education obtained (p < 0.01), the level of in-service training (p < 0.01), attendance of a CIMCI five-day training course (p < 0.01), and completing a subsequent refresher course (p < 0.01). Conclusion The knowledge of CCWs was inadequate to provide safe, quality CIMCI. CIMCI refresher courses should be offered annually to improve CCWs’ knowledge and the quality of care that they render. Regular update courses could contribute to building competence. PMID:26842523
Wiersma, Elaine C; Denton, Alison
Dementia-friendly communities, as communities that enable people with dementia to remain involved and active and have control over their lives for as long as possible, centrally involve social support and social networks for people living with dementia. The purpose of this research was to explore and understand the context of dementia in rural northern communities in Ontario with an emphasis on understanding how dementia friendly the communities were. Using qualitative methods, interviews were conducted with a total of 71 participants, including 37 health service providers, 15 care partners, 2 people living with dementia and 17 other community members such as local business owners, volunteers, local leaders, friends and neighbours. The strong social networks and informal social support that were available to people living with dementia, and the strong commitment by community members, families and health care providers to support people with dementia, were considered a significant asset to the community. A culture of care and looking out for each other contributed to the social support provided. In particular, the familiarity with others provided a supportive community environment. People with dementia were looked out for by community members, and continued to remain connected in their communities. The social support provided in these communities demonstrated that although fragile, this type of support offered somewhat of a safety net for individuals living with dementia. This work provides important insights into the landscape of dementia in rural northern Ontario communities, and the strong social supports that sustain people with dementia remaining in the communities.
Aisenberg, Eugene; Dwight-Johnson, Meagan; O'Brien, Mary; Ludman, Evette J; Golinelli, Daniela
Concerns about the appropriate use of EBP with ethnic minority clients and the ability of community agencies to implement and sustain EBP persist and emphasize the need for community-academic research partnerships that can be used to develop, adapt, and test culturally responsive EBP in community settings. In this paper, we describe the processes of developing a community-academic partnership that implemented and pilot tested an evidence-based telephone cognitive behavioral therapy program. Originally demonstrated to be effective for urban, middle-income, English-speaking primary care patients with major depression, the program was adapted and pilot tested for use with rural, uninsured, low-income, Latino (primarily Spanish-speaking) primary care patients with major depressive disorder in a primary care site in a community health center in rural Eastern Washington. The values of community-based participatory research and community-partnered participatory research informed each phase of this randomized clinical trial and the development of a community-academic partnership. Information regarding this partnership may guide future community practice, research, implementation, and workforce development efforts to address mental health disparities by implementing culturally tailored EBP in underserved communities.
Aisenberg, Eugene; Dwight-Johnson, Meagan; O'Brien, Mary; Ludman, Evette J.; Golinelli, Daniela
Concerns about the appropriate use of EBP with ethnic minority clients and the ability of community agencies to implement and sustain EBP persist and emphasize the need for community-academic research partnerships that can be used to develop, adapt, and test culturally responsive EBP in community settings. In this paper, we describe the processes of developing a community-academic partnership that implemented and pilot tested an evidence-based telephone cognitive behavioral therapy program. Originally demonstrated to be effective for urban, middle-income, English-speaking primary care patients with major depression, the program was adapted and pilot tested for use with rural, uninsured, low-income, Latino (primarily Spanish-speaking) primary care patients with major depressive disorder in a primary care site in a community health center in rural Eastern Washington. The values of community-based participatory research and community-partnered participatory research informed each phase of this randomized clinical trial and the development of a community-academic partnership. Information regarding this partnership may guide future community practice, research, implementation, and workforce development efforts to address mental health disparities by implementing culturally tailored EBP in underserved communities. PMID:23050133
Pullen, Erin; Oser, Carrie
The purpose of this study is to compare rural and urban substance abuse counselors' perceptions of barriers to providing effective treatment services. Data were collected from 28 substance abuse counselors in Kentucky during four focus group sessions in 2008. Line-by-line coding and memoing were used by two raters on the transcribed data to isolate findings. The results of this study suggest that, though rural and urban counselors encounter similar constraints that hamper successful treatment outcomes, rural counselors are subject to special circumstances within their communities that present unique challenges to treatment efficacy. Novel contributions, implications, and limitations are also discussed.
Mason, P R; Patterson, B A
Fecal specimens were obtained on 3 occasions at 10-12 wk intervals from 315 children in 3 rural villages in Zimbabwe and from 351 children in the high-density suburbs of an adjacent small town. Specimens were examined qualitatively and quantitatively for eggs of Hymenolepis nana, and these were found in 142 (21%) children. Infections occurred more frequently in younger children in the urban area but in older children in rural areas. The prevalence in urban areas (24%) was higher than in rural areas (18%), and in urban areas infection correlated with low "hygiene scores" (determined by observation) and with the presence in the household of an infected sibling. The prevalence of infection in the 3 rural communities did not correlate with availability of water, number of households per toilet, with low "hygiene scores," or with the presence of an infected sibling. Treatment with a single oral dose of 15 mg/kg praziquantel cured 84% of the infected children. New or reinfections occurred more frequently in households that had an infected sibling in an urban but not rural setting. The study demonstrates distinct differences in the transmission of H. nana infection in rural and urban communities. The data suggest intrafamily transmission in urban areas, particularly in households with poor hygiene behavior, leading to primary infection early in life. In rural areas, the prevalence of infection and the incidence of reinfection were highest in children of school age, and there was little evidence for intrafamily transmission of the parasite.
Charlier, Hara D.; Williams, Mitchell R.
Drawing on a survey of chief academic officers at 347 community colleges nationwide, this study examined the impact of institutional type (rural, suburban, urban) on reliance on and demand for adjunct faculty members. Findings indicated that rural institutions rely less on adjuncts, whereas both rural and urban institutions report high levels of…
Mberu, Blessing U.; Haregu, Tilahun Nigatu; Kyobutungi, Catherine; Ezeh, Alex C.
Background It is generally assumed that urban slum residents have worse health status when compared with other urban populations, but better health status than their rural counterparts. This belief/assumption is often because of their physical proximity and assumed better access to health care services in urban areas. However, a few recent studies have cast doubt on this belief. Whether slum dwellers are better off, similar to, or worse off as compared with rural and other urban populations remain poorly understood as indicators for slum dwellers are generally hidden in urban averages. Objective The aim of this study was to compare health and health-related indicators among slum, rural, and other urban populations in four countries where specific efforts have been made to generate health indicators specific to slum populations. Design We conducted a comparative analysis of health indicators among slums, non-slums, and all urban and rural populations as well as national averages in Bangladesh, Kenya, Egypt, and India. We triangulated data from demographic and health surveys, urban health surveys, and special cross-sectional slum surveys in these countries to assess differences in health indicators across the residential domains. We focused the comparisons on child health, maternal health, reproductive health, access to health services, and HIV/AIDS indicators. Within each country, we compared indicators for slums with non-slum, city/urban averages, rural, and national indicators. Between-country differences were also highlighted. Results In all the countries, except India, slum children had much poorer health outcomes than children in all other residential domains, including those in rural areas. Childhood illnesses and malnutrition were higher among children living in slum communities compared to those living elsewhere. Although treatment seeking was better among slum children as compared with those in rural areas, this did not translate to better mortality
Hay, M; Mercer, A M; Lichtwark, I; Tran, S; Hodgson, W C; Aretz, H T; Armstrong, E G; Gorman, D
An undersupply of generalists doctors in rural communities globally led to widening participation (WP) initiatives to increase the proportion of rural origin medical students. In 2002 the Australian Government mandated that 25% of commencing Australian medical students be of rural origin. Meeting this target has largely been achieved through reduced standards of entry for rural relative to urban applicants. This initiative is based on the assumption that rural origin students will succeed during training, and return to practice in rural locations. One aim of this study was to determine the relationships between student geographical origin (rural or urban), selection scores, and future practice intentions of medical students at course entry and course exit. Two multicentre databases containing selection and future practice preferences (location and specialisation) were combined (5862), representing 54% of undergraduate medical students commencing from 2006 to 2013 across nine Australian medical schools. A second aim was to determine course performance of rural origin students selected on lower scores than their urban peers. Selection and course performance data for rural (461) and urban (1431) origin students commencing 2006-2014 from one medical school was used. For Aim 1, a third (33.7%) of rural origin students indicated a preference for future rural practice at course exit, and even fewer (6.7%) urban origin students made this preference. Results from logistic regression analyses showed significant independent predictors were rural origin (OR 4.0), lower Australian Tertiary Admissions Rank (ATAR) (OR 2.1), or lower Undergraduate Medical and Health Sciences Admissions Test Section 3 (non-verbal reasoning) (OR 1.3). Less than a fifth (17.6%) of rural origin students indicated a preference for future generalist practice at course exit. Significant predictors were female gender (OR 1.7) or lower ATAR (OR 1.2), but not rural origin. Fewer (10.5%) urban origin
Beam, Margery Elizabeth
The combination of increasing enrollment and the importance of providing transfer students a solid foundation in science calls for science faculty to evaluate teaching methods in rural community colleges. The purpose of this study was to examine and compare the effectiveness of two teaching methods, inquiry teaching methods and didactic teaching methods, applied in a rural community college earth science course. Two groups of students were taught the same content via inquiry and didactic teaching methods. Analysis of quantitative data included a non-parametric ranking statistical testing method in which the difference between the rankings and the median of the post-test scores was analyzed for significance. Results indicated there was not a significant statistical difference between the teaching methods for the group of students participating in the research. The practical and educational significance of this study provides valuable perspectives on teaching methods and student learning styles in rural community colleges.
Charles, Grant; Bainbridge, Lesley; Copeman-Stewart, Kathy; Kassam, Rosemin; Tiffin, Shelly
The Interprofessional Rural Program of British Columbia (IRPBC) was established in 2003 as a pilot program aimed at supporting the recruitment of health and human service professionals to rural communities in British Columbia, Canada. The program was designed to expose students in the health and human service professions to rural communities and to assess whether this exposure increased the likelihood of their return to work in nonurban settings once they completed their studies. The initial qualitative evaluation of IRPBC was conducted via individual interviews in the first year and written questionnaires in the second year. In general, IRPBC was perceived by the participants to have had a significant impact on the students and communities. The students who participated in it benefited not only from the chance to engage in rural practice but also from the opportunity to interact within an interprofessional context; and the communities participating in the program profited from enhanced health care and the possibility of attracting new practitioners from these students. Exposure to new ways of providing service and the impact that the introduction of teams of passionate students can have on both practitioners and small communities have greatly enriched the broader communities.
This interim final rule (IFR) with request for comment is meant to comply with the statutory directive to issue a regulation defining "underserved rural community" for purposes of the Rural Physician Training Grant Program in section 749B of the Public Health Service Act, as amended by the Patient Protection and Affordable Care Act of 2010. This IFR is technical in nature. It will not change grant or funding eligibility for any other grant program currently available through the Office of Rural Health Policy (ORHP) or HRSA. For purposes of the Rural Physician Training Grant Program only, HRSA has combined existing definitions of "underserved" and "rural" by using the definition of rural utilized by the ORHP Rural Health Grant programs and the definition of "underserved" established by HRSA's Office of Shortage Designation (OSD) in the Bureau of Health Professions (BHPr).
Rayens, Mary Kay; York, Nancy L; Adkins, Sarah M; Kaufman, Erin L; Hahn, Ellen J
The purpose was to determine factors associated with rural communities' political readiness to enact smoke-free laws. Data from baseline assessment of a longitudinal intervention study to promote smoke-free policy in rural Kentucky communities; key informants (n = 144) and elected officials (n = 83) from 29 counties participated in cross-sectional telephone interviews. Controlling for population size and county-level smoking rate, the following factors predicted elected officials' perception of the likelihood of a local smoke-free law passing in the next 12 months: (1) support from the local board of health; (2) support from local leaders; and (3) smoke-free hospitals. Communities with lower adult smoking prevalence were more ready for smoke-free laws. Rural health advocates can increase political readiness for smoke-free laws by educating and engaging Board of Health members and local leaders, promoting the voluntary adoption of smoke-free policies in rural hospitals, and investing in effective population-based approaches to evidence-based tobacco treatment in rural communities.
Art therapy encompasses both preventative and curative activities and aims to improve ways of engaging those who might be reticent in seeking more traditional forms of psychological support offered through 'talking therapies'. The Longreach base of the Royal Flying Doctor Service in Queensland provides mental health support to people living in rural and remote locations in central western Queensland and has been complemented since 2006 by the addition of a full-time art therapist. This paper provides an overview of art therapy and a description of this innovative approach to addressing mental health needs in a rural and remote setting.
Bentley, M E; Caulfield, L E; Ram, M; Santizo, M C; Hurtado, E; Rivera, J A; Ruel, M T; Brown, K H
Zinc deficiency has been associated with growth deficits, reduced dietary intake and appetite, and has been hypothesized to result in reduced activity. This randomized, double-blind, placebo-controlled study examined whether 10 mg of oral zinc as zinc sulfate, given daily for up to 7 mo, affected activity patterns of 85 Guatemalan infants recruited at 6-9 mo of age. Infant activity was assessed by time sampling-observation method at 10-min intervals during a 12-h data collection period, at base line, 3 and 7 mo follow-up. Motor development and the percentage of time infants were observed in various positions (being carried, lying down, sitting, crawling, standing or walking) and engaged in various activities (eating, sleeping, resting, crying/whining or playing) were compared by treatment group. No differences in motor development were observed by treatment group. However, at follow-up 2 (after 7 mo of supplementation), zinc-supplemented infants were significantly more frequently observed sitting up compared with lying down, and were playing during 4.18 +/- 1.95% (P < 0.05) more observations than unsupplemented infants. They were also somewhat less likely to be observed crying or whining (P < 0.10) compared with those receiving the placebo. These effects are independent of other factors including infant age, motor development, sex, maternal education, family socioeconomic status and nutritional status at base line. Further research must be conducted to determine the long-term developmental importance of these differences in activity patterns associated with zinc supplementation in this setting.
Zhu, Thein Hlaing; Hollister, Lisa; Scheumann, Christopher; Konger, Jennifer; Opoku, Dazar
The study evaluates (1) health care provider perception of the Rural Trauma Team Development Course (RTTDC); (2) improvement in acute trauma emergency care knowledge; and (3) early transfer of trauma patients from rural emergency departments (EDs) to a verified trauma center. A 1-day, 8-hour RTTDC was given to 101 nurses and other health care providers from nine rural community hospitals from 2011 to 2013. RTTDC participants completed questionnaires to address objectives (1) and (2). ED and trauma registry data were queried to achieve objective (3) for assessing reduction in ED time (EDT), from patient arrival to decision to transfer and ED length of stay (LOS). The RTTDC was positively perceived by health care providers (96.3% of them completed the program). Significant improvement in 13 of the 19 knowledge items was observed in nurses. Education intervention was an independent predictor in reducing EDT by 28 minutes and 95% confidence interval (CI) [-57, -0.1] at 6 months post-RTTDC, and 29 minutes and 95% CI [-53, -6] at 12 months post-RTTDC. Similar results were observed with ED LOS. The RTTDC is well-perceived as an education program. It improves acute trauma emergency care knowledge in rural health care providers. It promotes early transfer of severely injured patients to a higher level of care.
Kot, Megan; Castleden, Heather; Gagnon, Graham A
Studies that explore social capital and political will [corrected] in the context of safe drinking water provision in [corrected] Canada are limited. This paper presents findings from a study that examines the capacity of rural Canadian communities to attain regulatory compliance for drinking water. Interviews were conducted with water operators and managers in ten rural communities across Atlantic Canada to identify the burden of compliance arising from the implementation of, and adherence to, drinking water regulations. This research identifies the operator as being particularly burdened by regulatory compliance, often resulting in negative consequences including job stress and a strained relationship with the community they serve. Findings indicate that while regulations are vital to ensuring safe drinking water, not all communities have the resources in place to rise to the challenge of compliance. As a result, some communities are being negatively impacted by these regulations, rather than benefit from their intended positive effect.
Bryant, Keneshia; Moore, Todd; Willis, Nathaniel; Hadden, Kristie
Background Faith-based mental health interventions developed and implemented using a community-based participatory research (CBPR) approach hold promise for reaching rural African Americans and addressing health disparities. Objectives To describe the development, challenges, and lessons learned from the Trinity Life Management, a faith-based stress management intervention in a rural African American faith community. Methods The researchers used a CBPR approach by partnering with the African American faith community to develop a stress management intervention. Development strategies include working with key informants, focus groups, and a community advisory board (CAB). Results The community identified the key concepts that should be included in a stress management intervention. Conclusions The faith-based “Trinity Life Management” stress management intervention was developed collaboratively by a CAB and an academic research team. The intervention includes stress management techniques that incorporate Biblical principles and information about the stress–distress–depression continuum. PMID:26548794
Rivkin, Inna D.; Lopez, Ellen; Quaintance, Tonie M.; Trimble, Joseph; Hopkins, Scarlett; Fleming, Candace; Orr, Eliza; Mohatt, Gerald V.
Stress and trauma can compromise physical and mental health. Rural Alaska Native communities have voiced concern about stressful and traumatic events and their effects on health. The goal of the Yup’ik Experiences of Stress and Coping Project is to develop an in-depth understanding of experiences of stress and ways of coping in Yup’ik communities. The long-range goal is to use project findings to develop and implement a community-informed and culturally grounded intervention to reduce stress and promote physical and mental health in rural Alaska Native communities. This paper introduces a long-standing partnership between the Yukon-Kuskokwim Regional Health Corporation, rural communities it serves, and the Center for Alaska Native Health Research at the University of Alaska Fairbanks. Within the context of the Stress and Coping project, we then discuss the value and challenges of taking a CBPR approach to advance science and address a priority community concern, and share strategies to respond to challenges. Focus groups were conducted to culturally adapt an existing structured interview and daily diary protocol to better fit Yup’ik ways of knowing. As modified, these interviews increased understanding of stress and coping particular to two Yup’ik communities. Challenges included the geographical nature of Yup’ik communities, communication barriers, competing priorities, and confidentiality issues. Community participation was central in the development of the study protocol, helped ensure that the research was culturally appropriate and relevant to the community, and facilitated access to participant knowledge and rich data to inform intervention development. PMID:23914339
Mary Neth's 1995 book, "Preserving the Family Farm: Women, Community, and the Foundations of Agribusiness in the Midwest, 1900-1940," made a major contribution to the analysis of the connections between gender and the political economy that shaped farm women's lives and fueled farmers' resistance to the transformation of rural life wrought by agribusiness. Focusing on the processes of negotiation between women and men in farming families and rural communities, Neth illuminated the relationship between women's work and their power. Tracing the dense networks that connected farm families, she also showed how cooperation in work generated and sustained radical farm movements.
Sánchez-Hernández, Javier; Eloranta, Antti P; Finstad, Anders G; Amundsen, Per-Arne
While most studies have focused on the timing and nature of ontogenetic niche shifts, information is scarce about the effects of community structure on trophic ontogeny of top predators. We investigated how community structure affects ontogenetic niche shifts (i.e., relationships between body length, trophic position, and individual dietary specialization) of a predatory fish, brown trout (Salmo trutta). We used stable isotope and stomach content analyses to test how functional characteristics of lake fish community compositions (competition and prey availability) modulate niche shifts in terms of (i) piscivorous behavior, (ii) trophic position, and (iii) individual dietary specialization. Northern Scandinavian freshwater fish communities were used as a study system, including nine subarctic lakes with contrasting fish community configurations: (i) trout-only systems, (ii) two-species systems (brown trout and Arctic charr [Salvelinus alpinus] coexisting), and (iii) three-species systems (brown trout, Arctic charr, and three-spined sticklebacks [Gasterosteus aculeatus] coexisting). We expected that the presence of profitable small prey (stickleback) and mixed competitor-prey fish species (charr) supports early piscivory and high individual dietary specialization among trout in multispecies communities, whereas minor ontogenetic shifts were expected in trout-only systems. From logistic regression models, the presence of a suitable prey fish species (stickleback) emerged as the principal variable determining the size at ontogenetic niche shifts. Generalized additive mixed models indicated that fish community structure shaped ontogenetic niche shifts in trout, with the strongest positive relationships between body length, trophic position, and individual dietary specialization being observed in three-species communities. Our findings revealed that the presence of a small-sized prey fish species (stickleback) rather than a mixed competitor-prey fish species (charr) was
Juengst, Shannon B; Arenth, Patricia M; Raina, Ketki D; McCue, Michael; Skidmore, Elizabeth R
Previous studies investigating the relationship between affective state and community integration have focused primarily on the influence of depression and anxiety. In addition, they have focused on frequency of participation in various activities, failing to address an individual's subjective satisfaction with participation. The purpose of this study was to examine how affective state contributes to frequency of participation and satisfaction with participation after traumatic brain injury among participants with and without a current major depressive episode. Sixty-four community-dwelling participants with a history of complicated mild-to-severe traumatic brain injury participated in this cross-sectional cohort study. High positive affect contributed significantly to frequency of participation (β = 0.401, P = 0.001), and both high positive affect and low negative affect significantly contributed to better satisfaction with participation (F2,61 = 13.63, P < 0.001). Further investigation to assess the direction of these relationships may better inform effective targets for intervention. These findings highlight the importance of assessing affective state after traumatic brain injury and incorporating a subjective measure of participation when considering community integration outcomes.
Alfonso, Moya L.; Nickelson, Jen; Cohen, Danielle
Background: Although the potential health benefits of farmers markets have been discussed for years, there is a dearth of literature to aid health educators in advocating for the development of local farmers markets. Purpose: The purpose of this manuscript is to present a case study of a rural farmers market in southeast Georgia with emphasis on…
Lassey, M. L.; Carlson, J. E.
In 1977, 8th and 12th grade students (n=889) from largely rural schools in 3 Idaho counties were surveyed as representive of both early and late stages of the teenage period to determine levels and patterns of liquor consumption. Respondents categorized themselves as nondrinkers (NDs), seldom drinkers (SDs), occasional drinkers (ODs), and frequent…
Gfroerer, Joseph C.; Larson, Sharon L.; Colliver, James D.
Context and Purpose: This study examines the prevalence of tobacco, alcohol, and illicit drug use among adolescents and adults in 3 types of counties: "rural" (nonmetropolitan counties with urban population less than 20,000), "urbanized nonmetropolitan" (nonmetropolitan counties with urban population 20,000 or higher), and…
Hagen, Janet W.; Skenandore, Alice H.; Scow, Beverly M.; Schanen, Jennifer G.; Clary, Frieda Hugo
Nationally, the United States has a higher rate of teen pregnancy than any other industrialized nation. Native American youth have a higher birth rate than the national rate. A full-year healthy relationship program, based on Native American teachings, traditions, and cultural norms, was delivered to all eighth-grade students at a rural tribal…
Torres, Cruz C.
During the last decade, there has been an internal migration of Latinos to the Southeast. Attracted by the rural South's healthy economy, the Hispanic population in the South is projected to double by 2025. Most in-migrants are seeking permanent rather than seasonal employment. With an increased Hispanic population comes increased purchasing…
Culpepper, Maribeth; And Others
Respite care provides relief or backup emergency care for families of individuals who are developmentally disabled. In sparsely populated rural areas, center-based urban models for service delivery and provider recruitment and training may be inappropriate. Las Cumbres Learning Services has developed a model for provision of respite care services…
Glascock, Catherine H.
One of the results of rural school district consolidation has been the potential for schisms that develop among the divergent populations with distinct traditions, culture, and customs. This paper presents research on an Appalachian school district that remains in cultural turmoil after 25 years of consolidation. The population of the three…
The familiar advertising slogan, "Up here it's different," used to attract visitors to the rugged beauty of County Donegal, was correct in highlighting that things are different in Donegal, although not for the reasons one might connect with tourism. For many, Donegal evokes nostalgic images of old, rural Ireland such as close community…
Bird, Sharon R.; Sapp, Stephen G.; Lee, Motoko Y.
Supporting a "structural relational" view of small business success, data from 423 small business owners in Iowa suggest that links between owner characteristics, social relational processes, business structure, and success operate differently depending on urban-rural location and owner sex. Female owners had more professional training…
Albritton, Tashuna; Martinez, Isabel; Gibson, Crystal; Angley, Meghan; Grandelski, Valen R
Health care budgets and policies are chief drivers in the delivery and access to health services. Place is also a factor that affects patient and provider experiences within the health care system. We examine the impact of policy changes and subsequent budget cuts on rural HIV/AIDS care, support services, and prevention. We interviewed 11 social workers, case managers, and outreach workers who serve rural people living with HIV/AIDS. We conducted telephone interviews inquiring about the effect of economics and policies on direct practice with rural clients. We analyzed data using a content analysis approach. We found several themes from the data. Ryan White funding and policy changes shifted direct practice to a medical case management model. Changes in federal and state poverty levels affected client eligibility for the AIDS Drugs Assistance Program. Policy banning financial support for syringe service programs hindered prevention efforts to reduce HIV/AIDS transmission. Ancillary services were reduced, such as housing assistance, transportation, and emergency financial assistance. In conclusion, we highlight the importance of place-based policies to improve access to healthcare and services. We also provide recommendations for greater inclusion in HIV/AIDS-related policy development, care, and service planning for rural workers.
Edwards, Ruth W.
This paper compares data on the prevalence of alcohol and other drug use by students in grades 8 and 12 across four sizes of communities. Data from the American Drug and Alcohol Survey (ADAS), administered in approximately 250 communities during the 1992-93 and 1993-94 school years, were analyzed for four community sizes: very small (population…
Carlson, Dale R.; Fleming, Donald
Student educational outcomes and the quality of instruction are now being monitored by several programs at Worthington Community College (WCC) in southwest Minnesota. WCC, one of the 20 community colleges in the Minnesota Community College system, currently serves 875 students, and has been intensifying its efforts to serve the whole service area…
The implementation of strategies for national and global outcomes has in some instances left rural community resources and practices devalued and disturbed and rural people demoralised with the result that local community sustainability has been compromised. Formal education in Australia is about many things, but is rarely sympathetic towards…
Anttila, Erkko; Vaananen, Ari
This article discusses rural schoolteachers' relationships with local village communities in mid-twentieth-century Finland. At the time, Finnish rural teachers were typically very public figures in their local community. To deal with the pressures of their position, teachers resorted to coping strategies which the authors name "local"…
Kennamer, Mike; Katsinas, Stephen G.
The $17.2 million Rural Community College Initiative (RCCI) demonstration grant program funded by the Ford Foundation which ran from 1994 to 2001 represents the largest philanthropic project specifically aimed at rural community colleges in United States history. While a good deal of literature has been published about this initiative, much was…
Cook-Craig, Patricia G.; Lane, Karen G.; Siebold, Wendi L.
Rural, frontier, and geographically isolated communities face unique challenges associated with ensuring that they are equal partners in capacity-building and prevention planning processes at the state and local level despite barriers that can inhibit participation. By their nature, rural, frontier, and geographically isolated communities and…
National Rural Center, Washington, DC.
An 18-month National Rural Community Facilities Assessment Study, commissioned by the Farmers Home Administration and conducted by Abt Associates, Inc. will assess community facilities serving rural populations and identify the types and extent of investment in facilities necessary to provide an adequate flow of services to these populations. In…
Rivkin, Inna; Trimble, Joseph; Lopez, Ellen D. S.; Johnson, Samuel; Orr, Eliza; Allen, James
Background The native people of Alaska have experienced historical trauma and rapid changes in culture and lifestyle patterns. As a consequence, these populations shoulder a disproportionately high burden of psychological stress. The Yup'ik Experiences of Stress and Coping project originated from rural Yup'ik communities’ concerns about stress and its effects on health. It aimed to understand the stressful experiences that affect Yup'ik communities, to identify coping strategies used to deal with these stressors and to inform culturally responsive interventions. Objectives Here, we examine the process of moving from research (gaining understanding) to disseminating project findings to translation into intervention priorities. We highlight the importance of community participation and discuss challenges encountered, strategies to address these challenges and ethical considerations for responsible intervention research with indigenous communities that reflect their unique historical and current socio-cultural realities. Design Community-wide presentations and discussions of research findings on stress and coping were followed by smaller Community Planning Group meetings. During these meetings, community members contextualized project findings and discussed implications for interventions. This process placed priority on community expertise in interpreting findings and translating results and community priorities into grant applications focused on intervention development and evaluation. Results Challenges included translation between English and Yup'ik, funding limitations and uncertainties, and the long timelines involved in moving from formative research to intervention in the face of urgent and evolving community needs. The lack of congruence between institutional and community worldviews in the intervention research enterprise highlights the need for “principled cultural sensitivity”. Conclusions Cultural sensitivity requires sharing results that have
Hernández, Alison; Hurtig, Anna-Karin; Dahlblom, Kjerstin; San Sebastián, Miguel
Background. The performance of midlevel health workers is a critical lever for strengthening health systems and redressing inequalities in underserved areas. Auxiliary nurses form the largest cadre of health workers in Guatemala. In rural settings, they provide essential services to vulnerable communities, and thus have great potential to address priority health needs. This paper examines auxiliary nurses' motivation and satisfaction, and the coping strategies they use to respond to challenges they confront in their practice. Methods. Semistructured interviews were conducted with 14 auxiliary nurses delivering health services in Alta Verapaz, Guatemala. Results. Community connectedness was central to motivation in this rural Guatemalan setting. Participants were from rural communities and conveyed a sense of connection to the people they were serving through shared culture and their own experiences of health needs. Satisfaction was derived through recognition from the community and a sense of valuing their work. Auxiliary nurses described challenges commonly faced in low-resource settings. Findings indicated they were actively confronting these challenges through their own initiative. Conclusions. Strategies to support the performance of midlevel health workers should focus on mechanisms to make training accessible to rural residents, support problem-solving in practice, and emphasize building relationships with communities served. PMID:23097715
... types of food programs are available for rural seniors? Rural older adults may benefit from a range ... guide, What are some food assistance programs for seniors, such as home meal deliveries, in rural communities? ...
Patten, Emma; O'Meara, Peter; Dickson-Swift, Virginia
Few studies have considered the impact of rural migration on rural community engagement. The objective of this research was to undertake a scoping review about the inclusion and exclusion of newcomers in rural community participation to inform design of inclusive participation processes. The scoping review used the six stages of Arksey and O'Malley's methodological framework. Narrative analysis of the articles was structured using three themes of inclusion and exclusion derived from the literature: interpersonal, socio-cultural norms, and structural and organisational processes. Inclusion and exclusion at the interpersonal level is intricate and often represents broader social rules and tensions that newcomers must navigate in order to become involved. Social norms, such as fear of outsiders and difference, can exclude newcomers from participating in a rural community. Newcomer's awareness of these issues means they are mindful of how they contribute and give respect to the social position of existing residents. Despite this, resistance to change is experienced by newcomers when contributing in organisational contexts. Formal participation processes can harness the practice and value of rural hospitality that newcomers experience as inclusionary. Deliberately designing group processes and operational norms for inclusion can reduce tensions when change occurs and prevent group loss due to exclusionary practices.
Murakami, Manabu; Kawabata, Hidenobu; Kisa, Kengo; Maezawa, Masaji
There is systematic evidence that community-based education is effective in the recruitment of rural physicians to remote communities. However, various obstacles may exist that prevent rural physicians from sustaining their mentoring activities. The aim of this study was to explore ways for rural physicians to overcome such adversities and continue their mentoring activities. We interviewed four nominated physicians (all male, mean age 48 years) based in Hokkaido, Japan, who practiced in an area with less than 10,000 inhabitants. Semi-structured interviews of approximately 60 minutes were performed and focused on topics rural physicians’ found necessary for their teaching activities. All interviews were tape-recorded and transcribed, the verbatim transcripts were analyzed and repeated themes were identified. Three themes that emerged as needs were 1. sustained significant human relationship, including the formation of a network between students and university faculty, as well as developing partnerships with many community relationships, or other medical professions; 2. intrinsic motivations and satisfaction, including pleasure in mentoring the younger generations; and 3. rewards, including financial compensation. Rural physicians as preceptors require nonremunerative, intrinsic motivational factors, such as a sense of satisfaction regarding the education of medical students and being able to relate to residents and others health-care professions, when pursuing their educational activities. To support them, focusing only on monetary facets may be unsuccessful in encouraging them to continue their educational work. PMID:25648537
Lawrence, Barbara Kent
Two concepts have been confused: equality of opportunity and equality of ability, which has led us to link intellectual giftedness with elitism. This linkage undercuts the ability to nurture and benefit from the gifts of the gifted, an important issue in rural places experiencing either withering economies and loss of population or an influx of…
Curtis, Alexa C.; Waters, Catherine M.; Brindis, Claire
Context: Adolescence is a pivotal developmental period for the establishment of positive health and health practices. However, developmentally propelled risk behaviors coinciding with barriers to health services may increase the propensity for untoward health outcomes in adolescence. In addition, the sociocultural context of the rural environment…
Brown, Alice; Danaher, P. A.
One approach that is helpful in framing and facilitating effective and ethical rural education research projects is centred on ensuring that researcher-participant relations are respectful, responsible and reciprocal, predicated on the shared principles of CHE (connectivity, humanness and empathy). This approach derives from a strengths-based…
Remington, David Gray
Optical disk technologies now offer a way to move large, complex, remote computer databases from the large urban areas to rural users. Recently, the Optical Information Systems (OIS) Conference provided an opportunity to discuss the use of this new technology for a variety of innovative applications; for example, "The State Education…
Pujilestari, Cahya Utamie; Ng, Nawi; Hakimi, Mohammad; Eriksson, Malin
Accumulating evidence suggests that negative perceptions towards diabetes can limit the management and prevention of the disease. The negative perceptions towards diabetes are prevalent in many different settings, especially among rural communities. Few qualitative studies have been performed to understand how the community views diabetes and its associated risk factors. This study aimed to explore general community perceptions of diabetes and its risk factors in rural Indonesia. A total of 68 participants were recruited to 12 focus group discussions (FGDs) comprised of different age groups and sexes. The FGDs were conducted in six villages in rural Purworejo District, Central Java, Indonesia, from 2011 to 2012. All FGDs were recorded and transcribed. Qualitative content analysis was performed to describe and analyse how the rural community perceived diabetes and its risk factors. Diabetes was perceived as a visible and scary sugar disease, and the affected individuals themselves were blamed for getting the disease. Recognised as ‘sugar’ or ‘sweet-pee’ disease with terrifying effects, diabetes was believed to be a disease with no cure. The participants seemed to have an unrealistic optimism with regards to the diabetes risk factors. They believed that diabetes would not affect them, only others, and that having family members with diabetes was necessary for one to develop diabetes. Our findings demonstrate that rural communities have negative perceptions about diabetes and at the same time individuals have unrealistic optimism about their own risk factors. Understanding how such communities perceive diabetes and its risk factors is important for planning prevention strategies. Health messages need to be tailored to health-related behaviours and the local culture’s concepts of diseases and risk factors. PMID:25168994
Pujilestari, Cahya Utamie; Ng, Nawi; Hakimi, Mohammad; Eriksson, Malin
Accumulating evidence suggests that negative perceptions towards diabetes can limit the management and prevention of the disease. The negative perceptions towards diabetes are prevalent in many different settings, especially among rural communities. Few qualitative studies have been performed to understand how the community views diabetes and its associated risk factors. This study aimed to explore general community perceptions of diabetes and its risk factors in rural Indonesia. A total of 68 participants were recruited to 12 focus group discussions (FGDs) comprised of different age groups and sexes. The FGDs were conducted in six villages in rural Purworejo District, Central Java, Indonesia, from 2011 to 2012. All FGDs were recorded and transcribed. Qualitative content analysis was performed to describe and analyse how the rural community perceived diabetes and its risk factors. Diabetes was perceived as a visible and scary sugar disease, and the affected individuals themselves were blamed for getting the disease. Recognised as 'sugar' or 'sweet-pee' disease with terrifying effects, diabetes was believed to be a disease with no cure. The participants seemed to have an unrealistic optimism with regards to the diabetes risk factors. They believed that diabetes would not affect them, only others, and that having family members with diabetes was necessary for one to develop diabetes. Our findings demonstrate that rural communities have negative perceptions about diabetes and at the same time individuals have unrealistic optimism about their own risk factors. Understanding how such communities perceive diabetes and its risk factors is important for planning prevention strategies. Health messages need to be tailored to health-related behaviours and the local culture's concepts of diseases and risk factors.
Kincaid, Shannon D.
Women have historically been underrepresented in the fields of science, technology, engineering, and math (STEM fields). The underrepresentation of women in STEM may be attributable to a variety of factors. These may include different choices men and women typically make in response to incentives in STEM education. For example, STEM career paths may be less accommodating to people who are less resilient. Another factor may be that there are relatively few female STEM role models. Perhaps strong gender stereotypes discourage women from pursuing STEM education and STEM jobs. The factors that contribute to success and the barriers that impeded success must be identified before any steps can be taken to improve the educational outcomes for women in STEM disciplines. Consequently, relatively little is known about the role of resilience in academically successful adult women in rural community colleges enrolled in STEM disciplines and the mechanisms that underlie the performance deficits that occur as a result of stereotype threat effect. This mixed method study addressed those knowledge gaps by determining: (1) if high resilience is positively correlated to high grade point average for women enrolled in STEM disciplines in rural community colleges in North Carolina, and (2) if stereotype threat effect is a risk factor for these women. Quantitative data were collected by using "The Resilience Scale" (Wagnild & Young, 1987) and through examination of grade point average of students from Datatel data management software. Qualitative data were collected through semi-structured focus group interviews. Findings from this study indicate high resilience is positively correlated to high grade point average for women enrolled in STEM disciplines in rural community colleges in North Carolina, and stereotype threat effect was a risk factor for low-scoring women (i.e. those women who reported resilience scores less than 121 and grade point averages lower than 2.70) and was not a
GermAnn, Kathy; Smith, Neale; Littlejohns, Lori Baugh
Efforts of health professionals are shifting away from programs that "deliver health" toward those that build the capacity of communities to work together to create healthy places. The Healthy Communities Initiative (HCI) is a community development model in central Alberta (Canada) that involves the creation of a widely shared vision of…
Schwarz, Imogen; Williams, Pam McRae
The impact of drought on rural communities in Australia has been the subject of considerable research. Less well understood are the impacts of drought on rural small businesses and the mechanisms they use to adapt or cope through extended dry periods. In this study, strategies these businesses draw upon to manage this adversity are identified and…
Hamilton, C B; Smith, C A; Butters, J M
Several initiatives have been introduced over the years to address the maldistribution of health care professionals and to improve access to care for underserved rural populations. One of these is the sponsorship of community-based, service-oriented teams comprised of students from various health disciplines. This study investigated extramural training as a complement to traditional hospital-based experiences. The specific objective of the study was to determine the extent to which the nation's medical schools combine training with a rural community-based experience in the form of an interdisciplinary student health team program. In the fall of 1994, a 32-item questionnaire was mailed to the chief academic or clinical affairs administrators of the nation's 126 allopathic medical schools. A total of 104 (82.5%) medical schools responded to the survey. Eighty-six of the respondents (82.7%) reported some type of rural training or public service activity; 22 (21.2%) acknowledged the sponsorship of an interdisciplinary student health team program. Small rural communities, those with populations of 5,000 or fewer, were the focus of 76 percent of the reporting programs. Nearly two-thirds of the reporting programs were located in the South, the region with the nation's lowest physician-to-population ratio. The nursing and medical professions were most frequently represented, although a wide range of disciplines were identified as participating on the student health teams. Activities of the teams included both ambulatory care and community outreach services. The majority of the programs used team-building exercises to enhance team effectiveness. Extramural training programs offer students a realistic examination of the social, cultural, economic, and political forces that influence both individual and community health. Rural community-based programs, such as interdisciplinary student health teams, should be valued because they can strengthen the link between the sponsoring
Noor, S K M; Bushara, S O E; Sulaiman, A A; Elmadhoun, W M Y; Ahmed, M H
Undiagnosed diabetes constitutes a challenge for health providers, especially in rural areas. The aim of this study was to determine the prevalence of undiagnosed diabetes mellitus and glucose intolerance among adults in rural communities in River Nile State, north Sudan. In a cross-sectional community-based study, blood glucose, anthropometric, demographic and clinical history data were obtained from 1111 individuals from 35 villages. The prevalence of undiagnosed diabetes was 2.6% (29 individuals); glucose intolerance was detected in 1.3% (14 individuals). Classic symptoms (polydipsia, polyuria and weight loss) were present in around half of the participants but were not more prevalent in those with diabetes. Lower educational level, increasing age, hypertension and unexplained weight loss were significant risk factors for diabetes. Other variables (obesity, sex, occupation, alcohol consumption and cigarette smoking) were not significant risk factors. There is a low prevalence of undiagnosed diabetes and glucose intolerance in the rural population of River Nile State.
Jarzyna, Marta A; Porter, William F; Maurer, Brian A; Zuckerberg, Benjamin; Finley, Andrew O
Forecasting the consequences of climate change is contingent upon our understanding of the relationship between biodiversity patterns and climatic variability. While the impacts of climate change on individual species have been well-documented, there is a paucity of studies on climate-mediated changes in community dynamics. Our objectives were to investigate the relationship between temporal turnover in avian biodiversity and changes in climatic conditions and to assess the role of landscape fragmentation in affecting this relationship. We hypothesized that community turnover would be highest in regions experiencing the most pronounced changes in climate and that these patterns would be reduced in human-dominated landscapes. To test this hypothesis, we quantified temporal turnover in avian communities over a 20-year period using data from the New York State Breeding Atlases collected during 1980-1985 and 2000-2005. We applied Bayesian spatially varying intercept models to evaluate the relationship between temporal turnover and temporal trends in climatic conditions and landscape fragmentation. We found that models including interaction terms between climate change and landscape fragmentation were superior to models without the interaction terms, suggesting that the relationship between avian community turnover and changes in climatic conditions was affected by the level of landscape fragmentation. Specifically, we found weaker associations between temporal turnover and climatic change in regions with prevalent habitat fragmentation. We suggest that avian communities in fragmented landscapes are more robust to climate change than communities found in contiguous habitats because they are comprised of species with wider thermal niches and thus are less susceptible to shifts in climatic variability. We conclude that highly fragmented regions are likely to undergo less pronounced changes in composition and structure of faunal communities as a result of climate change
Alemu, Getahun; Tekola Ayele, Fasil; Daniel, Takele; Ahrens, Christel; Davey, Gail
Background Podoconiosis is an environmental lymphoedema affecting people living and working barefoot on irritant red clay soil. Podoconiosis is relatively well described in southern Ethiopia, but remains neglected in other parts of the Ethiopian highlands. This study aimed to assess the burden of podoconiosis in rural communities in western Ethiopia. Methodology/Principal Findings A cross-sectional study was conducted in Gulliso woreda (district), west Ethiopia. A household survey in the 26 rural kebeles (villages) of this district was conducted to identify podoconiosis patients and to measure disease prevalence. A more detailed study was done in six randomly selected kebeles to describe clinical features of the disease, patients' experiences of foot hygiene, and shoe wearing practice. 1,935 cases of podoconiosis were registered, giving a prevalence of 2.8%. The prevalence was higher in those aged 15–64 years (5.2%) and in females than males (prevalence ratio 2.6∶1). 90.3% of patients were in the 15–64 year age group. In the detailed study, 335 cases were interviewed and their feet assessed. The majority of patients were farmers, uneducated, and poor. Two-third of patients developed the disease before the age of thirty. Almost all patients (97.0%) had experienced adenolymphangitis (ALA - red, hot legs, swollen and painful groin) at least once during the previous year. Patients experienced an average of 5.5 ALA episodes annually, each of average 4.4 days, thus 24 working days were lost annually. The incidence of ALA in podoconiosis patients was higher than that reported for filariasis in other countries. Shoe wearing was limited mainly due to financial problems. Conclusions We have documented high podoconiosis prevalence, frequent adenolymphangitis and high disease-related morbidity in west Ethiopia. Interventions must be developed to prevent, treat and control podoconiosis, one of the core neglected tropical diseases in Ethiopia. PMID:21666795
Robles-Morua, Agustin; Mayer, Alex S; Auer, Martin T; Vivoni, Enrique R
The discharge of untreated or poorly treated wastewater to river systems remains a major problem affecting public and environmental health, particularly in rural communities of less developed countries. One of the primary goals in setting policies for wastewater management is to reduce risks to human health associated with microbial contamination of receiving water. In this study, we apply a surface water quality model to develop an Escherichia coli based indicator that reflects the quality of surface water and the potential impact to recreational users in a large, rural river in northwest Mexico (upper Sonora River). The model assesses the relative importance of streamflow variations and the uncertainty in E. coli removal coefficient parameters for the predictions of E. coli concentrations in the river. Given the sparse information on streamflow, we use a physically-based, distributed hydrologic model to generate tributary contributions to the river. We determined the best estimate and uncertainty of E. coli removal rates to explore the impacts of parameter uncertainty on the transport of E. coli downstream from two wastewater discharge zones. Our results depict the regions in the river that are in noncompliance with fresh water pathogen norms. The impact of streamflow variability and uncertainty in the removal rates of pathogen indicators was used to derive a range of river distances in noncompliance. The comparison between two sites with different streamflow behaviors was used to illustrate the impacts of streamflow spatiotemporal variability on pathogen indicators. We derive a simple relationship that can be used to assess the relative importance of dilution (ratio of wastewater discharge to river discharge) and pathogen removal (ratio of residence time to reaction time).
Yodmongkol, Pitipong; Jaimung, Thunyaporn; Chakpitak, Nopasit; Sureephong, Pradorn
At present, Thailand is confronting a serious problem of alcohol drinking behavior which needs to be solved urgently. This research aimed to identify the semantic factors on alcohol drinking behavior and to use maternal instinct driving for housewives as village health volunteers in rural communities, Thailand. Two methods were implemented as the…
Small, rural communities typically do not have adequate water purification systems to sustain their life quality and residents are exposed to pathogens present in drinking water. In Puerto Rico (PR), approximately 4% of the population does not have access to drinking water provi...
Gorlach, Krzysztof; Lostak, Michal; Mooney, Patrick H.
This paper examines the usefulness of the new social movements (NSMs) paradigm in the changing context of East European post-communist societies and their agricultural systems and rural communities. Starting with statements formulated in Western sociology in the context of Western democratic societies about NSMs as a protest against modernity, the…
Ganss, Karen M.
This study explores the lived experiences of 10 students entering college from rural Oregon communities. Using narrative inquiry, the author examines students' transition, common experiences, and enrollment barriers. Resulting themes include: (a) unexpected emotional and social transition, (b) motivations for enrolling, (c) lack of social and…
Sangodoyin, A. Y.
Samples from five water sources (spring, borehole, pond, stream, and well) in rural Nigerian communities were tested. Results include source reliabilities in terms of water quality and quantity, pollution effects upon water quality, epidemiological effects related to water quantity and waste disposal, and impact of water quality improvement upon…
WILLIAMS, J. EARL
SUBSTANTIAL POVERTY IN RURAL AREAS HAS BEEN CAUSED BY UNEMPLOYMENT DUE TO THE TECHNOLOGICAL REVOLUTION WHICH HAS MECHANIZED AGRICULTURAL OCCUPATIONS WHICH HAVE BEEN THE EXCLUSIVE DOMAIN OF THE FARM LABORER. A WELL-ORGANIZED COMMUNITY ACTION PROGRAM PROVIDES A MEANS OF EFFECTIVELY COMBATING THE RATE OF UNEMPLOYMENT WHICH IS ESPECIALLY HIGH AMONG…
This study explores the appropriateness of the Performance Assessment for California Teachers (PACT) as an instrument of assessing English-language arts (ELA) teacher candidates' effectiveness in a rural border community. Eight -candidates participated in the study. The findings call into question the adequacy of PACT to assess the candidates'…
Charney, Igal; Palgi, Michal
This paper examines the attempts made by the renewing kibbutzim to maintain their way of life as much as possible through the adjustment of their gating mechanisms. In this type of a rural gated community, sorting procedures and admittance criteria of nonmembers are the most notable elements. Background material and interviews with informants at…
Nagaoka, Chizuko; Karki, Manohar
This paper examines the literacy and post-literacy needs of rural women in Nepal, describes a pilot study in using community radio to supplement a classroom-based post-literacy programme for these women, analyses the findings of this intervention and considers the implications for similar programmes in other settings.
Carcillo, Joseph A.; And Others
Describes an underserved rural community in which health care initiatives increased access to comprehensive care. Over a 3-year period, increased accessibility to maternal and child health care also increased use of preventive services, thus decreasing emergency room visits and hospitalizations as well as low birth weight, risk of congenital…
Church, Mary Josephine; And Others
An assessment of school facilities and services and a survey of staff, student, and community attitudes was undertaken at the request of the Encino School Board to aid in educational planning and improvement for its small rural school which is faced with the problems of declining population (from 400 to 150 in the past 20 years), declining…
Dickerson, Burton Edward
In Waitsburg, Washington, the community was actively involved in a rural school facilities improvement project. The district serves approximately 410 students in three buildings on a single campus. Spurred by growing enrollment and aging facilities, the project included the complete renovation and restoration of a historic school building to serve…
Across the United States, partnerships have formed between business and industry and rural community college workforce development customize training programs to meet the demands of the 21st century labor market. For many business and industry managers, a partnership has become a necessary means to train the unskilled as well as update skills…
A study of participatory evaluation by learning teams at 10 rural sites of the Empowerment Zones/Enterprise Communities program showed the importance of separating indicators of participation from project impacts. Evaluation of three categories was recommended: citizen participation (process indicators), impact of participation on individuals and…
Swaim, Randall; And Others
Differences were found among three small Rocky Mountain towns in both lifetime prevalence and frequency of occurrence of different types of drug users, indicating that small, rural communities are likely to develop idiosyncratic patterns of drug use. These differences were more evident among eighth-grade than among twelfth-grade students.…
Huang, Haigen; Placier, Peggy
Our study sought to understand changes in gender inequality in education across four generations of rural Chinese women's educational experiences in a small community in southern China. The 24 interviews and numerous informal conversations with 12 women showed that gender-based favouritism for men and against women undergirded family expectations,…
Beaulieu, Lionel J.; Molnar, Joseph J.
Findings from current literature form the basis for this examination of five critical elements of change and development within the local community setting which impact on agriculture: population, employment, land, water, and environment. Renewed rural population growth during the 1970's has reversed small farm trends but placed strains on local…
Raffaelli, Marcela; Tran, Steve P.; Wiley, Angela R.; Galarza-Heras, Maria; Lazarevic, Vanja
Immigrants from Latin America are increasingly settling in rural U.S. communities that welcome them as workers but are often unprepared to address their needs and promote their well-being. Building on recent descriptive studies, we examined factors associated with individual and family well-being in a sample of 112 immigrant Latina mothers (mean…
Ramsey, Kristie G.
Student enrollment in online classes has witnessed a significant growth over the past decade. Higher education institutions, in particular, rural community colleges recognize both the need and demand for online classes and have taken great strides to incorporate them into their course curriculum. However, with the growth of online courses there…
Schoenberg, Nancy E.; Campbell, Karen A.; Garrity, John F.; Snider, Lyle B.; Main, Karen
In the Kentucky Homeplace Project, specially trained paraprofessionals who live in medically underserved rural communities make home visits, facilitate access to health care, and provide case management and culturally appropriate prevention education for poor families. Strengths include local administration and staff and holistic and traditional…
Halsey, R. John
One of the common characteristics of rural communities globally, and especially those in the developed countries of the world, is the exodus of youth in search of "greener pastures." While this exodus of youth has been happening for centuries and has often been spurred along by fundamental changes in the way societies organise…
Averett, Paige; Carawan, Lena; Burroughs, Courtney
This qualitative study sought to reveal the traits and outcomes of students who completed a rural community organizing field placement. All stakeholders involved in the placement of students took part in a focus group and follow-up individual interviews. Findings suggest that students need to be open, flexible, self-directed, and maverick in…
Hickey, Anthony Andrew
As rural communities strive to meet the demands of both their citizens and of higher levels of government for increased local services, they must rely more and more on outside assistance. The maze and complexity of federal and state mandates forces officials to seek technical assistance from a network of public and private agencies. The dynamics…
School leadership is an exciting although challenging job. Principals of schools located in rural and remote communities, particular small schools, experience and encounter many challenges that their counterparts in suburban and urban areas do not experience. Concerns over staffing, the quality and availability of materials, facilities,…
Reynolds, Richard Kent
Hallsburg ISD is a small, rural, K-6 school district struggling to sustain its operations due to reduced funding from the state, decreased enrollment, and a decrease in the local tax base. This Problem in Practice Record of Study examines the sustainability issues associated with this school district and its importance to the community. Key…
Russell, Scott C.; McDonald, Mark B.
Examines and enumerates economic changes that have occurred in the traditional rural Navajo community of Shonto. While women's net income contributions to Shonto's economy has declined, their position has seen only a slight erosion; their activities (sheep and goat husbandry, agriculture, arts and crafts) are still considered necessary and…
This article is essentially written as two linked parts. The first part considers how space, spatiality and history can contribute to understanding and "doing something about" the sustainability of rural communities. This is done by extensive reference to Soja's (1989 & 1996) space and spatial theorising and selective perspectives of…
Okamoto, Scott K.; Po'a-Kekuawela, Ka'ohinani; Chin, Coralee I. H.; Nebre, La Risa H.; Helm, Susana
This qualitative study examined the drug resistance strategies of Hawaiian youth residing in rural communities in Hawai'i. Forty seven youth participated in 14 focus groups which focused on the social and environmental context of drug use for these youth. The findings indicated that there were 47 references to resistance strategies used in drug…
Portrays the controversy surrounding schools and education in a rural community experiencing both an influx of urban and suburban newcomers and the effects of urban sprawl. Reports on surveys of student educational attitudes, household information, and outside activities, and on interviews with teachers, school administrators, and residents.…
Ran, Mao-Sheng; Xiang, Meng-Ze; Mao, Wen-Jun; Hou, Zai-Jin; Tang, Mu-Ni; Chen, Eric Yu-Hai; Chan, Cecilia Lai-Wan; Yip, Paul S. F.; Conwell, Yeates
In this study, demographic and clinical characteristics of individuals with schizophrenia in a Chinese rural community who had attempted suicide at some time in their lives and those who had not made a suicide attempt were compared. Among individuals with schizophrenia, subjects with (n = 38) and without (n = 472) a lifetime history of suicide…
This study identified specific access barriers to seven commonly used in-home and community-based services (CBS) and examined factors that were related to barriers to these services. The data used in this study were extracted from the 1999 National Long Term Care Survey and included 283 dyads of rural older adults and their caregivers. The CBS to…
Cattle, Stephen R.; Bloomfield, Dianne M.; Klineberg, Iven J.
The University of Sydney has a long-standing record of commitment to social inclusion in tertiary education. The Australian government agenda has brought into sharp focus the importance of universities engaging with rural and remote communities. The University of Sydney provides placement opportunities and pathways to attract more undergraduate…
Sears, Heather A.
Background: This study examined whether adolescents who were at various stages of the help-seeking process differed on demographic characteristics, use of informal helpers, and markers of emotional and behavioral adjustment. Method: Youths (N = 644; Grades 7-12) living in three rural communities completed a survey at school. Three comparisons were…
Wilson, Delfina Acosta
In Mississippi, the bulk of the responsibility to conduct workforce training falls on the community colleges. With the recent trends of large industry relocating overseas, layoffs, and plant closures, these challenges have become prevalent in rural America. Through the development and delivery of workforce programs to local business and industry,…
This article explores an ongoing project that promotes science education in rural communities of western Nepal by using affordable technology. With the advent of inexpensive technology and multimedia resources, teaching materials for science education can be accessed with a much smaller budget than was previously possible. A preliminary survey…
Crowe, Jessica A.
Routes to economic development attract considerable attention in community and rural sociology. Social scientists draw increasingly on studies of social capital and environmental surroundings as they examine the factors that facilitate and inhibit economic development. However, few empirical analyses exist that analyze the impact of the…
... subsequent cost reporting period, the lesser of their reasonable costs or a target amount. The target amount.... The target amount in subsequent cost ] reporting periods is defined as the preceding cost reporting... establishing cost-based reimbursement for ``rural community hospitals'' to furnish covered inpatient...
Doyle, Rebekah; Krasny, Marianne
Describes the Cornell University Garden Mosaics program in which youth learn about ethnic gardening practices in urban community gardens using research methods adapted from the Participatory Rural Appraisal (PRA). Conducts a study to determine whether youth could effectively facilitate PRA activities with gardeners and to document any social and…
Gregory, James Brent
The purpose of the study was to examine relationships which existed between selected demographics and college grade point averages "GPAs" for dislocated workers and non dislocated workers enrolled in career-technical courses at a rural community college. The variables included in the study are age, gender, and marital status. The study…
Wasserstrom, Haggai; Steinberger, Yosef
Coastal sand dunes are dynamic ecosystems characterized by strong abiotic gradients from the seashore inland. Due to significant differences in the abiotic parameters in such an environment, there is great interest in biotic adaptation in these habitats. The aim of the present study, which was conducted in the northern Sharon sand-dune area of Israel, was to illustrate the spatial changes of a soil microarthropod community along a gradient from the seashore inland. Soil samples were collected from the 0-10 cm depth at five locations at different distances, from the seashore inland. Samples were taken from the bare open spaces during the wet winter and dry summer seasons. The soil microarthropod community exhibited dependence both on seasonality and sampling location across the gradient. The community was more abundant during the wet winter seasons, with an increasing trend from the shore inland, while during the dry summers, such a trend was not observed and community density was lower. The dominant groups within soil Acari were Prostigmata and Endeostigmata, groups known to have many representatives with adaptation to xeric or psammic environments. In addition, mite diversity tended to be higher at the more distant locations from the seashore, and lower at the closer locations, a trend that appeared only during the wet winters. This study demonstrated the heterogeneity of a soil microarthropod community in a coastal dune field in a Mediterranean ecosystem, indicating that the gradient abiotic parameters also affect the abundance and composition of a soil microarthropod community in sand dunes.
Agricultural activities mainly occur in rural areas; recently, ecological conservation and biological diversity are being emphasized in rural communities to promote sustainable development for rural communities, especially for rural communities in Taiwan. Therefore, since 2005, many rural communities in Taiwan have compiled their own development strategies in order to create their own unique characteristics to attract people to visit and stay in rural communities. By implementing these strategies, young people can stay in their own rural communities and the rural communities are rejuvenated. However, some rural communities introduce artificial construction into the community such that the ecological and biological environments are significantly degraded. The strategies need to be efficiently monitored because up to 67 rural communities have proposed rejuvenation projects. In 2015, up to 440 rural communities were estimated to be involved in rural community rejuvenations. How to monitor the changes occurring in those rural communities participating in rural community rejuvenation such that ecological conservation and ecological diversity can be satisfied is an important issue in rural community management. Remote sensing provides an efficient and rapid method to achieve this issue. Segmentation plays a fundamental role in human perception. In this respect, segmentation can be used as the process of transforming the collection of pixels of an image into a group of regions or objects with meaning. This paper proposed an algorithm based on the multiphase approach to segment the normalized difference vegetation index, NDVI, of the rural communities into several sub-regions, and to have the NDVI distribution in each sub-region be homogeneous. Those regions whose values of NDVI are close will be merged into the same class. In doing so, a complex NDVI map can be simplified into two groups: the high and low values of NDVI. The class with low NDVI values corresponds to those
Tucker, Jamie; And Others
Almost everyone who responded to three transportation surveys of rural Handicapped Children's Early Education Program (HCEEP) projects identified transportation as a critical problem in the delivery of services to handicapped children in rural areas. Transportation problems encountered were attributed to environmental/geographic factors,…
Van de Poel, Ellen; O'Donnell, Owen; Van Doorslaer, Eddy
The rural-urban gap in infant mortality rates is explained by using a new decomposition method that permits identification of the contribution of unobserved heterogeneity at the household and the community level. Using Demographic and Health Survey data for six Francophone countries in Central and West sub-Saharan Africa, we find that differences in the distributions of factors that determine mortality--not differences in their effects--explain almost the entire gap. Higher infant mortality rates in rural areas mainly derive from the rural disadvantage in household characteristics, both observed and unobserved, which explain two-thirds of the gap. Among the observed characteristics, environmental factors--a safe source of drinking water, electricity, and quality of housing materials--are the most important contributors. Community characteristics explain less than one-quarter of the gap, with about two-thirds of this coming from community unobserved heterogeneity and one-third from the existence of a health facility within the community. The effect of disadvantageous environmental conditions--such as limited electricity and water supply--derives both from a lack of community-level infrastructure and from the inability of some households to exploit it when available. Policy needs to operate at both the community and household levels to correct such deficiencies.
Carlson, Robert V.
This paper presents a case study of a rural community exhibiting a dramatic turnaround in community support for a new school bond issue. Demographic change was partly responsible for the change in community attitudes, with two waves of immigration altering the long-term conservative orientation of this community. After a series of failed…
Constable, Sophie; Dixon, Roselyn; Dixon, Robert
As part of strategies to improve dog and community health in rural and remote Indigenous communities, this study investigated preferences and impacts of dog health education programs. Semistructured interviews with 63 residents from five communities explored learning preferences. Though each community differed, on average yarning was preferred by…
Cornell, C E; Littleton, M A; Greene, P G; Pulley, L; Brownstein, J N; Sanderson, B K; Stalker, V G; Matson-Koffman, D; Struempler, B; Raczynski, J M
The Uniontown, Alabama Community Health Project trained and facilitated Community Health Advisors (CHAs) in conducting a theory-based intervention designed to reduce the risk for cardiovascular disease (CVD) among rural African-American women. The multiphased project included formative evaluation and community organization, CHA recruitment and training, community intervention and maintenance. Formative data collected to develop the training, intervention and evaluation methods and materials indicated the need for programs to increase knowledge, skills and resources for changing behaviors that increase the risk of CVD. CHAs worked in partnership with staff to develop, implement, evaluate and maintain strategies to reduce risk for CVD in women and to influence city officials, business owners and community coalitions to facilitate project activities. Process data documented sustained increases in social capital and community capacity to address health-related issues, as well as improvements in the community's physical infrastructure. This project is unique in that it documents that a comprehensive CHA-based intervention for CVD can facilitate wide-reaching changes in capacity to address health issues in a rural community that include improvements in community infrastructure and are sustained beyond the scope of the originally funded intervention.
Rao, Kavita; Eady, Michelle; Edelen-Smith, Patricia
Students in remote communities face many challenges to get an education. This is especially true for indigenous and native people. To train teachers for these populations, the authors used web-based conferencing, which avoids some of the technological challenges of communicating with students in these communities. The virtual classes also were…