Rebuilding the Unity of Health and the Environment in Rural America

Rebuilding the Unity of Health and the Environment in Rural America
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 116
Release: 2006-02-28
Genre: Science
ISBN: 0309180570

Throughout much of its history, the United States was predominantly a rural society. The need to provide sustenance resulted in many people settling in areas where food could be raised for their families. Over the past century, however, a quiet shift from a rural to an urban society occurred, such that by 1920, for the first time, more members of our society lived in urban regions than in rural ones. This was made possible by changing agricultural practices. No longer must individuals raise their own food, and the number of person-hours and acreage required to produce food has steadily been decreasing because of technological advances, according to Roundtable member James Merchant of the University of Iowa. The Institute of Medicine's Roundtable on Environmental Health Science, Research, and Medicine held a regional workshop at the University of Iowa on November 29 and 30, 2004, to look at rural environmental health issues. Iowa, with its expanse of rural land area, growing agribusiness, aging population, and increasing immigrant population, provided an opportunity to explore environmental health in a region of the country that is not as densely populated. As many workshop participants agreed, the shifting agricultural practices as the country progresses from family operations to large-scale corporate farms will have impacts on environmental health. This report describes and summarizes the participants' presentations to the Roundtable members and the discussions that the members had with the presenters and participants at the workshop.

Achieving Rural Health Equity and Well-Being

Achieving Rural Health Equity and Well-Being
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 95
Release: 2018-10-17
Genre: Medical
ISBN: 0309469058

Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.

Economic Restructuring and Family Well-being in Rural America

Economic Restructuring and Family Well-being in Rural America
Author: Kristin E. Smith
Publisher: Penn State Press
Total Pages: 414
Release: 2011
Genre: Social Science
ISBN: 0271048611

"A compilation of policy-relevant research by a multidisciplinary group of scholars on the state of families in rural America in the twenty-first century. Examines the impact of economic restructuring on rural Americans and provides policy recommendations for addressing the challenges they face"--Provided by publisher.

Quality Through Collaboration

Quality Through Collaboration
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 289
Release: 2005-04-24
Genre: Medical
ISBN: 0309094399

Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.

Rural Poverty in the United States

Rural Poverty in the United States
Author: Ann R. Tickamyer
Publisher: Columbia University Press
Total Pages: 456
Release: 2017-08-22
Genre: Social Science
ISBN: 0231544715

America's rural areas have always held a disproportionate share of the nation's poorest populations. Rural Poverty in the United States examines why. What is it about the geography, demography, and history of rural communities that keeps them poor? In a comprehensive analysis that extends from the Civil War to the present, Rural Poverty in the United States looks at access to human and social capital; food security; healthcare and the environment; homelessness; gender roles and relations; racial inequalities; and immigration trends to isolate the underlying causes of persistent rural poverty. Contributors to this volume incorporate approaches from multiple disciplines, including sociology, economics, demography, race and gender studies, public health, education, criminal justice, social welfare, and other social science fields. They take a hard look at current and past programs to alleviate rural poverty and use their failures to suggest alternatives that could improve the well-being of rural Americans for years to come. These essays work hard to define rural poverty's specific metrics and markers, a critical step for building better policy and practice. Considering gender, race, and immigration, the book appreciates the overlooked structural and institutional dimensions of ongoing rural poverty and its larger social consequences.

The Left Behind

The Left Behind
Author: Robert Wuthnow
Publisher: Princeton University Press
Total Pages: 203
Release: 2019-04-30
Genre: Social Science
ISBN: 0691195153

How a fraying social fabric is fueling the outrage of rural Americans What is fueling rural America’s outrage toward the federal government? Why did rural Americans vote overwhelmingly for Donald Trump? And is there a more nuanced explanation for the growing rural-urban divide? Drawing on more than a decade of research and hundreds of interviews, Robert Wuthnow brings us into America’s small towns, farms, and rural communities to paint a rich portrait of the moral order—the interactions, loyalties, obligations, and identities—underpinning this critical segment of the nation. Wuthnow demonstrates that to truly understand rural Americans’ anger, their culture must be explored more fully, and he shows that rural America’s fury stems less from economic concerns than from the perception that Washington is distant from and yet threatening to the social fabric of small towns. Moving beyond simplistic depictions of America’s heartland, The Left Behind offers a clearer picture of how this important population will influence the nation’s political future.

Rural Wealth Creation

Rural Wealth Creation
Author: John L. Pender
Publisher: Routledge
Total Pages: 243
Release: 2014-06-05
Genre: Business & Economics
ISBN: 1135121966

This book investigates the role of wealth in achieving sustainable rural economic development. The authors define wealth as all assets net of liabilities that can contribute to well-being, and they provide examples of many forms of capital – physical, financial, human, natural, social, and others. They propose a conceptual framework for rural wealth creation that considers how multiple forms of wealth provide opportunities for rural development, and how development strategies affect the dynamics of wealth. They also provide a new accounting framework for measuring wealth stocks and flows. These conceptual frameworks are employed in case study chapters on measuring rural wealth and on rural wealth creation strategies. Rural Wealth Creation makes numerous contributions to research on sustainable rural development. Important distinctions are drawn to help guide wealth measurement, such as the difference between the wealth located within a region and the wealth owned by residents of a region, and privately owned versus publicly owned wealth. Case study chapters illustrate these distinctions and demonstrate how different forms of wealth can be measured. Several key hypotheses are proposed about the process of rural wealth creation, and these are investigated by case study chapters assessing common rural development strategies, such as promoting rural energy industries and amenity-based development. Based on these case studies, a typology of rural wealth creation strategies is proposed and an approach to mapping the potential of such strategies in different contexts is demonstrated. This book will be relevant to students, researchers, and policy makers looking at rural community development, sustainable economic development, and wealth measurement.

Rural Communities

Rural Communities
Author: Cornelia Butler Flora
Publisher: Routledge
Total Pages: 433
Release: 2018-03-05
Genre: Social Science
ISBN: 0429974329

Communities in rural America are a complex mixture of peoples and cultures, ranging from miners who have been laid off in West Virginia, to Laotian immigrants relocating in Kansas to work at a beef processing plant, to entrepreneurs drawing up plans for a world-class ski resort in California's Sierra Nevada. Rural Communities: Legacy and Change uses its unique Community Capitals framework to examine how America's diverse rural communities use their various capitals (natural, cultural, human, social, political, financial, and built) to address the modern challenges that face them. Each chapter opens with a case study of a community facing a particular challenge, and is followed by a comprehensive discussion of sociological concepts to be applied to understanding the case. This narrative, topical approach makes the book accessible and engaging for undergraduate students, while its integrative approach provides them with a framework for understanding rural society based on the concepts and explanations of social science. This fifth edition is updated throughout with 2013 census data and features new and expanded coverage of health and health care, food systems and alternatives, the effects of neoliberalism and globalization on rural communities, as well as an expanded resource and activity section at the end of each chapter.