Sociology Commons^™

Rural/Urban Differences In The Predictors Of Opioid Prescribing Rates Among Medicare Part D Beneficiaries 65 Years Of Age And Older, Carla Shoff, Tse-Chuan Yang, Seulki Kim

Department of Sociology: Faculty Publications

Purpose: While research has been done comparing rural/urban differences in opioid prescribing to the disabled Medicare Part D population, research on opioid prescribing among the aged Medicare Part D population is lacking. This study aims to fill this gap by exploring the predictors of opioid prescribing to aged Medicare Part D beneficiaries and investigating whether these predictors vary across rural and urban areas. Methods: This is an analysis of ZIP Codes in the continental United States (18,126 ZIP Codes) utilizing 2017 data from Centers for Medicare & Medicaid Services. The analytic approach includes aspatial descriptive analysis, exploratory spatial analysis with …

Human Capital Formation And Return Migration Within Mong Communities In Rural/Semi-Rural Northern California, Chong Yang

University of the Pacific Theses and Dissertations

This research uses computational grounded theory to explore the human capital formation and stay/return migration experiences of well-educated Mong adults living in various rural/semi-rural Northern California localities within Butte, Yuba, and Sutter Counties. Rural vitality is dependent on the return of these well-educated rural-raised adults. Out-migration of rurality’s best and brightest contributes towards a brain drain and the hallowing out of rurality’s human capital. Findings of this research is conveyed using two research articles examining two different points on the continuum of rural vitality. The first article examines 19 Mong adults’ educational experiences within their rural communities and college education. …

Well-Being Among Older Adults In Mississippi: Exploring Differences Between Metropolitan, Micropolitan, And Noncore Rural Settings, Carolyn E. Adams-Price, Joshua J. Turner, Margaret Ralston

Journal of Rural Social Sciences

It is a common belief that older adults in rural areas have high subjective well-being, despite often experiencing greater poverty and having access to fewer resources than older adults who live in urban areas, a phenomenon sometimes referred to as the “rural-urban paradox.” However, research does not consistently find high well-being in rural areas, which might be due to research not distinguishing between very rural and semi-rural (or small town) settings. This study compares the subjective well-being of older adults in micropolitan and noncore counties with the well-being of older adults in metropolitan areas in Mississippi (n = 659). Preliminary …

Knowledge Of Breast Cancer And Screening Methods Among Rural Women In Southwest Nigeria, Rowland Edet, Oluwayimika Ekundina

Department of Sociology: Faculty Publications

The objective of this study was to assess the awareness of rural women on breast cancer and its screening methods in Southwest Nigeria. Descriptive cross-sectional survey design with the aid of a semi-structured questionnaire was used to generate data among 422 rural women in selected communities in Egbeda local government area of Ibadan. The qualitative data was generated through in-depth interviews among rural women and key informant interviews among health workers in the communities. The study revealed that only 63.7% were aware of breast cancer screening methods compared to 31.6% who were not aware. The commonly known screening method among …

New York State’S Rural Counties Have Higher Covid-19 Mortality Risk, Shannon M. Monnat, Yue Sun

Population Health Research Brief Series

As New York’s regions move through their various phases of reopening businesses and recreations activities, policymakers and residents should be mindful of the underlying health vulnerabilities and the higher COVID-19 mortality risk in several of NY’s rural counties. Is your county at high risk?

Arkansas Aprons: Food Power And Women In Arkansas, 1857 To 1891, Robyn Shahan Spears

Graduate Theses and Dissertations

Arkansas foodways in the late nineteenth century were defined by times of plenty and scarcity, need and connection, traditions and innovations. These components created a unique culture in which women through food exchange, were able to improve their standard of living. The years of plenty established in the antebellum era lay in stark contrast to the scarcity during the Civil War. What followed during the Progressive Era are fascinating histories of women employing their agency to empower and improve not only their lives but also future generations. I argue that these women utilized their agency to engage in “food power,” …

The Impact Of Location On Healthcare Access For Individuals With Disabilities, Addison Kimber

Honors Scholar Theses

This paper analyzes healthcare access for individuals with disabilities living in rural areas. In current political discussion, we typically think of insurance coverage as the metric to analyze healthcare access. However, as demonstrated by studies of healthcare in the United Kingdom, people with disabilities continue to face barriers to health care even with universal healthcare systems. In particular, individuals in rural areas have less healthcare access than urban residents. This is due to factors including socioeconomic status, insurance coverage, access to competent care, and transportation. This study aims to understand if disability status exacerbates the issue of access in rural …

Knowledge Of Breast Cancer And Screening Methods Among Rural Women In Southwest Nigeria: A Mixed Method Analysis, Rowland Edet, Oluwayimika Ekundina, Obasanjo Afolabi Bolarinwa, Julianah Babajide, Juliet Amarachukwu Nwafor

Department of Sociology: Faculty Publications

The objective of this study was to assess the awareness of rural women on breast cancer and its screening methods in Southwest Nigeria. Descriptive cross-sectional survey design with the aid of a semi-structured questionnaire was used to generate data among 422 rural women in selected communities in Egbeda local government area of Ibadan. The qualitative data was generated through in-depth interviews among rural women and key informant interviews among health workers in the communities. The study revealed that only 63.7% were aware of breast cancer screening methods compared to 31.6% who were not aware of it. The commonly known screening …

Communication Infrastructure Theory: A Rural Application, Callie S. Embry

Graduate Theses and Dissertations

The health of a community’s communication infrastructure influences their efficacy and efficiency in dealing with societal problems. The majority of previous communication infrastructure research has focused on multicultural urban centers. This study looks at the communication infrastructure of one rural Arkansas town, specifically looking for the places residents report as communication assets and the subjects discussed within the storytelling network. I used a combination of communication asset mapping and semi-structured interviews to identify the physical locations within the community where residents regularly converse with one another. The interviews along with observations also provided insight into the subject matter that residents …

Culture And The Development Of Traditional Medicine In Africa, Rowland Edet, Oyedolapo Isaac Bello, Julianah Babajide

Department of Sociology: Faculty Publications

Traditional medicine has been the dominant healthcare system in Africa before westernization, civilization and colonialism. For people living in the rural areas, traditional medicine is easily available, accessible and affordable. The purpose of this paper is to examine how the cultural way of the life of Africans has contributed to the emergence and development of traditional therapeutic systems in the continent. By explaining the way Africans perceive illness and disease, this paper argues that various forms of healing were predicated on the sociocultural environment of the people. The paper therefore opts for concerted efforts in the development of traditional medicine …

Clinician Identified Barriers To Treatment For Individuals In Appalachia With Opioid Use Disorder Following Release From Prison: A Social Ecological Approach, Amanda M. Bunting, Carrie B. Oser, Michele Staton, Katherine S. Eddens, Hannah K. Knudsen

Sociology Faculty Publications

Background: The non-medical use of opioids has reached epidemic levels nationwide, and rural areas have been particularly affected by increasing rates of overdose mortality as well as increases in the prison population. Individuals with opioid use disorder (OUD) are at increased risk for relapse and overdose upon reentry to the community due to decreased tolerance during incarceration. It is crucial to identify barriers to substance use disorder treatment post-release from prison because treatment can be particularly difficult to access in resource-limited rural Appalachia.

Methods: A social ecological framework was utilized to examine barriers to community-based substance use treatment among individuals …

Stigma As A Predictor Of Parental Willingness To Seek Mental Health Services For Their Children In Rural America, Reed M. Smith

Honors Program Projects

Stigma exists in some capacity towards mental illness. This stigma is a barrier to mental health services for some people. Rural populations are known to have more stigma than their urban counterparts. This is on top of already lacking access to mental health services. This especially affects children. Polaha and Williams (2015) found stigma to be negatively correlated with willingness to seek help in rural parents. This study sought to explore this relationship in a more generalized sample. I posted a survey on Amazon Mechanical Turk that screened for rural parents of children under the age of 18. It included …

A Systematic Review Of Rural Veteran Homelessness, Jonathan Fasse

Electronic Theses and Dissertations

This study is a systematic review to examine homeless veterans identified to be most at risk of unsuccessfully completing the VA’s housing program (HUD-VASH), which promotes the use of Housing First (HF) as it’s model for treating homelessness. The literature review identified those who were rural and experiencing comorbid substance use disorders (SUD) and mental health issues to likely be those who were most at risk. There were multiple reasons why this subgroup was most vulnerable including limited access to resources, higher levels of substance use and more serious mental health diagnoses, and chronic health needs. Both the literature review …

Rural Access To Justice In The Golden State, Lisa R. Pruitt

Lisa R Pruitt

Legal Deserts: A Multi-State Perspective On Rural Access To Justice, Lisa R. Pruitt , Amanda L. Kool, Lauren Sudeall Lucas, Michele Statz, Danielle M. Conway, Hannah Haksgaard

Lisa R Pruitt

Festival Heterotopias: Spatial And Temporal Transformations In Two Small-Scale Settlements, Bernadette Quinn, Linda Wilks

Articles

This paper reports the findings of research undertaken at two festivals which take place in small-scale settlements: one in a village set in rural western Ireland, the other in a small coastal town set within a largely rural Area of Outstanding Natural Beauty in southern England. It uses Foucault’s concept of heterotopia as an analytical tool to further understandings of how the spatial and temporal interruptions caused by festivals temporarily transform the prevailing social order. The findings attest to the manner in which festivals juxtapose several incompatible spaces, creating a diverse array of social alterations in consequence, and highlight the …

The Finney County, Kansas Community Assessment Process: Fact Book, Debra J. Bolton Phd, Shannon L. Dick M.S.

Dr. Debra Bolton

This multi-lingual/multi-cultural study was called, Community Assets Processt, by the groups that “commissioned” it: Finnup Foundation, Finney County K-State Research & Extension, Western Kansas Community Foundation, Finney County United Way, Finney County Health Department, United Methodist Community Health Center (UMMAM), Center for Children and Families, Garden City Recreation Commission, and the Garden City Cultural Relations Board, because we intend for this to be an ongoing discussion. An objective, for those promoting the study, was to connect foundation, state, and federal funding with activities or services that addressed the true needs of people living in Finney County. The group was looking …

Mental Health Treatment Seeking Patterns And Preferences Of Appalachian Women With Depression, Claire Snell-Rood, Emily Hauenstein, Carl G. Leukefeld, Frances Feltner, Amber Marcum, Nancy E. Schoenberg

Behavioral Science Faculty Publications

This qualitative study explored social-cultural factors that shape treatment seeking behaviors among depressed rural, low-income women in Appalachia—a region with high rates of depression and a shortage of mental health services. Recent research shows that increasingly rural women are receiving some form of treatment and identifying their symptoms as depression. Using purposive sampling, investigators recruited 28 depressed low-income women living in Appalachian Kentucky and conducted semistructured interviews on participants’ perceptions of depression and treatment seeking. Even in this sample of women with diverse treatment behaviors (half reported current treatment), participants expressed ambivalence about treatment and its potential to promote recovery. …

A Case Study In Rural Community Economic Development: Hill County Health & Wellness Center, Lisa R. Pruitt

Lisa R Pruitt

Colorectal Cancer Prevention: Perspectives Of Key Players From Social Networks In A Low-Income Rural Us Region, Nancy E. Schoenberg, Kathryn Eddens, Adam Jonas, Claire Snell-Rood, Christina R. Studts, Benjamin Broder-Oldach, Mira L. Katz

Behavioral Science Faculty Publications

Social networks influence health behavior and health status. Within social networks, “key players” often influence those around them, particularly in traditionally underserved areas like the Appalachian region in the USA. From a total sample of 787 Appalachian residents, we identified and interviewed 10 key players in complex networks, asking them what comprises a key player, their role in their network and community, and ideas to overcome and increase colorectal cancer (CRC) screening. Key players emphasized their communication skills, resourcefulness, and special occupational and educational status in the community. Barriers to CRC screening included negative perceptions of the colonoscopy screening procedure, …

The Finney County, Kansas Community Assessment Process: Fact Book, Debra J. Bolton Phd, Shannon L. Dick M.S.

NPP eBooks

This multi-lingual/multi-cultural study was called, Community Assets Processt, by the groups that “commissioned” it: Finnup Foundation, Finney County K-State Research & Extension, Western Kansas Community Foundation, Finney County United Way, Finney County Health Department, United Methodist Community Health Center (UMMAM), Center for Children and Families, Garden City Recreation Commission, and the Garden City Cultural Relations Board, because we intend for this to be an ongoing discussion.

An objective, for those promoting the study, was to connect foundation, state, and federal funding with activities or services that addressed the true needs of people living in Finney County. The group was looking …

Reconciling Lgb And Christian Identities In The Rural South, Brandi Woodell, Emily Kazyak, D'Lane Compton

Department of Sociology: Faculty Publications

Drawing on in-depth interviews with rural Christians living in the South who identify as lesbian, gay, and bisexual (LGB), this study analyzes how they negotiate their religious, geographic, and sexual identities. We find that most interviewees employed two strategies to reconcile their Christian and gay identities: emphasizing a personal connection to an accepting God and finding a local church in their rural community in which they felt accepted. We argue that rural contexts influenced interviewees’ reliance on these strategies and show how individuals can construct multiple interpretations about themselves, which do not always align with existing cultural assumptions. In addition, …

Shifts In Practice Based On Rapid Re-Housing For Rural Homelessness: An Exploratory Study Of Micropolitan Homeless Service Provision, Margaret F. Sloan, Daisha M. Merritt Ph.D., Karen A. Ford

Publications

Based on interviews with rural homeless service providers, the authors examine in this practice note how policy has created shifts in practice for organizations serving homeless populations. Homeless individuals find a decreasing opportunity for assistance while awaiting Rapid Re-Housing. Some organizations, dependent on Rapid Re-Housing monies, are facing a lack of funding to pay for general homeless care provision. Organizations are creating care networks to address requirements of the new policy in addition to pooling resources in underserved areas.

Geriatrician And Other Physician Disciplines As The Usual Source Of Care For Rural And Urban Older Adults: 2004-2010 Medical Expenditure Panel Survey, Wei-Chen Lee, Ciro V. Sumaya

Online Journal of Rural Research & Policy

The purpose of this study is to examine the trend of usual source care (USC) rates and the discipline of choice among rural and urban older adults. Data used in this study were obtained from 2004 to 2010 Medical Expenditure Panel Survey. The yearly percentages of having a specific discipline as the USC were demonstrated from 2004 to 2010. The association of residence with likelihoods of having any of these three physician categories as USCs was assessed holding other individual characteristics constant. The overall sample size is 24,834, of which 20.0% of older adults resided in rural areas. A similar …

Domestic Violence In The North Dakota Oil Patch: Barriers To Identifying And Serving Female Victims, Kristi Rendahl

School of Business Student Theses and Dissertations

This study explored domestic violence in energy boomtowns to answer the questions: What issues are confronting social service professionals who are in a position to identify and respond to female victims of domestic violence in rural North Dakota? What opportunities do professionals cite in identifying and responding to female victims of domestic violence in rural areas and boomtowns? Further, how has the professionals’ experience of the oil boom changed their methods of identifying and responding to female victims of domestic violence? The study used a qualitative approach through a focus group and interviews with the program directors of rural domestic …

Tracking Onslow: A Community In Transition. Edition 5, October 2014, Jess Allia, Taylor Brett, Karma Barndon, Kayt Davies, Aubin Hay, Amber Johnston, Kaylah Lloyd, Amber Montgomery, Tiffany Nash, Drew Norrish, Claire Ottaviano, Tanya Phillips, Kat Powell, Briana Shepherd

Tracking Onslow: a community in transition

This is the fifth edition of Tracking Onslow and the first that is not the result of a visit to the town. In June 2014 we were told that the Shire would not be funding the flights, accommodation or printing for the edition and so the ECU crew looked for other ways to continue documenting the impact of Wheatstone and Macedon on Onslow.

Fortunately, our previous visits in July 2012, February 2013, July 2013 and February 2014 had filled our contact books with names and numbers and clued us in to issues that needed to be followed up.

After a …

Rural Latino Adolescent Health: Preliminary Examination Of Health Risks And Cultural Correlates, Timothy D. Nelson, Katherine M. Kidwell, Brian E. Armenta, Lisa J. Crockett, Gustavo Carlo, Les B. Whitbeck

Department of Psychology: Faculty Publications

Latino adolescents living in rural settings may be at increased risk of health problems; however, data describing the health status of this population are limited. This study examined 60 rural Latino adolescents and found high rates of health risk, including at-risk/clinical results for hemoglobin A1C (23.3%), high-density lipoprotein cholesterol (55%), systolic blood pressure (21.7%), and overweight/obesity (55%). Time in sedentary behaviors was high and physical activity was limited. Adolescent language use was associated with health risk status, with greater use of English associated with lower risk. Health psychologists could promote improved health by providing health behavior interventions to this underserved …

The Influence Of Incomer Status: The Role Of Rural Background, Knowledge Of Mental Health Services, Stigma, And Cultural Beliefs On Help-Seeking Attitudes, Sarah E. Herzberg

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The purpose of this study was to explore the impact of incomer status, rural background, knowledge and familiarity with mental health services, rural cultural beliefs about mental health and perceived stigma on help-seeking attitudes in a rural Southwest Iowa area. Participants were 106 rural residents over the age of 18 recruited from a rural health clinic. A multiple regression analysis was performed resulting in rural cultural beliefs about mental health being the only statistically significant predictor of help-seeking in the model. Individuals who indicated identifying with rural cultural beliefs were less likely to report positive help-seeking attitudes. Implications of the …

Persistence Among Deep Rural Communities In The Northern Plains, Revisited, Amber Anderson, George Langelett, Gary Aguiar, Brian Shuler, Meredith Redlin

Online Journal of Rural Research & Policy

This research note revisits the question of rural persistence, which was first brought to light in this journal by Redlin et al. (2010). We follow Redlin et al’s example by employing county-level data and seek to identify small towns that are surviving to explain their persistence. Our effort to replicate their results begins with the collection of the data anew, but we also include two additional states and incorporate a time dimension. By using Census data from 2000 only, Redlin et al. applied a static approach to test their hypothesis. In this study, we collect data from 1990 as well …

A Current Overview And Analysis Of The 21st Century Kansas Farmers Markets, Skylar M.G. Joyner

Skylar M.G. Joyner

A Current Overview and Analysis of the 21st Century Kansas Farmers Markets from a #11;Social Enterprise Perspective