Social and Behavioral Sciences 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 …

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 …

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 …

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 …

Injection Partners, Hcv, And Hiv Status Among Rural Persons Who Inject Drugs In Puerto Rico, Patrick Habecker, Roberto Abadie, Melissa L. Welch-Lazoritz, Juan Carlos Reyes, Bilal Khan, Kirk Dombrowski

Department of Sociology: Faculty Publications

Background—The prevalence of hepatitis C (HCV) and HIV among persons who inject drugs (PWID) and the ability of these diseases to spread through injection networks are well documented in urban areas. However, less is known about injection behaviors in rural areas.

Objectives—This study focuses on the association between the number of self-reported injection partners with the PWID’s self-reported HCV and HIV status. Injection networks provide paths for infection and information to flow, and are important to consider when developing prevention and intervention strategies.

Methods—Respondent driven sampling was used to conduct 315 interviews with PWID in rural Puerto Rico during 2015. …

Cognition And Context: Rural–Urban Differences In Cognitive Aging Among Older Mexican Adults, Joseph L. Saenz, Brian Downer, Marc A. Garcia, Rebeca Wong

Department of Sociology: Faculty Publications

Objective—To describe differences in cognitive functioning across rural and urban areas among older Mexican adults.

Method—We include respondents aged 50+ in the 2012 Mexican Health and Aging Study (MHAS). Cognitive functioning by domain is regressed as a function of community size. The role of educational attainment in explaining rural/urban differences in cognitive functioning is examined.

Results—Respondents residing in more rural areas performed worse across five cognitive domains. The majority, but not all, of the association between community size and cognitive functioning was explained by lower education in rural areas.

Discussion—Respondents residing in more rural areas were disadvantaged in terms of …

Latent Risk Subtypes Based On Injection And Sexual Behavior Among People Who Inject Drugs In Rural Puerto Rico, Dane Hautala, Roberto Abadie, Courtney Thrash, Juan Carlos Reyes, Kirk Dombrowski

Department of Sociology: Faculty Publications

Background—People who inject drugs (PWID) in Puerto Rico engage in high levels of injection and sexual risk behavior, and they are at high risk for HIV and hepatitis C (HCV) infection, relative to their US counterparts. Less is known, however, about the clustering of risk behavior conducive to HIV and HCV infection among rural Puerto Rican communities.

Objectives—The purpose of this study was to examine concurrent injection and sexual risk subtypes among a rural sample of PWID in Puerto Rico.

Methods—Data were drawn from a respondent-driven sample collected in 2015 of 315 PWID in 4 rural communities approximately 30–40 miles …

Rural And Urban Comparisons Of Polysubstance Use Profiles And Associated Injection Behaviors Among People Who Inject Drugs In Puerto Rico, Dane Hautala, Roberto Abadie, Bilal Khan, Kirk Dombrowski

Department of Sociology: Faculty Publications

Introduction—In contrast to urban populations, little is known about polysubstance use among rural people who inject drugs (PWID), particularly in Puerto Rico where injection drug use and related health consequences are prevalent. The aim of the study is to compare injection and non-injection substance use profiles among separate urban and rural samples of Puerto Rican PWID.

Material and Methods—Data for the urban sample come from 455 PWID who participated in the CDC's National HIV Behavioral Surveillance survey of injection drug use in San Juan. The data for the rural sample come from 315 PWID residing in four rural cities approximately …

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, …

Community-Level Barriers To Recovery For Substance-Dependent Rural Residents, Lance Brendan Young, Kathleen M. Grant, Kimberly A. Tyler

Department of Sociology: Faculty Publications

This article identifies potential barriers to substance use recovery associated with rural residence. The evidence is discussed and illustrated with examples. Fourteen specific barriers to substance abuse recovery are identified within 4 broad categories: access to treatment services, access to other professionals, access to peer support groups, and barriers to confidentiality. Although telehealth, expansion of mental health care, intensive referral, and other efforts might enhance access to care, the evidence suggests practitioners and researchers should remain aware of community-level barriers to recovery from substance use disorder and work with clients to overcome them.

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 …