Rural Sociology Commons^™

Building Trust: The Role Of Place-Based Consciousness In Vaccine Hesitancy, Ramsey W. Ash

Quantitative Social Science Undergraduate Senior Theses

Vaccine hesitancy poses a threat to public health initiatives of the 21st century. Following a stark divide in the rural/urban COVID-19 vaccine uptake and harsh disparities between these areas in COVID-19 moralities and morbidities, further understanding of the drivers of vaccine hesitancy are needed. This study makes use of the framework of place-based consciousness (PBC), pioneered by scholars of rural political science, such as Katherine Cramer, to explore this phenomenon as a mechanism by which to understand vaccine hesitancy. To examine this, an experimental survey was distributed to 300 Americans (150 rural and 150 urban) that inquired about their PBC, …

Comparing Levels Of Situational Empathy Based On Medium Of Exposure To Covid-19 Mortality Information And Proximity To Others, Beth Durkin

Honors Projects

In response to the COVID-19 pandemic, many people expressed a lax attitude to the policies put in place to keep the public safe despite the high risk of infection and its devastating effects on health across the United States. It is possible that this response may be partially due to a “numbness to numbers,” a phenomenon that describes diminished empathy for a large group of people experiencing a negative event (eg. COVID-19). The present study explored the relationship between levels of situational empathy and the medium of exposure to COVID-19 mortality information (eg. personal story or fact sheet) in an …

Anxiety Symptoms Among Extension Professionals' During The Covid-19 Pandemic With The Gad-2, Glenn D. Israel, Colleen E. Gariton, Harsha E. James

Journal of Rural Social Sciences

According to the National Institute of Mental Health, anxiety disorders are a common mental health disorder but often remain undetected and undertreated. During the COVID-19 pandemic, Extension professionals have worked hard to address emerging issues that communities face, possibly impacting the amount of anxiety they experience. This study determined the prevalence of anxiety symptoms among Extension professionals in the United States. Participants from 24 states completed a survey containing the Generalized Anxiety Disorder 2-item (GAD-2) screener. Almost one-quarter of Extension professionals had a GAD-2 score greater than three, an indicator of anxiety with a possibility of generalized anxiety disorder, which …

Rural-Urban And Within-Rural Differences In Covid-19 Mortality Rates, Yue Sun, Kent Jason G. Cheng, Shannon M. Monnat

Journal of Rural Social Sciences

Since late-2020, COVID-19 mortality rates have been higher in rural than in urban America, but there has also been substantial within-rural heterogeneity. Using CDC data, we compare COVID-19 mortality rates across the rural-urban continuum as well as within rural counties across different types of labor markets and by metropolitan adjacency. As of October 1, 2021, the cumulative COVID-19 mortality rate was 247.0 per 100,000 population in rural counties compared to 200.7 in urban counties. Higher COVID-19 mortality rates in rural counties are explained by lower average educational attainment and lower median household income. Within rural counties, mortality rates have been …

Factors Explaining Variations In Covid-19 Deaths In Rural America, Don E. Albrecht

Journal of Rural Social Sciences

Early in the COVID-19 pandemic, case and death rates from the disease in rural counties were significantly lower than in urban counties. This pattern changed during the summer and fall of 2020, and by December, death rates in rural counties were higher than in urban counties. This article uses data from the U.S. Census Bureau and voting and COVID-19 data from The New York Times to explore factors related to the increase in COVID-19 deaths in rural counties in the United States. Further analysis is conducted to understand variations in death rates across different types of rural counties. Multivariate regression …

Space, Place, And Covid-19: Introduction To The Special Issue, Vanessa Parks, Ronald E. Cossman, John J. Green

Journal of Rural Social Sciences

The COVID-19 pandemic alerted the U.S. populace to spatial patterns of health outcomes. Trusted sources of information such as the Johns Hopkins University and The New York Times mapped COVID-19 indicators at the county-level, bringing widespread attention to the timing and clustering of case rates, mortality, and vaccine uptake. The severity of the pandemic has motivated the research community to share data and conduct analyses to illuminate and project trends that would be useful for healthcare providers and policy makers in their communities. This special issue of the Journal of Rural Social Sciences explores the roles space and place have …

Public Libraries In Rural Arkansas: An Oasis In An Information Desert, Britt Graves

Graduate Theses and Dissertations

Public libraries in Arkansas are welcome, but those found in rural Arkansas are almost a necessity. The public uses the library for more than just checking out books or their email: it’s become a community gathering place for all walks of life, regardless of age or economic status. When the Covid-19 pandemic hit the state, libraries also became essential for education, medicine, news, and employment, nearly overloading their resources and shining a spotlight on technology, or the lack thereof, that so many public libraries are needing. With the Arkansas governor planning an upgrade on broadband technology and the federal government …

Rural Parent's Experiences Of Stress And Resilience During The Covid-19 Pandemic And School Closure, Emily Wilson, Jungwon Eum, Yuenjung Joo, Martinique A. Sealy, Jentry Stoneman Barrett, Gwen C. Nugent, Joan M. Carraher, Angela G. Hinrichs

Department of Child, Youth, and Family Studies: Faculty Publications

The COVID-19 pandemic has generated social and economic disruptions, resulting in cascading effects on the health and well- being of global citizens. However, little research has focused on how COVID-19 has affected rural regions, despite rurality being a critical factor for understanding community impact and response to the pandemic. The purpose of this phenomenological study was to explore the experiences of rural Nebraskan parents with young children during the COVID-19 pandemic and school shutdown, and the strategies they used to support their families during that time. We conducted individual and group interviews with 22 white, non-Hispanic mothers living in rural …

Rural Counties Lost More Years Of Life Than Urban Counties In 2020, Yue Sun

Population Health Research Brief Series

Rural mortality rates have been higher than urban mortality rates for decades in the United States. Now, higher COVID-19 mortality rates in rural areas threaten to exacerbate the existing rural mortality penalty. This brief shows that rural counties had higher average years of potential life lost than urban counties in both 2019 and 2020. However, the increase in YPLL between 2019 and 2020 was largest in small rural counties and large rural counties adjacent to metro areas. Federal, state, and local governments must target social, structural, and policy determinants of health and premature mortality that disproportionately affect rural residents.

Older Adult Vaccination Rates Lag In Rural Areas And The South, Claire Pendergrast, Yue Sun

Population Health Research Brief Series

Older adults face especially severe health risks from COVID-19 compared to other age groups. Getting vaccinated is the most effective way for older adults to reduce their risk of serious illness or death. This brief examines geographic trends in COVID-19 vaccination rates for adults age 65+. The authors find that older adult vaccination rates are low in rural areas and especially low in the South.

Why Are Covid-19 Vaccination Rates Lower In Rural Than In Urban Areas Of The U.S.?, Shannon M. Monnat, Yue Sun

Population Health Research Brief Series

Achieving high vaccination coverage is the best way to prevent coronavirus spread, but COVID-19 vaccination rates vary substantially across the U.S. This brief compares COVID-19 vaccination rates across the U.S. rural-urban continuum and identifies the major contributors to lower rates of vaccination in rural counties. The authors find that higher Trump vote share in the 2020 Presidential election and lower educational attainment collectively explain lower rural vaccination rates.

Poll Finds Rural Residents More Hesitant To Get Vaccinated, Tim Marema

Journal of Appalachian Health

Rural residents are more hesitant than their metropolitan counterparts to get a Covid-19 vaccination, even though rural areas have higher rates of infections and deaths from the coronavirus.

Impact Of The Covid-19 Shutdown On Mental Health In Appalachia By Working Status, Erin N. Haynes, Timothy J. Hilbert, Susan C. Westneat, Kate Leger, Katie Keynton, Heather M. Bush

Journal of Appalachian Health

Introduction: To slow the spread of COVID-19 in the United States, businesses shutdown in Spring 2020. Research has indicated the impact on frontline workers, yet little is known about the impact on those who were not working outside the home or switched to working remotely.

Purpose: The purpose of this report is to identify the financial and healthcare issues and mental health impact of the COVID-19 shutdown on Appalachians by worker categories.

Methods: An online survey was administered from May 8 – June 6, 2020 to a convenience sample of previous research participants and shared through social …

A Description Of Covid-19 Lifestyle Restrictions Among A Sample Of Rural Appalachian Women, Michele Staton, Martha Tillson, J. Matthew Webster

Journal of Appalachian Health

Background: COVID-19 has led to swift federal and state response to control virus transmission, which has resulted in unprecedented lifestyle changes for U.S. citizens including social distancing and isolation. Understanding the impact of COVID-19 lifestyle restrictions and related behavioral risks is important, particularly among individuals who may be more vulnerable (such as rural women with a history of substance use living in Appalachia).

Purpose: The overall purpose of this study was to better understand the perceptions of lifestyle changes due to COVID-19 restrictions among this vulnerable group.

Methods: The study included a mixed methods survey with a convenience sample of …

Rural Appalachia Battling The Intersection Of Two Crises: Covid-19 And Substance Use Disorders, Margaret Miller, Rebekah Rollston, Kate E. Beatty, Michael Meit

Journal of Appalachian Health

During the COVID-19 pandemic, rural Appalachia is at great risk of unforeseen side effects including increased mortality from substance use disorders (SUDs). People living with SUDs are at increased risk for both exposure to and poor outcomes from COVID infection. The economic impacts of COVID-19 must also be considered. As rural Appalachia combats the substance use crisis amidst the COVID-19 pandemic, the geographic economic, health and social inequities within our region must be considered. As a national recovery is sought, we should reimagine federal policies that center the economic and public health of rural Appalachia addressing the two crises.

Rural Covid-19 Mortality Rates Are Highest In Counties With The Largest Percentages Of Blacks And Hispanics, Kent Jason G. Cheng, Yue Sun, Shannon M. Monnat

Population Health Research Brief Series

COVID-19 mortality risk is not distributed equally across the U.S. Among rural counties, the average daily increase in COVID-19 mortality rates has been significantly higher in counties with the largest percentages of Black and Hispanic residents.

The Health Wagon Partners With The Virginia Department Of Health To Provide Covid-19 Testing In Rural Southwest Virginia, Tauna Gulley, Teresa Tyson, Ethan Collins, Rachel Helton, Paula Hill-Collins, Nicole France, Sarah Hubbard

Journal of Appalachian Health

The Health Wagon has been providing care for the rural population of southwest Virginia for the past 40 years. The mission of the Health Wagon is to provide quality health care to the medically underserved people in the mountains of Appalachia. It has expanded to two stationary clinics, three mobile units, and a mobile dental unit, logging over 19,000 patients encounters in the past year.

Rural Ohio Faces High Health Risk During The Covid-19 Pandemic, Danielle Rhubart, Shannon M. Monnat, Yue Sun

Population Health Research Brief Series

Ohio was among the first states to implement interventions to reduce community spread during the early stages of COVID-19. These actions came with strong pushback from leaders in many of the state’s rural counties. Residents of Ohio's most rural counties are at high risk of hospitalization and death due to COVID-19.

High Covid-19 Mortality Risk In Pennsylvania’S Rural Counties, Raeven Faye Chandler, Shannon M. Monnat, Yue Sun

Population Health Research Brief Series

COVID-19 cases in Pennsylvania have been concentrated in eastern urban counties this far. However, the 14-day incident rate has recently begun increasing in several rural counties that have high prevalence of several chronic health conditions that increase risk of severe complications and death from COVID-19.

Preventing Heat-Related Fatalities During The Covid-19 Pandemic, Danielle Rhubart

Population Health Research Brief Series

The deadliest weather-related health outcomes in the U.S. are heat-related. Older adults – especially those in the most urban and rural areas of the US - are at high risk of heat-related death.

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?

Covid-19 Cases Are Clustered In Large Urban Hubs, But Rural Areas Surrounding Those Hubs Are Also Increasingly Affected, Yue Sun

Population Health Research Brief Series

As COVID-19 continues to evolve, we are seeing more cases in urban areas, however, this data slice shows where trends are heading next.

Why Coronavirus Could Hit Rural Areas Harder, Shannon M. Monnat

Population Health Research Brief Series

As rates of coronavirus (COVID-19) infection and death continue to rise, it is important to consider how rural areas may be differentially affected. Rural economies may also be affected in different ways than their urban counterparts, which has implications for long-term rural population health outcomes.