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      Person and place: the compounding effects of race/ethnicity and rurality on health.

      American Journal of Public Health
      Continental Population Groups, Ethnic Groups, Health Policy, Health Services Accessibility, Health Services Needs and Demand, Humans, Insurance Coverage, Rural Health, United States

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          Abstract

          Rural racial/ethnic minorities constitute a forgotten population. The limited research addressing rural Black, Hispanic, and American Indian/Alaska Native populations suggests that disparities in health and in health care access found among rural racial/ethnic minority populations are generally more severe than those among urban racial/ethnic minorities. We suggest that disparities must be understood as both collective and contextual phenomena. Rural racial/ethnic minority disparities in part stem from the aggregation of disadvantaged individuals in rural areas. Disparities also emerge from a context of limited educational and economic opportunity. Linking public health planning to the education and economic development sectors will reduce racial/ethnic minority disparities while increasing overall well-being in rural communities.

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          Most cited references58

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          Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review

          K Pickett (2001)
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            Future directions in residential segregation and health research: a multilevel approach.

            The authors examine the research evidence on the effect of residential segregation on health, identify research gaps, and propose new research directions. Four recommendations are made on the basis of a review of the sociological and social epidemiology literature on residential segregation: (1) develop multilevel research designs to examine the effects of individual, neighborhood, and metropolitan-area factors on health outcomes; (2) continue examining the health effects of residential segregation among African Americans but also initiate studies examining segregation among Hispanics and Asians; (3) consider racial/ethnic segregation along with income segregation and other metropolitan area factors such as poverty concentration and metropolitan governance fragmentation; and (4) develop better conceptual frameworks of the pathways that may link various segregation dimensions to specific health outcomes.
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              A glossary for health inequalities

              I Kawachi (2002)
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                Author and article information

                Journal
                15451735
                1448519
                10.2105/AJPH.94.10.1695

                Chemistry
                Continental Population Groups,Ethnic Groups,Health Policy,Health Services Accessibility,Health Services Needs and Demand,Humans,Insurance Coverage,Rural Health,United States

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