A Century Later: Rural Public Health’s Enduring Challenges and Opportunities

The US public health community has demonstrated increasing awareness of rural health disparities in the past several years. Although current interest is high, the topic is not new, and some of the earliest public health literature includes reports on infectious disease and sanitation in rural places...

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Bibliographic Details
Published in:	American journal of public health (1971) Vol. 110; no. 11; pp. 1678 - 1686
Main Authors:	Ziller, Erika, Milkowski, Carly
Format:	Journal Article
Language:	English
Published:	United States American Public Health Association 01.11.2020
Subjects:	20th century AJPH History Challenges Child Health - history Childrens health Communicable Diseases - epidemiology Community Participation - history Community Participation - methods Coronaviruses COVID-19 Epidemics Ethnic and Racial Minorities Health care Health care access Health disparities Health Planning - history Health Planning - organization & administration Health services Health Services Accessibility - history Health Services Accessibility - organization & administration Health Status Disparities Hepatitis C History, 20th Century Hospitals Humans Immunization Indigenous peoples Infant mortality Infants Infectious diseases Life expectancy Literary criticism Maternal & child health Maternal and infant welfare Maternal Health - history Maternal mortality Medical research Narcotics Nurses, Public Health - history Nurses, Public Health - organization & administration Obstetrics Personal health Politics Public health Public Health - history Racial differences Rural areas Rural communities Rural Health Rural Health - history Safety Sanitation Tuberculosis Typhoid Urban areas Womens health United States > US
ISSN:	0090-0036, 1541-0048, 1541-0048
Online Access:	Get full text
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Summary:	The US public health community has demonstrated increasing awareness of rural health disparities in the past several years. Although current interest is high, the topic is not new, and some of the earliest public health literature includes reports on infectious disease and sanitation in rural places. Continuing through the first third of the 20th century, dozens of articles documented rural disparities in infant and maternal mortality, sanitation and water safety, health care access, and among Black, Indigenous, and People of Color communities. Current rural research reveals similar challenges, and strategies suggested for addressing rural–urban health disparities 100 years ago resonate today. This article examines rural public health literature from a century ago and its connections to contemporary rural health disparities. We describe parallels between current and historical rural public health challenges and discuss how strategies proposed in the early 20th century may inform current policy and practice. As we explore the new frontier of rural public health, it is critical to consider enduring rural challenges and how to ensure that proposed solutions translate into actual health improvements. (Am J Public Health. 2020;110:1678–1686. https://doi.org/10.2105/AJPH.2020.305868 )
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Peer Reviewed E. Ziller conceptualized the article and led the research and writing process. C. Milkowski conducted research, cowrote the article, and participated throughout the editing process. CONTRIBUTORS
ISSN:	0090-0036 1541-0048 1541-0048
DOI:	10.2105/AJPH.2020.305868