Rural Areas and the Internet

Presents findings from surveys conducted between 2000 and 2003. Looks at the growth of Internet distribution in rural communities, and the gap between rural and suburban or urban communities

Rural poor in rich rural areas : poverty in rural Argentina

Rural poverty remains a crucial part of the poverty picture in Argentina. This paper used a rural dataset collected by the World Bank in 2003. Findings show that extreme income poverty in rural areas reached 39 percent of the people or 200,000-250,000 indigent families. These families tend to: be large, and young, and to escape from poverty as they mature and children leave the household (life cycle); live largely in dispersed areas where basic service provision is often weak and delivery is difficult (in particular school attendance beyond 11 years of age falls off very rapidly compared with grouped rural or urban areas); and be more likely to be small landholders than landless laborers. The structure of poverty in rural Argentina shows that larger households are poorer than smaller households, female-headed households are poorer than male-headed households, young households/household heads are poorer than older households/household heads, the poor tend to work more in the informal sector, and a greater share of those engaged in agriculture are poor. However, poverty is by no means strictly an agricultural problem. Furthermore, the deepest poverty is among the poorly educated and young household heads with children. Without interventions to improve their opportunities and assets, their plight is likely to worsen.Rural Poverty Reduction,Population Policies,Achieving Shared Growth,Services&Transfers to Poor

Medicaid in Small Towns and Rural America: A Lifeline for Children, Families and Communities

Medicaid is a vital source of health coverage nationwide, but the program's role is even more pronounced in small towns and rural areas. Medicaid covers a larger share of nonelderly adults and children in rural and small-town areas than in metropolitan areas; this trend is strongest among children. Demographic factors have an impact on this relationship: rural areas tend to have lower household incomes, lower rates of workforce participation, and higher rates of disability— all factors associated with Medicaid eligibility. In addition, the role of Medicaid has increased in the past few years both in small towns and rural areas and in metropolitan areas, given the implementation of the Affordable Care Act (ACA) and more aggressive efforts to enroll children in Medicaid and the Children's Health Insurance Program (CHIP). Because Medicaid plays such a large role in small towns and rural areas, any changes to the program are more likely to affect the children and families living in small towns and rural communities

2020 Census Faces Challenges in Rural America

In this brief, author Bill O’Hare discusses how the 2020 Census will have ramifications for every person in the United States, urban and rural residents alike. Outlining the special challenges that will make some rural areas and populations difficult to enumerate accurately, he identifies rural areas where special outreach and operations will be needed to get a complete and accurate count. He reports that though the rural population is generally easier to count than the urban population, several places and populations in rural areas will be difficult to enumerate accurately in the 2020 Census. They include: blacks in the rural South, Hispanics in the rural Southwest, American Indians living on reservations and Alaskan Natives, residents of deep Appalachia, and migrant and seasonal farmworkers. In addition, heavy reliance on an internet response mode in the 2020 Census may cause problems in some rural areas, along with the worrisome cancellation of some tests of Census methodology in rural areas. He concludes that it is important that rural scholars, rural leaders, and rural advocates monitor Census Bureau funding and Census planning over the next two years to make sure there are adequate resources for a complete and accurate count of all rural residents in the next U.S. decennial Censu

Rural Illinois in the 1990s: On the Rebound?

Rural areas of Illinois experienced a widespread population rebound between 1990 and 1995.2 These recent population gains in Illinois are consistent with a broader rural population growth revival nationwide. Rural Illinois gain nearly 24,000 residents between 1990 and 1995, according to recently released estimates by the U.S. Census Bureau.3 The population grew in 47 of the 74 nonmetropolitan counties in Illinois during the period. Migration to rural areas accounted for most of this population gain. Most urban areas in Illinois also gained population during the first half of the 1990s. The recent population gains in rural Illinois are modest, but they represent a significant change from the substantial population losses in the same areas during the 1980s

Change in the countryside: raising economic wellbeing through targeted intervention

This paper reviews socio-economic conditions in rural areas. Rural areas are home to a significant proportion of the region's population. The most typical rural area is a village, quire close to urban areas, whose residents enjoy a high quality of life. There are also remote rural areas where conditions are much worse. The paper suggests that policy intervention needs to be tailored to reflect these differing conditions

Electronic Health Records and Rural Hospitals

Nearly 20% of the U.S. population lives in rural areas and are not resistant to many of the U.S. healthcare challenges such as cost, quality, and access. In fact, the distinguishing cultural, social, economic, and geographic traits which characterize rural America place rural populations at greater risk for many diseases and health disorders. Like those in urban settings, people from rural areas have been affected by the use of health information technology, where treatment is now data-intensive, and there are more options and greater expectations of quality and accountability. Due to cost, geographic and social traits, and the digital divide between urban and rural communities, the rapid changes in health information technology have not affected rural communities in the same way they have affected more central and populous areas. The irony is that rural communities are often the ones with the poorest health outcomes and most in need of assistance. Implementation of EHRs is more difficult in rural areas, in comparison to urban ones due to certain barriers. But, with a little more time and effort on behalf of hospital staff, policy makers, and patients, these rural areas can overcome the barriers of implementation and succeed in meeting the meaningful use requirements. Ultimately, this will transform the quality of care within rural healthcare facilities and furthermore improve the health outcomes of rural patients

Winter Bird Assemblages in Rural and Urban Environments: A National Survey

Urban development has a marked effect on the ecological and behavioural traits of many living organisms, including birds. In this paper, we analysed differences in the numbers of wintering birds between rural and urban areas in Poland. We also analysed species richness and abundance in relation to longitude, latitude, human population size, and landscape structure. All these parameters were analysed using modern statistical techniques incorporating species detectability. We counted birds in 156 squares (0.25 km2 each) in December 2012 and again in January 2013 in locations in and around 26 urban areas across Poland (in each urban area we surveyed 3 squares and 3 squares in nearby rural areas). The influence of twelve potential environmental variables on species abundance and richness was assessed with Generalized Linear Mixed Models, Principal Components and Detrended Correspondence Analyses. Totals of 72 bird species and 89,710 individual birds were recorded in this study. On average (±SE) 13.3 ± 0.3 species and 288 ± 14 individuals were recorded in each square in each survey. A formal comparison of rural and urban areas revealed that 27 species had a significant preference; 17 to rural areas and 10 to urban areas. Moreover, overall abundance in urban areas was more than double that of rural areas. There was almost a complete separation of rural and urban bird communities. Significantly more birds and more bird species were recorded in January compared to December. We conclude that differences between rural and urban areas in terms of winter conditions and the availability of resources are reflected in different bird communities in the two environments

Non-Emergency Medical Transportation Needs of Middle-Aged and Older Adults: A Rural-Urban Comparison in Delaware, USA.

Background: Older adults in rural areas have unique transportation barriers to accessing medical care, which include a lack of mass transit options and considerable distances to health-related services. This study contrasts non-emergency medical transportation (NEMT) service utilization patterns and associated costs for Medicaid middle-aged and older adults in rural versus urban areas. Methods: Data were analyzed from 39,194 NEMT users of LogistiCare-brokered services in Delaware residing in rural (68.3%) and urban (30.9%) areas. Multivariable logistic analyses compared trip characteristics by rurality designation. Results: Rural (37.2%) and urban (41.2%) participants used services more frequently for dialysis than for any other medical concern. Older age and personal accompaniment were more common and wheel chair use was less common for rural trips. The mean cost per trip was greater for rural users (difference of $2910 per trip), which was attributed to the greater distance per trip in rural areas. Conclusions: Among a sample who were eligible for subsidized NEMT and who utilized this service, rural trips tended to be longer and, therefore, higher in cost. Over 50% of trips were made for dialysis highlighting the need to address prevention and, potentially, health service improvements for rural dialysis patients