Health Disparities for Rural Youth

A. Howard, Bridget Holyfield-Moss, Komanduri S. Murty
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Abstract

This chapter examines the complexities surrounding exacerbated health disparities and their impact on rural youth mental health outcomes amid a global pandemic. Indisputably, a host of health, economic, and social challenges are associated with the unprecedented interruption caused by the global pandemic. In the same vein, several challenges and concerns about the overall academic and personal/ social experiences and outcomes of school-aged children have resulted in societal concerns about the overall preparation of this generation to meet the leadership and employment demands of a global society. While the COVID-19 pandemic highlighted chronic issues related to health disparities to include intergenerational health, environmental and socioeconomic disparities, and educational inequities, many of these issues have had a longstanding, disproportionate effect on African American (AA) youth and their families. This is particularly the case with AA youth who live in rural communities, that are largely characterized by persistent poverty along the margins of society. Food and housing insecurities, social isolation, and lack of access to adequate physical and mental health resources are a few of the issues faced by these youth and other individuals who belong to these often tight-knit, rural communities. These issues, along with scarce or no availability of medical and mental health care services reflect larger systemic issues which speak to cultural determinism and social justice.
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农村青年的健康差距
本章探讨了在全球大流行背景下,围绕加剧的健康差距及其对农村青年心理健康结果的影响的复杂性。无可争辩的是,全球大流行造成的前所未有的中断与一系列卫生、经济和社会挑战有关。同样,关于学龄儿童的整体学术、个人/社会经历和结果的一些挑战和担忧,导致了社会对这一代人为满足全球社会的领导和就业需求所做的全面准备的关注。虽然2019冠状病毒病大流行凸显了与健康差距相关的长期问题,包括代际健康、环境和社会经济差距以及教育不平等,但其中许多问题对非洲裔美国青年及其家庭产生了长期的、不成比例的影响。对于生活在农村社区的AA青年来说尤其如此,这些社区的主要特征是长期处于社会边缘的贫困。粮食和住房不安全、社会孤立以及无法获得适当的身心健康资源是这些青年和属于这些往往关系紧密的农村社区的其他个人面临的一些问题。这些问题,加上医疗和精神卫生保健服务稀缺或根本没有,反映了涉及文化决定论和社会正义的更大的系统性问题。
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