The “Country Life Movement” and the American Churches

1977 ◽  
Vol 46 (3) ◽  
pp. 358-373 ◽  
Author(s):  
Merwin Swanson

The progressive movement in the United States was a complex set of reforms during the first decades of the twentieth century. Progressives like Theodore Roosevelt and Woodrow Wilson focused on the control of the new economic forces in American society by regulating railroad rates or by breaking up large monopolies. Slums, political corruption, and red-light districts troubled the consciences of other progressives such as Jane Addams and Walter Rauschenbusch. These urban progressives believed that an older, rural America produced a sense of community among rural people which mitigated such social problems, and thought that community-oriented settlement houses and churches in the cities could recreate the rural feeling that individuals were a part of their neighborhoods, and urban neighbors then could attack urban problems as a community. Other progressives, such as the anti-vice committees of New York City, wanted laws to recreate the moral standards which social pressures in the old rural communities had maintained informally. The Progressive Era also included a “country life movement” which shared many of its analyses and plans for reform with the urban progressives, but applied them to rural America.

Nature ◽  
1911 ◽  
Vol 88 (2195) ◽  
pp. 101-102
Author(s):  
E. J. R.

2021 ◽  
Author(s):  
Alfred Jerrod Anzalone ◽  
Ronald Horswell ◽  
Brian Hendricks ◽  
San Chu ◽  
William Hillegass ◽  
...  

IMPORTANCE: Rural communities are among the most underserved and resource-scarce populations in the United States (US), yet there are limited data on COVID-19 mortality in rural America. Furthermore, rural data are rarely centralized, precluding comparability across urban and rural regions. OBJECTIVE: The purpose of this study is to assess hospitalization rates and all-cause inpatient mortality among persons with definitive COVID-19 diagnoses residing in rural and urban areas. DESIGN, SETTINGS, AND PARTICIPANTS: This retrospective cohort study from the National COVID Cohort Collaborative (N3C) examines a cohort of 573,018 patients from 27 US hospital systems presenting with SARS-CoV-2 infection between January 2020 and March 2021, of whom 117,897 were hospitalized. A sample of 450,725 hospitalized persons without COVID-19 diagnoses was identified for comparison. EXPOSURES: ZIP Codes provided by source hospital systems were classified by urban-rural gradient through a crosswalk to the US Department of Agriculture Rural-Urban Commuting Area Codes. MAIN OUTCOMES AND MEASURES: Primary outcomes were hospitalization and all-cause mortality among hospitalized patients. Kaplan-Meier analysis and mixed effects logistic regression were used to estimate 30-day survival in hospitalized patients and associations between rurality, hospitalization, and inpatient mortality while controlling for major risk factors. RESULTS: Rural patients were more likely to be older, white, have higher body mass index, and diagnosed with SARS-CoV-2 later in the pandemic compared with their urban counterparts. Rural compared with urban inhabitants had higher rates of hospitalization (23% vs. 19%) and all-cause mortality among hospitalized patients (16% vs. 11%). After adjustment for demographic and baseline differences, rural residents (both urban adjacent and non-adjacent) with COVID-19 were more likely to be hospitalized (Adjusted Odds Ratio (AOR) 1.41, 95% Confidence Interval (CI), 1.37-1.45 and AOR 1.42, CI 1.35-1.50) and to die or be transferred to hospice (AOR 1.62, CI 1.30-1.49 and 1.38, CI 1.30-1.49), respectively. Similar differences in mortality were noted for hospitalized patients without SARS-CoV-2 infection. CONCLUSIONS: Hospitalization and inpatient mortality are higher among rural compared with urban persons with COVID-19, even after adjusting for several factors, including age and comorbidities. Further research is needed to understand the factors that drive health disparities in rural populations.


1995 ◽  
Vol 24 (2) ◽  
pp. 146-148
Author(s):  
Steven E. Hastings ◽  
Gerald L. Cole

This paper discusses a paper presented by Stephen Smith at the 1995 annual meeting of the Northeastern Agricultural and Resource Economics Association. Smith presented key issues that have changed the context for rural development policy in the United States. We propose that the induced innovation model of economic development can be used to identify a variety of ways that LGU's can contribute to developing and delivering appropriate rural economic development programs. These ways include assisting rural communities in identifying comparative advantage, identifying and/or providing relevant resource persons, delivering appropriate educational programs and conducting research on important issues. The success of LGU's in these areas will depend on their willingness to undertake these activities and their ability to recognize and adapt to current to future economic and social realities affecting rural America.


Author(s):  
Alonzo L. Plough

This chapter explores the reputation and reality of the nation's less populated regions, which one in every five people in the United States call home. Too often, the rural designation implies an environment in which poor health and diminished opportunities are the norm. Though the chapter contributors acknowledge the enduring economic, social, and educational inequities that pervade these regions, they are equally invested in capitalizing on the inherent strengths of the rural heritage. Using examples from several Southern, rural communities that are among the poorest in the country, yet also offer pockets of hope, the contributors show that it is possible to reshape the narrative of rural living. To enhance health and well-being in rural America, policymakers and advocates must build on the unique challenges, strengths, and opportunities in rural populations. Changes that leverage local resources and strengths to better serve residents are vital, and some of them are surprisingly simple and often community-driven.


2020 ◽  
Vol 6 ◽  
pp. 233372142093616 ◽  
Author(s):  
Natalie M. Davoodi ◽  
Margaret Healy ◽  
Elizabeth M. Goldberg

Rural communities with predominantly older adult populations could be especially vulnerable to poor outcomes from COVID-19 due to lacking intensive care unit (ICU) capacity. Our objective is to describe the scope of the problem by summarizing population totals of older adults in rural America and their community’s ICU bed availability. We performed a review of peer-reviewed literature, in addition to hand searching non–peer-reviewed and governmental/non-governmental agency reports, using the Kaiser Health News data report to assess the number of ICU beds in 10 predominantly rural states with the highest older adult populations. We found that while 19% of the U.S. population lives in rural counties, these counties contain only 1% of the ICU beds in the United States. Counties particularly at risk for inadequate ICU capacity include Crittenden, Arkansas; Cass, Minnesota; and Sagadahoc, Maine. Solutions include building new delivery systems, reopening previously closed rural hospitals, and calling on local businesses to create medical supplies. In summary, the 10 million older adults in rural communities in the United States may face challenges with obtaining critical care treatment due to the increased need of ICU beds during the COVID-19 pandemic.


2020 ◽  
Vol 48 (3) ◽  
pp. 491-505 ◽  
Author(s):  
Sameer Vohra ◽  
Carolyn Pointer ◽  
Amanda Fogleman ◽  
Thomas Albers ◽  
Anish Patel ◽  
...  

Disparities exist in the health, livelihood, and opportunities for the 46-60 million people living in America’s rural communities. Rural communities across the United States need a new energy and focus concentrated around health and health care that allows for the designing capturing, and spreading of existing and new innovations. This paper aims to provide a framework for policy solutions to build a healthier rural America describing both the current state of rural health policy and the policies and practices in states that could be used as a national model for positive change.


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