The loss of rural vital places: A case study using the social determinants of health framework

被引:0
|
作者
Rhubart, Danielle [1 ]
Kowalkowski, Jennifer [2 ]
Palacios, Hazel Velasco [3 ]
Brant, Kristina [3 ]
机构
[1] Penn State Univ, Dept Biobehav Hlth, Biobehav Hlth Bldg, University Pk, PA 16802 USA
[2] Penn State Univ, Ross & Carol Nese Coll Nursing, Nursing Sci Bldg, University Pk, PA 16802 USA
[3] Penn State Univ, Dept Agr Econ Sociol & Educ, Armsby Bldg, University Pk, PA 16802 USA
来源
WELLBEING SPACE AND SOCIETY | 2024年 / 7卷
基金
美国食品与农业研究所;
关键词
Vital places; Social determinants of health; Rural; PHYSICAL-ACTIVITY; OBESITY;
D O I
10.1016/j.wss.2024.100228
中图分类号
P9 [自然地理学]; K9 [地理];
学科分类号
0705 ; 070501 ;
摘要
Healthy food sources, recreational facilities, and social spaces serve as vital places for supporting health. Less is known about what happens when vital places are lost, especially in rural contexts that have experienced disinvestment and population decline. In this paper we use a case study of a small rural community in Pennsylvania that lost a substantial share of its vital places over a short period of time to explore the experiences of local residents. Using qualitative interviews with 26 local residents we show that the loss of vital places, which are part of the neighborhood and built environment, intersected with other social determinants of health with potential consequences for health and well-being. This was often because vital places were essential (i.e., few or no alternatives existed) and multifunctional (i.e., supporting health through multiple behavioral and social mechanisms). Examining experiences of local residents following the loss of vital places through a social determinants of health lens helps to identify consequences and inform adaptation strategies. We also use the findings to refine the vital places framework for rural contexts.
引用
收藏
页数:8
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