Nowadays, there is a wide debate about what rural means. An operational definition of rural concept is essential in order to measure health problems, optimize resource allocation and facilitate decision making aimed at closing the gap on inequity between areas. In 2005, the rurality index for Small Areas in Spain (IRAP) was developed using the…

The 1964 Report of the President's Appalachian Regional Commission reinforced the popular image of Appalachia--low income, high poverty, limited education, poor living standards, job deficits, high unemployment, outmigration, stagnation, and decline. Current data indicate that conditions in Appalachia have improved greatly: the percentage of…

Based on the 1979 Annual Housing Survey, the elderly--especially the rural elderly--are more likely than other groups to live in inadequate housing. Housing was defined as inadequate if it had one or more of the following flaws: incomplete plumbing facilities, incomplete kitchen facilities, leaking roof, holes in walls or ceilings, and exposed…

The 2000 Census reveals four patterns of change in rural America. Rural areas in states such as Florida and Arizona are gaining population due to high retiree growth. These areas will experience growth in service sector jobs that have low pay and low educational requirements. Florida and Arizona trail the nation in high school and college…

Space, in a geographic sense, entails costs when there is too much of it in relation to population and income. In the West, by comparison with more populous areas to the east, the level of personal income per square mile and per capita is low; costs per unit of, and per capita for, transportation, health and medical care, and education are high;…

Numerous factors influencing health status and health care in Mexico are reviewed in this paper. Part I covers socioeconomic influences including agricultural and land tenure patterns, oil production, population growth rate, and the extent of poverty. Part II discusses the political environment, emphasizing the effects of politics on strategies…