Person and place: the compounding effects of race/ethnicity and rurality on health

Am J Public Health. 2004 Oct;94(10):1695-703. doi: 10.2105/ajph.94.10.1695.


Rural racial/ethnic minorities constitute a forgotten population. The limited research addressing rural Black, Hispanic, and American Indian/Alaska Native populations suggests that disparities in health and in health care access found among rural racial/ethnic minority populations are generally more severe than those among urban racial/ethnic minorities. We suggest that disparities must be understood as both collective and contextual phenomena. Rural racial/ethnic minority disparities in part stem from the aggregation of disadvantaged individuals in rural areas. Disparities also emerge from a context of limited educational and economic opportunity. Linking public health planning to the education and economic development sectors will reduce racial/ethnic minority disparities while increasing overall well-being in rural communities.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Ethnicity*
  • Health Policy
  • Health Services Accessibility
  • Health Services Needs and Demand*
  • Humans
  • Insurance Coverage
  • Racial Groups*
  • Rural Health*
  • United States