Source: CORNELL UNIVERSITY submitted to
HEALTH PROBLEMS AMONG MINORITIES IN RURAL NEW YORK STATE: A DEMOGRAPHIC AND COMMUNITY STUDY
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
TERMINATED
Funding Source
Reporting Frequency
Annual
Accession No.
0187370
Grant No.
(N/A)
Project No.
NYC-159405
Proposal No.
(N/A)
Multistate No.
(N/A)
Program Code
(N/A)
Project Start Date
Oct 1, 2000
Project End Date
Sep 30, 2003
Grant Year
(N/A)
Project Director
Glasgow, N.
Recipient Organization
CORNELL UNIVERSITY
(N/A)
ITHACA,NY 14853
Performing Department
DEVELOPMENT SOCIOLOGY
Non Technical Summary
Historically, minorities have had poorer health status than whites in the U.S., and the lower health status of minorities persists to this day. This study focuses on the major health issues of New York's rural minorities, which is a previously neglected topic. The study compares health issues among rural minorities versus whites, elderly versus non-elderly, and women versus men.
Animal Health Component
(N/A)
Research Effort Categories
Basic
50%
Applied
50%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
80360203080100%
Goals / Objectives
This study will investigate 1) which health issues are most important among rural minorities in New York; 2) how health issues of rural minority elderly differ from those of non-elderly; 3) health issues specific to rural minority women; 4) how health differs among rural New York's minorities versus whites; and 5) policy implications of differentials in health problems.
Project Methods
During year one of the project, we will analyze New York State Department of Health and other secondary data sources from New York combined with U.S. Census data on the health of rural minorities in New York. In the second year, we will conduct focus groups to identify major health problems and issues among rural minorities. In year three, we will analyze and publish our findings and hold public forums to disseminate our study's findings.

Progress 10/01/00 to 09/30/03

Outputs
Glasgow co-edited the book, Critical Issues in Rural Health, which has a strong focus on health disparities among rural minorities, including African Americans, Hispanics, and American Indians and includes a separate chapter on health disparities among migrant farmworkers. Diversity in rural populations and places and the implications for health is a major theme of the book. Unsurprisingly, health indices for rural minorities compared to non-Hispanic whites show health disadvantages among the minorities. However, the book goes beyond statistics to explore ways to address health disparities among rural minorities. It also shows diversity in health outcomes within different rural minority populations and discusses the reasons for that diversity. Glasgow focused specifically on the health of older rural residents and compared older minorities to their non-Hispanic white counterparts.

Impacts
This project has resulted in a book that compares the health status of rural minorities to non-Hispanic whites using the most up-to-date statistics available. We have been and will continue to present our findings in a number of public venues, including extension, outreach and scholarly meetings. This project's research has focused on all age groups but has had a particular focus on the health of minority and non-minority elderly. This focus is especially important, given the rapid aging of the population. The research conducted in conjunction with this project has important implications for public policy.

Publications

  • Glasgow, N., Morton, L.W. and Johnson, N.E., editors. 2004. Critical Issues in Rural Health. Ames, Iowa: Blackwell Publishing.
  • Glasgow, N. Healthy aging in rural contexts. 2004. Pp. 271-281 in Critical Issues in Rural Health, edited by N. Glasgow, L.W. Morton and N.E. Johnson. Ames, Iowa: Blackwell Publishing.
  • Glasgow, N. 2004. Older rural families. Pp. 86-96 in Challenges for Rural America in the Twenty-First Century, edited by D.L. Brown and L.E. Swanson. University Park, PA: Pennsylvania State University Press.


Progress 01/01/02 to 12/31/02

Outputs
Glasgow is co-editor of a book entitled Critical Issues in Rural Health, which has a section focused on health disparities among rural African American, Hispanic and American Indians compared to their non-Hispanic white counterparts. Glasgow is author of a chapter in the book on the potential for healthy aging among rural African Americans compared to whites, using New York's rural older population as a case study for discussion of barriers to and facilitators of healthy aging among the two comparison groups. Glasgow and co-editors have a book contract from Iowa State Press/Blackwell Publishers, and the book manuscript is in preparation. Horton is currently analyzing data collected from New York's rural minorities concerning the most important health issues they face.

Impacts
Our investigation of rural minority health issues will advance scientific knowledge of a topic that has previously received little research attention. We are sharing our policy recommendations with state and local decision makers. If our recommendations are implemented, this should result in the improvement of health among minorities of rural New York. The public forums we will hold will serve an educational function for minorities as well as decision makers.

Publications

  • No publications reported this period


Progress 01/01/01 to 12/31/01

Outputs
During year one, we analyzed New York Department of Health and other secondary data sources from New York combined with U.S. Census data on the health of rural minorities in New York. Glasgow presented a paper at the Rural Sociological Society Annual Meeting in August that focused on how the health status of nonmetropolitan older persons, especially minorities, affect their decisions to live in the community or to move into senior housing. Horton conducted a workshop entitled, "The Demography of Racial Disparities in Chronic Disease," at the New York State Department of Health Annual Conference in Buffalo, New York, June 5, 2001. We developed questions to guide our discussion when we conduct focus groups with rural minorities during year two of the project.

Impacts
Our examination of the health conditions of rural minorities in New York will advance scientific knowledge of a topic that has received little research attention. We will share our information with policy makers and, if implemented, should result in improvements to the health of rural minorities. We will hold public forums that will serve an educational function for rural minorities.

Publications

  • Glasgow, N. 2002. Older Rural Families. In Challenges for Rural America in the 21st Century, Brown and Swanson, Eds. University Park, PA: Pennsylvania State University Press, (in press).