Rural America is commonly viewed as a repository of virtuous and patriotic values, deeply rooted in a proud immigrant history of farmers and industrious working-class White ethnics from northern Europe. These views are not always consistent with the population and socioeconomic realities of rural terrains. Exceptions to these stereotypes are self-evident among large poor racial/ethnic minorities residing in rural ghettos in the “dirty” South and among poor Whites living in remote, mountainous areas of Appalachia. For these disadvantaged populations, sociocultural and economic isolation, a lack of quality education, too few jobs, and poor health have taken a human toll, generation after generation. Moreover, the past several decades have brought dramatic shifts in the spatial distribution and magnitude of poverty in these areas. And, America’s persistent racial inequalities have continued to fester as rural communities become home to urban-origin racial minority migrants and immigrants from Mexico and Latin America. As a result, the face of rural America has changed, quite literally. In this article, we address the primary question these changes pose: How will shifting inequalities anchored in poverty and race shape health disparities in a “new” rural America? Guided by fundamental cause theory, we explore the scope and sources of poverty and race inequalities in rural America, how patterns in these inequalities are transduced within families, and what these inequalities mean for the future of health disparities within and across rural U.S. terrains. Our goal is to review and interrogate the extant literature on this topic with the intent of offering recommendations for future research.

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Abstract:The nascent literature on prison proliferation in the United States typically reveals negative impacts for communities of color. Given that Southern rural communities were the most likely to build during the prison boom , however, a more nuanced understanding of prison impact is warranted. Using a dataset matching and geocoding all 1663 U.S. prisons with their Census-appointed place, this study explores the countervailing consequences of the prison boom on rural towns across multiple periods. For example, locales that adopted prisons at earlier stages of the prison boom era received a short-term boom compared to those that did not, but these effects were not lasting. Furthermore, later in the boom, prison-building protected towns against additional economic decline. Thus, neither entirely pariah nor panacea, the prison functions as a state-sponsored public works program for disadvantaged rural communities but also supports perverse economic incentives for prison proliferation. Methodological, substantive, theoretical, and policy implications regarding the intersection of race and punishment are explored.

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Academic work on crime and punishment has focused mostly on urban centers, leaving rural communities understudied, except for acknowledgement that rural communities warehouse a large number of prisoners and that rural prisons provide jobs and economic development for some struggling communities. This study uses a novel dataset that includes information on the home addresses of all prisoners in Arkansas from 1993 to 2003 to document imprisonment rates and racial disparities in imprisonment rates across metropolitan and nonmetropolitan counties. We show how rural communities both receive and produce prisoners and that imprisonment and racial disparities in imprisonment vary more within different types of communities than across different types of communities. Further, we find that nonmetropolitan rates of imprisonment are higher than would be expected, based on observed local risk factors such as poverty rate. We close with a discussion of what these findings illustrate about concentrated disadvantage across the rural-urban interface.