Between a Rock and a Hard Place: Access, Quality and Satisfaction with Care Among Women Living in Rural and Remote Communities in Canada

Injecting on the Island: a qualitative exploration of the service needs of persons who inject drugs in Prince Edward Island, Canada

“…To date, the majority of the research examining the needs of persons who inject drugs (PWID) in Canada has been conducted in large urban centres, specifically, Toronto, Vancouver, and Montreal. The limited empirical attention paid to Canadian PWID who live in rural or remote areas is disconcerting for three reasons: (1) studies investigating prevalence rates of injection drug use in rural areas outside of Canada suggest that there may be an increasing need for services in smaller regions or remote areas [ 1 - 4 ], (2) less populated regions may encounter unique institutional challenges when providing harm reduction and other treatment services due to the costs associated with meeting the needs of a geographically dispersed population and with recruiting and retaining skilled health care practitioners [ 5 , 6 ], and (3) at an individual level, PWID may experience increased stigma and concern about confidentiality and anonymity due to the area in which they reside, as well as significant financial burdens if attempting to procure specialised health care services [ 7 - 9 ].…”

Postpartum Depression Among Rural Women From Developed and Developing Countries: A Systematic Review

“…Individuals living in rural areas have been shown to be geographically isolated from family and others within their own communities as a result of low population density 15,16 . In addition, there is evidence that relative newcomers to tight‐knit rural communities may find them difficult to penetrate and thus perceive limited social support 17 . Rural residence might also be associated with low income, 18,19 low levels of education, 20 lack of insurance, 20 and poor health‐related quality of life, 21 all of which may contribute to the onset of psychiatric illness and decreased help‐seeking behavior.…”