The Changing Roles and Status of Rural Women

Bescher-Donnelly, Linda; Smith, Leslie Whitener

doi:10.4324/9780429310829-10

Cited by 5 publications

(3 citation statements)

References 1 publication

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“…Many rural scholars acknowledge that in addition to low population density, rural areas share social, economic, and cultural elements, including fewer economic resources, dense social networks, and an emphasis on the importance of self-reliance and self-sufficiency (Dengerink & Cross, 1982; Mulder et al, 2000). Rural residents have more traditional values, tend to be more conservative, and are more likely to assign traditional gender roles than urban peers (Bescher-Donnelly & Smith, 1981; Pruitt, 2008; Snyder & McLaughlin, 2004; Struthers & Bokemeier, 2003). Many rural communities experience high rates of persistent, intergenerational poverty, in part because of lack of diversity in local economies and scarce, scattered job opportunities (Joliffe, 2004; McLaughlin & Coleman-Jensen, 2008).…”

Section: Methodsmentioning

confidence: 99%

“…Rural residents have more traditional values, tend to be more conservative, and are more likely to assign traditional gender roles than urban peers (Bescher-Donnelly & Smith, 1981;Pruitt, 2008;Snyder & McLaughlin, 2004;Struthers & Bokemeier, 2003). Many rural communities experience high rates of persistent, intergenerational poverty, in part because of lack of diversity in local economies and scarce, scattered job opportunities (Joliffe, 2004;McLaughlin & Coleman-Jensen, 2008).…”

Section: Defining Ruralmentioning

confidence: 99%

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Cognitive–behavioral therapy for depression and anxiety disorders in rural settings: A review of the literature.

Weaver

Himle

2017

Journal of Rural Mental Health

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Depression and anxiety disorder prevalence rates are similar across urbanicity levels, yet rural Americans are less likely to receive mental health treatment. Barriers related to availability, accessibility, and acceptability of care in rural areas have been well documented. Cognitive–behavioral therapy (CBT) is gold-standard, evidence-based care for these mental health conditions, though its delivery in rural settings has not been systematically assessed. We reviewed the existing literature to identify adaptations made to CBT for depression and anxiety disorders for rural delivery, and to examine the effect of CBT delivered in the rural context on depression and anxiety. We also assessed the studies’ methodological rigor. Sixteen articles published between 2000 and 2012 met review criteria, all of which adapted CBT for rural delivery. Common adaptations included technology-assisted treatment, delivery in non-mental-health settings, and services offered by nontraditional and less experienced providers. Results suggest CBT for depression and anxiety delivered with adaptations in rural areas is effective; however, less than 20% of the studies reviewed reported on fidelity to standard CBT. This article reviewed the limited literature that has tested CBT for depression and anxiety disorders in the rural context. Given the existing literature’s low methodological rigor, results must be interpreted with caution. Findings suggest that adaptations are needed to address barriers to care in rural communities, but little is known about how adaptations impact fidelity or outcomes. We synthesize the current knowledge, provide recommendations for bolstering future research, and discuss implications of rural residents’ lack of access to standard CBT.

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Section: Methodsmentioning

confidence: 99%

Section: Defining Ruralmentioning

confidence: 99%

Cognitive–behavioral therapy for depression and anxiety disorders in rural settings: A review of the literature.

Weaver

Himle

2017

Journal of Rural Mental Health

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“…10,11 Lack of anonymity and stigma are also important barriers for women seeking out pelvic healthcare in rural communities, specifically in the postpartum time frame when self-reliance and hardiness from women are often the cultural expectation. [11][12][13] More research is needed with postpartum women residing in rural communities to better understand how to support their self-management of their pelvic health to prevent and treat PFDs in the postpartum period.…”

Section: Introductionmentioning

confidence: 99%

“We don’t talk about it enough”: Perceptions of pelvic health among postpartum women in rural communities

Snyder

Mollard

Bargstadt-Wilson

et al. 2022

Womens Health (Lond Engl)

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Purpose: A descriptive qualitative study was conducted to explore perceptions and experiences related to pelvic health in the postpartum period among a cohort of women residing in communities with less than 50,000 residents. Methods: A semi-structured interview approach guided by the Theory of Planned Behavior was used. Postpartum individuals (<6 months since childbirth) were interviewed in the fall/winter of 2021–2022. Results: Specific to individuals’ attitudes toward pelvic health, women viewed Kegels as an important component to improving pelvic health but had a negative attitude toward their own pelvic health, often identifying their pelvic floor as “weak.” The subjective norms influencing a woman’s perception were typically, a positive influence by family/friends and the Internet, although the Internet was viewed as an insufficient resource. Healthcare providers were noted as an infrequent and ineffective resource for education and support in the postpartum period. Finally, women’s perceived behavioral control to manage their pelvic health was influenced by limited knowledge of pelvic health and time, and a desire for more education from their primary care provider and geographical barriers. Conclusion: Innovative strategies are needed to support postpartum women’s pelvic health within rural communities. Primary care providers may benefit from the development of “quick tips” by specialists, such as women’s health physical therapists, to optimize pelvic health discussions with their postpartum patients. Education interventions targeted toward postpartum women in rural communities should focus on strategies that address the geographic barriers identified while still providing individualized care. Options, such as webinars, telehealth, and text message interventions, could be considered.

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Pelvic floor dysfunction in rural postpartum mothers in the United States: prevalence, severity, and psychosocial correlates

et al. 2022

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The Changing Roles and Status of Rural Women

Cited by 5 publications

References 1 publication

Cognitive–behavioral therapy for depression and anxiety disorders in rural settings: A review of the literature.

Cognitive–behavioral therapy for depression and anxiety disorders in rural settings: A review of the literature.

“We don’t talk about it enough”: Perceptions of pelvic health among postpartum women in rural communities

Pelvic floor dysfunction in rural postpartum mothers in the United States: prevalence, severity, and psychosocial correlates

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