Suchergebnisse

AbstractDevelopment is contentious in high‐amenity rural areas experiencing migration‐driven population growth. While some residents welcome the associated economic, demographic, and social changes, others resist these changes. Using survey data, we examine the predictors of views on amenity‐led development in rural recreation counties across the United States, including to what extent there is evidence of a "culture clash," that is, whether values and attitudes of new and long‐term residents differ about local development issues as is often assumed. In addition, we examine whether attitudes toward development impact an important community outcome—residents' involvement in their community. We find that development broadly speaking is a divisive issue in rural recreation areas and that there is evidence for a culture clash over development. Newer residents are less likely to see development as a problem in their community than long‐term residents, yet more likely to think existing rules to restrict development are good, providing mixed support for the "gangplank" hypothesis. We find that those who see development as a problem are more likely to be involved in local organizations. This research provides a better understanding of views of development in rural recreation counties and evidence of how these attitudes matter in broader community outcomes.

AbstractMany rural areas of the United States are experiencing population decline due to out‐migration. However, others—especially those places rich in natural amenities and recreational opportunities—are attracting new residents and losing less of their native population. In this article we investigate the predictors of rural Americans' migration intentions by examining how individual‐level community assessments, including community attachment and perceptions of community‐level problems, shape rural Americans' migration decision making while controlling for individual and place effects. Drawing on survey data from 17,000 residents in 11 different rural areas around the United States, we find that community attachment is a key predictor of rural migration, even during periods of economic recession, and regardless of individual and place characteristics or perceptions of community‐level problems. We also find that multiple dimensions of community attachment (e.g., practical, natural, family, community trust) have independent effects on the propensity of rural residents to migrate. Our research contributes to knowledge on migration trends among rural Americans by exploring the complicated reasoning behind why people stay in, or move to, certain rural communities and not others.

AbstractRural residents in the United States do not always agree on local development priorities, yet understanding and accounting for their preferences is a step towards more effective and equitable community development. We use survey data spanning different types of rural Intermountain West communities to gauge residents' preference weights for economic and environmental rural development goals. Given that community tenure and age are often related to development preferences, respondents are divided into three groups based on these factors using a classification tree approach. Long‐term residents (>36 percent of life spent in the community) have the strongest economic preferences, while older newcomers have the strongest environmental preferences. The Leti heterogeneity index reveals that long‐term residents also displayed the greatest homogeneity of preferences. Ordered probit analysis shows that goal preferences are also related to sex, education, household income, community financial security, and the share of county income derived from wealth assets. These findings provide a more nuanced and methods‐based understanding of residential tenure in a community and its relationship to development attitudes across a variety of rural place types, all valuable information for rural community and economic development practitioners.

Frontmatter --Contents --Notes on Contributors --Introduction: The Political Landscapes of American Health, 1945-2020 --Part I: Geography, Community and American Health --Introduction --1 Health and Inequality in the Postwar Metropolis --2 Poverty, Health and Health Care in Rural Communities --3 The Politics of Immigration Meets the Politics of Health Care --4 Latinxs and the US Health Care System --5 American Indian Health: The Medicine Wheel versus the Iron Triangle --Part II: Critical Health Conditions: Debates and Histories --Introduction --6 The Politics of Polio Vaccination in Postwar America, 1950-60: Detractors and Defenders --7 Beyond the Cancer Wars --8 A System in Crisis: US Health Care Politics and the AIDS Epidemic --9 The Politics of 'Obesity': Medicalization, Stigmatization and Liberation of Fat Bodies --10 Revising Diagnoses, Reinventing Psychiatry: DSM and Major Depressive Disorder --Part III: The Politics of Children's Health --Introduction --11 US Children's Health Insurance: Policy Advocacy and Ideological Conflict --12 Autism and the Anti-Vaccine Movement --13 Diagnosing Deficit, Promising Enhancement: ADHD and Stimulants on Screen --14 On the Possibility of Affirmative Health Care for Transgender Children --15 Black Infant Mortality: Continuities, Contestations and Care --Part IV: The Institutional Matrix of Health Care --Introduction --16 The Regional and Racial Politics of Postwar Hospitals --17 Health Activism in the 1960s and the Community Health Center System --18 The Veterans Administration and PTSD: Challenges and Changes from Vietnam to Iraq --19 The Pharmaceutical Industry, Drug Regulation and US Health Services --20 The National Institutes of Health: Courting Congress, Creating a Research Infrastructure --Part V: The White House, Congress and Health Reform --Introduction --21 Left Out: Health Security and the American Welfare State, 1935-50 --22 Medicare and Medicaid after the Great Society: Containing Costs, Expanding Coverage --23 Mental Health, Stigma and Federal Reform in the 1970s and 1990s --24 The War on Drugs: Nixon, Reagan, Trump --25 Obamacare and Its Critics --Part VI: Justice, Ethics and American Health --Introduction --26 Roe v. Wade and the Cultural Politics of Abortion: The Shift from Rights to Health --27 Genetics, Health and the Making of America's Triracial Isolates, 1950-80 --28 The Rhetoric and Politics of American Ageism: Notes from a Pandemic --29 Towards a Structural Competency Framework for Addressing US Gun Violence --30 Mass Incarceration and Health Inequity in the United States --Part VII: Public Health and Global Health --Introduction --31 Occupational and Environmental Health in Twentieth-Century America --32 Environmental Health beyond the State: Thinking through the 1970s --33 Bioterrorism, Pandemic and the American Public --34 Health Internationalism in the US and Beyond --35 Pandemics and the Politics of Planetary Health --Bibliography --Index

Examines the diverse, and often conflicted, political status of health in the United States from World War II to Covid-19Explores the histories, cultures, policies and technologies of American health and medicine as they have developed over a 75-year periodBrings together 45 experts from the US, Canada and the UK working across the fields of medicine, health policy, political and social history, political science, environmental studies, law, and cultural studiesUses the lenses of class, poverty, race, gender, sexuality and locality to study the concepts, policies and lived realities of U.S. healthcare and medical treatmentExplores key controversies in American health, including global health and new technologiesBy emphasising the plurality of health experiences, and balancing national and transnational perspectives with the lived realities of diverse communities, this groundbreaking collection expands far beyond biomedical conceptions of health. Together, the contributors take a multi-layered view of the politics of US healthcare by examining it from historical, cultural, medical, sociological, legal, ethical and environmental perspectives. Chapters consider major health institutions and the federal policies that guide them; the intersection between health and social movements; the contours of health and illness with respect to race, gender, sexuality, age and region; and the US's often-conflicted role in global health governance