From Systematic Review to Call for Action

Sawin, Erika Metzler; Sobel, Linda L; Annan, Sandra L.; Schminkey, Donna

doi:10.1177/1540415317698947

Cited by 7 publications

(10 citation statements)

References 46 publications

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“…Our search employed MeSH terms of Rural Population and Rural Health Services to generate articles. Many study authors do not define rural (Sawin, Sobel, Annan & Schminkey, 2017) and this trend was noted in the current review (e.g., Arcury et al, 2015;Branch, Harvey, Zukoski, & Warren, 2010;Cashman, Eng, Simán, & Rhodes, 2011) Furthermore, there is no clear consensus, even within the U.S. federal government, on how best to define rural areas. The U.S. Census Bureau defines rural as "non-urban" (U.S. Census Bureau, 2010, p. 1).…”

Section: Methodsmentioning

confidence: 79%

Contributors to Health Inequities in Rural Latinas of Childbearing Age: An Integrative Review Using an Ecological Framework

et al. 2019

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This integrative review uses an ecological framework to examine research describing multilevel contributors to health inequities among Latina childbearing women in rural U.S. communities. Rurality exacerbates existing structural issues and makes the accumulation of both social capital and cultural competence in accessing and utilizing the health care system difficult. Four electronic databases were searched—Ovid/Medline, Web of Science, Google Scholar, and CINAHL—over the period of 2006 to 2018. Twenty-nine full-text articles met inclusion criteria. Findings were that a convoluted immigration policy, health care delivery and payment systems, geographic and economic barriers, discrimination, gender roles, and reproductive coercion all contribute to decreased utilization of health care, which in turn contributes to health inequities. More attention is required to situate Latina health inequities in rural communities within the context of other health-relevant aspects of discrimination and reproductive coercion, and to understand the contribution that the health care system itself has on these health inequities. Use of the ecological framework for this integrative review integrates well with inclusive vulnerable population research approaches such as community-based participatory research, because of its multilevel focus.

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Section: Methodsmentioning

confidence: 79%

Contributors to Health Inequities in Rural Latinas of Childbearing Age: An Integrative Review Using an Ecological Framework

et al. 2019

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“…Hispanic Americans (HA) are the fastest-growing population in rural areas (Sawin et al, 2017). Rural HA women face unique circumstances, including logistical and transportation, language, and cultural issues (Schminkey et al, 2019) that present barriers to accessing help (Wiltz, 2015).…”

Section: Rural Hispanic Populationsmentioning

confidence: 99%

“…These issues are augmented within vulnerable rural population subsets, such as Hispanic Americans (HA), defined here as people whose origins are Mexican, Central American, Puerto Rican, Cuban, or other Spanish culture/ origin. HAs are more vulnerable in rural areas because of extreme poverty, lower levels of education, limited language assistance services, immigration issues, and social isolation (Sawin et al, 2017). Research suggests that around 17% of has experienced IPV within their lifetime (Sabina et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Defining Healthy Intimate Relationships: A Qualitative Pilot Study of Rural Hispanic Women

Annan,

Jagiello,

Elkins

et al. 2023

International Journal of Research in Nursing

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This study aimed to explore Hispanic women's views of their relationships with current and previous partners. Researchers conducted interviews with Eight (8) women within a local rural Hispanic community. We interviewed in a semi-structured format using the participants' preferred language either English or Spanish. Interviews were audiotaped, transcribed, and reviewed for accuracy. Data were analyzed using a phenomenological focus. Half of the participants reported experiencing some type of intimate partner violence in a past relationship. Participants described positive concepts such as fidelity, respect, and communication and negative concepts such as alcohol, fear, and machismo in describing healthy versus unhealthy relationships. There were four overarching themes: Essential characteristics of healthy relationships, operationalization, threats, and ideal relationships. This pilot study provides preliminary insight into rural Hispanic women's experiences in intimate relationships. More research is needed to examine providers' understanding of how Hispanic women define a healthy relationship. This can impact screening measures and facilitate interventions toward intimate partner violence.

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“…Examples of such barriers include antiimmigration beliefs, discrimination, immigration-related fears, limited English proficiency, lack of familiarity with IPV laws and available services, negative prior help-seeking experiences, and social isolation ( Alvarez & Fedock, 2018 ; Lawson et al, 2012 ; O’Neal & Beckman, 2017 ; Rizo & Macy, 2011 ). Notably, all of these barriers are compounded for Latinx survivors living in rural areas ( Sawin et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

“…Given the unique characteristics and needs of Latinx survivors and rural DV organizations, examining the intersection of service provision for Latinx survivors in rural areas warrants further exploration. Yet, few studies have explored service provision for Latinx IPV survivors with an explicit focus on rurality ( Sawin et al, 2017 ). Nonetheless, there is increasing awareness of the importance of providing DV services that are both linguistically and culturally appropriate ( Alvarez & Fedock, 2018 ; Wretman et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Understanding Intimate Partner Violence Service Delivery for Latinx Survivors in Rural Areas

Kim

Rizo

Wretman

et al. 2022

Violence Against Women

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Using a statewide survey, this exploratory, cross-sectional study examined 78 domestic violence (DV) service organizations’ service delivery practices and perceived challenges to serving Latinx survivors in the context of rurality. Findings showed that DV organizations in rural areas perceived more challenges to delivering culturally appropriate services for Latinx survivors compared to those in other geographic settings even after accounting for client characteristics, service provision characteristics, and community resources. The study finding offers critical insights to ensure and enhance the provision of linguistically and culturally accessible services for rural Latinx survivors of intimate partner violence.

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From Systematic Review to Call for Action

Abstract: Our study identifies a gap in knowledge, research, and effective practices and issues a call for action to create evidence-based tools to prevent, reduce, and eliminate IPV in these underserved populations.

Cited by 7 publications

References 46 publications

Contributors to Health Inequities in Rural Latinas of Childbearing Age: An Integrative Review Using an Ecological Framework

Contributors to Health Inequities in Rural Latinas of Childbearing Age: An Integrative Review Using an Ecological Framework

Defining Healthy Intimate Relationships: A Qualitative Pilot Study of Rural Hispanic Women

Understanding Intimate Partner Violence Service Delivery for Latinx Survivors in Rural Areas

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