Evidence map›Paper›PMID 25242822›Full record

ArticleHealth education journal2014

Overcoming the triad of rural health disparities: How local culture, lack of economic opportunity, and geographic location instigate health disparities.

Tami L Thomas, Ralph DiClemente, Samuel Snell

Registry-linked trialAbstract read
In one paragraph

Article in Health education journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02692274 (Evaluating the Accessibility and Utility of HIV-related Point of Care Diagnostic for Maternal Health in Rural South Africa), which is not on this map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02692274 completednot on this mapstarted 2015, after this paper: background citation

Evaluating the Accessibility and Utility of HIV-related Point of Care Diagnostic for Maternal Health in Rural South Africa

TypeobservationalSponsorUniversity of KwaZuluRan2015 to 2016Enrolled309ConditionsHIV
3 · Its place in the literature

Who cites it

41 citing papers in PubMed.

  1. Trial
  2. Rural Patients' Transitional Care Experiences: A Qualitative Analysis of Provider Notes.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Community responses and adaptations following the closure of a rural pharmacy and primary care facility.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  8. Regional variations in morbidity and mortality among neonates with intraventricular hemorrhage: a national database analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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  17. Article
  18. Article
  19. Article
  20. Location Effects on Spoken Language and Literacy for Children who are DHH.Journal of deaf studies and deaf education · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Tami L ThomasEmory University, USA.
Ralph DiClementeEmory University, USA.
Samuel SnellEmory University, USA.

Funding

Tailoring an Intervention with Parents in Rural Areas to Reduce HPV TransmissionR03NR013558 · NINR · EMORY UNIVERSITY · PI THOMAS, TAMI LYNN · 2012 to 2012
$80k
NIMHD NIH HHS L60 MD007217NINR NIH HHS R03 NR013558
6 · The paper itself

Abstract

objectiveTo discuss how the effects of culture, economy, and geographical location intersect to form a gestalt triad determining health-related disparities in rural areas.

methodsWe critically profile each component of the deterministic triad in shaping current health-related disparities in rural areas; evaluate the uniquely composed intersections of these disparities in relation to Human Papillomavirus (HPV)-related cancer prevention in three isolated rural Georgia counties; and develop implications for future leadership in rural healthcare research, policy, and practice.

resultsThe deterministic triad of culture, economy, and geographical location is unique to a rural community, and even if two rural communities experience the same health disparity, each community is likely to have a discretely different composition of cultural, economic, and geographic determinants.

conclusionThe deterministic triad presents a challenge for health policymakers, researchers, and practitioners trying to develop health-related interventions that are equitable, efficacious, and practical in low-resource rural communities. The situation is worsened by the limited opportunities for employment, which leads to greater disparities and creates propagating cultural norms that further reduce access to healthcare and opportunities for sustainable health promotion.

Indexed as

access to careculturehealth disparitieshealth promotionrural

Identifiers

PMID25242822
PMCPMC4166513

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.