Doctor of Philosophy, The Ohio State University, 2023, Environment and Natural Resources
Many rural communities experience health disparities due to macro-level trends shaping social drivers of poor health. However, not all rural areas share similar sociodemographic characteristics or healthcare environments, and outcomes may vary substantially between populations within rural places. One group that may experience disproportionately poor health in rural communities is adults with disabilities. Although understanding the associations between place and health for this population is important for achieving health equity, there is limited empirical research on this topic in sociology and public health.
To address this gap, I develop an integrated conceptual model to guide research at the intersection of disability, place, and health. I then use the 2019 Ohio Medicaid Assessment Survey (n=31,558) which represents all non-institutionalized Ohioans to analyze how three health outcomes vary by residence for those with no disability (n=20,282), non-developmental disabilities (n=9,893), and developmental disabilities (1,383).
In Chapter Three, I draw together strands from the robust literatures of social determinants of health, rural health, the sociology of disability, and disability health to create a conceptual model linking place, disability, and health. I utilize this framework to guide the empirical analyses completed in Chapters Five through Seven.
Using my conceptual model, I analyze how residence is associated with two physical health outcomes, self-rated health and the number of chronic conditions, for adults with and without disabilities in Chapter Five. I posit rural Appalachian residence is associated with poorer
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physical health outcomes, particularly for adults with disabilities. I find these hypotheses to be partially supported such that rural Appalachian residence is associated with poorer physical health for the general population. However, rural Appalachian residence is only associated with poorer self-rated health for adults with non-de (open full item for complete abstract)
Committee: Linda Lobao (Advisor); Kristi Lekies (Committee Member); Kerry Ard (Advisor)
Subjects: Health; Sociology