Skip to main content

Latinos in Rural Areas: Addressing Mental Health Disparities in New Growth Communities

  • Chapter
  • First Online:
Creating Infrastructures for Latino Mental Health

Abstract

Although many communities fail to provide adequate mental health support for immigrants, the problem is particularly evident in rural areas. In these areas, access barriers—geographic isolation, the lack of public transportation systems, and the shortage of health care providers—are particularly acute. In this chapter, we draw on our research and outreach experience with Latino immigrants in the Midwest to illustrate the gaps between this population’s needs and the available resources. We also provide some possible strategies for bridging those gaps and make recommendations regarding much needed changes to augment the technical capacity to serve Latinos in rural areas.

While significant progress has been made to respond to the mental health service needs of the Hispanic population in general, relatively little attention has been directed to identifying, understanding and addressing the mental health service problems, concerns and needs of Hispanics/Latinos residing in rural America.

—Soto 2000

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Adler Institute on Social Exclusion. (2010). Social determinants of mental health definition. Chicago, IL: Adler School of Professional Psychology. Retrieved June 30, 2010, from http://www.adler.edu/about/SocialDeterminantsofMentalHealthDefinition.asp

    Google Scholar 

  • Amezola, C., Mueller, B., & Peters, K. (2006, March 29). Association between length of residence and Hispanic healthcare access in rural Illinois. Poster presentation at the University of Illinois College of Medicine at Rockford Research Day, Rockford, IL.

    Google Scholar 

  • Arcury, T. A., & Quandt, S. A. (2007). Delivery of health services to migrants and seasonal farmworkers. Annual Review of Public Health, 28, 345–363.

    Article  PubMed  Google Scholar 

  • Atdjian, S., & Vega, W. A. (2005). Disparities in mental health treatment in U.S. racial and ethnic minority groups: Implications for psychiatrists. Psychiatric Services 56, 1600–1602.

    Article  PubMed  Google Scholar 

  • Berry, J. W., & Ataca, B. (2000). Cultural factors in stress. In G. Fink (Ed.), Encyclopedia of stress (Vol. I, pp. 604–611). San Diego, CA: Academic Press.

    Google Scholar 

  • Berry, J. W., & Sam, D. (1997). Acculturation and adaptation. In J. W. Berry, M. H. Segall, & C. Kağitçibaşi (Eds.), Handbook of cross-cultural psychology: Vol. 3. Social behavior and applications (2nd ed., pp. 291–326). Boston, MA: Allyn & Bacon.

    Google Scholar 

  • Betancourt, H., & Fuentes, J. L. (2001). Culture and Latino issues in health psychology. In S. S. Kazarian & D. R. Evans (Eds.), Handbook of cultural health psychology (pp. 306–323). San Diego, CA: Academic Press.

    Google Scholar 

  • Blewett, L. A., Smaida, S. A., Fuentes, C., & Zuehlke, E. U. (2003). Health care needs of the growing Latino population in rural America: Focus group findings in one Midwestern state. Rural Health Policy, 19, 33–41.

    Article  Google Scholar 

  • Butera, G., McMullen, L., & Phillips, R. (2000). Energy express: Connecting communities and intervention on behalf of schoolchildren in West Virginia. Journal of Research in Rural Education, 16(1), 30–39.

    Google Scholar 

  • Casey, M. M., Blewett, L. A., & Call K. T. (2004). Providing health care to Latino immigrants: Community-based efforts in the rural Midwest. American Journal of Public Health, 94(10), 1709-1711. 

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. (2010). Behavioral risk factor surveillance system survey data. Retrieved August 1, 2010, from http://apps.nccd.cdc.gov/BRFSSBib/SearchV.asp?type=0&Search=rural

  • Cromartie, J., & Bucholtz, S. (2008). Defining the “rural” in rural America. Amber Waves 6(3), 28–35.

    Google Scholar 

  • Cristancho, S., Garcés, M., & Peters, K. (2010). Health information preferences among rural Hispanic immigrants in the Midwest: Length of residence and socio-demographic variations. Manuscript submitted for publication.

    Google Scholar 

  • Cristancho, S., Garcés, M., Peters, K., & Aguero, C. (2009). Identification of key acculturation dimensions associated with cardiovascular health behavior change and maintenance in Hispanic immigrants (Final report, Grant No. G7111). University of Illinois College of Medicine at Rockford, Excellence in Academic Medicine Program.

    Google Scholar 

  • Cristancho, S., Garcés, D. M., Peters, K., & Mueller, B. (2008). Listening to rural Hispanic immigrants in the Midwest: A community-based participatory assessment of major barriers to health care access and use. Qualitative Health Research, 18(5), 633–646.

    Article  PubMed  Google Scholar 

  • Engstrom, D. W. (2006). Outsiders and exclusion: Immigrants in the United States. In D. W. Engstrom & L. M. Piedra (Eds.), Our diverse society: Race and ethnicity—Implications for 21st century American society (pp. 19–36). Washington, DC: Routledge.

    Google Scholar 

  • Fals-Borda, O. (1987). The application of participatory action-research in Latin America. International Sociology, 2(4), 329–347.

    Article  Google Scholar 

  • Fry, R. (2008). Latino settlement in the new century. Retrieved June 1, 2010, from Pew Hispanic Center at http://pewhispanic.org/files/reports/96.pdf

  • Gamm, L. D., Hutchinson, L. L., Dabney, B. J., & Dorsey, A. M. (2003). Rural health people 2010: A companion document to Healthy People 2010 (Vols. 1–3). College Station, TX: The Texas A&M University System Health Science Center, School of Rural Public Health, Southwest, Rural Health Research Center.

    Google Scholar 

  • Geyman, J. (2000). The handbook of rural medicine. New York, NY: Wiley.

    Google Scholar 

  • Glasgow, N., Morton, L., & Johnson, N. E. (2004). Critical issues in rural health. Ames, IA: Blackwell.

    Google Scholar 

  • Gouveia, L., & Stull, D. D. (1995). Dances with cows: Beefpacking’s impact on Garden City, Kansas and Lexington, Nebraska. In D. D. Stull, M. J. Broadway, & D. Griffith (Eds.), Any way you cut it. Meat processing and small-town America (pp. 85–108). Lawrence: University of Kansas Press.

    Google Scholar 

  • Habermas, J. (1984). The theory of communicative action: Vol 1.Reason and the rationalization of society. Boston, MA: Beacon Press.

    Google Scholar 

  • Hitchen, A. R. (2009). A systematic utilization review of a community mental health program for Latinos (School of Professional Psychology Paper 67). Retrieved December 3, 2010, from http://commons.pacificu.edu/spp/67

  • Institute of Medicine. (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research. Washington, DC: National Academy Press.

    Google Scholar 

  • Israel, B. A., Eng, E., Schulz, A. J., & Parker, E. A. (2005). Methods in community-based participatory research for health. San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Israel, B. A., Schulz, A. J., Parker, E. A., Becker, A. B., Allen, A., & Guzman, J. R. (2003). Critical issues in developing and following community-based participatory research principles. In M. Minkler & N. Wallerstein (Eds.), Community-based participatory research for health (pp. 56–73). San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Kandel, W., & Cromartie, J. (2004). New patterns of Hispanic settlement in rural America (Rural Development Research Report 99). Washington, DC: Economic Research.

    Google Scholar 

  • Klostermann, K., & Kelley, M. L. (2009). Alcoholism and intimate partner violence: Effects on children’s psychosocial adjustment. International Journal of Environmental Research & Public Health, 6(12), 3156–3168.

    Article  Google Scholar 

  • Kochhar, R., Suro, R., & Tafoya, S. (2005). The new Latino south: The context and consequences of rapid population growth. Retrieved June 1, 2010, from Pew Hispanic Center at http://pewhispanic.org/files/reports/50.pdf

  • Leisey, M. (2009). The Journey Project: A case study in providing health information to mitigate health disparities. Journal of the Medical Library Association, 97(1), 30–33.

    Article  PubMed  Google Scholar 

  • Lewin, K. (1946). Action Research and minority problems. Journal of Social Issues, 2, 34–46.

    Article  Google Scholar 

  • Lopez, S. R. (2002). Mental health care for Latinos: A research agenda to improve the accessibility and quality of mental health care for Latinos. Psychiatric Services, 53, 1569–1573.

    Article  PubMed  Google Scholar 

  • Mueller, K., Ortega, S., Parker, K., Patil, K., & Askenazi, A. (1999). Health status and access to care among rural minorities. Journal of Health Care for the Poor & Underserved, 10, 230–249.

    CAS  Google Scholar 

  • Murray, J. D., & Keller, P. A. (1991). Psychology and rural America: Current status and future directions. American Psychologist, 46(3), 220–231.

    Article  PubMed  CAS  Google Scholar 

  • National Rural Health Association. (2010). What’s different about rural health care? Retrieved August 1, 2010, from http://www.ruralhealthweb.org/go/left/about-rural-health/what-s-different-about-rural-health-care

  • Partida, Y. (2007). Addressing language barriers: Building response capacity for a changing nation. Journal of General Internal Medicine, 22(2), 347–349.

    Article  PubMed  Google Scholar 

  • Pérez, D. J., Fortuna, L., & Alegría, M. (2008). Prevalence and correlates of everyday discrimination among U.S. Latinos. Community Psychology, 36(4), 421–433.

    Article  Google Scholar 

  • Peters, K., Cristancho, S., & Garcés, M. (2009a). Acculturation and mental health effects on chronic disease among Hispanic/Latino immigrant populations (Final report for the National Association for Chronic Disease Directors and the Centers for Disease Control and Prevention, Grant No. 2008-04547).

    Google Scholar 

  • Peters, K., Cristancho, S., Garcés, M., Bautista, A., Araujo, E., Madrid, G., et al. (2009b). Acculturation, mental health, and chronic diseases: Findings from the Mentes Sanas, Cuerpos Sanos (healthy minds, healthy bodies) Hispanic/Latino immigrant project. Presentation by invitation at the U.S. Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Division of Adult and Community Health, Community Health and Prevention Services Branch, Atlanta, GA.

    Google Scholar 

  • Peters, K. E., & Gupta, S. (2009c). Geographic barriers to healthcare. In R. Mullner (Ed.), Encyclopedia of health services research (2009 ed., Vols. 1–2). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Peters, K., Cristancho, S., & Garcés, M. (2010, June 3–4). Participatory approaches to community mobilization around mental health and chronic disease among rural Hispanic immigrants. Adler Institute for Professional Psychology Annual Conference, “Social Determinants of Mental Health: From Awareness to Action,” Chicago, IL.

    Google Scholar 

  • Piedra, L. M. (2006). Revisiting the language question. In D. W. Engstrom & L. M. Piedra (Eds.), Our diverse society: Race and ethnicity—Implications for 21st century American society (pp. 67–87). Washington, DC: NASW Press.

    Google Scholar 

  • Primm, A. B., Vasquez, M. J., Mays, R. A., Sammons-Posey, D., MicKnight-Elly, L. R., Presley-Cantrell, L. R., et al.(2010).The role of public health in addressing racial and ethnic disparities in mental health and mental illness. Preventing Chronic Disease, 7(1), 1–7.

    Google Scholar 

  • Probst, J. C., Moore, G. C., Glover, S. H., & Samuels, M. E. (2004). Person and place: The compounding effects of race/ethnicity and rurality on health. American Journal of Public Health, 94(10), 1695–1703.

    Article  PubMed  Google Scholar 

  • Rabinowitz, H. K., Diamond, J. J., Markham, F. W., & Rabinowitz, C. (2005). Long-term retention of gradates from a program to increase the supply of rural family physicians. Academic Medicine, 80(8), 728–732.

    Article  Google Scholar 

  • Rhodes, S. D., Foley, K. L., Zometa, C. S., & Bloom, F. R. (2007). Lay health advisor interventions among Hispanics/Latinos: A qualitative systematic review. American Journal of Preventive Medicine, 33(5), 418–427.

    Article  PubMed  Google Scholar 

  • Ricketts, T. C. (1999). Rural health in the United States. New York, NY: Oxford University Press.

    Google Scholar 

  • Sanchez, J. I., & Brock, P. (1996). Outcomes of perceived discrimination among Hispanic employees: Is diversity management a luxury or a necessity? Academy of Management Journal, 39(3), 704–719.

    Article  Google Scholar 

  • Sentell, T., Shumway, M., & Snowden, L. (2007). Access to mental health treatment by English language proficiency and race/ethnicity. Journal of General Internal Medicine 22(suppl. 2), 289–293.

    Article  PubMed  Google Scholar 

  • Soto, J. J. (2000, May 30). Mental health services issues for Hispanics/Latinos in rural America. In Motion Magazine. Retrieved September 1, 2010, from http://www.inmotionmagazine.com/soto4.html

  • Starfield, B., & Fryer, G. E. (2007). The primary care physician workforce: Ethical and policy implications. Annals of Family Medicine, 5, 486–491.

    Article  PubMed  Google Scholar 

  • Stroul, B. A., & Blau, G. M. (Eds.). (2008). System of care handbook: Transforming mental health services for children, youth, and families. Baltimore, MD: Paul H. Brookes.

    Google Scholar 

  • Swider, S. M. (2002). Outcome effectiveness of community health workers: An integrative literature review. Journal of Public Health Nursing, 19(1), 11–20.

    Article  Google Scholar 

  • Triandis, H. C. (1994). Culture and social behavior. New York, NY: McGraw-Hill.

    Google Scholar 

  • U.S. Census Bureau. (2005). Population distribution in 2005. Retrieved August 1, 2010, from http://www.census.gov/population/www/pop-profile/files/dynamic/PopDistribution.pdf

  • U.S. Census Bureau. (2008). American community survey 1-year estimate. Retrieved August 1, 2010, from http://factfinder.census.gov/servlet/DatasetMainPageServlet?_program=ACS&_submenuId=&_lang=en&ts=

  • U.S. Department of Agriculture. (2005). Rural Hispanics at a glance. Economic Information Bulletin, 8 (December). Retrieved August 3, 2010, from http://www.ers.usda.gov/publications/eib8/eib8.htm

  • U.S. Department of Health and Human Services. (1999). Mental health: A report of the Surgeon General—Executive summary. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.

    Google Scholar 

  • U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity—A supplement to Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.

    Google Scholar 

  • U.S. Department of Health and Human Services. (2003). Achieving the promise: Transforming mental health care in America (Pub. No. SMA-03-3832). Rockville, MD: President’s New Freedom Commission on Mental Health.

    Google Scholar 

  • U.S. Senate. (2007). 110th Congress, 1st Session, Amendment S. 2183 on Part H—Community-based mental health infrastructure improvements. Sec. 560, Grants for community-based mental health infrastructure improvements. Retrieved July 26, 2010, from http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=110_cong_bills&docid=f:s2183is.txt.pdf

  • Vega, W. A., & Lopez, S. R. (2001). Priority issues in Latino mental health services research. Mental Health Services Research 3, 189–200.

    Article  PubMed  CAS  Google Scholar 

  • Willis, E., Kabler-Babbitt, C., & Zuckerman, B. (2007). Early literacy interventions: Reach out and read. Pediatric Clinics of North America, 54(3), 625–642.

    Article  PubMed  Google Scholar 

Download references

Acknowledgment

We acknowledge the contributions to this chapter made by Latinos living in several rural communities of Illinois that have participated in our projects (Beardstown, Belvidere, Carbondale, Cobden, DeKalb, Effingham, Galesburg, Monmouth, Rochelle, Rockford), and to the Hispanic Health Advisory Committees in those communities. We are specially indebted to community leaders Benito Luna, Evaristo Rodriguez, José Acosta (Beardstown), Earl Mainland (Belvidere), Cathy Bless, Flora Chacón (Carbondale), Aurelia Zargoza (Cobden), Gilda Madrid, Tricia Wagner, Carla Raynor (DeKalb), Rosie Gibbons (Effingham), Tony Franklin (Galesburg), Al Kulczewski (Monmouth), Vicky Bross (Rochelle), and Pat Gomez and Ed Flores (Rockford).

Projects that informed portions of this chapter were funded by National Institutes of Health/National Center on Minority Health and Health Disparities(NIH/NCMHD) (Grant No. P20 MD0000524), Centers for Disease Control and Prevention (CDC) (Grant No. CDC U48/CDC U509661), National Association of Chronic Disease Directors (NACDD), and Excellence in Academic Medicine at the University of Illinois College of Medicine at Rockford (Grant No. G7111). We also acknowledge the support we received at various stages of our community work from Ben Mueller, Michael Glasser, and Carlos Aguero, as well as the valuable comments on earlier drafts of this manuscript provided by the editors (Drs. Buki and Piedra). Research assistance was provided by Emilio Araujo, Adriana Bautista, Isidro Gallegos, Sunanda Gupta, Brittney Lilly, Cindy Harper, Lora Oswald, Gloria Rincón, María Silva, Ellen Smith-Blokus, and Alejandra Valencia.

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Cristancho, S., Peters, K.E., Garcés, D. (2011). Latinos in Rural Areas: Addressing Mental Health Disparities in New Growth Communities. In: Buki, L., Piedra, L. (eds) Creating Infrastructures for Latino Mental Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9452-3_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-4419-9452-3_11

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-9451-6

  • Online ISBN: 978-1-4419-9452-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics