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Women, Older Adult, and LGBTQ Populations with Disabilities in Rural, Frontier, and Territory Communities

  • Debra A. HarleyEmail author
  • Pamela B. Teaster
Chapter

Abstract

Individually and collectively, women, older adults, and LGBTQ populations with disabilities in rural communities face unique challenges that are gender, age, gender identity, gender expression, and disability specific. For some, the intersection of these and positionalities provides a framework for how to guide a meaningful approach to service delivery. In this chapter, we focus on barriers to employment and quality of life for women, older adults, and LGTBQ populations in rural, frontier, and territory communities. Information is presented on how community and cultural dispositions, perceptual attributes, and geographic remoteness influence a client’s responsiveness to vocational rehabilitation (VR) services and the counselor’s understanding of how to meet the unique needs and expectations of women, older adults, and LGBTQ populations. In general, people are living longer and staying in the workforce longer, and in some instances, with age comes increased disability.

Keywords

Aging Disability Elderly Gender identity Older adults Remote Rural Sexual orientation Women LGBTQ 

References

  1. Agency for Healthcare Research and Quality. (2011). Healthcare quality and disparities in women: Selected findings from the 2010 National Healthcare Quality and Disparities Reports. Publication No. AHRQ 11–0005. Rockville, MD: Author. Retrieved from http://www.ahrq.gov/research/womenqrdrfs2010.htm
  2. American Counseling Association. (2010). American counseling association competencies for counseling with transgender clients. Journal of LGBT Issues in Counseling, 4, 135–159.CrossRefGoogle Scholar
  3. Averill, J. B. (2012). Priorities for action in a rural older adults study. Family Community Health, 35(4), 358–372.CrossRefGoogle Scholar
  4. Baernholdt, M., Yan, G., Hinton, I., Rose, K., & Mattos, M. (2012). Quality of life in rural and urban adults 65 years and older: Findings from the National Health and nutrition examination survey. Journal of Rural Health, 28, 339–347.CrossRefGoogle Scholar
  5. Baker, D. P., Leon, J., Smith Greenaway, E. G., Collins, J., & Movit, M. (2011). The education effect on population health: A reassessment. Population and Development Review, 37(2), 307–332.Google Scholar
  6. Baker, K., & Krehely, J. (2012). How health care reform will help LGBT elders. Public Policy and Aging Report, 21(3), 19–23.CrossRefGoogle Scholar
  7. Balsam, K. F., & D’Augelli, A. R. (2006). The victimization of older LGBT adults: Patterns, impact, and implications for intervention. In D. Kimmel, T. Rose, & S. David (Eds.), Lesbian, gay, bisexual and transgendered aging: Research and clinical perspectives (pp. 110–130). New York, NY: Columbia University Press.Google Scholar
  8. Bennett, K. J., Lopes, J. E., Spencer, K., & van Hecke, S. (2013). Rural women’s health. National rural health association policy brief. Retrieved from http://www.ruralhealthweb.org/index.cfm?objectid=F5A503E1-3048
  9. Bolles, R. N. (2015). What color is your parachute? A practical manual for job-hunters and career-changers. New York, NY: Random House LLC.Google Scholar
  10. Breiding, M. J., Ziembroski, J. S., & Black, M. C. (2009). Prevalence of rural intimate partner violence in 16 US states, 2005. Journal of Rural Health, 25(3), 240–246.CrossRefGoogle Scholar
  11. Brothers, M. (2003, June). Not just ramps and braille: Disability and sexual orientation. In K. Zappone (Ed.), Rethinking identity: The Challenge of diversity (pp. 49–64). Ireland, Europe: Joint Equality and Human Rights Forum. Retrieved from http://www.ihrec.ie/download/pdf/rethinking_the_challenge_of_diversity.pdf
  12. Brown, D. L., & Glasgow, N. (2008). Rural retirement migration. Dordrecht, The Netherlands: Springer.Google Scholar
  13. Bull, C. N., Howard, D. M., & Bane, S. (1991). Challenges and solutions to the provision of programs and services to rural elders. National Resource Center for Rural Elderly. Retrieved from http://www.nal.usda.gov/
  14. Bull, C. N., Krout, J. A., Rathbone-McCuan, E., & Shreffler, M. J. (2008). Access and issues of equity in remote/rural areas. The Journal of Rural Health, 17(4), 356–359.CrossRefGoogle Scholar
  15. Carary, D. (2012, September). Gallup study: 3.5 percent of U.S. adults are LGBT. WTOP. Associate Press. Retrieved from http://www.wtop.com/?nid=893&sid=3083789
  16. Carstensen, M. (2008). Strengthening employment outcomes for rural women with disabilities. Impact, 21(1), 12–13.Google Scholar
  17. Center for Behavioral Health Statistics and Quality (Substance Abuse and Mental Health Service Administration). (2012). A comparison of rural and urban substance abuse treatment admission. Retrieved from http://www.samhsa.gov/data/2k12/TEDS_043/TEDSShortReport-43UrbanRuralAdmissions2012.htm
  18. Chung, W., & Rubin, S. E. (2008). Women with disabilities: Special issues in rehabilitation. In S. E. Rubin & R. T. Roessler (Eds.), Foundations of the vocational rehabilitation process (6th ed., pp. 459–482). Austin, TX: Pro Ed.Google Scholar
  19. Combs, G. (2006). Rural choice advantageous. Therapy Today, 17(1), 12.Google Scholar
  20. Comerford, S. A., Henson-Stroud, M., Sioainn, C., & Wheeler, E. (2004). Crone song: Voices of lesbian elders on aging in a rural environment. Affilia, 19(4), 418–436.CrossRefGoogle Scholar
  21. Coward, R. T., Davis, L. A., Gold, C. H., Smiciklas-Wright, H., Thorndyke, L. E., & Vondracek, F. W. (2005). Rural women’s health: Mental, behavioral, and physical issues. New York, NY: Springer.Google Scholar
  22. Crosby, R. A., Wendel, M. L., Vanderpool, R. C., & Casey, B. R. (Eds.). (2012). Rural populations and health: Determinants, disparities, and solutions. San Francisco, CA: Jossey-Bass.Google Scholar
  23. Curry, M. A., Powers, L. E., Oschwald, M., & Saxton, M. (2004). Development and testing of an abuse screening tool for women with disabilities. Journal of Aggression, Maltreatment and Trauma, 8(4), 123–141.CrossRefGoogle Scholar
  24. Cubanski, J., Huang, J., Damico, A., Jacobson, G., & Neuman, T. (2010). Medicare chart book 2010 (4th ed.). Report 8103. Retrieved from http://www.kff.org/medicare/upload/8103.pdf
  25. Datti, P. A. (2012). Counseling with rural lesbian, gay, bisexual, and transgender persons. In S. H. Dworkin & M. Pope (Eds.), Casebook for counseling lesbian, gay, bisexual, and transgender persons and their families (pp. 223–229). Alexandria, VA: American Counseling Association.Google Scholar
  26. D’Augelli, A. R. (2006). Coming out, visibility, and creating change: Empowering lesbian, gay, and bisexual people in a rural university community. American Journal of Community Psychology, 37, 203–210.CrossRefGoogle Scholar
  27. DesMeules, M., Turner, L., & Cho, R. (2004, August 25). Morbidity experiences and disability among Canadian women. BMC Women’s Health, 4(Suppl. 1), S10. Retrieved from http://www.biomedcentral.com/1472-6874/4/S1/S10
  28. Dimah, K. P., & Dimah, A. (2004). Elder abuse and neglect among rural and urban women. Journal of Elder Abuse and Neglect, 15(1), 75–93.CrossRefGoogle Scholar
  29. Disabled World. (2015, July 1). LGBT health: People with disabilities. Retrieved from http://www.disabled-world.com/disability/sexuality/lgbt-health.php
  30. Dispenza, F., Viehl, C., Sewell, M. H., Burke, M. A., & Gaudet, M. M. (2016). A model of affirmative intersectional rehabilitation counseling with sexual minorities: A grounded theory study. Rehabilitation Counseling Bulletin, 59(3), 143–157.CrossRefGoogle Scholar
  31. Dorfman, L. T., Mendes, E. C., & Osterhaus, J. K. (2009). Stress and resilience in the oral histories of rural older women. Journal of Women & Aging, 21, 303–316.CrossRefGoogle Scholar
  32. Duke, T. S. (2011). Lesbian, gay, bisexual, and transgender youth with disabilities: A meta-synthesis. Journal of LGBT Youth, 8(1), 1–52.CrossRefGoogle Scholar
  33. Elisaon, M. J., & Hughes, T. (2004). Treatment counselor’s attitudes about lesbian, gay, bisexual, and transgendered clients: Urban vs. rural settings. Substance Use & Misuse, 39(4), 625–644.CrossRefGoogle Scholar
  34. Enza, D., & Enza, G. (2002). Disabilities. Ontario women’s health status report (pp. 146–161). Ontario, Canada: Ontario Women’s Health Council.Google Scholar
  35. Farr, S. L., Bitsko, R. H., Hayes, D. K., & Dietz, P. M. (2010). Mental health and access to services among US women of reproductive age. American Journal of Obstetrics and Gynecology, 203(6), 542.e1–542.e9.CrossRefGoogle Scholar
  36. Fish, J. (2007). Disabled lesbian, gay and bisexual (LGB) people. Briefing 13. Ireland: Department of Health. Retrieved from http://www.pinktherapy.com/portals/0/Downloadables/Intersecting/NHS_Disabled_LGB.pdf
  37. Fredriksen-Goldsen, K., Kim, H. J., Emlet, C. A., Muraco, A., Erosheva, E. A., Hoy-Ellis, C. P., … Petry, H. (2012). The aging and health report: Disparities and resilience among lesbian, gay, bisexual, and transgender older adults. Retrieved from http://caringandaging.org/wordpress/wp-content/uploads/2012/10/Full-report10-25-12.pdf
  38. Fries, J. F. (2002). Reducing disability in older age. [editorial]. Journal of the American Medical Association, 288(24), 3164–3166.CrossRefGoogle Scholar
  39. Gay and Lesbian Medical Association. (2010). Health people 2010: Companion document for lesbian, gay, bisexual, and transgender (LGBT) health. San Francisco, CA: Author.Google Scholar
  40. Glasgow, N., & Berry, E. H. (2013). Rural aging in twenty-first century America. Dordrecht, The Netherlands: Springer.CrossRefGoogle Scholar
  41. Glasgow, N., & Brown, D. L. (2012). Rural aging in the United States: Trends and contexts. Journal of Rural Studies, 28, 422–431.CrossRefGoogle Scholar
  42. Gray, B., & Gash, M. (2014, August). Exploring issues of resilience with women in rural Burkina Faso: A formative research brief. Consultative Group to Assist the poor Clients at the Center Financial Inclusion Research Working Paper. Retrieved from http://www.fredomfromhunger.org/sites/default/files/documents/FFH_ExploringResilience_Formative_Research_Brief/Eng.pdf_Eng
  43. Griffin, L. (1994). Elder maltreatment among rural African-Americans. Journal of Elder Abuse & Neglect, 6(1), 1–27.CrossRefGoogle Scholar
  44. Grymonpre, R. E., & Hawranik, P. G. (2008). Rural residence and prescription medication use by community-dwelling older adults: A review of the literature. Journal of Rural Health, 24(2), 203–209.CrossRefGoogle Scholar
  45. Gugliucci, M. R., Weaver, S. A., Kimmel, D. C., LittleAeld, M., Hollander, L., & Hennessy, J. (2013). Gay, lesbian, bisexual and transgender (GLBT) aging in Maine: Community needs assessment-2012 survey and focus group report. AARP. Retrieved from http://www.Maine4a.org/image_upload/AARP-SAGE-GLBT-Report-2013-pdf.pdf
  46. Harley, D. A. (2016a). LGBT elders in rural settings, small towns, and frontier regions. In D. A. Harley & P. B. Teaster (Eds.), Handbook of LGBT elders: An interdisciplinary approach to principles, practices, and policies (pp. 493–511). Switzerland, Europe: Springer.CrossRefGoogle Scholar
  47. Harley, D. A. (2016b). Disability and chronic illness among LGBT elders: Responses of medicine, public health, rehabilitation, and social work. In D. A. Harley & P. B. Teaster (Eds.), Handbook of LGBT elders: An interdisciplinary approach to principles, practices, and policies (pp. 619–635). Switzerland, Europe: Springer.CrossRefGoogle Scholar
  48. Harley, D. A., Hall, M., & Savage, T. A. (2000). Working with gay and lesbian consumers with disabilities: Helping practitioners understand another frontier of diversity. Journal of Applied Rehabilitation Counseling, 31(1), 4–11.Google Scholar
  49. Harley, D. A., Stansbury, K. L., Nelson, M., & Espinosa, C. (2014). A profile of rural African American lesbian elders: Meeting their needs. In H. F. O. Vakalahi, G. M. Simpson, & N. Giunta (Eds.), The collective spirit of aging across cultures (pp. 133–155). Dordrecht, The Netherlands: Springer.CrossRefGoogle Scholar
  50. Harper, M. (2001). Rural diversity: Focus on reproductive issues panel 3: Speaker 2. Women’s Health Issues, 11(1), 50–55.CrossRefGoogle Scholar
  51. Harper, A., Finnerty, P., Martinez, A., Brace, A., Crethar, H. C., Loos, B., … Hammer, T. R. (2013). Association for Lesbian, Gay, Bisexual, and Transgender Issues in Counseling competencies for counseling with lesbian, gay, bisexual, queer, questioning, intersex, and ally individuals. Journal of LGBT Issues in Counseling, 7(1), 2–43.Google Scholar
  52. Hartman, R. M., & Weierbach, F. M. (2013, February). Rural health congress: Elder health in rural America.National Rural Health Association. Retrieved from www.ruralhealthweb.org
  53. Hassouneh-Phillips, D., McNeff, E., Powers, L. E., & Curry, M. (2005). Invalidation: A central process underlying maltreatment of women with disabilities. Women and Health, 41(1), 33–50.CrossRefGoogle Scholar
  54. Hastings, S. L., & Hoover-Thompson, A. (2011). Effective support for lesbians in rural communities: The role of psychotherapy. Journal of Lesbian Studies, 15(2), 197–204.CrossRefGoogle Scholar
  55. Hayward, M. D., & Gorman, B. K. (2004). The long arm of childhood: The influence of early-life social conditions on men’s mortality. Demography, 41(1), 87–107.CrossRefGoogle Scholar
  56. He, W., & Larsen, L. J. (2014, December). Older Americans with a disability: 2008–2012. U. S. Census Bureau, American Community Survey Reports. ACS-29. Washington, DC: U.S. Government Printing Office.Google Scholar
  57. Hughes, A., Harold, R. D., & Boyer, J. M. (2011). Awareness of LGBT aging issues among aging services network providers. Journal of Gerontological Social Work, 54(7), 659–677.CrossRefGoogle Scholar
  58. Hess, C., Mill, J., Hayes, J., Hegewisch, A., Phil, M., Mayayeva, Y., … Augeri, J. (2015). The status of women in the states: 2015. Institute for Washington, DC: Women’s Policy Research. Retrieved from http://www.iwpr.org/publications/pubs/the-status-of-women-in-the-states-2015-full-report/at_download/file
  59. Hicken, B. L., Smith, D., Luptak, M., & Hill, R. D. (2013). Health and aging in rural America. In J. Warren & B. Smalley (Eds.), Rural public health (pp. 241–254). New York, NY: Springer.Google Scholar
  60. Hillemier, M. M., Weisman, C. S., Chase, G. A., & Dyer, A. (2008). Mental health status among rural women of reproductive age: Findings from the central Pennsylvania women’s health study. American Journal of Public Health, 98(7), 1271–1279.CrossRefGoogle Scholar
  61. Hollomotz, A. (2011). Learning difficulties and sexual vulnerability. Philadelphia, PA: Jessica Kingsley Publishers.Google Scholar
  62. Housing Assistance Council. (2012, June). Rural research brief: Poverty in rural America. Retrieved from http://www.ruralhome.org/storage/research_notes/rrn_poverty.pdf
  63. Hughes, R. B., Nosek, M. A., & Robinson-Whelen, S. (2007). Correlates of depression in rural women with physical disabilities. Journal of Gynecological Neonatal Nursing, 36(1), 105–114.CrossRefGoogle Scholar
  64. Hughes, R., & University of Montana Rural Institute. (2007). Rural women with disabilities and depression. Part one: Characteristics and treatment patterns. Health and Wellness. Paper 34. Retrieved from http://scholarworks.umt.edu/ruralinst_health_wellness/34
  65. Hummer, R. A., & Hernandez, E. M. (2013). The effects of educational attainment on adult mortality in the United States. Population Bulletin, 68(1), 1–20.Google Scholar
  66. Hutchison, L., Hawes, C., & Williams, L. (2004). Access to quality health services in rural areas: Long-term care. Retrieved from http://www.srph.tamhsc.edu/centers/rhp2010/Volume_3/Vol3Ch1OV.htm
  67. Iezzoni, L. I., Killeen, M. B., & O’Day, B. (2006). Rural residents with disabilities confront substantial barriers to obtaining primary care. Health Services Research, 41(4), 1258–1275.Google Scholar
  68. Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, DC: The National Academies Press. Retrieved from http://www.iom.edu/reports/2011/The-Health-of-Lesbian-Gay-Bisexual-and-Transgender-People.aspxx
  69. Ipsen, C., Swicegood, G., Colling, K., Rigles, B., & Asp, C. (2014). Rural and urban differences in VR caseloads and delivery practices. Missoula, MT: The University of Montana Rural Institute.Google Scholar
  70. Kampfe, C. M., Harley, D. A., Wadsworth, J. S., & Smith, S. M. (2007). Methods and materials for infusing aging issues into rehabilitation curriculum. Rehabilitation Education, 21(2), 107–116.CrossRefGoogle Scholar
  71. Kazyak, E. (2011). Disrupting cultural selves: Constructing gay and lesbian identities in rural locales. Quarterly Sociology, 34, 561–581.CrossRefGoogle Scholar
  72. Kettaneh, A. A., Kinyanjui, B., Slevin, J. R., Slevin, B., & Harley, D. A. (2015). Inclusion of aging in rehabilitation counseling journals 2000–2012: A content analysis. Rehabilitation Research, Policy, and Education, 29(1), 75–87.CrossRefGoogle Scholar
  73. Kim, R. (2009). A report on the status of gay, lesbian, bisexual and transgender people in education: Stepping out of the closet into the light. Washington, DC: National Education Association.Google Scholar
  74. King, D. E., Matheson, E., Chirina, S., Shankar, A., & Broman-Fulks, J. (2013). The status of baby boomers’ health in the United States-the healthiest generation? JAMA Internal Medicine, 173(5), 385–386.CrossRefGoogle Scholar
  75. Kosciw, J. G., Greytak, E. A., Bartkiewicz, M. J., Boesen, M. J., & Palmer, N. A. (2012). The 2011 National School Climate Survey: The experiences of lesbian, gay, bisexual, and transgender youth in our nation’s schools. New York, NY: Gay, Lesbian & Straight Education Network.Google Scholar
  76. Krout, J. A., & Hash, K. M. (2015). What is rural? Introduction to aging in rural places. In K. M. Hash, E. T. Jurkowski, & J. A. Krout (Eds.), Aging in rural places: Policies, programs, and professional practice. New York, NY: Springer.Google Scholar
  77. Kumar, V., Acanfora, M., Hennessy, C. H., & Kalache, A. (2001). Health status of rural elderly. Journal of Rural Health, 17(4), 328–331.CrossRefGoogle Scholar
  78. Laditka, J. N., Laditka, S. B., Olatosi, B., & Elder, K. T. (2005). Disability burdens among older Americans associated with gender and race/ethnicity in rural and urban areas. Columbia, SC: South Carolina Rural Health Research center.Google Scholar
  79. Lee, M. G., & Quam, J. K. (2013). Comparing supports for LGBT aging in rural versus urban areas. Journal of Gerontological Social Work, 56(2), 112–126.CrossRefGoogle Scholar
  80. Lekan, D. (2009). Sojourner syndrome and health disparities in African American women. Annuals of Advance Nurse Science, 32(4), 307–321.CrossRefGoogle Scholar
  81. Lin, G. (2000). Regional assessment of elderly disability in the U.S. Social Science Medicine, 50(7–8), 1015–1024.CrossRefGoogle Scholar
  82. Martin, L. G., & Schoeni, R. F. (2012, May 17–18). Trends in disability and related chronic conditions among the forty-and-over population: 1997–2010. Presented at an interagency conference sponsored by the Administration for Community Living, U.S. Department of Health and Human Services, National Institute on Aging at the National Institutes of health, National Institute on Disability and Rehabilitation Research, U.S. Department of Education, and the Interagency Committee on Disability Research, and organized by the Center for Aging and Policy Studies at Syracuse University and the Michigan Center on the Demography of Aging at the University of Michigan.Google Scholar
  83. McManus, P., Walmsley, J., Argent, N., Baum, S., Bourke, L., Martin, J., Pritchard, B., & Sorensen, T. (2011). Rural community and rural resilience: What is important to farmers in keeping their country towns alive. Journal of Rural Studies, 28(1), 20–29.CrossRefGoogle Scholar
  84. Montez, J. K. (2012). Educational attainment and adult mortality in the United States: A systematic analysis of functional form. Demography, 49(1), 315–336.CrossRefGoogle Scholar
  85. Montgomery, M. R., Stren, R., Cohen, B., & Reed, H. (Eds.). (2003). Panel on urban population dynamics: Cities transformed: Demographic change and its implications in the developing world. Washington, DC: National Academics Press.Google Scholar
  86. Mulder, P. L., Shellenberger, S., Streiegel, R., Jumper-Thurman, P., Danda, C. E., Kenkel, M. B., … Hager, A. (2000). The behavioral health care needs of rural women: An APA report to congress. Washington, DC: American Psychological Association. Retrieved from https://www.apa.org/pubs/reports/rural-women.pdf
  87. Murtagh, K. N., & Hubert, H. B. (2004). Gender differences in physical disability among an elderly cohort. American Journal of Public Health, 94(8), 1406–1411.CrossRefGoogle Scholar
  88. Nannini, A. (2006). Sexual assault patterns among women with and without disabilities seeking survivor services. Women’s Health Issues, 16(6), 372–379.CrossRefGoogle Scholar
  89. National Advisory Committee on Rural Health and Human Services. (2008). The 2008 report to the secretary: Rural health and human services issues. Washington, DC: Author.Google Scholar
  90. Nelson, J. A., & Gingerich, B. S. (2010). Rural health: Access to care and services. Home Health Care Management & Practice, 22(5), 339–343.CrossRefGoogle Scholar
  91. North Carolina Rural Health Research and Policy Analysis Center. (2009). State profiles of Medicaid & CHIP in rural and urban areas. Chapel Hill, NC: Author.Google Scholar
  92. Nosek, M. A., Foley, C. C., Hughes, R. B., & Howland, C. A. (2001). Vulnerabilities for abuse toward women with disabilities. Special Issue: Sexuality and Disability, 19(3), 177–189.Google Scholar
  93. Nosek, M. A., & Howland, C. (1998, February). Abuse and women with disabilities. Harrisburg, PA: VAWnet, a project of the National Resource Center on Domestic Violence/Prevention/Pennsylvania Coalition Against Domestic Violence. Retrieved from http://www.vawnet.org
  94. Nosek, M. A., Howland, C., Rintala, D. H., Young, M. E., & Chanpong, G. F. (2001). National study of women with physical disabilities: Final report. Sexuality & Disability, 19(1), 26.Google Scholar
  95. Nosek, M. A., Hughes, R. B., Taylor, H. B., & Taylor, P. (2006). Disability, psychosocial, and demographic characteristics of abused women with physical disabilities. Violence Against Women, 12(9), 838–850.CrossRefGoogle Scholar
  96. Oberoi, A. K., Balcazar, F., Suarez-Balcazar, Y., Lanfi, F. L. F. G., & Lukyanvoa, V. (2015). Employment outcomes among African American and white women with disabilities: Examining the inequities. Women, Gender, and Families of Color, 3(2), 144–164.CrossRefGoogle Scholar
  97. O’Day, B., & Foley, S. (2008). What do we know, and not know, about women with disabilities in the workforce? Impact, 21(1), 4–5.Google Scholar
  98. Oswald, R. (2002). Who am I in relation to them? Gay, lesbian, and queer people leave the city to attend rural family weddings. Journal of Family Issues, 23(3), 323–348.CrossRefGoogle Scholar
  99. Oswald, R. F., & Culton, L. S. (2003). Under the rainbow: Rural gay life and its relevance for family providers. Family Relations, 52, 72–81.CrossRefGoogle Scholar
  100. Palmer, N. A., Kosciw, J. G., & Bartkiewicz, M. J. (2012). Strengths and silences: The experiences of lesbian, gay, bisexual, and transgender students in rural and small town schools. New York, NY: Gay, Lesbian & Straight Education Network. Retrieved from http://www.gisen.org/sites/default/files/Strengths%26Silences.pdf
  101. Parent, W. (2008). Thinking outside the box: Competitive employment for women with severe disabilities. Impact, 21(1), 14–15.Google Scholar
  102. Peek-Asa, C., Wallis, A., Harland, K., Beyer, K., Dickey, P., & Saftlas, A. (2011). Rural disparity in domestic violence prevalence. Journal of Women’s Health, 20(11), 1743–1749.CrossRefGoogle Scholar
  103. Porell, F. W., & Miltiades, H. B. (2002). Regional differences in functional status among the aged. Social Science Medicine, 54(8), 1181–1198.CrossRefGoogle Scholar
  104. Powers, L. E., Hughes, R. B., & Lund, E. M. (2011). Interpersonal violence and women with disabilities: A research update. Harrisburg, PA: VAWnet, a project of the National Resource Center on Domestic Violence/Pennsylvania Coalition Against Domestic Violence. Retrieved from http://www.vawnet.org/applied-research-papers/print-document.php?doc_id=2077
  105. Quintana, N. S., & Rosenthal, J. (2010). On the street: Federal response to gay and transgender homeless youth. Washington, DC: Center for American Progress.Google Scholar
  106. Rowan, N. L., Giunta, N., Grudowski, E. S., & Anderson, K. A. (2013). Aging well and gay in rural America: A case study. Journal of Gerontological Social Work, 56(3), 185–200.CrossRefGoogle Scholar
  107. Rural Policy Research Institute. (2006). Medicaid and its importance to rural health. Columbia, MO: University of Missouri.Google Scholar
  108. Redfoot, D., Feinberg, L., & Houser, A. (2013). The aging of the baby boom and the growing care gap: a look at future declines in the avialability of family caregivers. Washington, DC: AARP Public Policy Institute. Retrieved from www.aarp.org/content/dam/aarp/research’publi_policy_institute/ltc/2013/baby-boom-and-the-growing-care-gapinsightr-AARP-ppi-ltc.pdf
  109. Sawyer, D., Gale, J., & Lambert, D. (2006). Rural and frontier mental and behavioral health care: Barriers, effective policy strategies, best practices. Retrieved from http://www.narmh.org/pages/Rural%20and%20Frontier.pdf
  110. Saxton, M., McNeff, E., Powers, L. E., Curry, M. A., Limont, M., & Benson, J. (2006). We are all little John Waynes: A study of disabled men’s experiences of abuse by personal assistants. The Journal of Rehabilitation, 72(4), 3–13.Google Scholar
  111. Sears, B., & Mallory, C. (2015). Employment discrimination against LGBT people: Existence and impact. In C. M. Duffy & D. M. Visconti (Eds.), Gender identity and sexual orientation discrimination in the workplace: A practical guide (40-1-40-19). Arlington, VA: Bloomberg BNA.Google Scholar
  112. Seekins, T. & Associates. (2011). The future of disability and rehabilitation in rural communities. Missoula, MN: The Research and Training Center on Disability in Rural Communities, University of Montana.Google Scholar
  113. Smith, D. L., & Alston, R. J. (2008). Employment disparities for minority women with disabilities. Impact, 21(1), 16–17.Google Scholar
  114. Smith, D. L., & Strauser, D. R. (2008). Examining the impact of physical and sexual abuse on the employment of women with disabilities in the United States: An exploratory analysis. Disability and Rehabilitation, 30(14), 1039–1046.CrossRefGoogle Scholar
  115. Son, S., Dyk, P. H., Bauer, J. W., & Katras, M. J. (2011). Barriers to employment among low-income mothers in rural United States communities. International Journal of Human Ecology, 12, 37–49.CrossRefGoogle Scholar
  116. Stone, M. J., & Bédard, M. (2002). Higher thresholds for elder abuse with age and rural residence. Canadian Journal of Aging/LaRevue canadienne du vieillissement, 21(4), 577–586.CrossRefGoogle Scholar
  117. Sue, D. W., & Sue, D. (2013). Counseling the culturally diverse: Theory and practice (6th ed.). Hoboken, NJ: Wiley.Google Scholar
  118. Szalda-Petree, A., Seekins, T., & Innes, W. (2000). Women with disabilities: Employment, income and health. The prevention connection IV (p. 5). Missoula, MT: University of Montana Rural Institute on Disabilities.Google Scholar
  119. Talbot, J. A., & Coburn, A. F. (2013, June). Challenges and opportunities for improving mental health services in rural long-term care. Working Paper #50. Maine Rural Health Research Center, Cutler Institute for Health and Social Policy, Muskie School of Public Service, University of Maine. Retrieved from http://www.muskie.usm.maine.edu/Publications/MRHRC/WP50-Rural-Mental-Health-Services-LTC.pdf
  120. Teaster, P. B., & Sokan, A. E. (2016). Mistreatment and victimization of LGBT elders. In D. A. Harley & P. B. Teaster (Eds.), Handbook of LGBT elders: An interdisciplinary approach to principles, practices, and policies (pp. 343–357). New York, NY: Springer.CrossRefGoogle Scholar
  121. Thurston, W. E., Leach, B., & Leipert, B. (2012). Rural women’s health. Toronto, Canada: University of Toronto Press.Google Scholar
  122. Toner, J. A., Ferguson, K. D., & Sokal, R. D. (2009). Continuing interprofessional education in geriatrics and gerontology in medically underserved areas. Journal of Continuing Education in the Health Professions, 29(3), 157–160.CrossRefGoogle Scholar
  123. TUC Guide. (2013). LGBT equality at work (3rd ed.) Retrieved from http://www.tuc.org.uk/sites/default/files/lgbt/tucfiles/lgbt_equality_at_work_2013_online.pdf
  124. U.S. Census Bureau. (2010a). 2010 urban and rural classification. Retrieved from http://www.census.gov/geo.reference/urban-rural-2010.html
  125. U.S. Census Bureau. (2010b). American Community Survey 5-year estimates, Table DP05. American FactFinder website. Retrieved from http://factfinder2.census.gov.
  126. U.S. Census Bureau. (2010c). American community survey 3-year estimates, Table B18101. American FactFinder website. Retrieved from http://factfinder2.census.gov
  127. U.S. Census Bureau. (2010d). Profile of general population and housing characteristics: 2010, Table DP-1. American Factfinder website. Retrieved from http://factfinder2.census.gov
  128. U.S. Department of Agriculture. (2010). Rural income, poverty, and welfare: Poverty demographics. Economic Research Service website. Retrieved from http://www.webarchives/cdlib.org/sw1rf5mh0k/; http://www.ers.usda.gov/Briefing/IncomePovertyWelfare/PovertyDemographics.htm
  129. U.S. Department of Agriculture. (2012, June 15). Rural income, poverty, and welfare: Poverty demographics. Economic Research Service website. Retrieved from http://webarchives.cdlib.org/sw1rf5mh0k/http://www.ers.usda.gov/Briefing/IncomePovertyWelfare/PovertyDemographics.htm
  130. U.S. Department of Agriculture. (2013, September30). Geography of poverty. Retrieved From http://www.ers.usda.gov/topics/rural-economy-population/rural-poverty-well-being/geography-of-poverty.aspx
  131. U.S. Department of Health and Human Services. (2007). Definition of rural. Retrieved from http://www.hrsa.gov/rurhealth/policy/definition-of-rural.html
  132. U.S. Department of Health and Human Services, Health Resources and Services Administration. (2012). Designated health professional shortage areas (HPSA) statistics. Washington, DC: Office of Shortage Designation.Google Scholar
  133. U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. (2013). Women’s health USA 2012. Rockville, MD: U.S. Department of Health and Human Services.Google Scholar
  134. U.S. Administration on Aging. (2007). Aging and disability in America: 2007. Washington, DC: U.S. Department of health and Human Services. Retrieved from https://www.acl.gov/sites/default/files/AgingandDisabilityinAmerica/2007profile.pdf
  135. Vlahov, D., Galea, S., & Freudenberg, N. (2005). The urban health advantage. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 82(1), 1–4.CrossRefGoogle Scholar
  136. von Reichert, C., Greiman, L., Myers, A. (2014). The geography of disability in America: On rural-urban differences in impairment rates. Independent Living and Community Participation. Paper 7. Retrieved from http://scholarworksumt.edu/ruralinst_independent_living_community_participation/7
  137. Warner, D., & Brown, T. H. (2011). Understanding how race/ethnicity and gender define age-trajectories of disability: An intersectionality approach. Social Science & Medicine, 72(8), 1236. doi: 10.1016/j.socscimed.2011.01.034.CrossRefGoogle Scholar
  138. Weber, B. A. (2007). Rural poverty: Why should states care and what can state policy do? The Journal of Regional Analysis & Policy, 37(1), 48–52.Google Scholar
  139. Weeks, L. E., Macquarrie, C., Begley, L., Gill, C., & Leblanc, K. D. (2016). Strengthening resources for midlife and older rural women who experience intimate partner violence. Journal of Women & Aging, 28(1), 46–57.CrossRefGoogle Scholar
  140. Wei, W., Findley, P. A., & Sambamoorthi, U. (2006). Disability and receipt of clinical preventive services among women. Women’s Health Issues, 16(6), 286–296.CrossRefGoogle Scholar
  141. Wells, M. (2010). Resilience in older adults living in rural, suburban, and urban areas. Online Journal of Rural Nursing & Health Care, 10(2), 45–54.Google Scholar
  142. Wienke, C., & Hill, C. J. (2013). Does place of residence matter? Rural-urban differences and the wellbeing of gay men and lesbians. Journal of Homosexuality, 60, 1256–1279.CrossRefGoogle Scholar
  143. World Health Organization. (n.d.). Mental health: Gender and women’s mental health. Retrieved from http://www.who.int/mental_health/prevention/genderwomen/en/
  144. Xu, T., & Borders, T. F. (2003). Characteristics of rural elderly people who bypass local pharmacies. Journal of Rural Health, 19(2), 156–164.CrossRefGoogle Scholar
  145. Yarbrough, D. G. (2003). Gar adolescents in rural areas: Experiences and coping strategies. In M. Sullivan (Ed.), Sexual minorities: Discrimination, challenges, and development in America (pp. 129–144). New York, NY: Haworth Social Work Practice Press.Google Scholar
  146. Ziembroski, J. S., & Hauck, E. L. (2004). The cumulative effect of rural and regional residence upon the health of older adults. Working Paper 04–07. Retrieved from http://www.rupi.org/Forms?WP0407.pdf

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Early Childhood, Special Education, and Rehabilitation CounselingUniversity of KentuckyLexingtonUSA
  2. 2.Center for Gerontology (0555)Virginia Tech UniversityBlacksburgUSA

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