Leipert Beverly D, George Julie A
Faculty of Health Sciences, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
J Rural Health. 2008 Spring;24(2):210-8. doi: 10.1111/j.1748-0361.2008.00160.x.
The influences of gender and geography are increasingly being acknowledged as central to a comprehensive understanding of health. Since little research on rural women's health has been conducted, an in-depth qualitative approach is necessary to gain a better initial understanding of this population.
To explore the determinants of health and their influence on rural women's health.
From November 2004 to September 2005, 9 focus groups and 3 individual interviews were conducted in 7 rural southwestern Ontario communities. Sixty-five rural residents aged 26 years and older participated in the study. Semi-structured interview questions were used to elicit participants' perceptions regarding determinants of rural women's health.
Four Health Canada determinants (employment, gender, health services, and social environments) and 3 new determinants (rural change, rural culture, and rural pride) emerged as key to rural women's health.
Although health determinants affect both urban and rural people, this qualitative study revealed that rural women experience health determinants in unique ways and that rural residents may indeed have determinants of their health that are particular to them. More research is needed to explore the nature and effects of determinants of health for rural residents in general, and rural women in particular.
性别和地域的影响日益被视为全面理解健康的核心因素。由于针对农村妇女健康的研究较少，因此需要采用深入的定性研究方法，以便更好地初步了解这一人群。
探讨健康的决定因素及其对农村妇女健康的影响。
2004年11月至2005年9月，在安大略省西南部的7个农村社区进行了9次焦点小组讨论和3次个人访谈。65名年龄在26岁及以上的农村居民参与了该研究。采用半结构化访谈问题来获取参与者对农村妇女健康决定因素的看法。
加拿大卫生部确定的四个决定因素（就业、性别、卫生服务和社会环境）以及三个新的决定因素（农村变革、农村文化和农村自豪感）成为农村妇女健康的关键因素。
尽管健康决定因素对城市和农村人口都有影响，但这项定性研究表明，农村妇女以独特的方式体验健康决定因素，而且农村居民可能确实有其特有的健康决定因素。需要开展更多研究，以探讨一般农村居民尤其是农村妇女健康决定因素的性质和影响。
