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Rural–urban mental health disparities in the United States during COVID-19.

Nicole Summers

2020Psychological Trauma Theory Research Practice and Policy121 citationsDOI

Abstract

The United States has more confirmed deaths from coronavirus 2019 (COVID-19) than any other country in the world. State governors made decisions around social distancing in their jurisdictions, which caused schools and businesses to close. Those with broadband access continued a sense or normalcy in their lives. However, for the more than 20 million people who do not have broadband access, a different set of barriers has been experienced. These challenges are especially prominent in rural communities throughout various states. The present commentary addresses how health disparities for preexisting conditions place rural residents at greater risk for morbidity during COVID-19. Reasons for physical and mental health disparities, such as limited access to hospitals or specialty providers (e.g., psychiatrists), are described. Whereas telehealth is promoted as a way to meet health access needs, especially during a pandemic, this luxury is not readily available for all U.S. residents. Recent actions brought about by the government (e.g., the CARES Act) have tried to address the rural-urban gap in telehealth, but more is needed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Topics & Concepts

Coronavirus disease 2019 (COVID-19)2019-20 coronavirus outbreakMental healthSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Health equityEnvironmental healthGeographyEconomic growthMedicineVirologyHealth careEconomicsPsychiatryOutbreakInfectious disease (medical specialty)DiseasePathologyTelemedicine and Telehealth ImplementationCOVID-19 and healthcare impactsCOVID-19 and Mental Health