Rural Latino health and the built environment: a systematic review

Garrett Anderson Stone · Mariela Fernandez · Alondra DeSantiago

39 citations0/0 files storedEthnicity and Health

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Health disparities and outcomes Urban Transport and Accessibility Public Health and Social Inequalities

Abstract

Objective: This study systematically reviewed literature examining the influence of the rural built environment on Latinos’ health outcomes and behaviour in the United States. A secondary aim of the study was to identify strategies developed to address challenges in the rural built environment affecting Latinos’ health.Design: This study followed the reporting guidelines set forth by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Articles included in the final analysis clearly linked Latino health outcomes to characteristics of the rural built environment.Results: Of the nearly 2,500 articles identified in the initial search, the final review included approximately 146 full-text sources. The majority of the articles focused on aspects of Latinos’ physical (n = 68), behavioural (n = 43), and mental health (n = 23).Conclusions: Rural Latino neighbourhoods in the United States possess limited access to health care, internet, transportation, and recreation infrastructure, which negatively impacts health outcomes and behaviours. Strategies developed to mitigate these issues include but are not limited to: the use of telecommunications to distribute health information; the use of community health workers and mobile clinics to increase awareness and availability of select health services; the use of worksite trainings and adaptations to the workplace; and the promotion of safety net programmes, such as the Supplemental Nutrition Programme for Women, Infants and Children (WIC). This review supports the need for a more robust research agenda documenting the health experiences of rural Latinos of various nationalities, age groups, and genders.

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2009The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration 2008Built Environment Correlates of Walking 2000Methodological issues in grounded theory 2004Social Determinants of Health: Implications for Environmental Health Promotion 2003Creating Healthy Communities, Healthy Homes, Healthy People: Initiating a Research Agenda on the Built Environment and Public Health 2010The place of the literature review in grounded theory research 2006Delivery of Health Services to Migrant and Seasonal Farmworkers 2004Person and Place: The Compounding Effects of Race/Ethnicity and Rurality on Health

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