| Popis: |
Scholars are engaged in active discussion about the underlying causes of poor health outcomes in the Appalachian region. One view is that cultural factors and traditions maintained over generations lead to unhealthy lifestyles and the inappropriate use or underuse of health services.1 A different perspective points to a structural basis; that is, the roots of Appalachia's health problems lie in systemic characteristics, particularly those related to power and how- and by whom-decisions are made. At the same time, this view recognizes that population and social factors play a role.2 Poverty, lack of jobs, illiteracy, inadequate education, poor housing, lack of public transportation, and lack of social support contribute to poor health in the region.3. |
