Machine generated contents note: -- Foreword / by H. Jack GeigerIntroduction -- From South Africa to Mississippi -- Community Organizing -- Delivering Health Care -- Environmental Factors -- The Farm Co-op -- Conflict and Change -- Epilogue -- Bibliography

Winner of the 2009 Ruth Benedict Prize for Outstanding Monograph from the Society of Lesbian and Gay Anthropologists Winner of the 2010 Distinguished Book Award from the American Sociological Association, Sociology of Sexualities Section Winner of the 2010 Congress Inaugural Qualitative Inquiry Book Award Honorable Mention An unprecedented contemporary account of the online and offline lives of rural LGBT youth From Wal-Mart drag parties to renegade Homemaker’s Clubs, Out in the Country offers an unprecedented contemporary account of the lives of today’s rural queer youth. Mary L. Gray maps out the experiences of young people living in small towns across rural Kentucky and along its desolate Appalachian borders, providing a fascinating and often surprising look at the contours of gay life beyond the big city. Gray illustrates that, against a backdrop of an increasingly impoverished and privatized rural America, LGBT youth and their allies visibly—and often vibrantly—work the boundaries of the public spaces available to them, whether in their high schools, public libraries, town hall meetings, churches, or through websites. This important book shows that, in addition to the spaces of Main Street, rural LGBT youth explore and carve out online spaces to fashion their emerging queer identities. Their triumphs and travails defy clear distinctions often drawn between online and offline experiences of identity, fundamentally redefining our understanding of the term ‘queer visibility’ and its political stakes. Gray combines ethnographic insight with incisive cultural critique, engaging with some of the biggest issues facing both queer studies and media scholarship. Out in the Country is a timely and groundbreaking study of sexuality and gender, new media, youth culture, and the meaning of identity and social movements in a digital age.

Two sociologists reveal how small towns in Middle America are exporting their most precious resource—young people—and share what can be done to save these dwindling communities In 2001, with funding from the MacArthur Foundation, sociologists Patrick J. Carr and Maria J. Kefalas moved to Iowa to understand the rural brain drain and the exodus of young people from America’s countryside. They met and followed working-class “stayers”; ambitious and college-bound “achievers”; “seekers,” who head off to war to see what the world beyond offers; and “returners,” who eventually circle back to their hometowns. What surprised them most was that adults in the community were playing a pivotal part in the town’s decline by pushing the best and brightest young people to leave. In a timely, new afterword, Carr and Kefalas address the question “so what can be done to save our communities?” They profile the efforts of dedicated community leaders actively resisting the hollowing out of Middle America. These individuals have creatively engaged small town youth—stayers and returners, seekers and achievers—and have implemented a variety of programs to combat the rural brain drain. These stories of civic engagement will certainly inspire and encourage readers struggling to defend their communities.

What happens to rural communities when their traditional economic base collapses? When new money comes in, who gets left behind? Pushed Out offers a rich portrait of Dover, Idaho, whose transformation from “thriving timber mill town” to “economically depressed small town” to “trendy second-home location” over the past four decades embodies the story and challenges of many other rural communities. Sociologist Ryanne Pilgeram explores the structural forces driving rural gentrification and examines how social and environmental inequality are written onto these landscapes. Based on in-depth interviews and archival data, she grounds this highly readable ethnography in a long view of the region that takes account of geological history, settler colonialism, and histories of power and exploitation within capitalism. Pilgeram’s analysis reveals the processes and mechanisms that make such communities vulnerable to gentrification and points the way to a radical justice that prioritizes the economic, social, and environmental sustainability necessary to restore these communities.

'Out in the Rural' is the unlikely story of the Tufts-Delta Health Center, which in 1966 opened in Mound Bayou, Mississippi, to become the first rural community health center in the United States. Its goal was simple: to provide health care and outreach to the region's thousands of rural poor, most of them black sharecroppers who had lived without any medical resources for generations. In 'Out in the Rural', historian Thomas J. Ward explores the health center's story alongside the remarkable life of its founder, Dr. H. Jack Geiger. A former teenage runaway, through a serendipitous turn of events he was befriended and taken in by the actor and Harlem Renaissance icon Canada Lee. Lee would later loan Geiger money for college, and after stints as a journalist and Merchant Marine, Geiger attended medical school and became a physician. Geiger's personal history brings a profound human element to what was accomplished deep in the Mississippi Delta. In addition to providing medical care, the staff of the Tufts-Delta Health Center worked upstream to address the fundamental determinants of health-factors such as education, poverty, nutrition, and the environment-and ask the question, "What does it take to stay healthy?" Equal parts social history and personal history, 'Out in the Rural' is a story of both community health and of a stranger's kindness and determination to bring health care to areas out of reach"--Provided by publisher.

"[A] welcome addition to the rural health care practitioner's tool kit. It will energize those interested in vulnerable rural residents and their unique characteristics through a public health perspective... Highly recommended."--CHOICE: Current Reviews for Academic Libraries "This call to action for healthcare providers is a comprehensive review of issues in rural healthcare, including both obstacles and ways to begin to overcome them. It is easy to read... This enjoyable book encourages healthcare providers working or considering working in rural healthcare with clear direction."--Doody's Medical Reviews "The Warren & Smalley book is an excellent look at the challenges while also presenting solutions and hope. It recognizes the medical challenges that are present and the cost of bring medical care to these communities... There is so much in this book that will be refreshing and encouraging. The book needs to be read. It is also a book that needs to be placed in the hands of the movers and shakers, as well other interested parties who are in a position to 'make this happen.'" -- Illness, Crisis & Loss Rural residents face distinct health challenges due to economic conditions, cultural/behavioral factors, and health provider shortages that combine to impose striking disparities in health outcomes among rural populations. This comprehensive text about the issues of rural public health is the only book to focus on rural health from the perspectives of public health and prevention. It covers specific diseases and disorders faced by rural populations, service delivery challenges, practitioner shortfalls in rural areas, and promising community health approaches and preventive measures. The text also addresses rural health care ethics and international perspectives. Nearly all chapters offer best practice recommendations and evidence-based prevention programs. This book is a cohesive, centralized resource for researchers, public health practitioners, health organizations, and graduate education programs that focus on the public health of rural populations. Key Features: Comprises the only text to address rural health from the perspectives of public health and prevention Includes best practice recommendations and evidence-based prevention programs in each chapter Presents a cohesive, expansive synthesis of current research and practice Addresses specific diseases and disorders of rural populations, service delivery problems, and practitioner shortfalls in rural areas Discusses promising community health approaches and preventative measures

Booklist Editors’ Choice “Best Books of 2019” An intimate portrait of the joys and hardships of rural life, as one man searches for community, equality, and tradition in Appalachia Charles D. Thompson, Jr. was born in southwestern Virginia into an extended family of small farmers. Yet as he came of age he witnessed the demise of every farm in his family. Over the course of his own life of farming, rural education, organizing, and activism, the stories of his home place have been his constant inspiration, helping him identify with the losses of others and to fight against injustices. In Going Over Home, Thompson shares revelations and reflections, from cattle auctions with his grandfather to community gardens in the coal camps of eastern Kentucky, racial disparities of white and Black landownership in the South to recent work with migrant farm workers from Latin America. In this heartfelt first-person narrative, Thompson unpacks our country’s agricultural myths and addresses the history of racism and wealth inequality and how they have come to bear on our nation’s rural places and their people.