Wellness and Prevention
Particular structural factors in rural areas present obstacles to rural residents seeking health services and wellness programs. Structural factors related to obesity in rural areas include lack of nutrition education, decreased access to nutritionists, fewer physical education classes in schools, and fewer wellness facilities.
Rural geographic isolation affects being able to seek health services, for example, by affecting the availability of health professionals and availability of educational, preventive and treatment programs, and facilities. Social isolation is also a barrier for rural residents, particularly for the elderly.
There is evidence that some rural-urban health disparities exist such as shortages of some types of primary care physicians (obstetricians and pediatricians), shortages of specialized mental health providers, shortages of specialized oral health providers, and delays in disease screening tests and diagnosis of cancer.
Targeted sites for wellness programs include worksites, schools, community centers, and health care settings.
The document, State Employee Wellness Initiatives, contains many descriptions of wellness programs across the United States.
Citing rising health care costs and alarming health statistics, several governors of U.S. states have implemented wellness and prevention programs in their states in the last few years. The programs generally promote healthy habits, understanding of risks associated with lifestyles, disease management practices, and regular physical activity. Worksites provide an opportunity for influencing lifestyle behaviors because of the time employees spend at work, where they are a captive audience. To create healthier work environments, governors in recent years have banned smoking in or near state office buildings, created wellness councils, promoted the use of alternative transportation, provided time during the day to stretch or exercise, sponsored wellness fairs, and awarded recognition for worksite wellness programs.
Many communities have existing resources that offer an array of health opportunities to the general public, such as walking trails, parks, health clinics and services, and farmers markets. These services and opportunities require visibility for the general public to ensure their full use.
In any community, people listen to many different voices- such as pastors, friends, and physicians- when making important decisions. Partnering with faith-based groups, health care providers, and key community organizations can provide ways for reaching different populations.
The Wellness Councils of America (WELCOA) provides examples of the cost benefits of corporations which have worksite wellness programs:
Children and adolescents can improve their health and quality of life by making physical activity a part of their daily lives. Being physically active early in life has many physical, social, and emotional benefits and can lead to a reduced incidence of chronic diseases in adulthood.
For information about coordinated school health programs, see Making Health Academic. This program involves family involvement in school health, comprehensive school health education, physical education, school health services, and school nutrition services.
Targeted sites for wellness programs include worksites, schools, community centers, and health care settings. Wellness programs in rural areas can be started by working with community organizations such as a senior center or a cooperative extension service.
To locate funding opportunities regarding wellness programs, browse the RAC listing of funding opportunities online at: Funding by Topic: Wellness. Also, you can contact RAC at 800.270.1898 or firstname.lastname@example.org and an information specialist will do a customized funding search to locate federal, state, and local funding opportunities.
Last Reviewed: 4/12/2013