RTC:Rural’s previous research has found that people who live in rural areas begin to experience disability from mobility, cognitive and sensory impairment as much as 10 years before people in urban areas. There are also higher rates of disability in rural areas across all age groups. We have also found that racial and ethnic minorities experience the highest disability rates as well as the greatest urban/rural differences.
While some people are born with a disability, most disability is acquired. This can happen suddenly by injury or slowly by chronic disease. Healing, disease course and medical treatment, underlying causes of disability, often fluctuate. This means people do not always report disability consistently over time.
In order to understand urban/rural differences, RTC:Rural is conducting research to understand how disability evolves in rural and urban areas.
Bryce Ward, RTC:Rural Statistician, explains the project and its goals, and gives a quick progress update.
RTC:Rural’s Disability in America State Profile
Map Series is well underway! We have maps for 17 states posted on
the website so far, and more are coming soon. In the next two months general
disability maps for every state (for example, Montana
and Puerto Rico
will be complete and available on the RTC:Rural website. Once the general
disability rate maps are completed, we will work to produce maps showing different
topics for each state. These include:
Disability rates among females and males
People with vision, cognitive, mobility, self-care, and Independent Living difficulties
Veterans with disabilities
People with disabilities in poverty
Employment, unemployment, and out of labor force rates among people with disabilities
The passage of the Patient Protection and Affordable Care
Act (ACA) and adoption of Medicaid expansion was associated with substantial
increases in insurance coverage across the United States (see Changes
in coverage and access, MACPAC 2019). However, RTC:Rural
researchers wanted to know how ACA policy changes and Medicaid expansion impacted
people with disabilities, particularly those who live in rural areas.
To explore this question, RTC:Rural researchers analyzed
microdata from the 2008-2013 American Community Survey
Using these data, they were able to compare how insurance coverage has changed
over time for people with and without disabilities in rural and urban places,
and in expansion and non-expansion states.
This September, nineteen higher education professionals from
five different Egyptian public universities and officials from the Egyptian
Ministry of Education will travel to Missoula to learn about how to ensure
equal access to higher education for students with disabilities. The study tour
is being hosted by the University of Montana’s Dr. Kaitlin Fertaly, RTC:Rural
Research Associate, Dr. Anna-Margaret Goldman, Director of MonTECH,
Amy Capolupo, Disability
Services for Students Director, and the University of Colorado Boulder (CU).
Participants start their tour at the University of Montana
in Missoula, MT, and then will travel to the University of Colorado, Boulder. They
will also visit two community colleges, Flathead Valley Community College in
Kalispell, MT and Aims
Community College in Greeley, CO.
“During their 10 days in the U.S., Egyptian university staff and leaders will learn how the University of Montana and the University of Colorado structure and administer their Disability Support Services program,” said Fertaly. “The goal is for participants to be better equipped with knowledge about university policies that promote inclusion and strategies for overcoming barriers to access.”
Approximately 10 million
people with disabilities receive paid personal assistance services (PAS) in the
United States. For many, these services are critical for social and community
participation. However, little is known about rural-urban differences in PAS
delivery and consumption, and how these services influence community
participation and health.
To address this lack of understanding, RTC:Rural is conducting research on PAS in rural America.
Looking for information on accessible transportation or
housing? Or for strategies to help you talk about your disability in a job
interview? Need some tips on how to find a personal care assistant, or on how
to do your taxes?
For all those and more, check out the Rural Disability Resource Library. It contains fact sheets, how-to guides, information for conducting workshops, web resources, and much more!
RTC:Rural is excited to share that we’re relaunching #MapMonday, our weekly map series. Every Monday, we’ll share a new map on our social media channels. Follow RTC:Rural on Facebook, Twitter, or LinkedIn so you don’t miss a map! (But don’t worry if you do miss one—they’re all available on our website).
In the coming weeks, we’ll share maps with overall disability rates, disability rates by difficulty and functional limitation (such as vision, hearing, mobility, and self-care difficulty), veterans, poverty, and employment rates. Continue reading →
In December 2018 the U.S. Census Bureau released the 2013-2017 American Community Survey summary data. In the recently released fact sheet “Employment disparity grows for rural Americans with disability,” RTC:Rural researchers used this data to begin exploring how employment rates have changed for people with disabilities in the context of changing economic conditions. They found increasing disparities between people with and without disabilities across the country as well as across the rural-urban continuum.
Click the links below to download the fact sheet from the RTC:Rural and Rural Institute ScholarWorks collection:
First page of the article “Transitory and Enduring Disability Among Urban and Rural People” in the Journal of Rural Health.
RTC:Rural researchers Dr. Rayna Sage, Dr. Bryce Ward, Andrew Myers, and Dr. Craig Ravesloot recently published an article in the Journal of Rural Health titled “Transitory and Enduring Disability Among Urban and Rural People.” Dr. Sage and Myers are RTC:Rural Project Directors, Dr. Ward is the RTC:Rural Statistician, and Dr. Ravesloot is RTC:Rural Director and Research Advisor.
Part of RTC:Rural’s continued research on the geography and ecology of rural disability (see Ecology of Rural Disability and Geography and Rural Disability), this article examines how disability rates vary by age, gender, and race between rural and urban places. While there has been some recent research on the intersection of disability and rurality, there is a lack of research on disability across the life span in rural places, and few studies include a measure of how people move in and out of disability over time. Continue reading →
The University of Montana Rural Institute for Inclusive Communities (RIIC) is pleased to announce that it has been awarded a five-year, $4.3 million grant to support its Research and Training Center on Disability in Rural Communities (RTC:Rural). The grant was awarded by the National Institute on Disability Independent Living and Rehabilitation Research, and will be led by Dr. Catherine Ipsen, the project’s principal investigator. The award continues 30 years of RTC:Rural research and training to improve the lives of rural people with disabilities.
RTC:Rural staff pose for a picture at UM. Front row (left to right): Tannis Hargrove, Lillie Greiman, Justice Ender. Back row (left to right): Dr. Catherine Ipsen, Andrew Myers, Lauren Smith, Maggie Lawrence, Tracy Boehm Barrett. Not pictured: Dr. Craig Ravesloot, Dr. Meg Traci, Dr. Rayna Sage, and Dr. Bryce Ward.
“The opportunity to build on our past work and continue to conduct applied research with our stakeholders from the disability community is a great honor,” said Ipsen.
RTC:Rural research will address barriers identified by rural people with disabilities in the areas of health, community living, and employment. These barriers are often related to the limited resources available in rural environments. “Our team of researchers and knowledge translation staff have put together a portfolio of projects and activities that are responsive to, and inclusive of, people with disabilities and those who serve them,” said Tracy Boehm Barrett, RTC:Rural Director of Knowledge Translation. Continue reading →