An ecological perspective on rural, low-income mothers' health

Tiffany Bice-Wigington, Leigh Ann Simmons, Catherine Huddleston-Casas

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Using structural equation modeling, this study examined interactions among factors traditionally associated with health outcomes within a sample of rural low-income mothers. Prior research has established that education, employment, income, marital status, and health insurance coverage independently predict health outcomes. However, no studies have examined the simultaneous influence of these factors as conceptualized from an ecological systems perspective. Results indicate that when the multiple factors are considered simultaneously, different effects emerge. Implications are that the context in which these women live and the interactions between and among key influencing factors must be considered when addressing health challenges in rural areas.

Original languageEnglish (US)
Pages (from-to)129-143
Number of pages15
JournalSocial Work in Public Health
Issue number2
StatePublished - Feb 23 2015


  • Rural
  • health care reform
  • health care utilization
  • health disparities
  • low-income women

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health


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