@article{8446449afca3408e8d0a40a5ad2492c6,
title = "Rural-Urban Differences in Roles and Support for Community Health Workers in the Midwest",
abstract = "The Patient Protection and Affordable Care Act supports the integration of community health workers (CHWs) into the health care workforce, but little is known about integration and current roles of CHWs among employers in community settings. This analysis of 97 employers described the roles of CHWs in Nebraska and found significant differences between CHWs practicing in rural and urban areas in organization types employing CHWs, funding sources, and minority populations served. The findings suggest that the utility of CHWs is widely recognized among employers, but deliberate support will be needed to better define the roles of CHWs to meet the needs of the increasingly diverse demographic.",
keywords = "community health workers, prevention, rurality, workforce development",
author = "Trout, {Kate E.} and Virginia Chaidez and Palmer-Wackerly, {Angela L.}",
note = "Funding Information: Author Affiliations: Department of Natural Sciences, Peru State College, Peru, Nebraska (Dr Trout); and Nutrition and Health Sciences (Dr Chaidez) and Communication Studies (Dr Palmer-Wackerly), University of Nebraska-Lincoln. This project is based on research that was partially supported by the Nebraska Agricultural Experiment Station with funding from the Hatch Act (accession no. 1011764) through the USDA National Institute of Food and Agriculture and the Layman Fund at the University of Nebraska-Lincoln. The authors acknowledge the Bureau of Sociological Research (BOSR) for its assistance in managing data collection and data entry; graduate students Ashley Mulc-ahy and Miteshri Prajapati for their assistance in compiling mailing lists; and various community partners including Ronnette Sailors at Catholic Health Initiatives Health; Josie Rodriguez, Danielle Wing, Kathy Karsting, and Margarita Allen at Nebraska Department of Health & Human Services; Patty Falcone at Douglas County Health Department; Jessie Perez and Denise Zweiner at Buffalo County Community Partners; and Pat Lopez at Public Health Association of Nebraska. The authors do not declare any conflicts of interest. Correspondence: Virginia Chaidez, PhD, RD, Nutrition and Health Sciences, University of Nebraska-Lincoln, 110 Ruth Leverton Hall, Lincoln, NE 68583 (vchaidez2@unl.edu). Copyright {\textcopyright} 2020 Wolters Kluwer Health, Inc. All rights reserved. DOI: 10.1097/FCH.0000000000000255 Publisher Copyright: {\textcopyright} 2020 Wolters Kluwer Health, Inc. All rights reserved.",
year = "2020",
month = apr,
day = "1",
doi = "10.1097/FCH.0000000000000255",
language = "English (US)",
volume = "43",
pages = "141--149",
journal = "Family and Community Health",
issn = "0160-6379",
publisher = "Lippincott Williams and Wilkins",
number = "2",
}