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Aging in Rural Canada: A Retrospective and Review*

Published online by Cambridge University Press:  18 July 2011

Norah Keating*
Affiliation:
University of Alberta
Jennifer Swindle
Affiliation:
University of Alberta
Stephanie Fletcher
Affiliation:
University of Alberta
*
Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Dr. Norah Keating Professor Department of Human Ecology University of Alberta Edmonton, AB T6G 2N1 ([email protected])

Abstract

Research on rural aging has developed considerably since publication of the book Aging in Rural Canada (Butterworths, 1991). The purpose of this article is twofold: to provide a retrospective on issues in rural aging from this book, and to review Canadian literature on rural aging since its publication. The review highlights new directions in conceptual definitions of rural, and in issues of social engagement, independence, family and social networks, and rural services and health. Two main research lenses are evident. The marginalization lens focuses on rural seniors with health problems, but has not included those marginalized by poverty or gender. The aging-well lens focuses on contributions and engagement, but has omitted research on social relationships and quality of family interaction. The report includes a call for interrogation about interaction between people and place, and for understanding issues of rural diversity and processes of rural aging.

Résumé

La recherche sur le vieillissement en milieu rural s’est développée considérablement depuis la publication du livre, Aging in Rural Canada (Butterworths, 1991). Le but de cet article est double : de fournir une rétrospective sur les questions de viellissement en milieu rural tirée de ce livre, et une revue de la littérature canadienne sur le vieillissement en milieu rural depuis sa publication. L’examen met en évidence les nouvelles orientations dans les définitions conceptuelles du « rural », et dans les questions de l’engagement social, l’indépendance, les réseaux familiaux et sociaux et les services ruraux et la santé. Deux perspectives principales de recherche sont évidents. Le point de vue ou l’optique d’analyse de la marginalisation se concentre sur les personnes âgées en milieu rural ayant des problèmes de santé, mais n’a pas inclus celles qui sont marginalisées par la pauvrété ou le sexe. L’optique d’analyse du vieillissement sain se concentre sur les contributions et l’engagement, mais a omis la recherche sur les relations sociales et la qualité de l’interaction familiale. Le rapport comprend un appel s’interroger sur l’interaction entre les gens et leur lieu de vie et à comprendre les enjeux de la diversité en milieu rural et le processus de vieillissement en milieu rural.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2011

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Footnotes

*

Our thanks to Dr. Barry McPherson whose vision for a series of books on aging in Canada led to the first comprehensive accounting of aging in Canada; and to Dr. Herb Northcott for creating an opportunity to revisit and update these foundational pieces.

References

Alcock, D., Angus, D., Diem, E., Gallagher, E., & Medves, J. (2002). Home care or long-term care facility: Factors that influence the decision. Home Health Care Services Quarterly, 21(2), 3548.CrossRefGoogle ScholarPubMed
Allan, D., & Cloutier-Fisher, D. (2006). Health service utilization among older adults in British Columbia: Making sense of geography. Canadian Journal on Aging, 25(2), 219232.CrossRefGoogle ScholarPubMed
Allison, M., & Hemingway, D. (2009). Older, northern and female: Reflections on health and wellness. Perspectives, 31(2), 2223.Google Scholar
Andrew, M.K., McNeil, S., Merry, H., & Rockwood, K. (2004). Rates of influenza vaccination in older adults and factors associated with vaccine use: A secondary analysis of the Canadian Study of Health and Aging. BMC Public Health, 4, 3643.CrossRefGoogle ScholarPubMed
Andrews, M.E., Stewart, N.J., Pitblado, J.R., Morgan, D.G., Forbes, D., & D’Arcy, C. (2005). Registered nurses working alone in rural and remote Canada. Canadian Journal of Nursing Research, 37(1), 1433.Google ScholarPubMed
Arbuthnot, E., Dawson, J., & Hansen-Ketchum, P. (2007). Senior women and rural living. Online Journal of Rural Nursing and Health Care, 7(1), 3546.CrossRefGoogle Scholar
Arskey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 1932.Google Scholar
Bédard, M., Gibbons, C., & Dubois, S. (2007). The needs of rural and urban young, middle-aged, and older adults with a serious mental illness. Canadian Journal of Rural Medicine, 12(3), 167175.Google Scholar
Bédard, M., Koivuranta, A., & Stuckey, A. (2004). Health impact on caregivers of providing informal care to a cognitively impaired older adult: Rural versus urban settings. Canadian Journal of Rural Medicine, 9(1), 1523.Google ScholarPubMed
Blake, A., & Cloutier-Fisher, D. (2009). Backyard bounty: Exploring the benefits and challenges of backyard garden sharing projects. Local Environment, 14(9), 797807.CrossRefGoogle Scholar
Brien, S., Lorenzetti, D., Lewis, S., Kennedy, J., & Ghali, W. (2010). Overview of a formal scoping review on health system report cards. Implementation Science, 5(2), 112.CrossRefGoogle ScholarPubMed
Brophy, J., Gorey, K.M., Keith, M.M., Laukkanen, E., Hellyer, D., Watterson, A., et al. . (2002). Occupational histories of cancer patients in a Canadian cancer treatment centre and the generated hypothesis regarding breast cancer and farming. International Journal of Occupational and Environmental Health, 8(4), 346353.CrossRefGoogle Scholar
Brown, D.L., & Glasgow, N. (2008). Rural retirement migration. Dordrecht, The Netherlands: Springer.CrossRefGoogle Scholar
Brozowski, K., & Hall, D.R. (2003). Elder abuse in a risk society. Geriatrics Today: Journal of the Canadian Geriatrics Society, 6(3), 167172.Google Scholar
Bryant, C., & Joseph, A.E. (2001). Canada’s rural population: Trends in space and implications in place. The Canadian Geographer, 45(1), 132137.CrossRefGoogle Scholar
Carriere, K., Yan, J., Marrie, T., Predy, G., & Johnson, D. (2004). Outcomes and costs among seniors requiring hospitalization for community-acquired pneumonia in Alberta. Journal of the American Geriatrics Society, 52(1), 3138.CrossRefGoogle ScholarPubMed
Castleden, H., Crooks, V., Schuurman, N., & Hanlon, N. (2010). “It’s not necessarily the distance on the map...: Using place as an analytic tool to elucidate geographic issues central to rural palliative care. Health and Place, 16(2), 284290.CrossRefGoogle Scholar
Chapman, S.A. (2009). Aging well: Emplaced over time. International Journal of Sociology and Social Policy, 29(1–2), 2737.CrossRefGoogle Scholar
Chapman, S.A., & Peace, S. (2008). Rurality and ageing well: “A long time here.” In Keating, N. (Ed.), Rural ageing: A good place to grow old? (pp. 2131). Bristol, UK: Policy Press.Google Scholar
Chappell, N., Schroeder, B., & Gibbens, M. (2008). Respite for rural and remote caregivers. In Keating, N. (Ed.), Rural Ageing: A good place to grow old? (pp. 5362). Bristol, UK: Policy Press.Google Scholar
Clark, K.J., & Leipert, B.D. (2007). Strengthening and sustaining social supports for rural elders. Online Journal of Rural Nursing and Health Care, 7(1), 1326.CrossRefGoogle Scholar
Cloutier-Fisher, D., & Harvey, J. (2009). Home beyond the house: Experiences of place in an evolving retirement community. Journal of Environmental Psychology, 29(2), 246255.CrossRefGoogle Scholar
Cloutier-Fisher, D., & Joseph, A.E. (2000). Long-term care restructuring in rural Ontario: Retrieving community service user and provider narratives. Social Science and Medicine, 50(7–8), 10371045.CrossRefGoogle ScholarPubMed
Cloutier-Fisher, D., & Kobayashi, K. (2009). Examining social isolation by gender and geography: Conceptual and operational challenges using population health data in Canada. Gender, Place and Culture, 16(2), 181199.CrossRefGoogle Scholar
Cloutier-Fisher, D., & Kusch, K. (2009). Breaking barriers and breaking bread: Evaluating a congregate dining program as a means of reducing social isolation and promoting friendships among vulnerable older women in a life enhancement skills group. In Cloutier-Fisher, D., Foster, L., & Hultsch, D. (Eds.), Vulnerability and resilience among older adults in BC (pp. 251270). Victoria, British Columbia, Canada: Western Geographical Series.Google Scholar
Cloutier-Fisher, D., & Skinner, M. (2006). Levelling the playing field? Exploring the implications of managed competition for voluntary sector providers of long-term care in small town Ontario. Health and Place, 12(1), 97109.CrossRefGoogle ScholarPubMed
Crooks, V., Castleden, H., Schuurman, N., & Hanlon, N. (2009). Visioning for secondary palliative care service hubs in rural communities. BMC Palliative Care, 8, 1525.CrossRefGoogle ScholarPubMed
Dandy, K., & Bollman, R.D. (2008). Seniors in rural Canada. Rural and Small Town Canada Analysis Bulletin, 7(8), 56. Catalogue no. 21-006-X.Google Scholar
Davenport, J., Rathwell, T.A., & Rosenberg, M.W. (2005). Service provision for seniors: Challenges for communities in Atlantic Canada. Longwoods Review, 3(3), 916.Google Scholar
De Coster, C., Bruce, S., & Kozyrskyi, A. (2005). Use of acute care hospitals by long-stay patients: Who, how much, and why? Canadian Journal on Aging, 24(Suppl. 1), 91106.CrossRefGoogle ScholarPubMed
Dobbs, B., & Strain, L. (2008). Staying connected: Issues of mobility of older rural adults. In Keating, N. (Ed.), Rural ageing: A good place to grow old? (pp. 8795). Bristol, UK: Policy Press.CrossRefGoogle Scholar
Duggleby, W., & Wright, K. (2004). Elderly palliative care cancer patients’ descriptions of hope-fostering strategies. International Journal of Palliative Nursing, 10(7), 352359.CrossRefGoogle ScholarPubMed
Duggleby, W., & Wright, K. (2005). Transforming hope: How elderly palliative patients live with hope. Canadian Journal of Nursing Research, 37(2), 7084.Google ScholarPubMed
du Plessis, V., Beshiri, R., Bollman, R., &Clemenson, H. (2001). Definitions of rural. Rural and Small Town Canada Analysis Bulletin, 3(3). Catalogue no. 21-006-XIE. Accessed March 2010 fromhttp://www.statcan.gc.ca/pub/21-006-x/21-006-x2001003-eng.pdfGoogle Scholar
Eales, J., Keefe, J., & Keating, N. (2008). Age-friendly communities. In Keating, N. (Ed.), Rural ageing: A good place to grow old? (pp. 109120). Bristol, UK: Policy Press.CrossRefGoogle Scholar
Fast, J., & de Jong Gierveld, J. (2008). Ageing, disability and participation. In Keating, N. (Ed.), Rural ageing: A good place to grow old? (pp. 6373). Bristol, UK: Policy Press.CrossRefGoogle Scholar
Finlayson, M., Lix, L., Finlayson, G., & Fong, T. (2005). Trends in the utilization of specific health care services among older Manitobans: 1985 to 2000. Canadian Journal on Aging, 24(Suppl. 1), 1527.CrossRefGoogle ScholarPubMed
Forbes, D., & Edge, D. (2009). Canadian home care policy and practice in rural and remote settings: Challenges and solutions. Journal of Agromedicine, 14(2), 119124.CrossRefGoogle ScholarPubMed
Gauthiera, E., Fortierb, I., Courchesnea, F., Pepinb, P., Mortimerc, J., & Gauvreau, D. (2001). Environmental pesticide exposure as a risk factor for Alzheimer’s disease: A case-control study. Environmental Research, 86(1), 3745.CrossRefGoogle Scholar
Gorman, M., MacKnight, C., & Rockwood, K. (2004). Feasibility of telemedicine for specialized geriatric care of elderly people at a regional referral hospital. Geriatrics Today, 7(3), 9397.Google Scholar
Hanlon, N., Clasby, R., Halseth, G., & Pow, V. (2007). The place embeddedness of social care: Restructuring work and welfare in Mackenzie, BC. Health & Place, 13(2), 466481.CrossRefGoogle ScholarPubMed
Hanlon, N., & Halseth, G. (2005). The greying of resource communities in northern British Columbia: Implications for health care delivery in already under-serviced communities. The Canadian Geographer, 49(1), 124.CrossRefGoogle Scholar
Harbison, J., Coughlan, S., Karabanow, J., & VanderPlaat, M. (2004). Offering the help that’s needed: Responses to the mistreatment and neglect of older people in a rural Canadian context. Rural Social Work, 9(2), 147157.Google Scholar
Harbison, J., Coughlan, S., Karabanow, J., & VanderPlaat, M. (2005). A clash of cultures: Rural values and service delivery to mistreated and neglected older people in Eastern Canada. Practice, 17(4), 229246.CrossRefGoogle Scholar
Harris, L., Bombin, M., Chi, F., deBortoli, T., & Long, J. (2004). Use of the emergency room in Elliot Lake, a rural community of Northern Ontario, Canada. Rural and Remote Health, 4(1), 112.Google Scholar
Havens, B., Hall, M., Sylvestre, G., & Jivan, T. (2004). Social isolation and loneliness: Differences between older rural and urban Manitobans. Canadian Journal on Aging, 23(2), 129140.CrossRefGoogle ScholarPubMed
Havens, B., Stloukal, L., Racher, F., Norris, D., Keefe, J., & Coppin, A. (2001). Finding and using rural aging data: An international perspective. The Journal of Rural Health, 17(4), 350355.CrossRefGoogle ScholarPubMed
Hayward, L., Davies, S., Robb, R., Denton, M., & Auton, G. (2004). Publicly funded and family-friend care in the case of long-term illness: The role of the spouse. Canadian Journal on Aging, 23(Suppl. 1), S39S48.CrossRefGoogle ScholarPubMed
Hemingway, D., & MacLeod, T. (2004). Living north of 65 years: A community process to hear the voices of the northern seniors. Rural Social Work, 9, 137146.Google Scholar
Higuchi, K.A.S., Hagen, B., Brown, S., & Zieber, M.P. (2006). A new role for advanced practice nurses in Canada: Bridging the gap in health services for rural older adults. Journal of Gerontological Nursing, 32(7), 4955.Google Scholar
Hodge, G. (2008). Geography of aging: Preparing communities for the surge in seniors. Montreal, Quebec, Canada: McGill-Queen’s University Press.CrossRefGoogle Scholar
Houle, L., Salmoni, A., Pong, R., Laflamme, S., & Viverais-Dresler, G. (2001). Predictors of family physician use among older residents of Ontario and an analysis of the Andersen-Newman Behavior Model. Canadian Journal on Aging, 20(2), 233249.CrossRefGoogle Scholar
Hubley, A.M., Hemingway, D., & Michalos, A.C. (2003). A comparison of older informal caregivers and non-caregivers living in non-metropolitan areas. Social Indicators Research, 61(3), 241258.CrossRefGoogle Scholar
Joseph, A.E., & Cloutier-Fisher, D. (2005). Ageing in rural communities: Vulnerable people in vulnerable places. In Andrews, G., & Phillips, D.R. (Eds.), Ageing and place: Perspectives, policy and practice (pp. 133155). London: Routledge Studies in Human Geography.Google Scholar
Karunanayake, C.P., & Pahwa, P. (2009). Statistical modelling of mental distress among rural and urban seniors. Chronic Diseases in Canada, 29(3), 118127.CrossRefGoogle ScholarPubMed
Keating, N. (1991). Aging in rural Canada. Toronto, Ontario, Canada: Butterworths.Google Scholar
Keating, N. (Ed.) (2008). Rural ageing: A good place to grow old? Bristol, UK: Policy Press.Google Scholar
Keating, N., & Eales, J. (2011). Diversity among older adults in rural Canada: Health in context. In Kulig, J., & Williams, A. (Eds.), Rural health: A Canadian perspective. Vancouver, British Columbia, Canada: University of British Columbia Press.Google Scholar
Keating, N., Keefe, J., & Dobbs, B. (2001). A good place to grow old? Rural communities and support to seniors. In Epp, R., & Whitson, D. (Eds.), Writing off the rural west: Globalization, governments and the transformation of rural communities (pp. 263277). Edmonton, Alberta, Canada: University of Alberta Press.Google Scholar
Keating, N., & Phillips, J. (2008). A critical human ecology perspective on rural ageing. In Keating, N. (Ed.), Rural ageing: A good place to grow old? (pp. 110). Bristol, UK: Policy Press.Google Scholar
Kobayashi, K., Cloutier-Fisher, D., & Roth, M. (2009). Making meaningful connections: A profile of social isolation and health among older adults in small town and small city, British Columbia. Journal of Aging and Health, 21(2), 374397.CrossRefGoogle ScholarPubMed
Kulig, J., Andrews, M.E., Stewart, N., Pitblada, R., MacLeod, M., Bentham, B., et al. . (2008). How do registered nurses define rurality? Australian Journal of Rural Health, 16(1), 2832.CrossRefGoogle ScholarPubMed
Kulig, J., Stewart, N., Morgan, D., Andrews, M.E., Macleod, M., & Pitblado, R. (2006). Aboriginal nurses: Insights from a national study. The Canadian Nurse, 102(4), 1620.Google ScholarPubMed
Kulig, J., Stewart, N., Penz, K., Forbes, D., Morgan, D., & Emerson, P. (2009). Work setting, community attachment and satisfaction among rural and remote nurses. Public Health Nursing, 26(5), 430439.CrossRefGoogle ScholarPubMed
Kulig, J., & Williams, A. (Eds.) (2011). Rural health: A Canadian perspective. Vancouver, British Columbia, Canada: University of British Columbia Press.CrossRefGoogle Scholar
Lau, F., Cloutier-Fisher, D., Kuziemsky, C., Black, F., Downing, M., Borycki, E., et al. . (2007). A systematic review of prognostic tools for estimating survival time in palliative care. Journal of Palliative Care, 23(2), 93128.CrossRefGoogle ScholarPubMed
Leipert, B., Kloseck, M., McWilliams, C., Forbes, D., Kothari, A., & Oudshoorn, A. (2007). Fitting a round peg into a square hole: Exploring issues, challenges, and strategies for solutions in rural home care settings. Online Journal of Rural Nursing and Health Care, 7(2), 520.CrossRefGoogle Scholar
Maberley, D.A.L., King, W., & Cruess, A.F. (2000). The prevalence of diabetes in the Cree of Western James Bay. Chronic Diseases in Canada, 21(3), 128133.Google ScholarPubMed
MacKenzie, P. (2001). Aging people in aging places: Addressing the needs of older adults in rural Saskatchewan. Rural Social Work, 6(3), 7483.Google Scholar
MacKenzie, P., & Cloutier-Fisher, D. (2004). Home sweet home: Experiences of place for retirement migrants to small-town British Columbia. Rural Social Work, 9, 129136.Google Scholar
Mathews, M., & Edwards, A. (2004). Having a regular doctor: Rural, semi-urban and urban differences in Newfoundland. Canadian Journal of Rural Medicine, 9(3), 166172.Google Scholar
McBain, L., & Morgan, D. (2006). Telehealth, geography, and jurisdiction: Issues of health care delivery in northern Saskatchewan. Canadian Woman Studies, 24(4), 123129.Google Scholar
McDonald, J.T., & Conde, H. (2010). Does geography matter? The health service use and unmet health care needs of older Canadians. Canadian Journal on Aging, 29(1), 2337.CrossRefGoogle ScholarPubMed
McGee, P., Tuokko, H., MacCourt, P., & Donnelly, M.L. (2004). Factors affecting the mental health of older adults in rural and urban communities: An exploration. Canadian Journal of Community Mental Health, 23(2), 117126.CrossRefGoogle Scholar
McKee, M., Kelley, M.L., & Guirguis-Younger, M. (2007). So no one dies alone: A study of hospice volunteering with rural seniors. Journal of Palliative Care, 23(3), 163172.CrossRefGoogle Scholar
McLaren, L. (2002). Information and communication technologies in rural Canada. Rural and Small Town Canada Analysis Bulletin, 3(5), 26. Catalogue no. 21-006-XIE.Google Scholar
Menec, V., Lix, L., & MacWilliam, L. (2005). Trends in the health status of older Manitobans, 1985 to 1999. Canadian Journal on Aging, 24(Suppl. 1), 514.CrossRefGoogle ScholarPubMed
Miedema, B., & Tatemichi, S. (2003). Gender, marital status, social networks and health: Their impact on loneliness in the very old. Geriatrics Today, 6(2), 9599.Google Scholar
Moore, E.G., & Pacey, M.A. (2004). Geographic dimensions of aging in Canada, 1991-2001. Canadian Journal on Aging, 23(Suppl.), S5S21.CrossRefGoogle ScholarPubMed
Morgan, D., Crossley, M., Kirk, A., D’Arcy, C., Stewart, N., Biem, J., et al. . (2009). Improving access to dementia care: Development and evaluation of a rural and remote memory clinic. Aging and Mental Health, 13(1), 1730.CrossRefGoogle ScholarPubMed
Morgan, D., Semchuk, K., Stewart, N., & D’Arcy, C. (2002). Rural families caring for a relative with dementia: Barriers to use of formal services. Social Science & Medicine, 55(7), 5164.CrossRefGoogle ScholarPubMed
Morgan, D., Semchuk, K., Stewart, N., & D’Arcy, C. (2003). The physical and social environments of rural nursing homes: Assessing supportiveness for residents with dementia. Canadian Journal on Aging, 22(3), 283296.CrossRefGoogle Scholar
Morgan, D.G., Stewart, N.J., D’Arcy, C., & Cammer, A.L. (2002). Creating and sustaining dementia special care units in rural nursing homes: The critical role of nursing leadership. Canadian Journal of Nursing Leadership, 18(2), 7499.CrossRefGoogle Scholar
Morgan, D., Stewart, N., D’Arcy, C., Forbes, D., & Lawson, J. (2005). Work stress and physical assault of nursing aides in rural homes with and without dementia special care units. Journal of Psychiatric and Mental Health Nursing, 12(3), 347358.CrossRefGoogle ScholarPubMed
Morgan, D., Stewart, N., D’Arcy, C., & Werezak, L. (2004). Evaluating rural nursing home environments: Dementia special care units vs. integrated facilities. Aging & Mental Health, 8(3), 257266.CrossRefGoogle Scholar
Patenaude, J., Tildesley, H., MacArthur, A., Voaklander, D.C., & Thommasen, H.V. (2005). Prevalence of diabetes mellitus in aboriginal and nonaboriginal people living in the Bella Coola Valley. BC Medical Journal, 47(8), 429437.Google Scholar
Patten, S.B., Semak, B., & Russell, M.L. (2001). Major depression: Prevalence, treatment utilization and age in Canada. Canadian Journal of Clinical Pharmacology, 8(3), 133138.Google ScholarPubMed
Payne, M., Perkin, T., & Payne, W. (2003). Incidence of falls by rural elders compared with their urban counterparts. Canadian Journal of Rural Medicine, 8(1), 2532.Google Scholar
Penz, K., D’Arcy, C., Stewart, N., Kosteniuk, J., Morgan, D., & Smith, B. (2007). Barriers to participation in continuing education among rural and remote nurses: Results from a national survey. Journal of Continuing Education in Nursing, 38(2), 5868.CrossRefGoogle Scholar
Penz, K., Stewart, K., D’Arcy, C., & Morgan, D. (2008). Predictors of job satisfaction for rural acute care registered nurses in Canada. Western Journal of Nursing Research, 30(7), 785800.CrossRefGoogle ScholarPubMed
Public Health Agency of Canada. (2009). Considerations for definitions of “remote” and “isolated” in the context of pandemic (H1N1) 2009. Retrieved March 2010 fromhttp://www.phac-aspc.gc.ca/alert-alerte/h1n1/guidance_lignesdirectrices/cdricp-cdeicp-eng.php.Google Scholar
Racher, F. (2002). Synergism of frail rural elderly couples: Influencing interdependent independence. Journal of Gerontological Nursing, 28(6), 3239.CrossRefGoogle ScholarPubMed
Reimer, B. (2006). The rural context of community development in Canada. Journal of Rural and Community Development, 1(2), 155175.Google Scholar
Ritchie, L. (2003). Adult day care: Northern perspectives. Public Health Nursing, 20(2), 120131.CrossRefGoogle ScholarPubMed
Robinson, C.A., Pesut, B., & Bottorff, J.L. (2010). Issues in rural palliative care: Views from the countryside. The Journal of Rural Health, 26, 7884.CrossRefGoogle ScholarPubMed
Robinson, C.A., Pesut, B., Bottorff, J.L., Mowry, A., Broughton, S., & Fyles, G. (2009). Rural palliative care: A comprehensive review. Journal of Palliative Medicine, 12(3), 253258.CrossRefGoogle Scholar
Rothwell, N., Bollman, R.D., Tremblay, J., & Marshall, J. (2002). Migration to and from rural and small town Canada. Rural and Small Town Canada Analysisi Bulletin, 3(6), 24. Catalogue no. 21-006-XIE.Google Scholar
Rozanova, J., Dosman, D., & de Jong Gierveld, J. (2008). Participation in rural contexts: Community matters. In Keating, N. (Ed.), Rural ageing: A good place to grow old? (pp. 7586). Bristol, UK: Policy Press.Google Scholar
Russell, M.L., & Maxwell, C.J. (2000). The prevalence and correlates of influenza vaccination among a home care population. Canadian Journal of Public Health, 91(6), 441444.CrossRefGoogle ScholarPubMed
Sbaraglia, M., Turnbull, R.S., & Locker, D. (2002). Risk indicators for periodontal disease in a remote Canadian community—A dental practice-based study. Journal of Public Health Dentistry, 62(1), 5156.CrossRefGoogle Scholar
Self, R.B., Birmingham, C.L., Elliott, R., Zhang, W., & Thommasen, H.V. (2005). The prevalence of overweight adults living in a rural and remote community. The Bella Coola Valley. Eating and Weight Disorders, 10(2), 133138.CrossRefGoogle Scholar
Skinner, M.W. (2008). Voluntarism and long-term care in the countryside: The paradox of a threadbare sector. The Canadian Geographer, 52(2), 188203.CrossRefGoogle Scholar
Skinner, M.W., & Joseph, A.E. (2007). The evolving role of voluntarism in ageing rural communities. New Zealand Geographer, 63(2), 119129.CrossRefGoogle Scholar
Skinner, M.W., & Joseph, A.E. (2009). Placing voluntarism within evolving spaces of care in ageing rural communities. GeoJournal(published online: DOI 10.1007/s10708-009-9283-8). 76, 151162.CrossRefGoogle Scholar
Skinner, M.W., & Rosenberg, M.W. (2006). Managing competition in the countryside: Non-profit and for-profit perceptions of long-term care in rural Ontario. Social Science and Medicine, 63(11), 28642876.CrossRefGoogle ScholarPubMed
Skinner, M.W., Rosenberg, M.W., Lovell, S.A., Everitt, J.C., Dunn, J.R., Hanlon, N., et al. . (2008). Services for seniors in small town Canada: The paradox of community. Canadian Journal of Nursing Research, 40(1), 80101.Google ScholarPubMed
Skinner, M.W., Yantzi, N.M., & Rosenberg, M.W. (2009). Neither rain nor hail nor sleet nor snow: Provider perspectives on the challenges of weather for home and community care. Social Science and Medicine, 68(4), 682688.CrossRefGoogle ScholarPubMed
St. John, P.D., Blandford, A.A., & Strain, L.A. (2006). Depressive symptoms among older adults in urban and rural areas. International Journal of Geriatric Psychiatry, 21(12), 11751180.CrossRefGoogle ScholarPubMed
St. John, P., Havens, B., van Ineveld, C., & Finlayson, M. (2002). Rural-urban differences in health status of elderly Manitobans. Canadian Journal of Rural Medicine, 7(2), 8993.Google Scholar
Statistics Canada. (2003). Metropolitan Influenced Zone. Retrieved March 2010 fromhttp://geodepot.statcan.ca/Diss/Reference/Tutorial/MIZ_tut1_e.cfm.Google Scholar
Stewart, N.J., D’Arcy, C., Pitblado, J.R., Morgan, D., Forbes, D., Remus, G., et al. . (2005). A profile of registered nurses in rural and remote Canada. The Canadian Journal of Nursing Research, 37(1), 122145.Google ScholarPubMed
Stones, M., & Bédard, M. (2002). Higher thresholds for elder abuse with age and rural residence. Canadian Journal on Aging, 21(4), 577586.CrossRefGoogle Scholar
Strain, L. (2001). Senior centres: Who participates? Canadian Journal on Aging, 20(4), 471491.CrossRefGoogle Scholar
Strain, L.A., & Blandford, A.A. (2002). Community-based services for the taking but few takers: Reasons for non-use. Journal of Applied Gerontology, 21(2), 220235.CrossRefGoogle Scholar
Strain, L.A., Blandford, A.A., & St. John, P.D. (2003). Who remains cognitively intact among the 80+ age group? Geriatrics Today: Journal of the Canadian Geriatrics Society, 6(3), 141145.Google Scholar
Strain, L.A., & Dobbs, B. (2007). Aging in tural Canada: An annotated bibliography, 1985-2005. Edmonton, Alberta, Canada: Alberta Centre on Aging.Google Scholar
The National Advisory Council on Aging. (1989). Understanding seniors’ independence: Report no. 1. The barriers and suggestions for action. Ottawa, Ontario, Canada.Google Scholar
Thurston, W., Blundell-Gosselin, H., & Rose, S. (2003). Stress in male and female farmers: An ecological rather than an individual problem. Canadian Journal of Rural Medicine, 8(4), 247254.Google Scholar
Tousignant, M., Hébert, R., Dubuc, N., Simoneau, F., & Dieleman, L. (2003). Application of a case-mix classification based on the functional autonomy of the residents for funding long-term care facilities. Age and Ageing, 32(1), 6066.CrossRefGoogle ScholarPubMed
Wang, J.L. (2004). Rural–urban differences in the prevalence of major depression and associated impairment. Social Psychiatry & Psychiatric Epidemiology, 39(1), 1925.CrossRefGoogle ScholarPubMed
Wanless, D., Mitchell, B.A., & Wister, A.V. (2010). Social determinants of health for older women in Canada: Does rural-urban residency matter? Canadian Journal on Aging, 29(2), 233247.CrossRefGoogle ScholarPubMed
Witcher, C.S.G., Holt, N.L., Spence, J.C., & O’Brien Cousins, S. (2007). A case study of physical activity among older adults in rural Newfoundland, Canada. Journal of Aging and Physical Activity, 15(2), 166183.CrossRefGoogle ScholarPubMed
Yiannakoulias, N., Rowe, B.H., Svenson, L.W., Schopflocher, D.P., Kelly, K., & Voaklander, D.C. (2003). Zones of prevention: The geography of fall injuries in the elderly. Social Science and Medicine, 57(11), 20652073.CrossRefGoogle ScholarPubMed