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Janice C. Probst, PhD, Charity G. Moore, PhD, MSPH, Saundra H. Glover, PhD and Michael E. Samuels, DrPH

Janice C. Probst and Saundra H. Glover are with the Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia. Charity G. Moore is with the Department of Epidemiology and Biostatistics, Arnold School of Public Health. Janice C. Probst, Charity G. Moore, and Saundra H. Glover are also with the South Carolina Rural Health Research Center, Columbia, SC. Michael E. Samuels is with the University of Kentucky College of Medicine, Lexington.

Correspondence: Requests for reprints should be sent to Janice C. Probst, PhD, Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208 (e-mail: jprobst{at}gwm.sc.edu).

Rural racial/ethnic minorities constitute a forgotten population. The limited research addressing rural Black, Hispanic, and American Indian/Alaska Native populations suggests that disparities in health and in health care access found among rural racial/ethnic minority populations are generally more severe than those among urban racial/ethnic minorities.

We suggest that disparities must be understood as both collective and contextual phenomena. Rural racial/ethnic minority disparities in part stem from the aggregation of disadvantaged individuals in rural areas. Disparities also emerge from a context of limited educational and economic opportunity. Linking public health planning to the education and economic development sectors will reduce racial/ethnic minority disparities while increasing overall well-being in rural communities.

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