Why place matters: A rurally-orientated analysis of COVID-19’s differential impacts

• Published in: Social sciences & humanities open Vol. 2; no. 1; p. 100063
• Main Authors: Malatzky, Dr Christina, Gillespie, Judy, Couch, Dr Danielle L., Cosgrave, Dr Catherine
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 2020; Elsevier
• Subjects: COVID-19; Health inequities; Place meaning; Place-sensitive; Rural health; Urban/rural dichotomy; COVID-19; Rural health; Place-sensitive; Urban/rural dichotomy; Health inequities; Place meaning
• ISSN: 2590-2911; 2590-2911
• DOI: 10.1016/j.ssaho.2020.100063

This paper considers the implications of COVID-19 during the early stages – or ‘first wave’ – of the 2020 pandemic in relation to the enduring urban/rural dichotomy within high-income economies. Drawing on popular media/news stories and political discourse that emerged during this time, we examine how dominant constructions of dichotomised places (urban/rural) have been transformed in ways that highlight how rural places are positioned in contestations over resources and control of spaces. This examination is contextualised within an understanding of the enduring healthcare maldistribution between urban and rural places in geographically large and sparsely populated high-income countries, which renders many rural locales decidedly vulnerable when it comes to the testing/diagnosis, treatment and management of COVID-19. We argue that scholars engaged in place-sensitive research have a critical role to play in working with and empowering rural communities to increase broader public and political understanding of precisely why place matters during public health crises.
•COVID-19 highlights enduring urban/rural dichotomies but related meanings have shifted.•Health workforce maldistribution heightens the vulnerability of rural communities.•Place-sensitive research and disaster responses are required for rural communities.