In this study eighty farmers were interviewed. As far as the writer was able to determine, this number represented over fifty per cent of the farmers who received one-half or more of their income from the farm as cash or family food. If the number interviewed may be considered to constitute a valid study, several conclusions are formulated. / Master of Science

National health care reform proposals advocate Primary Health Care (PHC) and preventive medicine as an efficacious way to control health care costs in the United States. This study examined a community in rural, southwest Virginia and evaluated the potential for PHC success. The study used focus groups to determine how Women Users, as consumers of health care, view their health and health care problems and potential solutions. Views of Community Leaders and Service Providers, as controllers of services, were obtained using semi-structured interviews. The results were compared using the PRECEDE framework of predisposing, enabling, and reinforcing factors influencing health behavior. This study was a component of a larger project - The Dickenson County Women's Health Project. The premise of that project was that women in Dickenson County would respond to a health education intervention program and the goal was to develop such a program. This study shows that Women Users fully comprehend the health behaviors and available services that would make themselves more healthy, but feel constrained by enabling and reinforcing factors that prevent healthy lifestyles. By contrast, Service Providers and Community Leaders focus on predisposing factors and remain convinced that women in Dickenson County need more education about healthy lifestyles and available health services. The study concludes that the women of Dickenson County are valuable resources for health program development. The success of PHC in Dickenson County is wholly dependent upon developing a mechanism whereby women are given a greater voice in program development and implementation. / Master of Urban Affairs

Thesis (M.U.A.)--Virginia Polytechnic Institute and State University, 1994. / Vita. Abstract. "This study was a component of a larger project -- The Dickenson County Women's Health Project."--P. [i]. Includes bibliographical references (leaves 53-55). Also available via the Internet.

This study arose as a result of a number of years spent in the southwestern portion of Virginia working with the people of this mountainous region, teaching their children, and observing their way of life. This experience made it seem desirable to study the factors which tend to favor, as well as those which retard progress toward desirable and worthwhile goals or life; if possible, to point to ways in which such progress might be promoted in this area, especially among rural populations. Thus three counties, Dickenson, Russell, and Wise, were chosen for intensive study, on the hypothesis that they were representative of the counties in the southern tip of Virginia and to some degree, of the entire Appalachian mountain range. / M.S.