Madeline Metcalf's research while affiliated with Montana State University and other places

... Further, a structural vulnerability lens highlights how inequities shaped by legal status and rural location likely reproduced themselves in the pandemic context to exacerbate Latino immigrants' access to mental health services (Cook et al., 2017;Thomeer et al., 2022;Yang et al., 2020). For example, although there was an expansion in the availability of tele-mental health services during the pandemic that could have theoretically helped to address the demand for mental health services, rural Latino populations' disproportionate lack of health insurance due to long-standing legal status exclusions, inconsistent broadband and computer access that have resulted from a history of underinvestment in rural communities, and language barriers and distrust of medical systems may have hindered their ability to benefit from the expansion (Curtis et al., 2022;Harkness et al., 2020;Moyce et al., 2022). ...

... The varied effects of the race variable on vaccination rates echo the existing studies. Moyce et al. (2021) conducted 14 semi-structured interviews with 20 Latino participants living in the rural community and suggested that the responders had a very low fear of the virus but a high risk perception of financial loss. Another study conducted by Karout et al. (2020) in minority groups in the U.S. also suggested participants' low risk perception scores and low engagement in preventive behaviors. ...