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   Saviaga, C; Li, Y; Hanrahan, B; Bigham, J; Savage, S. (January 2020, Human computation)

   null (Ed.)

   Crowd work has the potential of helping the financial recovery of regions traditionally plagued by a lack of economic opportunities, e.g., rural areas. However, we currently have limited information about the challenges facing crowd workers from rural and super rural areas as they struggle to make a living through crowd work sites. This paper examines the challenges and advantages of rural and super rural Amazon Mechanical Turk (MTurk) crowd workers and contrasts them with those of workers from urban areas. Based on a survey of 421 crowd workers from differing geographic regions in the U.S., we identified how across regions, people struggled with being onboarded into crowd work. We uncovered that despite the inequalities and barriers, rural workers tended to be striving more in micro-tasking than their urban counterparts. We also identified cultural traits, relating to time dimension and individualism, that offer us an insight into crowd workers and the necessary qualities for them to succeed on gig platforms. We finish by providing design implications based on our findings to create more inclusive crowd work platforms and tools. 

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2. The Challenges of Crowd Workers in Rural and Urban America

   Saviaga, C; Li, Y; Hanrahan, B; Bigham, J; Savage, S. (January 2020, Human computation)

   null (Ed.)

   Crowd work has the potential of helping the financial recovery of regions traditionally plagued by a lack of economic opportunities, e.g., rural areas. However, we currently have limited information about the challenges facing crowd workers from rural and super rural areas as they struggle to make a living through crowd work sites. This paper examines the challenges and advantages of rural and super rural Amazon Mechanical Turk (MTurk) crowd workers and contrasts them with those of workers from urban areas. Based on a survey of 421 crowd workers from differing geographic regions in the U.S., we identified how across regions, people struggled with being onboarded into crowd work. We uncovered that despite the inequalities and barriers, rural workers tended to be striving more in micro-tasking than their urban counterparts. We also identified cultural traits, relating to time dimension and individualism, that offer us an insight into crowd workers and the necessary qualities for them to succeed on gig platforms. We finish by providing design implications based on our findings to create more inclusive crowd work platforms and tools. 

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3. Spatial Barriers as Moral Failings: What Rural Distance Can Teach Us about Women's Health and Medical Mistrust.

   https://doi.org/https://doi.org/10.1016/j.healthplace.2020.102396  

   Statz, Michele; Evers, Kaylie (January 2020, Health place)

   null (Ed.)

   Policy attention to growing rural “health care deserts” tends to identify rural distance as a primary spatial barrier to accessing care. This paper brings together geography, health policy, and ethnographic methods to instead theorize distance as an expansive and illuminating concept that highlights place-based expertise. It specifically engages rural women's interpretations of rural distance as a multifaceted dimension of accessing health care, which includes but is not limited to women's health services and maternity care. Presenting qualitative research with 51 women in a rural region of the U.S., thematic findings reveal an interpretation of barriers to rural health care as moral failings rather than as purely spatial or operational challenges, along with wide communication of negative health care experiences owing to spatially-disparate but trusted social networks. Amid or owing to the rural crisis context, medical mistrust here emerges as a meaningful but largely unrecognized barrier to rural women's ability—and willingness—to obtain health care. This underscores how a novel interpretation of distance may inform policy efforts to address rural medical deserts. 

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4. Opportunities for Oral Health Monitoring Technologies Beyond the Dental Clinic

   https://doi.org/10.1145/3240925.3240973  

   Parsons, Adele; Chung, Chia-Fang; Donohue, Molly; Munson, Sean A.; Seibel, Eric J. (January 2018, PervasiveHealth'18)

   Personal health and wellness technologies can improve people’s care at home, connect everyday activities to clinical settings, and allow more efficient use of clinical resources. Recently, the Human-Computer Interaction community has begun to develop tools to improve oral care. In this research, we investigate dental practices and information needs through surveys and interviews with a range of patients and oral health providers. We find that personal users want to track their progress—or lack thereof—between dental visits for feedback, so they can adjust their home care routines, or so they can seek an escalation in care if they identify a problem. Among providers and clinical health workers, there exists an opportunity for better screening and diagnostic tools to identify dental caries at early stages. Providers in rural areas desire better tools to communicate problem areas to patients and their caregivers to bridge oral health care disparities in areas with limited access to care. Our results can guide the development of dental technologies that can address currently unmet needs of patients and providers. 

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5. Wage Theft and Technology in the Home Care Context

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   Home care workers (HCWs) are professionals who provide care to older adults and people with disabilities at home. However, HCWs are vulnerable and especially susceptible to wage theft, or not being paid their legally-entitled wages in full by their employers. Prior work has examined other low-wage work settings to show how technology is designed and deployed has the potential to both cause and address wage theft. We extend this work by examining the relationship between technology and wage theft in the home care context. We collaborated closely with a local grassroots organization to conduct interviews with workers and labor, legal, and payroll experts. We uncovered how the complex, volatile, and diverse nature of home care complicates the errors in time-tracking systems. Through design provocations and focus groups with workers and experts, we also investigated the potential of technology as a part of broader efforts to curb wage theft through educating and empowering isolated HCWs. While we found that approachable design could reduce errors in existing systems, make employer processes more transparent, and help workers exchange knowledge to build collective power, we also discuss concerns around burden, privacy, and accountability when designing technologies for HCWs and other low-wage workers. 

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