“We're Such a Small Community”: A Qualitative Study of COVID-19 Pandemic Experiences in Rural New Mexico

This paper explores the rural experiences of the COVID-19 pandemic and seeks to understand the variations in these experiences between rural residents working in health care and those outside of health care occupations. This paper considers the impacts on physical health and access to health care (including challenges related to caretaking) as well as on mental health.

We interviewed 16 individuals living in rural communities in New Mexico between August and November 2020. These interviews were conducted through a virtual meeting platform (Zoom) or by phone and recorded. Then these interviews were transcribed and analyzed for key themes, and all themes were coded by at least two team members for inter-rater reliability.

Rural residency is linked to a wide range of health and health care inequities. From health care provider shortages, lack of internet infrastructure, and disruptions in access to resources when the closest resources are outside of the state, rural residents in New Mexico faced a wide range of unique challenges during the pandemic. This study also details from where rural residents obtain their health information, and we consider how politicization of the pandemic has impacted rural communities. The experiences of rural residents demonstrate how some policies fail to take into consideration the unique contexts of rural communities. All participants strongly identified with their roles as members of rural communities.

These interviews were conducted prior to the peak of pandemic transmission in these communities, so a follow-up should be conducted which reflects on the later stages. Future pandemic scholarship should consider the experiences of rural communities and address the unique challenges, needs, and strengths in developing best practices.

This paper provides unique insight into the lived experience of rural residents during the pandemic, and highlights disparities and challenges faced by health care workers as well as rural community members more broadly.