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Rural Health
Resources by Topic: Abuse and violence

An Evaluation of Firearm Injuries among Rural versus Urban Veterans: Data Validity and Early Findings
Webinar recording discussing rural and urban differences in rates of firearm injuries among veterans. Breaks down data pertaining to injuries, suicide, homicide, and unintentional fatalities related to firearms.
Additional links: Audio Recording, PDF Handout, Webinar Transcript
Date: 06/2021
Type: Video/Multimedia
Sponsoring organization: U.S. Department of Veterans Affairs
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Washington State Injury and Violence Prevention Guide
Examines the burden of seven of the most common types of unintentional and intentional injuries in rural and urban areas of the state of Washington. Includes injury data, risk and protective factors, and evidence-based or promising prevention strategies for each of the seven types.
Date: 05/2021
Type: Document
Sponsoring organization: Washington State Department of Health
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Sociodemographic Factors and Outcomes by Intent of Firearm Injury
Analyzed emergency department visits between 2009 and 2016 for patients aged 21 and younger with a firearm injury. Injuries are categorized by intent as either unintentional, assault, or self-harm. Each injury type is further broken down by age, gender, insurance status, rurality of the hospital, patient outcomes, and more. Discusses association of rurality with the different injury types.
Author(s): Shilpa J. Patel, Gia M. Badolato, Kavita Parikh, Sabah F. Iqbal, Monika K. Goyal
Citation: Pediatrics, 147(4)
Date: 04/2021
Type: Document
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Caring for American Indian and Alaska Native Children and Adolescents
Examines the influence of historical trauma and health inequities on the socioeconomic and health status of AI/AN youth. Discusses the disproportionate mental and cardiovascular health needs, and disease processes of AI/AN youth. Identifies strategies for culturally sensitive care to lessen morbidity, and makes policy recommendations supporting institutional and system changes for improving health outcomes.
Author(s): Bell. S., Deen, J.F., Fuentes, M., Moore, K.
Citation: Pediatrics, 147(4)
Date: 04/2021
Type: Document
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Montana State Health Improvement Plan, 2019-2023
Details the goals and priorities of the state of Montana to address heath disparities. Highlights five priority areas, including behavioral health, chronic disease, motor vehicle crashes, maternal care, and adverse childhood experiences. Discusses goals relating to rural communities and healthcare providers.
Date: 02/2021
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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Adverse Childhood Events in American Indian/Alaska Native Populations
Reports on an investigation of adverse childhood experiences (ACEs) among American Indian and Alaska Native (AI/AN) individuals. Provides socioeconomic and regional data on eight specific ACE variables as reported by AI/AN respondents. Looks at the frequencies and prevalence of ACEs for AI/AN populations in comparison to other racial/ethnic groups.
Author(s): Giano, Z., Camplain, R.L., Camplain, C., et al.
Citation: American Journal of Preventive Medicine, 60(2), 213-221
Date: 02/2021
Type: Document
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Pennsylvania Mental Health Services for Victims of Sexual Assault and Rape: A Staff Study
Examines existing laws and services in Pennsylvania and offers recommendations to ensure that sexual assault victims receive quality, trauma-informed medical care. Includes recommendations to promote a certified sexual assault nurse examiner (SANE) program, increase the use of telehealth, and provide for a designation for hospitals, based on their ability to provide comprehensive sexual assault services. Features a section comparing availability of certified SANE nurses in rural and urban areas.
Author(s): Yvonne Llewellyn Hursh, Allison N. Kobzowicz, Grant Rosul, Wendy L. Baker
Date: 02/2021
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Rural Availability of Sexual Assault Nurse Examiners (SANEs)
Study examining the availability of sexual assault nurse examiners (SANEs) in rural areas based on county-level and hospital-level data from Pennsylvania. Describes challenges for SANE availability, including inconsistent coverage and barriers to certification, noting the potential risk of lower quality sexual assault care for rural victims.
Author(s): Elizabeth Thiede, Sheridan Miyamoto
Citation: The Journal of Rural Health, 37(1), 81-91
Date: 01/2021
Type: Document
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Missing or Murdered Indigenous Persons: Law Enforcement & Prevention
Details the U.S. Department of Justice's Missing and Murdered Indigenous Persons (MMIP) initiative and presents a number of reports highlighting strategies and collaborations to aid in the investigation and prevention of crimes against American Indian and Alaska Native people. Features reports from non-government organizations, such as the National Center for Missing and Exploited Children and the Amber Alert Training and Technical Assistance Program, as well as from different areas of the federal government, such as the Federal Bureau of Investigation, Health and Human Services, and the Bureau of Indian Affairs, among others.
Citation: DOJ Journal of Federal Law and Practice, 69(1)
Date: 01/2021
Type: Document
Sponsoring organization: U.S. Department of Justice
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Treatment for Opioid Use Disorder May Reduce Substantiated Cases of Child Abuse and Neglect
Highlights a study on the correlation between opioid use disorder (OUD) and child maltreatment. Specifically, the effect buprenorphine treatment for OUD has on rates of maltreatment. Discusses challenges and considerations for rural areas.
Author(s): Robin Ghertner, Mir M. Ali
Date: 01/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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