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Rural Health Information Hub

Rural Health
Resources by Topic: Access

On-Farm Health Screening Needs of Immigrant Dairy Workers
Webinar recording discussing a study evaluating the health needs of immigrant dairy workers in Texas as well as health risk screenings on the farm. Describes barriers to healthcare including access, childcare, leave from work, language barriers, and more. Transcript is available in the video description.
Date: 07/2023
Sponsoring organization: Network of the National Library of Medicine
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Community Forums as Amplifiers of Communities' Voices: Isolated Communities in Puerto Rico
Highlights a study on health-related issues in isolated communities in Puerto Rico. Utilizes a community forum to identify health-related issues, such as primary care and mental health access, social determinants of health, emergency preparedness, and COVID-19 vaccinations, among other measures.
Author(s): Yashira M. Sánchez Colón, Edna Acosta Pérez, Mayra L. Roubert Rivera, et al.
Citation: International Journal of Environmental Research and Public Health, 20(14), 6335
Date: 07/2023
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Rural-Urban Disparities in Video Telehealth Use During Rapid Mental Health Care Virtualization Among American Indian/Alaska Native Veterans
Compares the use of video telehealth for mental healthcare between American Indian/Alaska Native (AI/AN) and non–AI/AN veterans by urban and rural residence from October 2019 through December 2020. Provides an overview of health disparities among AI/AN veterans. Presents monthly data on the number and percent of mental health encounters by type, rurality, and AI/AN status.
Author(s): Isabelle S. Kusters, Amber B. Amspoker, Kristen Frosio, et al.
Citation: JAMA Psychiatry
Date: 07/2023
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Tackling the Maternal and Infant Health Crisis: A Governor's Playbook
Provides an overview of maternal morbidity and mortality trends, including racial and geographic disparities, as well as the underlying causes of poor maternal health in the United States. Outlines 32 recommendations across five priority areas that can be implemented in coordination with critical stakeholders, such as industry and community leaders, community-based organizations, faith-based organizations, and people with lived experience. Priority 3 covers recommendations related to disparities affecting Black and American Indian/Alaska Native individuals. Includes rural references throughout.
Date: 07/2023
Sponsoring organizations: Afton Bloom, Boldly Go Philanthropy, National Governors Association
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Rural-Urban Differences in Health Care Unaffordability
Analyzes healthcare unaffordability in rural versus urban contexts as well as mitigating sociodemographic variables. Examines 90,761 survey responses from the 2019-2021 National Health Interview Survey according to 3 levels of unaffordability, further breaking down the data by race/ethnicity, sex, income, self-rated health, insurance type, education, age, and rural versus urban location.
Author(s): Hannah MacDougall, Daniel Mork, Stephanie Hanson, Carrie Henning Smith
Citation: The Journal of Rural Health, 40(2), 376-385
Date: 07/2023
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The Frontier of Harm Reduction: Expanding Services for Rural People Who Use Drugs
Describes how harm reduction approaches help reduce health risks related to substance use and explains how these approaches are being adapted in rural areas. Highlights innovative harm reduction strategies being used in rural communities in Alaska, Wisconsin, and South Dakota.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 07/2023
Sponsoring organization: Rural Health Information Hub
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Promoting Rural Residents' Participation in Clinical Trials: Clinical Trials Basics Programming and Training for Rural Public Librarians
Describes a collaboration between Virginia Commonwealth University (VCU) Health and Wellness Library and the VCU Wright Center for Clinical and Translational Research that aimed to provide public librarians with skills to increase the health literacy of community members regarding clinical trials in rural and underserved areas.
Author(s): Dana L. Ladd, Jackson C. Wright
Citation: Journal of the Medical Library Association, 111(3), 722-727
Date: 07/2023
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Changes in Telehealth Experienced by Advanced Practice RNs During COVID-19
Summarizes 7,467 advanced practice RNs' national survey responses from June-September 2020 about the use of telehealth before and during the pandemic, and analyzes free-text comments about how the use of telehealth changed during the pandemic. Discusses challenges in rural areas, including provider shortages and lack of broadband access.
Author(s): Mavis N. Schorn, Carole R. Myers, Julie Barroso, et al.
Citation: Computers, Informatics, Nursing, 41(7), 507–513
Date: 07/2023
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Jumping Through Hoops: Community Care Clinician and Staff Experiences Providing Primary Care to Rural Veterans
Presents a study on the experiences of rural, non-VA clinicians who treat rural veterans. Discusses some of the challenges rural providers face providing care to veterans via the MISSION Act. Explores issues regarding communication, accessing medical records, and responsibility sharing with the VA, among others.
Author(s): Mary Patzel, Chrystal Barnes, NithyaPriya Ramalingam, et al.
Citation: Journal of General Internal Medicine, 38(3), 821–828
Date: 07/2023
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Perceived Barriers and Benefits of COVID-19 Testing among Pacific Islanders on Guam
Results of a project aiming to promote COVID-19 testing among Pacific Islanders using culturally relevant community-tailored strategies with culturally and linguistically appropriate educational materials, and to identify the factors associated with COVID-19 testing. Uses data collected from June 2021 to July 2022.
Author(s): Rachael T. Leon Guerrero, Angelina G. Mummert, Dareon C. Rios, et al.
Citation: International Journal of Environmental Research and Public Health, 20(13), 6302
Date: 07/2023
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