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Rural Health
Resources by Topic: American Indian or Alaska Native

Practicing Tribal Sovereignty Through a Tribal Health Policy: Implementation of the Healthy Diné Nation Act on the Navajo Nation
Examines the Healthy Diné Nation Act (HDNA) which was passed by the Navajo Nation in 2014 to support health and wellness in tribal communities. Analyzes the process, implementation, and evaluation of the HDNA to understand its impact on public health policy. Includes historical information about the Navajo nation as well as diabetes data and HDNA funding amounts for specific Navajo chapters.
Author(s): Regina Eddie, Caleigh Curley, Del Yazzie, et al.
Citation: Preventing Chronic Disease, 19
Date: 11/2022
Type: Document
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Health and Health Care for Indigenous People
Fact sheet comparing data on healthcare and population health for American Indian and Alaska Native (AIAN), Native Hawaiian or Other Pacific Islander (NHOPI), and White populations based on 2021 American Community Survey, Behavioral Risk Factors Surveillance System Data, and other national data sources.
Author(s): Drishti Pillai, Samantha Artiga
Date: 11/2022
Type: Document
Sponsoring organization: KFF
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American Indian and Alaska Native (AIAN) Children Are Overrepresented in Foster Care in States With the Largest Proportions of AIAN Children
Analyzes the disproportionate population of American Indian and Alaska Native (AI/AN) children in the foster care system with percentage comparisons for 10 states. Discusses culturally relevant practices and policies to address AI/AN historical trauma that has exacerbated high rates of foster care usage.
Author(s): Deana Around Him
Date: 11/2022
Type: Document
Sponsoring organization: Child Trends
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Cancer Incidence in American Indian and Alaska Native Adolescents and Young Adults, 1999–2019 (Purchased/Referred Care Delivery Areas)
Examines the distribution of adolescent and young adult (AYA) cancers in American Indian/Alaska Native (AI/AN) populations living in Purchased/Referred Care Delivery Area (PRCDA) counties. Analyzes several cancer types in AI/AN populations with data broken down by sex, geographic region, year of diagnosis between 1999 and 2019, and change rates in AYA cancers across time.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Improving Maternal Health Outcomes To Reduce Maternal Mortality and Severe Maternal Morbidity
Report highlights the Inter-Tribal Council of Arizona's Maternal Health Innovation (MHI) Program's goals and strategies for achieving them. Details the current state of maternal health in the Council's 21 tribe area and explores the barriers to maternal care, as well as a program timeline.
Date: 10/2022
Type: Document
Sponsoring organization: Inter Tribal Council of Arizona, American Indian Research Center for Health
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Assessing Effectiveness of Early Childhood Home Visiting Models Implemented with Tribal Populations
Report assesses the efficacy of early childhood home visiting models for tribal populations. Reviews and assesses home visiting literature, information, and implementation procedures to establish best-practices for American Indian and Alaska Native populations.
Author(s): Rachel Bleiweiss-Sande, Emily Sama-Miller, Carla Chavez, Rebecca Coughlin, Andrea Mraz Esposito
Date: 10/2022
Type: Document
Sponsoring organization: Administration for Children and Families
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Tips for Disaster Responders: Understanding Historical Trauma and Resilience When Responding to an Event in Indian Country
Describes historical trauma and its impact on Native American populations, and offers guidance for behavioral health responders when engaged in disaster preparedness and response efforts for tribal communities.
Date: 10/2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural Health Research Recap: Maternal Health Disparities: An Intersection of Race and Rurality
Summarizes recent research from Rural Health Research Centers examining the loss of hospital-based obstetric services and racial/ethnic disparities surrounding maternal and infant health. Features statistics on percent of counties which lost obstetric services from 2014-2018 with breakdowns by 4 levels of population density, annual births at hospitals providing obstetric services from 2010-2018 by rurality, percent of rural counties without obstetric services in 2019, and rates of preterm birth by race/ethnicity and rurality from 2012-2018.
Author(s): Per Ostmo, Jessica Rosencrans
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Research Gateway
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How Alaska Supports Rural and Frontier Behavioral Health Services
Describes Alaska's Behavioral Health Aide (BHA) program, a non-licensed provider type designed to promote behavioral health and wellness in Alaska Native individuals, families, and communities through culturally relevant training and education. Discusses qualifications for the BHA certification, payment, and next steps for other states seeking to develop similar programs.
Date: 10/2022
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Community Health Worker Intervention Improves Early Childhood Vaccination Rates: Results from a Propensity-Score Matching Evaluation
Examines the effectiveness of community health worker (CHW) home visiting interventions in the Health Start Program (HSP) in Arizona to improve childhood vaccination rates. Utilizes the Arizona State Immunization Information System (ASIIS) database to compare vaccination uptake among children whose mothers participated in the HSP between 2006 and 2016 to a demographically similar cohort. Analyzes vulnerable populations with a history of low vaccination uptake including Hispanic/Latinx, American Indian, children of low socioeconomic status and/or living with parents with less than a high school education, rural border counties, children with teen mothers, and first-born children.
Author(s): Patrick Wightman, Kelly McCue, Samantha Sabo, et al.
Citation: BMC Public Health, 22,1854
Date: 10/2022
Type: Document
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