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Rural Health
Resources by Topic: American Indian or Alaska Native

Rigorous Evaluation in Tribal MIECHV: A Series of Briefs
Discusses the process of developing an evaluation program for Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program grantees. Highlights evaluation challenges, methods for meeting evaluation requirements, and engaging tribal communities, among other issues, in a series of 5 briefs.
Additional links: Full Report
Date: 08/2020
Type: Document
Sponsoring organizations: Administration for Children and Families, Office of Planning, Research, and Evaluation
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Arizona's American Indian Trauma Report 2020
Identifies the disproportionate impact of trauma on Native Americans in Arizona in order to target interventions to improve injury prevention programs and reduce traumatic injuries. Identifies patient demographics, trauma risk factors such as alcohol or drug use, injury characteristics, access to care, and mortality rates.
Date: 08/2020
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Native American Youth: Agencies Incorporated Almost All Leading Practices When Assessing Grant Programs That Could Prevent or Address Delinquency
Examines federal financial assistance programs that could prevent or address juvenile delinquency in tribal communities, including 25 programs through the U.S. Department of Health and Human Services. Highlights substance misuse and mental health issues as risk factors to juvenile delinquency and discusses federal and tribal-operated Youth Regional Treatment Centers. Explores how federal agencies incorporated best practices into the performance measurement and program evaluation of the grant programs.
Additional links: Full Report
Date: 08/2020
Type: Document
Sponsoring organization: Government Accountability Office
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COVID-19 Among American Indian and Alaska Native Persons — 23 States, January 31–July 3, 2020
Examines the cumulative incidence in 23 states of laboratory-confirmed COVID-19 among American Indian and Alaska Native (AI/AN) people, compared with rates among non-Hispanic White people. Discusses possible causes for the elevated incidence of COVID-19 in AI/AN populations.
Author(s): Sarah M. Hatcher, Christine Agnew-Brune, Mark Anderson, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(34), 1166-1169
Date: 08/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Poverty Rates Dropped Across All Race/Ethnicity Groups Between 2013 and 2018
Bar chart showing poverty rates for rural areas in 2013 and 2018 for American Indian, Black, Hispanic, White populations and the rural population as a whole.
Date: 08/2020
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Human Trafficking in Native Populations: Q&A with Commissioner Jeannie Hovland
Interview with Jeannie Hovland, Commissioner of the Administration for Native Americans (ANA) under the U.S. Department of Health and Human Services (HHS) Administration for Children and Families, about ANA and HHS responses to human trafficking, abuse, and violence in Native American communities. Discusses the relationship between trafficking and missing and murdered Native Americans and HHS tools to support tribal healthcare and human service efforts.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 08/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Health of American Indian and Alaska Native Adults, by Urbanization Level: United States, 2014–2018
Examines health status and health conditions among American Indian and Alaska Native adults compared to all U.S. adults, with data for rural, small metropolitan, and large metropolitan statistical areas. Addresses poor or fair health status, disability, multiple chronic conditions, hypertension, and diabetes.
Author(s): Maria A. Villarroel, Tainya C. Clarke, Tina Norris
Date: 08/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Rural Health and COVID-19
Information to help hospital and health system emergency planners and state and local public health emergency planners understand the challenges rural communities face related to COVID-19. Addresses issues facing healthcare facilities and those related to at-risk residents. Includes proposed solutions and mitigation steps.
Date: 08/2020
Type: Document
Sponsoring organization: Administration for Strategic Preparedness and Response
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Effective Community-Based Initiatives Are Needed to Curb the Opioid Crisis
Describes 6 community-research collaboratives to address the opioid crisis at the local level, including programs in St. Louis, MO, Olympia, WA, Ithaca, NY, and rural programs in Rio Arriba County, NM, western North Carolina, and tribal communities in the Midwest and the Northern Plains.
Author(s): Beth Connolly, Leslie Paulson
Date: 07/2020
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Contact Tracing for Native Americans in Rural Arizona
Details the efforts to do COVID-19 contact tracing in Native American communities in rural Arizona. Discusses the role of a Critical Access Hospital in providing public health support in rural communities during the pandemic.
Author(s): Ryan M. Close, Myles J. Stone
Citation: New England Journal of Medicine, 383, e15
Date: 07/2020
Type: Document
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