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Rural Health
Resources by Topic: Black or African American

Bringing Palliative Care To Underserved Rural Communities
Discusses challenges and strategies related to providing palliative care to rural, predominantly Black communities in the South. Focuses on bridging cultural divides and integrating patient spirituality into the healthcare process.
Author(s): Charlotte Huff
Citation: Health Affairs, 38(12)
Date: 12/2019
Type: Document
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The Strong African American Families Program Improves Lives of Rural African American Youth
Video with transcript, describing a program developed by the Center for Family Research at the University of Georgia, designed to foster wellbeing and improve outcomes for rural African American young people ages 10-14. Describes challenges they face, and explores ways in which the program strengthens parenting, promotes youth protective factors, and decreases the likelihood that participants will engage in high-risk behaviors, including substance abuse.
Date: 12/2019
Type: Document, Video/Multimedia
Sponsoring organization: National Institute on Drug Abuse
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Achieving Health Equity in Preventive Services: Evidence Summary
Summarizes research on achieving health equity in preventive services including screening, counseling, medication, and management for cancer, cardiovascular disease, and diabetes in adult patients by identifying the effects of impediments and barriers that create disparities, and the effectiveness of strategies and interventions to reduce them. Study reports barriers that resulted in or explained a disparity in preventive service, and the effectiveness of the clinician-patient relationship, health information technology, and health system intervention. Studies included African American, Hispanic, Korean and Chinese American, and rural and low-income patients.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Behavioral Health in Rural America: Challenges and Opportunities
Examines the prevalence of behavioral health disorders in rural populations with an emphasis on high-risk populations. Discusses access to behavioral health services in rural areas, and the barriers associated with the provision of prevention, treatment, and recovery services. Highlights programs and policy strategies known to demonstrate improvements in behavioral health systems, and offers policy recommendations for change supporting improved outcomes in rural populations.
Additional links: Executive Summary
Author(s): John Gale, Jaclyn Janis, Andrew Coburn, Hanna Rochford
Date: 12/2019
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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CDFIs 'Make Dreams Come True' by Creating Opportunity in Rural Spaces
Describes the role that Community Development Financial Institutions (CDFIs) can play in helping rural areas gain access to flexible financing options to support rural health projects. Highlights how the Claude Worthington Benedum Foundation and Healthcare Georgia Foundation work with CDFIs to help address rural health concerns. Also features a CDFI recipient of Uplift America, the South Carolina Community Loan Fund, that has helped support a health professions high school.
Author(s): Jenn Lukens
Date: 12/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Inequalities in Elevated Depressive Symptoms in Middle-aged and Older Adults by Rural Childhood Residence: The Important Role of Education
Measures the disparities in the prevalence of elevated depressive symptoms by rural childhood residence and the influence of childhood socioeconomic conditions and educational attainment. Identifies the prevalence of depressive symptoms among U.S.-born adults ages 50 years and older using data from 1998–2014 Health and Retirement Studies – ongoing publicly available datasets of non-institutionalized adults.
Author(s): Audrey R. Murchland, Chloe W. Eng, Joan A. Casey, Jacqueline M. Torres, Elizabeth Rose Mayeda
Citation: International Journal of Geriatric Psychiatry, 34(11), 1633–1641
Date: 11/2019
Type: Document
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Maternity Care in California: A Bundle of Data
Overview of maternity care services provided in California using state data from CDC WONDER (Centers for Disease and Prevention) and the California Open Data Portal with comparisons to national data. Includes California county maps demonstrating preterm birth rates and infant mortality, and provides maternity care data by race and ethnicity.
Date: 11/2019
Type: Document
Sponsoring organization: California Health Care Foundation
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Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations
Reviews the results from 9 studies funded by the Patient Centered Outcomes Research Institute supporting the inclusion of community health workers (CHWs) and peer providers (PPs) as effective participants in addressing health and healthcare inequities, particularly for diverse communities. Each study presented focuses on a distinct function of utilizing CHWs and/or PPS such as mentoring, managing chronic conditions, and navigator support for serious mental illness and depression. Discusses why payers and providers should include CHWs and PPS in a variety of capacities to improve outcomes, add value to care, and control costs.
Date: 11/2019
Type: Document
Sponsoring organization: Families USA
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Follow‐up Approaches to a Health Literacy Intervention to Increase Colorectal Cancer Screening in Rural Community Clinics: A Randomized Controlled Trial
Study of health literacy interventions to support colorectal cancer screening among 620 patients served by 4 rural community clinics in Louisiana. Compares completion rates of fecal immunochemical tests (FIT) when patients received automated and personal telephone follow-up calls. Discusses health literacy and cost implications of these FIT completion methods and presents participant data based on gender, race, education level, age, and healthcare participation questions.
Author(s): Connie L. Arnold, Alfred W. Rademaker, James D. Morris, et al.
Citation: Cancer, 125(20), 3615-3622
Date: 10/2019
Type: Document
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Reported Importance and Access to Health Care Providers Who Understand or Share Cultural Characteristics With Their Patients Among Adults, by Race and Ethnicity
Examines the importance and frequency of seeing culturally competent health care providers among U.S. adults, with data by race and ethnicity. Includes metropolitan and nonmetropolitan data for Hispanic, non-Hispanic White, non-Hispanic Black, and other non-Hispanic adults.
Author(s): Emily P. Terlizzi, Eric M. Connor, Carla E. Zelaya, et al.
Date: 10/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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