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Rural Health
Resources by Topic: Culture and cultural competency

Domestic Violence in American Indian and Alaska Native Populations: A New Framework for Policy Change and Addressing the Structural Determinants of Health
Discusses the issue of domestic violence (DV) in American Indian/Alaska Native (AI/AN) communities. Analyzes historical structural determinants that impact DV, as well as how policy and funding can help prevent DV.
Author(s): Tassy Parker, Allyson Kelley, Lee Redeye, Marcello A. Maviglia
Citation: The Lancet Regional Health - Americas, 40
Date: 12/2024
Type: Document
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Culturally-Safe Maternal Care for Indigenous Women
Podcast episode discussing the role that culturally safe care can play in addressing maternal healthcare needs among Indigenous women. Describes the importance of awareness of cultural and spiritual practices in creating a safe cultural environment for Indigenous women.
Date: 11/2024
Type: Document
Sponsoring organization: American Hospital Association
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5 Ways to Support Native American Maternal and Infant Health
Discusses culturally relevant strategies to support Native American maternal health, infant health, and childbirth. Focuses on cultural beliefs and practices, communication, community involvement, workforce diversity, and holistic and patient-centered care.
Author(s): Jordyn Pourier, Cherry Y.E.W. Yamane, LaShai Jake, Deana Around Him
Date: 11/2024
Type: Document
Sponsoring organization: Child Trends
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Bridging Gaps in Breast Cancer Screening: A Comparative Study of Mexican Women in U.S. Rural and Urban Areas
Examines factors influencing breast cancer screening disparities among 350 Mexican immigrant women aged 40+ in rural and urban communities. Compares rural and urban prevalence of barriers and facilitators to screening, including data on geographic and cultural factors.
Author(s): Venera Bekteshi, Mario Schootman
Citation: Journal of Primary Care & Community Health, 15
Date: 11/2024
Type: Document
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Ask Your Relative: A Mixed Method Analysis of the Sexual Health and Healthy Relationship Q&As Submitted by American Indian Alaska Native Young Adults
Analyzes the Ask Auntie/Ask Your Relative (AYR) Q&A service that provides sexual health information to American Indian/Alaska Native (AI/AN) youth. Provides information on AYR usage, types of questions asked, and answers and resources provided. Discusses the importance of cultural relevant resources to reduce sexual health disparities among AI/AN youth.
Author(s): Stephanie Craig Rushing, Amanda Gchachu Kakuska, Jane Manthei, et al.
Citation: BMC Public Health, 24, 3067
Date: 11/2024
Type: Document
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CMS-Approved Waivers Break New Ground for Medicaid Coverage of American Indian and Alaska Native Traditional Health Care Practices
Provides an overview of Centers for Medicare & Medicaid Services (CMS) approved 1115 waivers that allow Medicaid agencies to cover American Indian and Alaska Native (AI/AN) traditional healthcare practices in four states: Arizona, California, New Mexico, and Oregon. Describes who can access traditional healthcare practices under these waivers, where traditional healthcare services can be provided, who will be certified to provide these services, and implementation support.
Author(s): Anne Smithey
Date: 10/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Strengthening Indigenous America: Building Resilience Through Disaster Preparedness, Response, and Recovery: Proceedings of a Workshop—in Brief
Summarizes key concepts from a July 2024 workshop that explored how to support the capacity of Indigenous American and tribal communities and nations to prepare for, respond to, and recover from disasters and public health emergencies. Discusses tribal sovereignty; emergency management capacities and capabilities; relationships with partners and jurisdictions; Indigenous knowledge, best practices, and translation; and data and research.
Additional links: Read Online
Author(s): Board on Health Sciences Policy
Date: 10/2024
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Feasibility of a Culturally Adapted Technology-Delivered, Family-Based Childhood Obesity Intervention for Latino/Hispanic Families in Rural Nebraska: The Hispanic Family Connections Study Protocol
Describes a study protocol to examine the feasibility of delivering a phone-delivered, culturally-tailored family-based childhood obesity (FBCO) program to Latino/Hispanic (L/H) families in rural Nebraska. Provides an overview of study design and implementation, and discusses the importance of addressing barriers to FBCO interventions for rural, L/H families.
Author(s): Fabiana Almeida Brito, Thais Favero Alves, Natalia Santos, et al.
Citation: BMJ Open, 14, e089186
Date: 10/2024
Type: Document
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Bridging Gaps: Addressing HPV Awareness and Vaccination Challenges in Hispanic/Latino Rural Communities
Discusses disparities in human papillomavirus (HPV) vaccination and HPV awareness experienced by Hispanics/Latinos in rural areas. Examines factors influencing HPV vaccine access and approaches to increasing HPV vaccine awareness and utilization.
Author(s): Gabriel A. Benavidez
Date: 10/2024
Type: Document
Sponsoring organization: St. Jude Children's Research Hospital
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Improving Care and Accessibility for Rural Patients with Disabilities
Provides an overview of barriers to healthcare access for rural patients with disabilities. Shares insights from a public health department in Montana and a disability and health program in New Hampshire on how to improve accessibility and communication with patients with disabilities.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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