Rural Health
Resources by Topic: Culture and cultural competency
Adaptation and Study Protocol of the Evidence-based Make Better Choices (Mbc2) Multiple Diet and Activity Change Intervention for a Rural Appalachian Population
Details the development of the Make Better Choices 2 (MBC2) mHealth diet and activity randomized trial and how it is being adapted for rural Appalachia. Outlines the adaptation process conducted in Appalachian Kentucky and subsequent revisions to the recruitment, retention, assessment, and intervention components of the study. Discusses the need for culturally appropriate research to reach underserved populations and achieve health equity.
Author(s): Nancy E. Schoenberg, Deanna Sherman, Angela Fidler Pfammatter, et al.
Citation: BMC Public Health, 22, 2043
Date: 11/2022
Type: Document
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Details the development of the Make Better Choices 2 (MBC2) mHealth diet and activity randomized trial and how it is being adapted for rural Appalachia. Outlines the adaptation process conducted in Appalachian Kentucky and subsequent revisions to the recruitment, retention, assessment, and intervention components of the study. Discusses the need for culturally appropriate research to reach underserved populations and achieve health equity.
Author(s): Nancy E. Schoenberg, Deanna Sherman, Angela Fidler Pfammatter, et al.
Citation: BMC Public Health, 22, 2043
Date: 11/2022
Type: Document
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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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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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The Intersection of Workplace and Environmental Exposure on Health in Latinx Farm Working Communities in Rural Inland Southern California
Analyzes access and barriers to healthcare services for Eastern Coachella Valley rural farmworkers who are exposed to workplace and environmental health risks. Reports on 9 culturally responsive in-home interviews conducted from 2017 to 2018 with the assistance of a bilingual Spanish-Purépecha Latina promotora. Provides demographic information of participants and quotes from interviews related to themes such as environmental exposures, including the nearby Salton Sea; agricultural labor and its impact on health; chronic health conditions and trauma of exposures; and community-proposed solutions.
Author(s): Ann Marie Cheney, Tatiana Barrera, Katheryn Rodriguez, Ana María Jaramillo López
Citation: International Journal of Environmental Research and Public Health, 19(19), 12940
Date: 10/2022
Type: Document
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Analyzes access and barriers to healthcare services for Eastern Coachella Valley rural farmworkers who are exposed to workplace and environmental health risks. Reports on 9 culturally responsive in-home interviews conducted from 2017 to 2018 with the assistance of a bilingual Spanish-Purépecha Latina promotora. Provides demographic information of participants and quotes from interviews related to themes such as environmental exposures, including the nearby Salton Sea; agricultural labor and its impact on health; chronic health conditions and trauma of exposures; and community-proposed solutions.
Author(s): Ann Marie Cheney, Tatiana Barrera, Katheryn Rodriguez, Ana María Jaramillo López
Citation: International Journal of Environmental Research and Public Health, 19(19), 12940
Date: 10/2022
Type: Document
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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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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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Key Informant Perspectives on Supporting Health and Well-Being for LGBTQ+ Rural Residents
Provides an overview of challenges rural LGBTQ+ populations face related to their physical and mental health as well as recommendations to overcome these challenges. Reports on 14 interviews held with representatives from LGBTQ+ advocacy groups and includes discussions about issues such as cultural competency and attitudes among healthcare staff, intersecting concerns about LGBTQ+ and rural identity, resource availability in rural areas, and ability to access services.
Author(s): Megan Lahr, Carrie Henning-Smith, Gilbert Gonzales
Date: 09/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Provides an overview of challenges rural LGBTQ+ populations face related to their physical and mental health as well as recommendations to overcome these challenges. Reports on 14 interviews held with representatives from LGBTQ+ advocacy groups and includes discussions about issues such as cultural competency and attitudes among healthcare staff, intersecting concerns about LGBTQ+ and rural identity, resource availability in rural areas, and ability to access services.
Author(s): Megan Lahr, Carrie Henning-Smith, Gilbert Gonzales
Date: 09/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Tips for Disaster Responders: Cultural Awareness When Working in Indian Country Post-Disaster
Provides information for disaster response workers to build cultural awareness for supporting Native Americans before, during, and after a traumatic event. Discusses cultural values; types of traumatic events; traditional teachings, values, and language; and community healing.
Date: 09/2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Provides information for disaster response workers to build cultural awareness for supporting Native Americans before, during, and after a traumatic event. Discusses cultural values; types of traumatic events; traditional teachings, values, and language; and community healing.
Date: 09/2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Pride in Idaho Care Neighborhoods Roadmap - A Guide For Healthcare Communities
Presents a model for delivering culturally appropriate care to LGBTQ+ people living in rural areas. Discusses the application of this model to the state of Idaho and highlights recommendations for providers, and healthcare facilities in general, on how to provide comprehensive care to a marginalized group in a rural area. Includes a resource library for LGBTQ+ support programs and information.
Additional links: Resource Library
Date: 08/2022
Type: Document
Sponsoring organization: Cornerstone Whole Healthcare Organization, Inc.
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Presents a model for delivering culturally appropriate care to LGBTQ+ people living in rural areas. Discusses the application of this model to the state of Idaho and highlights recommendations for providers, and healthcare facilities in general, on how to provide comprehensive care to a marginalized group in a rural area. Includes a resource library for LGBTQ+ support programs and information.
Additional links: Resource Library
Date: 08/2022
Type: Document
Sponsoring organization: Cornerstone Whole Healthcare Organization, Inc.
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Providing High-Quality Support to Pregnant People and Their Families in Racially Diverse Rural Communities
Presents a series of case studies of how hospitals and health systems with obstetric units in racially diverse rural communities work to meet patient needs and provide evidence-based, supportive services during pregnancy, childbirth, and the postpartum period. Highlights communities in Colorado, Alaska, and Texas and discusses key features of programs at hospitals or health systems in each area.
Author(s): Mariana Tuttle, Phoebe Chastain, Hailey Baker, Katy Backes Kozhimannil, Bridget Basile Ibrahim
Date: 08/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Presents a series of case studies of how hospitals and health systems with obstetric units in racially diverse rural communities work to meet patient needs and provide evidence-based, supportive services during pregnancy, childbirth, and the postpartum period. Highlights communities in Colorado, Alaska, and Texas and discusses key features of programs at hospitals or health systems in each area.
Author(s): Mariana Tuttle, Phoebe Chastain, Hailey Baker, Katy Backes Kozhimannil, Bridget Basile Ibrahim
Date: 08/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Health Workforce Issues in American Indian and Alaska Native (AI/AN) Populations
Rapid response policy brief providing an overview of the Indian Health Service (IHS), and discussing tribally-operated health services and access to health services and insurance outside of tribal or IHS networks. Describes the representation of AI/AN populations within the healthcare workforce and offers recommendations and strategies to strengthen the health workforce providing care for AI/AN populations.
Author(s): Natalia V. Oster, Susan M. Skillman, Bianca K. Frogner
Date: 07/2022
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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Rapid response policy brief providing an overview of the Indian Health Service (IHS), and discussing tribally-operated health services and access to health services and insurance outside of tribal or IHS networks. Describes the representation of AI/AN populations within the healthcare workforce and offers recommendations and strategies to strengthen the health workforce providing care for AI/AN populations.
Author(s): Natalia V. Oster, Susan M. Skillman, Bianca K. Frogner
Date: 07/2022
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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HIV Prevention and Treatment Challenges in Rural America
A webinar recording that covers issues related to HIV healthcare in rural communities and presents HIV data in the United States. Discusses populations who should be offered pre-exposure prophylaxis (PrEP), current options in HIV treatment, and rural health issues such as stigma, medical and mental health shortage areas, and LGBT discrimination. Provides healthcare options available in Kansas.
Date: 07/2022
Type: Video/Multimedia
Sponsoring organizations: AIDS Education and Training Centers National Coordinating Resource Center, University of Kansas Medical Center
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A webinar recording that covers issues related to HIV healthcare in rural communities and presents HIV data in the United States. Discusses populations who should be offered pre-exposure prophylaxis (PrEP), current options in HIV treatment, and rural health issues such as stigma, medical and mental health shortage areas, and LGBT discrimination. Provides healthcare options available in Kansas.
Date: 07/2022
Type: Video/Multimedia
Sponsoring organizations: AIDS Education and Training Centers National Coordinating Resource Center, University of Kansas Medical Center
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