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Rural Health
Resources by Topic: Culture and cultural competency

Hawaii 2021 Community Health Needs Assessment
Reports on Hawaii's triennial community health needs assessment. Addresses access to healthcare, transportation challenges, healthy food access, cultural competency, social determinants of health, current health status, and more. Discusses impact of COVID-19 on the community. Includes discussions of rural-specific challenges and perspectives from Native Hawaiians.
Additional links: Addendum to the 2021 Community Health Needs Assessment: Additional Tracking of Secondary Data
Date: 03/2022
Type: Document
Sponsoring organization: Healthcare Association of Hawaii
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Strategies and Interventions to Reduce Suicide: Proceedings of a Workshop
Summarizes insights from a two-part virtual public workshop focused on suicide prevention interventions. Includes discussion of suicide trends for specific populations. Addresses a wide range of strategies and approaches to meet the needs of different groups, including rural and tribal populations.
Additional links: Read Online
Author(s): Forum on Mental Health and Substance Use Disorders
Date: 02/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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North Dakota Behavioral Health Epidemiological Profile
Reports on the effects of alcohol, tobacco, and illicit drug use on the lives and families of North Dakotans and the economy of the state. Discusses the rural culture of substance abuse throughout.
Date: 01/2022
Type: Document
Sponsoring organization: North Dakota Department of Human Services
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Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs
Presents a literature review focused on food insecurity in American Indian and Alaska Native (AI/AN) populations. Analyzes 34 studies and synthesizes major issues across the research such as prevalence of food insecurity, cultural foods and food sovereignty, strategies to improve food access, and the need for cultural competency when studying food insecurity in AI/AN populations.
Author(s): Cassandra J Nikolaus, Selisha Johnson, Tia Benally, et al.
Citation: Advances in Nutrition, 13(5), 1566-1583
Date: 01/2022
Type: Document
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The Rural Household Production of Health Approach: Applying Lessons from Zambia to Rural Cancer Disparities in the U.S.
Examines the household production of health approach (HHPH) to understand how rural populations allocate resources when seeking medical treatment. Discusses how this approach can yield new understandings of rural cancer research in the U.S. that considers people's familial and cultural realities. Focuses on gendered responsibilities in the household, particularly for women, as they relate to healthcare access.
Author(s): Mutale Chileshe, Emma Nelson Bunkley, Jean Hunleth
Citation: International Journal of Environmental Research and Public Health, 19(2), 974
Date: 01/2022
Type: Document
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Advancing Transcultural Care through Cultural Competency
Profiles St. Charles Madras Hospital, a Critical Access Hospital in Jefferson County, Oregon. Discusses the hospital's efforts to establish cultural competence through the implementation of components of evidence-based guidelines to improve the American Indian and Hispanic or Latino patient experiences.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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Partnering to Improve Health and Wellbeing via Community Based Care Coordination in Rural Minnesota
Case study featuring Winona Health, an independent, community-owned, and vertically integrated healthcare system serving rural Minnesota. Describes efforts underway to address the social determinants of health in the community through the Winona Wellbeing Collaborative. Also discusses efforts to build intercultural skill throughout the Winona Health organization.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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The Clinical and Business Cases for Opening a Maternity Care Unit in a CAH
A case study of a rural North Carolina partnership that worked together to add a new wing for a maternity unit at a 25-bed Critical Access Hospital. Explains how the service was planned to be financially viable. Describes maternal and infant health disparities in the region and discusses how this new service will meet the needs of the population with culturally and linguistically accessible care.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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Impact of Assistance Programs on Indigenous Ways of Life in 12 Rural Remote Western Alaska Native Communities: Elder Perspectives Shared in Formative Work for the "Got Neqpiaq?" Project
Explores a study evaluating the perception of Alaska Native elders from the Yukon-Kuskokwim area of Alaska on the efficacy and cultural competence of government assistance programs. Discusses and evaluates a number of programs, such as Head Start, Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), and Special Supplemental Nutrition Program of Women, Infants, and Children (WIC), among others.
Author(s): Amanda K. Walch, Kathryn A. Ohle, Kathryn R. Koller, et al.
Citation: International Journal of Circumpolar Health, 81(1)
Date: 01/2022
Type: Document
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Weaving Pathways: Talking with Our Elders
Highlights a program aimed at increasing end-of-life planning in American Indian and Alaska Native communities. Explores the barriers to AI/AN elders creating healthcare directives, the lessons learn from the initial pilot program, and the program's impact.
Author(s): Mary J Owen, Peter M Nalin, Charlie A Bouverette, et al.
Citation: Rural and Remote Health, 22(1)
Date: 01/2022
Type: Document
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