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Rural Health
Resources by Topic: Culture and cultural competency

Examining Barriers and Facilitators to Palliative Care Access in Rural Areas: A Scoping Review
Presents findings from a review of 28 peer-reviewed studies regarding barriers and facilitators to access to palliative care in rural areas. Covers perspectives from patients, families, and providers.
Author(s): Yun Cai, Nasreen Lalani
Citation: American Journal of Hospice and Palliative Medicine, 39(1), 123-130
Date: 2022
Type: Document
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Adapting Evidence-Based Practices for Under-Resourced Populations
Describes various methods of adapting evidence-based practices (EBPs) to meet the needs of populations who experience barriers in receiving behavioral health services due to a variety of factors including race, ethnicity, geography, income, sexual orientation, and disability. Offers guidance on implementing adapted EBPs with examples for behavioral health professionals, administrators, researchers, and others involved with helping individuals in need of mental health and substance use disorder services.
Date: 2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Suicide Prevention in Indigenous Communities: Proceedings of a Workshop
Report details the proceedings of a workshop addressing suicide prevention for American Indians and Alaska Natives living in tribal communities. Highlights suicide rates and prevention strategies in indigenous communities. Makes recommendations for improvement of data quality, cultural competency, and research, among other factors.
Additional links: Read Online
Author(s): Division of Behavioral and Social Sciences and Education
Date: 2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Promoting Health Equity in Cancer Care: Proceedings of a Workshop
Presents proceedings from a 2021 workshop on issues related to disparities in cancer incidence, care, and patient outcomes. Discusses structural racism, social determinants of health, and health disparities for specific populations such as minorities and those living in rural areas. Provides strategies for understanding cultural factors related to establishing quality cancer care for all patients.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Addressing Structural Racism, Bias, and Health Communication as Foundational Drivers of Obesity: Proceedings of a Workshop Series
Presents proceedings from a 2021 workshop series on issues related to obesity such as structural racism, stigma, weight bias, health communication, and potential data-driven solutions. Includes strategies for developing positive interactions with diverse populations as well as information specific to tribal areas.
Additional links: Read Online
Author(s): Food and Nutrition Board
Date: 2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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"I Didn't Come Here to Make Trouble": Resistance Strategies Utilized by Transgender and Gender Diverse Youth in the Midwestern U.S.
Explores resilience in transgender and gender diverse (TGD) youth living in rural Midwestern states. Discusses stigma, discrimination, and victimization TGD youth experience and how a strength-focused analysis shows how they cultivate strategies to resist oppression, such as navigating difficult relationships, seeking mental health support, and accessing community resources.
Author(s): Megan S. Paceley, Jacob Goffnett, April L. Diaz, et al.
Citation: Youth, 1(1), 29-46
Date: 12/2021
Type: Document
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Planning a Reentry Program: A Toolkit for Tribal Communities
Toolkit provides information and guidance for developing a reentry program for American Indians and Alaska Natives who are transitioning from the criminal justice system to civilian life. Highlights evidence-based practices for reentry programs, including partnerships to connect returning citizens to housing, job training and placement, and medical, mental health, and/or substance use treatment, among other services.
Date: 12/2021
Type: Document
Sponsoring organizations: Bureau of Justice Assistance, Center for Court Innovation, Community Justice & Safety For All, U.S. Department of Justice
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Trans*Forming Access and Care in Rural Areas: A Community-Engaged Approach
Article exploring the healthcare experiences and barriers to accessing services for rural transgender and gender diverse (TGD) populations based on qualitative data gathered in Appalachia. Describes the limited research on TGD populations and health and barriers to care including transportation, gender-affirming care access, provider knowledge and inclusivity, and avoidance of care.
Author(s): Megan E. Gandy, Kacie M. Kidd, James Weiss, Judith Leitch, Xavier Hersom
Citation: International Journal of Environmental Research and Public Health, 18(23), 12700
Date: 12/2021
Type: Document
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Indigenous Agricultural Workers
Highlights a report on indigenous agricultural workers from Central and South America. Details demographic, historical, and health information, among other factors.
Date: 12/2021
Type: Document
Sponsoring organization: National Center for Farmworker Health
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At the Heart of Community-Engaged Research in Halifax County, N.C.
Describes a research project through North Carolina Central University (NCCU) that examines health disparities in rural Halifax County, NC and that places emphasis on building trust between researchers and the community. Discusses community-engaged research methodologies and the process of training researchers to conduct such research.
Date: 11/2021
Type: Document
Sponsoring organization: National Institute on Minority Health and Health Disparities
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