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Rural Health
Resources by Topic: Culture and cultural competency

A Qualitative Study of Rural Healthcare Providers' Views of Social, Cultural, and Programmatic Barriers to Healthcare Access
Examines barriers to healthcare access in rural populations based on semi-structured interviews with 12 healthcare providers practicing in Montana. Focuses on domains of cultural considerations, patient-provider communication, and provider-provider communication.
Author(s): Nicholas C. Coombs, Duncan G. Campbell, James Caringi
Citation: BMC Health Services Research, 22, 438
Date: 04/2022
Type: Document
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Perspectives of Region XI Head Start Federal, Research, and Program Partners in Carrying out a National Study of American Indian and Alaska Native Head Start Children, Families, and Programs
Explores the relationship between research and federal stakeholders and Region XI Head Start, which is the region managed by federally recognized American Indian and Alaska Native (AI/AN) tribes. Discusses the process of including AI/AN representation in Head Start data and the origin of the AIAN Head Start Family and Child Experiences Survey (AIAN FACES). Includes reflection on the need for culturally appropriate research practices and data collection in AI/AN populations.
Author(s): Michelle Sarche, Lizabeth M. Malone, Laura Hoard, et al.
Citation: American Journal of Community Psychology, 69(1-2), 239-253
Date: 03/2022
Type: Document
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Overcoming Technical and Cultural Challenges to Delivering Equitable Care for LGBTQ+ Individuals in a Rural, Underserved Area
Offers guidance for healthcare organizations when addressing the health inequities experienced by LGBTQ+ populations based on the 5-year experience of a rural integrated health system. Topics cover collecting sexual orientation and gender identity (SOGI) data for electronic health records (EHRs), clinical decision support and workflows using SOGI, strengthening the culture of diversity and inclusion within the organization, and partnering with local organizations to develop trust.
Author(s): Heather L. Marney, David K. Vawdrey, Leyla Warsame, et al.
Citation: Journal of the American Medical Informatics Association, 29(2), 372-378
Date: 03/2022
Type: Document
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Epidemiology of Antibiotic Use and Drivers of Cross-Border Procurement in a Mexican American Border Community
Examines preference for antibiotics sourced from either Mexico or the U.S. for Mexican-American antibiotic users in Starr County, Texas since significant changes in prescription regulation in Mexico in 2010. Recruited 616 participants between March 2018 and March 2020 and followed their antibiotic sourcing and use for 1 year from recruitment. Lists associations with crossing the border to obtain antibiotics including health insurance status. Data showing preference for one country over another is broken down by gender, age, education level, insurance status, and more.
Author(s): Heather T. Essigmann, David A. Aguilar, William B, Perkison, et al.
Citation: Frontiers in Public Health, 10, 832266
Date: 03/2022
Type: Document
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Building Trust in Public Health Emergency Preparedness and Response (PHEPR) Science: Proceedings of a Workshop—in Brief
Summarizes findings from a March 2022 workshop focused on trustworthiness of Public Health Emergency Preparedness and Response (PHEPR) institutions and researchers. Discusses how to promote trust in public health agencies and establishing communication strategies to address misinformation. Includes cultural issues related to rural and tribal communities.
Additional links: Read Online
Date: 03/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Codesigning a Community-Based Participatory Research Project to Assess Tribal Perspectives on Privacy and Health Data Sharing: A Report from the Strong Heart Study
Presents findings from a workshop on health data privacy and sharing preferences with 14 tribal leaders whose communities are involved in the Strong Hearts Study. Discusses protocol for consulting tribal communities prior to engaging in biomedical research, issues of data safety, and respecting the distinct preferences of communities.
Author(s): Cynthia Triplett, Burgundy J. Fletcher, Riley I Taitingfong, et al.
Citation: Journal of the American Medical Informatics Association, 29(6), 1120-1127
Date: 03/2022
Type: Document
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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 Health and 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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