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Rural Health
Resources by Topic: Culture and cultural competency

Does a Program That Focuses on Lifestyle Changes Reduce Heart Disease Risk Factors in a Rural Community in Appalachian Kentucky?
Examines a tailored, culturally appropriate cardiovascular disease self-care intervention, HeartHealth, compared to a model of patient referrals to a primary care provider for standard care for cardiovascular risk factors in a rural Appalachian Kentucky community.
Author(s): Debra K. Moser, Frances Feltner, Martha J. Biddle, et al.
Date: 2019
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Procuring Health: Experiences of Mexican Immigrant Women in Rural Midwestern Communities
Thematic study examining health outcomes, perceptions of health, and health promotion for first-generation Mexican immigrant women living in rural Midwestern communities. Compiles data drawn from interviews with 15 women held in 2012, including education, household information, health screening, health issues, transportation, and other data points. Discusses health disparities for Latino populations, the growth of Latino populations in the Midwest, the economic contribution of Latino immigrants to rural communities, and the role of Latina women in family health.
Author(s): Kimberly Greder and Angelica Reina
Citation: Qualitative Health Research, 29(9), 1334-1344
Date: 12/2018
Type: Document
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2020-2022 New Mexico State Health Improvement Plan
Describes a disease prevention and health promotion plan to improve health outcomes for New Mexico's population where the majority are people of color. Major health issues include access to primary care, obesity and diabetes, substance use disorder, and mental health with a focus on the cultural and linguistic needs of New Mexico's unique population.
Date: 12/2018
Type: Document
Sponsoring organization: New Mexico Department of Health
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Social Medicine in Practice: Realizing the American Indian and Alaska Native Right to Health
Explores the health disparities facing American Indian and Alaska Native populations and the social determinants of health specific to Native nations. Features a case study of the Maniilaq Social Medicine Program (SMP) in Alaska, which aims to address Native health disparities.
Author(s): Lucas Trout, Corina Kramer, Lois Fischer
Citation: Health and Human Rights Journal, 20(2), 19–30
Date: 12/2018
Type: Document
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Ke A'o Mau: Strengthening Cultural Competency in Interdisciplinary Education
Summarizes an interprofessional cultural competency course focused on Native Hawaiians. Offers recommendations for designing other courses focused on training interdisciplinary teams in cultural competency to address health disparities.
Author(s): Theresa M. Kreif, Shayne Kukunaokala Yoshimoto, Noreen Mokuau
Citation: Hawai'i Journal of Medicine and Public Health, 77(12), 333-336
Date: 12/2018
Type: Document
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Designed Cultural Adaptation and Delivery Quality in Rural Substance Use Prevention: An Effectiveness Trial for the Keepin' it REAL Curriculum
Examines the effectiveness of two versions – one urban and one rural - of a culturally adapted evidence-based middle school substance use prevention curriculum on adolescents. Data collected included adolescent self-reported substance use, and ratings of quality in delivery analyzed from video recordings of lessons presented.
Author(s): Michael L. Hecht, YoungJu Shin, Jonathan Pettigrew, Michelle Miller-Day, Janice L. Krieger
Citation: Prevention Science 19(8), 1008-1018
Date: 11/2018
Type: Document
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Health Disparities Among American Indians/Alaska Natives — Arizona, 2017
Reports on sociodemographic characteristics, healthcare access, health behaviors, health status, and chronic conditions among Arizona adults, with data for American Indian/Alaska Native (AI/AN), White, and other adults. Discusses the need for culturally tailored public health approaches to address AI/AN health disparities.
Author(s): Monique Adakai, Michelle Sandoval-Rosario, Fang Xu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(47), 1314-1318
Date: 11/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Community Perspectives on Emergency Department Use and Care for American Indian Children
Explores parental and community perspectives of pediatric emergency department (ED) use for American Indian (AI) populations. Utilizes qualitative data from 70 parents who participated in focus groups to report on issues such as healthcare access, healthcare environment, and culturally insensitive interactions with professionals. Includes participants from both rural and urban areas and presents differentiated experiences according to location.
Author(s): Wyatt J. Pickner, Katherine M. Ziegler, Jessica D. Hanson, et al.
Citation: Journal of Racial and Ethnic Health Disparities, 5(5), 939-946
Date: 10/2018
Type: Document
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Culturally-Relevant Online Cancer Education Modules Empower Alaska's Community Health Aides/Practitioners to Disseminate Cancer Information and Reduce Cancer Risk
Discusses a study based on post-training surveys from online learning modules providing cancer education for Community Health Aide/Practitioners (CHA/Ps) serving rural Native Alaskan communities. Details CHA/Ps perceptions of the training and how they plan to apply it in their practice.
Author(s): Katie Cueva, Laura Revels, Melany Cueva, et al.
Citation: Journal of Cancer Education, 33(5), 1102-1109
Date: 10/2018
Type: Document
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Reshaping the Journey: American Indians and Alaska Natives in Medicine
Summarizes best practices and results of successful programs to be used as models for developing programs that can be used to help raise the number of American Indian and Alaska Natives (AI-AN) medical school graduates. Includes statistics on AI-AN medical school applicants by undergraduate institution and by state, and AI-AN medical school graduates by medical school.
Date: 10/2018
Type: Document
Sponsoring organizations: Association of American Indian Physicians, Association of American Medical Colleges
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