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Rural Health
Resources by Topic: Culture and cultural competency

Health Equity: A Native American Perspective
Discusses health equity from a Native American perspective. Highlights a model of equity that goes beyond overcoming barriers around access and incorporates cultural knowledge, spiritual well-being, and community involvement, among other factors.
Author(s): John Lowe
Citation: Milbank Quarterly
Date: 12/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Urban and Rural Healthcare Providers' Perspectives on HPV Vaccination in Minnesota
Reports findings from a set of 20 qualitative interviews with urban and rural adolescent healthcare providers and clinic staff in Minnesota. Examines provider strategies used when discussing HPV, COVID-19, and other adolescent vaccines, as well as perceptions of parental opinions on adolescent vaccination. Discusses rural cultural values that impact rural provider strategies for promoting vaccination.
Author(s): Elizabeth J. Polter, Ben Christianson, Anne Steinberg, et al.
Citation: Human Vaccines & Immunotherapeutics, 19(3), 2291859
Date: 12/2023
Type: Document
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Differences in Buprenorphine Prescribing Readiness Among Primary Care Professionals With and Without X-Waiver Training in the US
Examines readiness of primary care providers (PCPs) to prescribe buprenorphine to patients with opioid use disorder (OUD). Analyzes PCP knowledge of and confidence in buprenorphine, attitudes toward patients with OUD, and stress and/or empathy toward patients with OUD. Utilizes survey data from 403 PCPs in Ohio and discusses the challenges of addressing OUD in rural contexts.
Author(s): Berkeley Franz, Lindsay Y. Dhanani, O. Trent Hall, et al.
Citation: Harm Reduction Journal, 20, 180
Date: 12/2023
Type: Document
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Water and Wastewater in the U.S.-Mexico Border Region: Twentieth Report of the Good Neighbor Environmental Board to the President and Congress of the United States
Report discussing drinking water and wastewater needs along the U.S.-Mexico border. Offers recommendations regarding coordination of services for underserved and tribal communities, infrastructure funding, and long-term planning. Discusses issues specific to rural areas, colonias, and tribal communities such as climates risks, health disparities, and more. Lists federal funding sources.
Author(s): P. Ganster, I. Coronado, J. McNeece, et al.
Date: 12/2023
Type: Document
Sponsoring organizations: Good Neighbor Environmental Board, U.S. Environmental Protection Agency
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The Association Between Tribal Transit And Food Insecurity Status among Native Americans in North Dakota
Examines the relationship between food insecurity in rural tribal areas and transportation access. Analyzes 2022 survey data from Native American respondents in North Dakota and reports on respondent demographics, traditional indigenous food pathways, factors leading to food insecurity, disability and health status, availability of transportation, and more. Provides information on Native American reservations and populations as well as strategies to reduce food insecurity.
Author(s): J. Hough, J. Mattson, H. Al Qublan, B. Rahman
Date: 12/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Rural Adults' Perceptions of Nutrition Recommendations for Cancer Prevention: Contradictory and Conflicting Messages
Explores perceptions of web-based nutrition recommendations for colorectal cancer (CRC) prevention, utilizing interview data from 48 rural men and women aged 50 to 73 who participated in a CRC prevention intervention. Identifies challenges related to contradictory recommendations, cultural and dietary preferences, and information gaps. Includes discussion of factors promoting CRC screening.
Author(s): Melissa J. Vilaro, Emma Bryan, Te Palani, et al.
Citation: Preventive Oncology and Epidemiology, 1, 2237680
Date: 11/2023
Type: Document
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The Magic of APRIL
Photovoice project from the 2023 Association of Programs for Rural Independent Living (APRIL) Conference. Project highlights APRIL's conference, describes Photovoice principles, and identifies themes that emerged from the Photovoice exercise in addition to the Photovoice project.
Date: 11/2023
Type: Document
Sponsoring organizations: Association of Programs for Rural Independent Living, Research and Training Center on Disability in Rural Communities
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Indigenous Voices Against Suicide: A Meta-Synthesis Advancing Prevention Strategies
Analyzes research on suicide prevention for Indigenous populations in the U.S. Highlights Indigenous voices in the research and selects for a number of programmatic themes, such as integration of culture as prevention, support preferences, and challenges to prevention, among others.
Author(s): Meenakshi Richardson
Citation: International Journal of Environmental Research and Public Health, 20(22), 7064
Date: 11/2023
Type: Document
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Provider- and System-Level Barriers and Facilitators to Colonoscopy and Multi-Target Stool DNA for Colorectal Cancer Screening in Rural/Remote Alaska Native Communities
Highlights a study of the barriers and facilitators to colorectal cancer screening for Alaska Native communities in rural and remote regions of Alaska. Bases findings on interviews with providers and an analysis of system-level factors, such as travel time and costs, weather, and COVID-19, among others.
Author(s): Diana Redwood, Melissa Toffolon, Christie Flanagan, et al.
Citation: International Journal of Environmental Research and Public Health, 20(22), 7030
Date: 11/2023
Type: Document
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Developing a Culturally Relevant Physical Activity Guide for Alaska Native Head Start Students in Rural Alaska: The Got Neqpiaq? Study
Highlights a survey of Alaska Native Elders, teachers, and parents on cultural modifications to the Head Start preschool programs' physical playtime activities in tribal communities. Features a partnership between the Alaska Native Tribal Health Consortium, Head Start, and the Rural Alaska Community Action Program. Details lessons learned from survey results on developing culturally competent physical education programming for Alaska Native preschoolers.
Author(s): Teresa Hicks, Barb Stillwater, Kathryn Koller, et al.
Citation: International Journal of Circumpolar Health, 82(1), 2287791
Date: 11/2023
Type: Document
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