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Rural Health
Resources by Topic: Culture and cultural competency

Dental Anxiety and Oral Health in American Indian and Alaska Natives
Explores levels of "dental anxiety" or fear and anxiety around dental care in American Indian and Alaska Native (AI/AN) communities. Discusses the historical and cultural factors that contribute to dental distrust, anxiety, and avoidance among AI/AN individuals. Breaks down data by age, gender, and educational attainment, among other factors.
Author(s): Tamanna Tiwari, Casey D. Wright, Lisa J. Heaton, et al.
Citation: Journal of Public Health Dentistry
Date: 07/2024
Type: Document
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Addressing Adverse Childhood Experiences in Clinics Serving California Farmworker Communities: NACES Pilot Project Evaluation
Provides an overview of the No More Adverse Childhood Experiences (NACES) pilot project, which aims to address adverse childhood experiences (ACEs) in a rural farmworker community in central California. Summarizes findings of an evaluation of the clinic-based intervention component of NACES, including clinic systems' changes in capacity for ACE screening and response, clinician and clinical staff understanding of how to address ACEs in farmworker communities, and patient process and experience outcomes related to ACE education and screening. Offers recommendations to improve ongoing ACE education, screening, and response work with clinics serving rural farmworkers throughout California.
Author(s): Ingrid Estrada-Darley, Gabriela Alvarado, Alejandro Roa Contreras, et al.
Date: 07/2024
Type: Document
Sponsoring organization: RAND Corporation
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Understanding Intimate Partner Violence Service Delivery for Latinx Survivors in Rural Areas
Examines the perceived challenges of domestic violence (DV) organizations related to service delivery for Latinx intimate partner violence (IPV) survivors living in rural areas. Examines staff qualifications and Latinx-specific community services of 78 DV organizations, discussing associated perceived barriers in these organizations.
Author(s): Jeongsuk Kim, Cynthia Fraga Rizo, Christopher J. Wretman, et al.
Citation: Violence Against Women, 30(9), 2075-2416
Date: 07/2024
Type: Document
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Therapists Learn How To Help Farmers Cope With Stress Before It's Too Late
Highlights a U.S. Department of Agriculture initiative to train mental health workers on the unique stressors in agricultural work contributing to disparate rates of suicides for farmers. Discusses the importance of understanding the culture of farming.
Author(s): Tony Leys
Date: 06/2024
Type: Document
Sponsoring organization: KFF
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New Frontiers for Funding: An Introduction to Grantmaking in Rural Aging
Offers guidance on offering grant funds for rural aging work, discussing scale of funding, rural assets, sustainability, and partnership building. Highlights rural aging issues including health, cultural sensitivities, transportation, broadband, housing and institutional care, and social isolation.
Date: 06/2024
Type: Document
Sponsoring organization: Grantmakers In Aging
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Effectiveness of Trained Community Lay Workers on Glycemic Control, Knowledge, and Self-Efficacy Among Agricultural Workers with Diabetes in the Texas Panhandle
Describes a 2 phase study that created a diabetes coaching program and evaluated implementation among agricultural workers with diabetes in the Texas panhandle. Evaluated patient A1C levels and diabetes knowledge to determine the effectiveness of using community health workers to improve diabetes outcomes. Discusses the importance of culturally relevant content and addressing systemic barriers to healthcare access.
Author(s): Anabel Rodriguez, Lus Chavez, Teresa Wagner, Carol Howe
Citation: Journal of Immigrant and Minority Health, 26, 841-849
Date: 05/2024
Type: Document
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Leading the Way on the Journey to Health Equity and Wellness for American Indians/Alaska Natives
Recording of a May 30, 2024, conference session on addressing tribal health disparities as part of the Centers for Medicare & Medicaid Services (CMS) Health Equity Conference. Includes presentations from the National Indian Health Board on priorities for initiatives aimed at improving health equity for American Indians and Alaska Natives and CMS on improving and using demographic data to improve health equity, with a focus on Medicaid and CHIP data.
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Building a Sustainable Rural Health Workforce for the 21st Century: A Report of the 2024 Rural Health Workforce Summit
Summarizes a May 2024 summit of national rural health workforce experts to discuss strategies for increasing the supply of rural health workforce. Presents 3 principles related to rural community culture, innovation, and payment structure to inform 4 core strategies for building and maintaining the workforce. Strategies cover workforce roles, partnerships and networking, technology to improve access to care, and educational pathways.
Date: 05/2024
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Traditional Food Security and Food Sovereignty in the Coastal Region of South-Central Alaska
Features a study on traditional food security and sovereignty for the Alutiiq and Eyak peoples of the Chugach Region of Alaska. Breaks down results by community food resources, diet and health, culture, organization and governance, food resources, and natural resources and environment. Makes recommendation on overcoming barriers and improving food systems.
Author(s): Joseph Nyholm, Amanda Walch, Leslie Redmond
Citation: International Journal of Circumpolar Health, 83(1), 2359161
Date: 05/2024
Type: Document
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Benefits, Challenges, and Strategies Related to Using Presumptive Recommendations for HPV Vaccination: A Qualitative Study with Rural and Non-Rural-Serving Primary Care Professionals
Examines the use of presumptive recommendations that assume parents will want to vaccinate, a strategy aimed at improving HPV vaccination uptake in rural and non-rural primary care clinics in North Carolina. Analyzes interview data from primary care professionals (PCPs) about the impact of presumptive recommendations, focusing on issues such as patient trust and cultural sensitivity.
Author(s): Olufeyisayo O. Odebunmi, Lisa P. Spees, Caitlin B. Biddell, et al.
Citation: Human Vaccines & Immunotherapeutics, 20(1)
Date: 05/2024
Type: Document
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