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Rural Health
Resources by Topic: Culture and cultural competency

Building Flourishing Native Families and Thriving Communities: A Reflection on 2023
Provides background on the Administration for Native Americans, outlines strategic priorities for 2023 and 2024, and discusses community partners and collaborations. Focuses on issues such as economic development funding for Native Hawaiians, early childhood development, Native languages, and missing and murdered indigenous people.
Date: 04/2024
Type: Document
Sponsoring organization: Administration for Children and Families
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Visiting with Elders - Aging, Caregiving, and Planning for Future Generations of American Indians and Alaska Natives
Reports on a listening session to identify themes in the perspectives of American Indian and Alaska Native elders on aging, age-related diseases, and caregiving. Discusses intergenerational trauma, culture, elder abuse, social connection, barriers to healthcare and other services, and dementia education.
Author(s): Cole Allick, Marija Bogic
Citation: Genealogy, 8(2), 36
Date: 03/2024
Type: Document
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Understanding Planning for Tribal Home Visiting Implementation: A Report From the Multi-Site Implementation Evaluation of Tribal Home Visiting
Examines model implementation of home visiting programs within U.S. indigenous communities. Uses community-engaged approaches to identify planning, implementation, challenges, and supports of the Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) program.
Author(s): Melina Salvador, Kirsten Keene, Tess Abrahamson-Richards, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Administration for Children and Families
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Rural-Specific Identity and Associations with Lifestyle Behaviors and Well-Being Among Rural Cancer Survivors
Examines how issues such as rural identity, attitudes toward rurality, and health beliefs impact rural cancer survivors' well-being. Utilizes survey data from 188 cancer survivors to discuss the relationship between sociocultural factors and quality of life, cancer fatalism, cancer information overload, rural identity and perceptions, and more.
Author(s): Kristina L. Tatum, Bonny B. Morris, Trevin E. Glasgow, et al.
Citation: Journal of Rural Health
Date: 03/2024
Type: Document
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The Health and Social Impacts of the Maui Wildfires: Post-Disaster Care from a Sociocultural Lens
Highlights the impact of a wildfire event on existing health and social service disparities in Maui, Hawaii. Discusses housing, employment, finances, mental health, suicide risk, culture, social isolation, rurality, and service limitations. Notes opportunities and challenges for addressing these impacts using telehealth and outside assistance.
Author(s): Ryan Holliday, Lauren S. Krishnamurti, Shiloh E. Jordan, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(3), 85-87
Date: 03/2024
Type: Document
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Reaching the Unheard: Overcoming Challenges in Health Research with Hard-to-Reach Populations
Analyzes strategies to engage hard-to-reach populations in health research. Discusses two case studies focused on specific issues in health research: breast cancer screening among rural and urban Mexican women in Illinois and mental health needs of Afghan refugees in Oklahoma. Provides reflection on issues such as cultural competency, language used in research, cultural identity and representation of research staff, choosing appropriate research sites, and more.
Author(s): Venera Bekteshi, Munjireen Sifat, Darla E. Kendzor
Citation: International Journal for Equity in Health, 23, 61
Date: 03/2024
Type: Document
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The Influence of Transformations in Supply on Methamphetamine Initiation Among People Injecting Opioids in the United States
Discusses the co-use of methamphetamine (MA) and opioids (pharmaceutical pills, heroin and fentanyls) through interview and observation of 30 individuals in West Virginia. Explores drug initiation and supply as well as evolving cultural beliefs and taboos of drug use, including those related to rural spaces in West Virginia.
Author(s): Sarah Mars, Jeff Ondocsin, Nicole Holm, Daniel Ciccarone
Citation: Harm Reduction Journal, 21, 57
Date: 03/2024
Type: Document
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Addressing Adolescent Substance Abuse and Risky Sexual Health Behaviors Via Youth-Led Initiatives: A Review of the Teens Linked to Care Pilot Program
Evaluates the Teens Linked to Care (TLC) pilot program which is meant to reduce substance use and risky sexual health behaviors in high-risk youth, including sexual and gender minority youth (SGMY). Examines the program framework, strategies, and implementation in 2 rural sites and discusses the impact of education, access to care, and supportive environments to promote healthy behaviors. Includes demographic and behavioral health data of participants.
Author(s): Hailey Bednar, Suzanne McMillan, Turquoise Sidibe, Melissa Bennett
Citation: International Journal of Environmental Research and Public Health, 21(3), 252
Date: 02/2024
Type: Document
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The Suicide Epidemic in Rural Minnesota: How We Got Here and How We Move Forward
Provides information on the yearly increase of suicides and deaths of despair in Minnesota, with data broken down by sex, region, and rurality. Discusses factors that impact suicide rates in rural areas, with a focus on rural and indigenous cultures, farming, stigma, firearm access, and more.
Author(s): Marnie Werner, Tracie Rutherford Self
Date: 02/2024
Type: Document
Sponsoring organizations: Center for Rural Behavioral Health, Center for Rural Policy and Development
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Creating Community-Based Health Education Materials for Indigenous Farmworkers
Describes the importance of accessible and culturally relevant resources for Mexican and Central American Indigenous farmworkers, and outlines steps for health education material development. Identifies techniques for promoting health literacy and encouraging community input. Highlights the importance of distinguishing Mesoamerican Indigenous farmworkers from non-Indigenous Latino populations.
Date: 01/2024
Type: Document
Sponsoring organizations: Language Access Florida, National Center for Farmworker Health, Rural Women's Health Project
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