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Rural Health Information Hub

Rural Health
Resources by Topic: Culture

Rural Patient Experiences of Accessing Care for Chronic Conditions: A Systematic Review and Thematic Synthesis of Qualitative Studies
Investigates rural patient experiences related to accessing healthcare for the purpose of chronic disease management. Analyzes 62 studies from 2010-2019 with a total of 1,354 participants experiencing chronic health issues. Discusses themes of navigating the rural environment and its cultural expectations, navigating the healthcare system, and financing healthcare.
Author(s): Elizabeth H. Golembiewski, Derek L. Gravholt, Victor D. Torres Roldan, et al.
Citation: The Annals of Family Medicine, 20(3), 266-272
Date: 05/2022
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The Never-Ending Maze: Continued Failure to Protect Indigenous Women from Sexual Violence in the USA
Report examining criminal justice, healthcare, and support service issues related to disparities in sexual violence for American Indian and Alaska Native women. Covers challenges due to jurisdictional limitations, challenges and opportunities in tribal policing, the need for training and access to rape kits at Indian Health Service (IHS) facilities, and culturally competent support for survivors of sexual violence.
Date: 05/2022
Sponsoring organization: Amnesty International
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Assessing the Effectiveness of Policies to Improve Access to Primary Care for Underserved Populations: Case Study Analysis: Grant County, New Mexico
Case study of policy initiatives to increase access to primary care, focusing on rural Grant County, New Mexico. Discusses challenges to expanding the primary care workforce, bringing outpatient clinics into communities, mobile clinics and telehealth, affordability, and more.
Author(s): Maanasa Kona, Megan Houston, Jalisa Clark, Emma Walsh-Alker
Date: 05/2022
Sponsoring organization: Milbank Memorial Fund
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Strategies to Support Healthy Relationships for American Indian and Alaska Native Fathers
Provides strategies that can be utilized by American Indian and Alaskan Native (AI/AN) fathers to develop strong coparenting and familial relationships that are based on AI/AN cultural values. Discusses benefits of supporting the fatherhood role, such as increased health and emotional benefits and a decrease in substance abuse and domestic violence in AI/AN communities. Includes strategies based on interviews with experts and fathers, a scan of available research, and an awareness of the historical trauma present in AI/AN communities.
Author(s): April Wilson, Isabel Griffith, Deana Around Him, et al.
Date: 04/2022
Sponsoring organizations: Administration for Children and Families, Child Trends
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Precious Moments: Tribal Home Visiting Programs Support Families During Pregnancy and Postpartum
Provides an overview of how 7 Tribal Home Visiting grantees provide support to American Indian and Alaskan Native (AI/AN) families during pregnancy and postpartum. Focuses on providing culturally competent care related to AI/AN traditions, addressing historical and personal trauma in caregiving, improving maternal health outcomes, and providing education on breastfeeding, postpartum depression, healthy diet, and more.
Date: 04/2022
Sponsoring organizations: Administration for Children and Families, Tribal Home Visiting
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Building a Culturally Aware Native Hawaiian Health Professions Workforce
Highlights the Native Hawaiian Health Scholarship Program's efforts to build the Native Hawaiian health workforce. Describes the development of the program and changes to make the program more culturally aware and to integrate Native Hawaiian values into workforce training and professional development.
Author(s): Donna-Marie Palakiko, Kai'olu DeFries, Kilohana Haitsuka, Lisa L. Ka'anoi
Citation: Hawaii Journal of Health and Social Welfare, 81(4), Supplement 2, 15-19
Date: 04/2022
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Healthcare Accessibility for the Deaf and Hard of Hearing: A Descriptive Study of Rural Health Care Systems
Reports on survey results from 18 hospitals associated with rural healthcare systems regarding accessibility tools for deaf or hard of hearing patients. Presents information on tools for communication, perspectives on available tools, and types of available education for healthcare workers caring for deaf and hard of hearing patients.
Author(s): Amanda Reinhart
Date: 04/2022
Sponsoring organization: Illinois Critical Access Hospital Network
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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
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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
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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 sex, 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
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