Rural Health
Resources by Topic: Culture
Exploring the Role of Critical Health Literacy in Addressing the Social Determinants of Health
Brief reporting on a workshop held by the Roundtable on Health Literacy that explored Social Determinants of Health (SDOH) and health literacy to serve vulnerable communities. Discusses SDOH models, research methods to engage communities, and critical health literacy. Project examples include work with rural Native American communities.
Author(s): Board on Population Health and Public Health Practice
Date: 06/2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Brief reporting on a workshop held by the Roundtable on Health Literacy that explored Social Determinants of Health (SDOH) and health literacy to serve vulnerable communities. Discusses SDOH models, research methods to engage communities, and critical health literacy. Project examples include work with rural Native American communities.
Author(s): Board on Population Health and Public Health Practice
Date: 06/2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Integrating Cultural Relevance into a Behavioral mHealth Intervention for Native American Youth
An analysis of a behavioral mHealth intervention for Native American communities, ARORA (Amplifying Resilience Over Restricted Internet Access), co-developed with Native American youth, a clinical psychologist, and a community advisory board. Discusses the key themes and critical components of the intervention as identified by members of the Native American community, and offers recommendations to assist other researchers in their development of a cross-cultural design.
Author(s): Vigil-Hayes, M., Collier, A.F., Hagemann, S., et al.
Citation: Proceedings of the Association for Computing Machinery on Human-Computer Interaction, 5(CSCW1), 165.
Date: 04/2021
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An analysis of a behavioral mHealth intervention for Native American communities, ARORA (Amplifying Resilience Over Restricted Internet Access), co-developed with Native American youth, a clinical psychologist, and a community advisory board. Discusses the key themes and critical components of the intervention as identified by members of the Native American community, and offers recommendations to assist other researchers in their development of a cross-cultural design.
Author(s): Vigil-Hayes, M., Collier, A.F., Hagemann, S., et al.
Citation: Proceedings of the Association for Computing Machinery on Human-Computer Interaction, 5(CSCW1), 165.
Date: 04/2021
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The Road to Equity: Examining Structural Racism in Health Care
Recordings of a 2-day forum on health equity, structural racism in healthcare, and the role of federal agencies in responding to issues of inequity. Day 2 includes a presentation on rural-specific issues including health disparities, access to healthcare, facility closures and workforce issues.
Additional links: Day 1 Transcript, Day 2 Recording, Day 2 Transcript
Date: 04/2021
Sponsoring organization: CDC's Office of Minority Health
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Recordings of a 2-day forum on health equity, structural racism in healthcare, and the role of federal agencies in responding to issues of inequity. Day 2 includes a presentation on rural-specific issues including health disparities, access to healthcare, facility closures and workforce issues.
Additional links: Day 1 Transcript, Day 2 Recording, Day 2 Transcript
Date: 04/2021
Sponsoring organization: CDC's Office of Minority Health
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State Health Disparities Research in Rural America: Gaps and Future Directions in an Era of COVID-19
Discusses research methods and partnerships to address rural health disparities. Highlights recommendations from a national workshop on rural health disparities, including community participation in rural health research, innovative research design, interventions that are relevant to rural challenges, and cultural competence in rural research.
Author(s): Lisa Cacari Stone, Mary C. Roary, Augusto Diana, Patricia A. Grady
Citation: Journal of Rural Health, 37(3), 460-466
Date: 04/2021
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Discusses research methods and partnerships to address rural health disparities. Highlights recommendations from a national workshop on rural health disparities, including community participation in rural health research, innovative research design, interventions that are relevant to rural challenges, and cultural competence in rural research.
Author(s): Lisa Cacari Stone, Mary C. Roary, Augusto Diana, Patricia A. Grady
Citation: Journal of Rural Health, 37(3), 460-466
Date: 04/2021
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Notes from the Field: COVID-19 Case Investigation and Contact Tracing Program — Spirit Lake Tribe, North Dakota, September–November 2020
Reports on how the CDC helped the Spirit Lake Tribe build a tribally managed program to address increasing COVID-19 cases through comprehensive case investigations, case notification, contact tracing, contact testing, and contact management. Describes the work of Spirit Lake community members who served as investigators and contact tracers, providing advice about the need to isolate or quarantine. Discusses housing challenges that impacted isolation and quarantine efforts.
Author(s): James Matthias, Tracy Charboneau, Cheri Schaffer, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 533-534
Date: 04/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on how the CDC helped the Spirit Lake Tribe build a tribally managed program to address increasing COVID-19 cases through comprehensive case investigations, case notification, contact tracing, contact testing, and contact management. Describes the work of Spirit Lake community members who served as investigators and contact tracers, providing advice about the need to isolate or quarantine. Discusses housing challenges that impacted isolation and quarantine efforts.
Author(s): James Matthias, Tracy Charboneau, Cheri Schaffer, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 533-534
Date: 04/2021
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 Incidence and Mortality Among American Indian/Alaska Native and White Persons — Montana, March 13–November 30, 2020
Examines COVID-19 incidence and mortality rates among American Indian/Alaska Native (AI/AN) and White people in Montana. Discusses factors that may have contributed to greater incidence and mortality for the AI/AN population and the need for appropriate public health measures and vaccine allocation strategies to address disparities.
Author(s): Laura L. Williamson, Todd S. Harwell, Todd M. Koch, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 510-513
Date: 04/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Examines COVID-19 incidence and mortality rates among American Indian/Alaska Native (AI/AN) and White people in Montana. Discusses factors that may have contributed to greater incidence and mortality for the AI/AN population and the need for appropriate public health measures and vaccine allocation strategies to address disparities.
Author(s): Laura L. Williamson, Todd S. Harwell, Todd M. Koch, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 510-513
Date: 04/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Healing Tool - Pocket Guide for Addressing Behavioral Health Goals in Native Communities
Provides data and strategies for addressing mental health and substance use issues in American Indian and Alaska Native communities. Discusses issues around stigma, medication-assisted treatment, and traditional healing practices, among other measures, for creating culturally competent care in tribal communities.
Author(s): Shirley M. Cain
Date: 03/2021
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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Provides data and strategies for addressing mental health and substance use issues in American Indian and Alaska Native communities. Discusses issues around stigma, medication-assisted treatment, and traditional healing practices, among other measures, for creating culturally competent care in tribal communities.
Author(s): Shirley M. Cain
Date: 03/2021
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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Medicaid's Role in Health Care for American Indians and Alaska Natives
Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Eat Healthy, Be Active Community Workshops Implemented with Rural Hispanic Women
Describes a pilot study investigating whether delivering Eat Healthy, Be Active (EHBA) workshops through promotoras is a practical and culturally relevant method for encouraging healthy lifestyle behaviors and reducing obesity among Hispanic women in rural areas of Washington state. Includes data and statistics, with information on changes in nutrition label literacy, food insecurity, health behaviors, and health status among participants.
Author(s): Janeth I. Sanchez, Katherine J. Briant, Samantha Wu-Georges, et al.
Citation: BMC Women's Health, 21(24)
Date: 01/2021
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Describes a pilot study investigating whether delivering Eat Healthy, Be Active (EHBA) workshops through promotoras is a practical and culturally relevant method for encouraging healthy lifestyle behaviors and reducing obesity among Hispanic women in rural areas of Washington state. Includes data and statistics, with information on changes in nutrition label literacy, food insecurity, health behaviors, and health status among participants.
Author(s): Janeth I. Sanchez, Katherine J. Briant, Samantha Wu-Georges, et al.
Citation: BMC Women's Health, 21(24)
Date: 01/2021
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Chickaloon Native Village Preserves Sovereignty and Culture for an Expansive Vision of Health
Highlights the work of the Chickaloon Native Village in Alaska, a recipient of the 2020-2021 Robert Wood Johnson Foundation Culture of Health Prize, to provide education and health services through a tribally owned school and various initiatives that support families and population health.
Date: 2021
Sponsoring organization: Robert Wood Johnson Foundation
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Highlights the work of the Chickaloon Native Village in Alaska, a recipient of the 2020-2021 Robert Wood Johnson Foundation Culture of Health Prize, to provide education and health services through a tribally owned school and various initiatives that support families and population health.
Date: 2021
Sponsoring organization: Robert Wood Johnson Foundation
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