Rural Health
Resources by Topic: LGBTQI+
School-Based Health Centers Addressing Health Equity for LGBTQ + Patients (SBHCs HELP): Protocol for a Stepped-Wedge Trial to Implement Innovations Promoting Structural Competency
Research protocol to test the effectiveness of the Dynamic Adaptation Process (DAP) in improving health equity and reducing stigma and discrimination for sexual and gender diverse (SGD) youth in school based health centers (SBHC) in New Mexico. Describes study design and strategies for implementing LGBTQ+ supportive practices across culturally and geographically varied areas, including rural communities.
Author(s): Cathleen E. Willging, Daniel Shattuck, Marisa Sklar, et al.
Citation: BMC Health Services Research, 24, 1485
Date: 11/2024
Type: Document
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Research protocol to test the effectiveness of the Dynamic Adaptation Process (DAP) in improving health equity and reducing stigma and discrimination for sexual and gender diverse (SGD) youth in school based health centers (SBHC) in New Mexico. Describes study design and strategies for implementing LGBTQ+ supportive practices across culturally and geographically varied areas, including rural communities.
Author(s): Cathleen E. Willging, Daniel Shattuck, Marisa Sklar, et al.
Citation: BMC Health Services Research, 24, 1485
Date: 11/2024
Type: Document
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Drivers of Mental Health Disparities for Diverse, Rural, LGBTQ+ Communities
Webinar recording on factors influencing mental health disparities for rural LGBTQ+ people. Discusses minority stress frameworks for sexual and gender minority people, key factors influencing mental health outcomes in rural areas, and recruitment and research practices to reflect community diversity in sexuality, gender, age, race, and ethnicity. Features the perspectives of teams of researchers from the John Hopkins University School of Public Health and Emory University School of Public Health.
Additional links: Transcript
Author(s): Savannah Winter, Marian Graves-Valentine, Shoshanna Fine, Kirsten F. Siebach, Sarah Murray
Date: 08/2024
Type: Document
Sponsoring organization: National Institute of Mental Health
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Webinar recording on factors influencing mental health disparities for rural LGBTQ+ people. Discusses minority stress frameworks for sexual and gender minority people, key factors influencing mental health outcomes in rural areas, and recruitment and research practices to reflect community diversity in sexuality, gender, age, race, and ethnicity. Features the perspectives of teams of researchers from the John Hopkins University School of Public Health and Emory University School of Public Health.
Additional links: Transcript
Author(s): Savannah Winter, Marian Graves-Valentine, Shoshanna Fine, Kirsten F. Siebach, Sarah Murray
Date: 08/2024
Type: Document
Sponsoring organization: National Institute of Mental Health
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A Formative Evaluation to Inform Integration of Psychiatric Care with Other Gender-Affirming Care
Identifies challenges and opportunities associated with integration of gender-affirming psychiatric and primary care services for transgender, non-binary, and gender-expansive (TNG) patients. Analyzes results of interviews with 11 TNG patients and 10 clinicians. Includes discussion of barriers to access and service delivery in rural areas.
Author(s): Teddy G. Goetz, Courtney Benjamin Wolk
Citation: BMC Primary Care, 25, 239
Date: 07/2024
Type: Document
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Identifies challenges and opportunities associated with integration of gender-affirming psychiatric and primary care services for transgender, non-binary, and gender-expansive (TNG) patients. Analyzes results of interviews with 11 TNG patients and 10 clinicians. Includes discussion of barriers to access and service delivery in rural areas.
Author(s): Teddy G. Goetz, Courtney Benjamin Wolk
Citation: BMC Primary Care, 25, 239
Date: 07/2024
Type: Document
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Community Health Needs and Opportunities in Rural Central New York
Reports on community health in central New York's Cayuga, Cortland, Madison, and Oswego counties. Discusses issues related to rural access to care, funding, and health workforce supply. Highlights health disparities affecting rural Black, Hispanic, multiracial, LGBTQ+, and disabled people. Includes sections dedicated to perinatal health, oral health, mental health and substance use, and medical and nonmedical home care.
Date: 06/2024
Type: Document
Sponsoring organization: Health Foundation for Western & Central New York
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Reports on community health in central New York's Cayuga, Cortland, Madison, and Oswego counties. Discusses issues related to rural access to care, funding, and health workforce supply. Highlights health disparities affecting rural Black, Hispanic, multiracial, LGBTQ+, and disabled people. Includes sections dedicated to perinatal health, oral health, mental health and substance use, and medical and nonmedical home care.
Date: 06/2024
Type: Document
Sponsoring organization: Health Foundation for Western & Central New York
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Rural and Urban Differences in Disparities in Substance Use and Substance Use Disorders Affecting Sexual Minority Populations
Examines substance use (SU), substance use disorders (SUD), and SUD treatment in heterosexual and sexual minority populations. Analyzes 2015 to 2019 National Survey on Drug Use and Health data with information broken down by demographics, SU, and large metro, small metro, or nonmetro location.
Author(s): Christina Dyar, Ethan Morgan
Citation: Journal of Rural Health, 40(3), 542-556
Date: 06/2024
Type: Document
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Examines substance use (SU), substance use disorders (SUD), and SUD treatment in heterosexual and sexual minority populations. Analyzes 2015 to 2019 National Survey on Drug Use and Health data with information broken down by demographics, SU, and large metro, small metro, or nonmetro location.
Author(s): Christina Dyar, Ethan Morgan
Citation: Journal of Rural Health, 40(3), 542-556
Date: 06/2024
Type: Document
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Discrimination in Healthcare: Perceptions Among LGBTQ Individuals in the Metro and the Nonmetro
Discusses the disparities related to healthcare discrimination of LGBTQ individuals living in metro versus nonmetro areas of the United States. Utilizes 2022 survey data to examines LGBTQ experiences regarding topics such as location of residence, life satisfaction, access to respectful healthcare, trans healthcare issues, and more.
Author(s): Adee Athiyaman
Date: 05/2024
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Discusses the disparities related to healthcare discrimination of LGBTQ individuals living in metro versus nonmetro areas of the United States. Utilizes 2022 survey data to examines LGBTQ experiences regarding topics such as location of residence, life satisfaction, access to respectful healthcare, trans healthcare issues, and more.
Author(s): Adee Athiyaman
Date: 05/2024
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Resource of Health Equity-Related Data Definitions, Standards, & Stratification Practices
Resource for providers, states, community organizations, and others that want to improve their health equity-related data collection and analysis. Outlines suggested definitions, standards, and stratification practices for race and ethnicity, sexual orientation and gender identity (SOGI), disability status, rurality, and other sociodemographic data elements.
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Resource for providers, states, community organizations, and others that want to improve their health equity-related data collection and analysis. Outlines suggested definitions, standards, and stratification practices for race and ethnicity, sexual orientation and gender identity (SOGI), disability status, rurality, and other sociodemographic data elements.
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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What Would Shifting To A Single-Dose HPV Vaccine Mean For Health And Access?
Discusses the potential impact of single-dose human papilloma virus (HPV) vaccines on health disparities for rural residents, lower socioeconomic status patients, men, and sexual and gender minorities. Discusses relief of cost barriers for health systems and vaccine shortages.
Author(s): Matthew Najarian, Amanda F. Petrik
Citation: Health Affairs Forefront
Date: 04/2024
Type: Document
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Discusses the potential impact of single-dose human papilloma virus (HPV) vaccines on health disparities for rural residents, lower socioeconomic status patients, men, and sexual and gender minorities. Discusses relief of cost barriers for health systems and vaccine shortages.
Author(s): Matthew Najarian, Amanda F. Petrik
Citation: Health Affairs Forefront
Date: 04/2024
Type: Document
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Rural Health Research Recap: LGBTQ+ Health: Rural vs Urban Inequities
Provides a summary of recent research on rural versus urban disparities in LGBTQI+ health outcomes. Includes data on chronic conditions, mental health, and social and familial support.
Author(s): Jessica Rosencrans
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Provides a summary of recent research on rural versus urban disparities in LGBTQI+ health outcomes. Includes data on chronic conditions, mental health, and social and familial support.
Author(s): Jessica Rosencrans
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Intimate Partner Violence in Rural Communities: Perspectives from Key Informant Interviews
Policy brief discusses the challenges faces by victims and survivors of intimate partner violence (IPV) seeking support services in rural communities. Bases findings on interviews with staff members from IPV victim support and advocacy organizations and highlights areas for organizations to improve support services for rural IPV victims and survivors.
Author(s): Alyssa H. Fritz, Emily C. Sheffield, Phoebe L. Chastain, et al.
Date: 03/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief discusses the challenges faces by victims and survivors of intimate partner violence (IPV) seeking support services in rural communities. Bases findings on interviews with staff members from IPV victim support and advocacy organizations and highlights areas for organizations to improve support services for rural IPV victims and survivors.
Author(s): Alyssa H. Fritz, Emily C. Sheffield, Phoebe L. Chastain, et al.
Date: 03/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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