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Rural Health
Resources by Topic: LGBTQI+

Prevalence of Chronic Conditions by Sexual Orientation and Rural-Urban Location
Presents a study on the correlation between chronic health issues by sexual orientation and rurality. Breaks down rates of chronic diseases such as arthritis, high cholesterol, diabetes, and others by sexual orientation and rural versus urban location.
Author(s): Carrie Henning-Smith, Gilbert Gonzales, Megan Lahr, et al.
Date: 06/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Small-Town Pride Celebrations Supporting Social Connectedness & Well-Being for LGBTQ+ Rural Residents
Highlights celebrations of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) members of 2 rural communities in Minnesota and Nebraska. Offers case studies and describes the impacts of the events on social connectedness.
Author(s): Mariana Tuttle, Madeleine Pick, Robert Libal, Carrie Henning-Smith
Date: 06/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Social and Emotional Support during the COVID-19 Pandemic by Sexual Orientation and Rurality
Policy brief examining social and emotional support by rurality and sexual orientation during the COVID-19 pandemic based on 2020 National Health Interview Survey (NHIS) data. Compares prevalence of social support and change in social support for rural and urban lesbian, gay, and bisexual (LGB) and heterosexual respondents.
Author(s): Carrie Henning-Smith, Gilbert Gonzales, Mariana Tuttle, Courtney Sarkin
Date: 06/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Overcoming Technical and Cultural Challenges to Delivering Equitable Care for LGBTQ+ Individuals in a Rural, Underserved Area
Offers guidance for healthcare organizations when addressing the health inequities experienced by LGBTQ+ populations based on the 5-year experience of a rural integrated health system. Topics cover collecting sexual orientation and gender identity (SOGI) data for electronic health records (EHRs), clinical decision support and workflows using SOGI, strengthening the culture of diversity and inclusion within the organization, and partnering with local organizations to develop trust.
Author(s): Heather L. Marney, David K. Vawdrey, Leyla Warsame, et al.
Citation: Journal of the American Medical Informatics Association, 29(2), 372-378
Date: 03/2022
Type: Document
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Tailoring Opioid Overdose Prevention Efforts for Diverse Groups within Tribal and Urban Indian Settings - A Toolkit for Providers and Community Organizations Serving American Indian/Alaska Native Communities
Toolkit features resources and strategies for preventing opioid overdoses in American Indian and Alaska Native (AI/AN) communities. Features information for AI/AN elders, youth, veterans, and LGBTQ2S+, as well as urban and tribal communities.
Author(s): Danielle Eakins, Maya Magarati, Katie Hess, et al.
Date: 03/2022
Type: Document
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
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LGBTQIA+ Health in Rural America
Policy brief discussing LGBTQIA+ health and healthcare in rural areas. Explores limitations to address LGBTQIA+ health in rural communities, policy considerations, and policy recommendations to improve community-level disparities in LGBTQIA+ healthcare.
Author(s): Beth O'Connor, Kaitlin Phelon, Bryan Price, et al.
Date: 03/2022
Type: Document
Sponsoring organization: National Rural Health Association
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COVID-19 Vaccination Coverage and Vaccine Confidence by Sexual Orientation and Gender Identity — United States, August 29–October 30, 2021
Examines COVID-19 vaccination coverage and confidence in COVID-19 vaccines among LGBT adults aged 18 years and older. Includes data on vaccination coverage by sexual orientation, gender identity, and sex for those living in metropolitan and nonmetro areas.
Author(s): A.D. McNaghten, Noel T. Brewer, Mei-Chuan Hung, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(5), 171-176
Date: 02/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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The 2021 National School Climate Survey: The Experiences of LGBTQ+ Youth in Our Nation's Schools
Report examining school climate and experiences of LGBTQ+ youth based on 22,298 surveys of students conducted between April and August 2021. Presents data on reported harassment, support through staff and school resources, and changes in school climate and discrimination. Includes data broken down by urban, suburban, and rural or small town residence.
Additional links: Executive Summary
Author(s): Joseph G. Kosciw, Caitlin M. Clark, Leesh Menard
Date: 2022
Type: Document
Sponsoring organization: GLSEN
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"I Didn't Come Here to Make Trouble": Resistance Strategies Utilized by Transgender and Gender Diverse Youth in the Midwestern U.S.
Explores resilience in transgender and gender diverse (TGD) youth living in rural Midwestern states. Discusses stigma, discrimination, and victimization TGD youth experience and how a strength-focused analysis shows how they cultivate strategies to resist oppression, such as navigating difficult relationships, seeking mental health support, and accessing community resources.
Author(s): Megan S. Paceley, Jacob Goffnett, April L. Diaz, et al.
Citation: Youth, 1(1), 29-46
Date: 12/2021
Type: Document
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Trans*Forming Access and Care in Rural Areas: A Community-Engaged Approach
Article exploring the healthcare experiences and barriers to accessing services for rural transgender and gender diverse (TGD) populations based on qualitative data gathered in Appalachia. Describes the limited research on TGD populations and health and barriers to care including transportation, gender-affirming care access, provider knowledge and inclusivity, and avoidance of care.
Author(s): Megan E. Gandy, Kacie M. Kidd, James Weiss, Judith Leitch, Xavier Hersom
Citation: International Journal of Environmental Research and Public Health, 18(23), 12700
Date: 12/2021
Type: Document
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