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Rural Health
Resources by Topic: Native Hawaiian or Pacific Islander

Research Note Showing That the Rural Mortality Penalty Varies by Region, Race, and Ethnicity in the United States, 1999–2016
Evaluates rural mortality penalties by region, race, and ethnicity using 1999-2016 CDC WONDER data. Identifies regional variations in metro versus nonmetro mortality disparities experienced by Black/African American, Hispanic/Latino, White, Asian/Pacific Islander, and American Indian/Alaska Native populations.
Author(s): Danielle Rhubart, Alexis Santos
Citation: Demography, 60(6), 1699-1709
Date: 12/2023
Type: Document
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Oversight Hearing titled, "Fentanyl in Native Communities: Federal Perspectives on Addressing the Growing Crisis"
Recording of a Congressional hearing addressing fentanyl among Native communities. Includes testimony from federal officials discussing previous efforts and future priorities for solving the opioid crisis. Subtitles available in the video player.
Additional links: Adam W. Cohen Testimony, Glen Melville Testimony, The Honorable Roselyn Tso Testimony, The Honorable Vanessa Waldref Testimony
Date: 12/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Health Coverage Among American Indian and Alaska Native and Native Hawaiian and Other Pacific Islander People
Provides an overview of health insurance coverage for American Indian and Alaska Native (AIAN) and Native Hawaiian and Other Pacific Islander (NHOPI) people. Provides additional information on demographics, work status, income, and English proficiency. Discusses issues of access, equity, and geographic isolation for these communities.
Author(s): Latoya Hill, Samantha Artiga
Date: 11/2023
Type: Document
Sponsoring organization: KFF
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Fentanyl in Native Communities: Native Perspectives on Addressing the Growing Crisis
Recording of a November 8, 2023 hearing discussing fentanyl in both Native Hawaiian and American Indian and Alaska Native Communities. Features testimony from Lummi Nation, Turtle Mountain Band of Chippewa Indians of North Dakota, Assiniboine and Sioux Tribes of the Fort Peck Reservation, and representatives of the behavioral health and public health fields. Discusses the criminal justice system, behavioral health workforce shortages, health impacts of historical trauma, and more. Captions available within the video player.
Additional links: Dr. A. Aukahi Austin Seabury, Ph.D., I Ola Lāhui, Inc. - Testimony, Dr. Claradina Soto, Ph.D., Keck School of Medicine, University of Southern California - Testimony, Mr. Eric M. Gettis, Southeast Alaska Regional Health Consortium - Testimony, The Honorable Bryce Kirk, Assiniboine and Sioux Tribes of the Fort Peck - Testimony, The Honorable Jamie S. Azure, Turtle Mountain Band of Chippewa Indians of North Dakota - Testimony, The Honorable Tony Hillaire, Lummi Nation - Testimony
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Native Hawaiian Health Care Systems Program: Services, Funding, and Oversight
Provides an overview of the Native Hawaiian Health Care Systems Program, which is administered by the Health Resources and Services Administration (HRSA) and aims to improve access to services for Native Hawaiians living in Hawaii. Describes the provision of culturally sensitive services, the size and other characteristics of the programs, how Native Hawaiian Health Care Systems Program funds are awarded, and how HRSA oversees the program. Includes a snapshot of each of the five Native Hawaiian Health Care Systems.
Additional links: Full Report
Date: 10/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Psychologists Need More Experience Working With Indigenous Populations
Discusses the need for more psychologists with knowledge and experience working with Indigenous communities. Highlights the lack of cultural knowledge among psychologists about American Indian, Alaska Native, Native Hawaiian, and Pacific Islander populations.
Author(s): Karen Stamm, Meron Assefa, Luona Lin
Date: 10/2023
Type: Document
Sponsoring organization: American Psychological Association
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Types of Offers of Combustible Cigarettes, E-Cigarettes, and Betel Nut Experienced by Guam Youths
Presents a study on the scenarios where youths in Guam are presented with the opportunity to use cigarettes, e-cigarettes, and betel nut. Bases findings on focus group discussions and breaks down data by type of offer, location, and group context, among other measures.
Author(s): Francis Dalisay, Scott K. Okamoto, Jane Teneza, et al.
Citation: International Journal of Environmental Research and Public Health, 20(19), 6832
Date: 09/2023
Type: Document
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Housing Quality by Disability, Race, Ethnicity, and Rural-Urban Location: Findings from the American Community Survey
Policy brief examining the rates of dwellings with incomplete plumbing and incomplete kitchen facilities. Includes statistics with breakdowns by rural-urban location, racial/ethnic identity, and disability status.
Author(s): Alexis Swendener, Madeleine Pick, Megan Lahr, Hawking Yam, Carrie Henning-Smith
Date: 07/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Accessing 2020 Island Areas Censuses Data: Download, Export, and FTP
Highlights methods for downloading and exporting 2020 Census data on island territories that are covered by the U.S. Census. Details how to best capture and use demographic, social, economic, and housing information for Guam, American Samoa, the U.S. Virgin Islands, and the Commonwealth of the Northern Mariana Islands.
Date: 07/2023
Type: Video/Multimedia
Sponsoring organization: U.S. Census Bureau
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Accessing 2020 Island Areas Censuses Data: General Access
Discusses methods for accessing 2020 Census data on island territories that are covered by the U.S. Census. Details how to best access demographic, social, economic, and housing information for Guam, American Samoa, the U.S. Virgin Islands, and the Commonwealth of the Northern Mariana Islands.
Date: 07/2023
Type: Video/Multimedia
Sponsoring organization: U.S. Census Bureau
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