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Rural Health
Resources by Topic: Racial and ethnic groups

Impact of In-Home Handwashing Stations on Hand Hygiene During the COVID-19 Pandemic in Unpiped Rural Alaska Native Homes
Examines the impact of installing the Miniature Portable Alternative Sanitation System (Mini-PASS) in rural Alaskan homes that lacked piped water. Utilizes interview feedback from 71 households who used the Mini-PASS during the COVID-19 pandemic, discussing themes such as handwashing station usage, the ability to troubleshoot repairs, collaboration with tribal health organizations, and more.
Author(s): Olivia A. Harmon, Tricia S. Howe, Jacqualine D. Schaeffer, Ramot Adeboyejo, Laura P. Eichelberger
Citation: Public Health Reports, 139(1), 81S-88S
Date: 07/2024
Type: Document
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Can ERAS Help Reduce Health Disparities and Overcome Barriers to Equitable Surgical Care in Marginalized Communities?
Discusses the value of Enhanced Recovery after Surgery (ERAS) protocols in rural and marginalized communities. Identifies barriers to access and proposes strategies to increase equity. Highlights aspects of ERAS implementation including pediatrics, health literacy, communication with patients and among providers, telehealth, and more.
Author(s): Chirag Ram, Ruoying Li, Andrew D. Franklin, et al.
Citation: Journal of Pediatric Surgery Open, 7, 100141
Date: 07/2024
Type: Document
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Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more.
Additional links: Interactive Map
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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Engagement Among Diverse Patient Backgrounds in a Remote Symptom Monitoring Program
Analyzes factors affecting engagement in a remote symptom monitoring (RSM) program among 1,998 patients who received treatment at Alabama cancer centers between May 2021 and May 2023. Includes data on likelihood of being approached for involvement in RSM and rates of program enrollment, adherence, and withdrawal. Factors considered include race (Black, White, or other), rural versus urban residence, and neighborhood disadvantage.
Author(s): Gabrielle B. Rocque, Nicole E. Caston, Keyonsis Hildreth, et al.
Citation: JCO Oncology Practice
Date: 06/2024
Type: Document
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The Appalachian Region: A Data Overview from the 2018-2022 American Community Survey Chartbook
State- and county-level information on population, age, race and ethnicity, housing occupancy, education, labor force, employment, transportation, income, health insurance coverage, disability, and veteran status, for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Sara Srygley, Nurfadila Khairunnisa, Diana Elliott
Date: 06/2024
Type: Website
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Illinois County Cancer Statistics Review Incidence, 2017-2021
Provides cancer incidence rates from 2017-2021 for individual counties in Illinois, utilizing data from the Illinois Department of Public Health and Illinois State Cancer Registry. Includes data and statistics broken down by sex, race, ethnicity, and cancer site.
Author(s): Stephen Roy, Kyle Garner, Lori Koch, Jane Fornoff
Date: 06/2024
Type: Document
Sponsoring organization: Illinois Department of Public Health
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Risk Factors Associated with Loneliness among Mexican-Origin Adults in Southern Arizona
Examines factors associated with symptoms of loneliness among Mexican-origin adults in the U.S.-Mexico border region. Utilizes data of 213 Mexican-origin adults at risk for diabetes or depression in Arizona's Pima, Yuma, and Santa Cruz counties. Evaluates factors including social supports, optimism, physical problem frequency and severity, age, place of birth, and length of residence in the U.S.
Author(s): Mario Morales, Ada M. Wilkinson-Lee, Maia Ingram, et al.
Citation: BMC Public Health, 24, 1694
Date: 06/2024
Type: Document
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Tribal Broadband: Additional Assistance to Recipients Would Better Support Implementation of $3 Billion in Federal Grants
This provides an overview of Tribal Broadband Connectivity Program (TBCP) grants, including recipients who had not received prior funding from key federal broadband programs and recipients' plans for network ownership and financial sustainability. Examines the extent to which the National Telecommunications and Information Administration (NTIA) provided technical assistance to recipients regarding financial sustainability and navigating the environmental review process. Presents recommendations to NTIA on technical assistance and reporting to Congress on the resources necessary to ensure the financial sustainability of TBCP projects.
Additional links: Full Report
Date: 06/2024
Type: Document
Sponsoring organization: Government Accountability Office
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American Indian and Alaska Natives in Tribal Areas Have Among Lowest Rates of High-Speed Internet Access
Highlights the gaps in access to high-speed internet in American Indian and Alaska Native (AI/AN) communities. Details rates of broadband access by AI/AN households and on tribal lands in general, by state, and by year.
Author(s): Daniela Mejía
Date: 06/2024
Type: Document
Sponsoring organization: U.S. Census Bureau
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Unintentional Injury Prevention in American Indian and Alaska Native Communities: A Scoping Review of the Indian Health Service Primary Care Provider Newsletter
Analyzes 68 articles from the Indian Health Service's Primary Care Provider newsletter on unintentional injury prevention efforts. Summarizes select interventions, discusses article topics and tribal communities featured, and evaluates breadth and depth of research, evaluation, and documentation.
Author(s): Wendy Shields, Anne Kenney, Evelyn Shiang, Rebecca Malizia, Holly Billie
Citation: Injury Epidemiology, 11, 27
Date: 06/2024
Type: Document
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