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Rural Health
Resources by Topic: Racial and ethnic groups

Understanding American Indian and Alaska Native Early Childhood Needs: The Potential of Existing Data
Details a report on the healthcare and developmental needs of American Indian and Alaska Native (AI/AN) children from prenatal to 5 years of age. Draws conclusions pertaining to information from the American Community Survey and the Head Start Program Information Reports and points to gaps and limitations in the current data regarding AI/AN children and their families.
Author(s): Lizabeth Malone, Emily Knas, Sara Bernstein, Lindsay Read Feinberg
Date: 05/2017
Type: Document
Sponsoring organization: Mathematica Policy Research
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Housing Needs of Native Hawaiians: A Report From the Assessment of American Indian, Alaska Native, and Native Hawaiian Housing Needs
Report of housing conditions and needs for Native Hawaiians as part of a larger Native American housing study mandated by Congress in 2009. Includes discussion of population growth and distribution; demographic, social, and economic conditions; housing conditions and needs; circumstances of Native Hawaiians residing on Hawaiian Home Lands and those on the waiting list; and housing policy and programs. Rural and urban comparisons, particularly in the Home Lands discussion, are available.
Date: 05/2017
Type: Document
Sponsoring organization: U.S. Department of Housing and Urban Development
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Assessing Diabetes and Factors Associated with Foregoing Medical Care among Persons with Diabetes: Disparities Facing American Indian/Alaska Native, Black, Hispanic, Low Income, and Southern Adults in the U.S. (2011-2015)
Identifies trends in care of and prevalence of diabetes in terms of socioeconomic and demographic characteristics, and explores individual and community factors related to diabetes and diabetics' unmet medical needs. Features statistics on percentages of adults diagnosed with diabetes from 2011-2015 and distribution of diabetes and foregone medical care, with breakdowns including race or ethnicity, income, and levels of rurality.
Author(s): Samuel D. Towne, Jr., Jane Bolin, Alva Ferdinand, et al.
Citation: International Journal of Environmental Research and Public Health, 14(5), 464
Date: 05/2017
Type: Document
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Tuberculosis And Rural Health Care In America
Episode of WBUR's On Point radio program, featuring discussion of a tuberculosis outbreak in rural Perry county, Alabama. Describes attempts to screen and treat low-income patients, despite many residents' mistrust of the medical profession. Panelists include the author of a recent Harper's Magazine article about tuberculosis in the Black Belt, a Perry County doctor, a University of Alabama professor of rural medicine, and a healthcare reporter from the Los Angeles Times.
Date: 05/2017
Type: Audio
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Rural Family Medicine Outcomes at the University of Minnesota Medical School Duluth
Analysis of 1972-2009 graduates of the Duluth medical school, an institution emphasizing family medicine and service to American Indian communities, showing how gender, race, age, and hometown relate to family medicine specialty, rural practice, and rural family medicine practice. Includes demographic statistics by decade, with breakdowns by rural and urban hometowns.
Author(s): Anna Fuglestad, Jacob Prunuske, Ronald Regal, et al.
Citation: Family Medicine, 49(5), 388-393
Date: 05/2017
Type: Document
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A Multicomponent Quality Improvement Intervention to Improve Blood Pressure and Reduce Racial Disparities in Rural Primary Care Practices
Assesses the effectiveness of a multicomponent practice-based quality improvement (QI) intervention to lower blood pressure of patients with uncontrolled hypertension and to determine if there would be a variation of effectiveness by race. Participants in the project included 525 adults with hypertension, providers and staff of which nearly 70% were African American. The study took place at primary care practices located in Lenoir County, an economically distressed county in Eastern North Carolina.
Author(s): Crystal W. Cené, Jacqueline R. Halladay, Ziya Gizlice, et al.
Citation: Journal of Clinical Hypertension, 19(4), 351-360
Date: 04/2017
Type: Document
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LTSS Research: Hospice in Indian Country
Presents a literature review on the barriers to end-of-life care for American Indians and Alaska Natives (AI/AN), and provides recommendations to minimize these barriers. Discusses the cultural considerations of hospice and palliative care for AI/AN patients.
Date: 04/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Promoting Optimal Native Outcomes (PONO) by Understanding Women's Stress Experiences
Examines psychosocial stressors in women, aged 18-35, living in a rural Hawaiian community with a large Native Hawaiian and Pacific Islander population to promote optimal native outcomes (PONO). Analyzes information from 36 women participating in focus groups and identifies seven stressor themes: intimate relationships; family and home life; child rearing; time for self; neighborhood environment; workplace; and finances.
Author(s): May Okihiro, Lisa Duke, Deborah Goebert, et al.
Citation: The Journal of Primary Prevention, 38(1-2), 159-173
Date: 04/2017
Type: Document
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The Oral Health of American Indian and Alaska Native Children Aged 6-9 Years: Results of the 2016-2017 IHS Oral Health Survey
Provides an overview of the oral health status of American Indian and Alaska Native children in kindergarten through third grad using data from the 2016-2017 Indian Health Service (IHS) oral health surveillance survey.
Author(s): Kathy R. Phipps, Timothy L. Ricks
Date: 04/2017
Type: Document
Sponsoring organization: Indian Health Service
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Designing a Health System That Works for the Tribe
Outlines the challenges facing the Rosebud Sioux Tribe as they work to restore services and improve quality in their Indian Health Service (IHS) hospital. Despite challenges leading to the closure of their emergency department and surgical and obstetrics wards, members of the Rosebud Sioux Tribe are exploring the option of hospital self-governance and believe a high quality healthcare system is within reach.
Author(s): Jessica Bylander
Citation: Health Affairs, 36(4), 592-595
Date: 04/2017
Type: Document
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