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Rural Health
Resources by Topic: Racial and ethnic groups

The Association of Health Literacy and Blood Pressure Reduction in a Cohort of Patients with Hypertension: The Heart Healthy Lenoir Trial
Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
Type: Document
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"We Need Help in the Delta": Barriers to Health Promotion Among Older African American Men in the Mississippi Delta
Studies the challenges of promoting health in the rural Mississippi Delta, focusing on older African American men who participated in a small study group. Describes interviews with individuals and focus groups, emphasizing different understandings of the term "health" and structural concerns about health disparities that create barriers for health promotion.
Author(s): Sherry Wang, LaShaundrea Crook, Carol Connell, Kathy Yadrick
Citation: American Journal of Men's Health, 11(2), 414-425
Date: 03/2017
Type: Document
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Multilevel Prevention Trial of Alcohol Use Among American Indian and White High School Students in the Cherokee Nation
Evaluates a multilevel intervention program developed to prevent alcohol use among rural White and Native American youth in the Cherokee Nation. Studies 6 communities by comparing a control program with two intervention programs targeting access to alcohol and screening paired with targeted intervention through the school system. Evaluates survey data, reporting the outcomes of these intervention methods on heavy episodic drinking and 30-day alcohol use.
Author(s): Kelli Komro, Melvin Livingston, Alexander Wagenaar, et al.
Citation: American Journal of Public Health, 107(3), 453-459
Date: 03/2017
Type: Document
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2017 County Health Rankings Key Findings Report
Provides information on county-level health disparities by analyzing health factors and outcomes throughout the U.S. Covers risk factors for premature death, including drug overdose and other injury fatalities, and discusses opportunities for youth and young adults. Includes data breakdowns by rurality and race/ethnicity.
Date: 03/2017
Type: Document
Sponsoring organization: County Health Rankings & Roadmaps
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Important Factors To Consider When Developing Rural Healthcare Systems: Suggestions From A Moloka'i Native
Highlights a number of factors to consider when developing healthcare systems for rural indigenous communities in Hawaii. Discusses community factors, workforce education, and material factors important to providing healthcare to the Moloka'i people.
Author(s): Luke Kikukawa
Citation: Hawaii Journal of Medicine and Public Health, 76(3), 47-48
Date: 03/2017
Type: Document
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The Effects of Perceived Racial/Ethnic Discrimination on Substance Use Among Youths Living in the Cherokee Nation
Study examining the association of racial discrimination and substance misuse from a sample of American Indian, American Indian and White, and White adolescents living in small rural communities of northeast Oklahoma within the Cherokee Nation Tribal Jurisdictional Service Area (CNTJSA).
Author(s): Brady A. Garrett, Bethany J. Livingston, Melvin D. Livingston, Kelli A. Komroc
Citation: Journal of Child & Adolescent Substance Abuse, 26(3), 242–249
Date: 03/2017
Type: Document
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Native Children's Policy Agenda
Presents a report detailing policy recommendations for the health and well-being of Native American youth. Discusses the challenges facing Native children, such as lack of access to healthcare and healthy food, environmental hazards, and affordable housing, among others. Makes corresponding recommendations for tribal governments and federal policymakers.
Date: 03/2017
Type: Document
Sponsoring organizations: First Kids 1st Initiative, National Congress of American Indians, National Indian Child Welfare Association, National Indian Education Association, National Indian Health Board
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Sleep Quality in an Adult American Indian Community Sample
Highlights a study on the sleep quality of American Indians and Alaska Natives and the factors contributing negatively to sleep. Analyzes data by age, academic attainment, and substance use among other factors.
Author(s): Cindy L. Ehlers, Derek N. Wills, Philip Lau, David A. Gilder
Citation: Journal of Clinical Sleep Medicine, 13(3), 385-391
Date: 03/2017
Type: Document
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Home-Based Care for Chronic Kidney Disease
Provides an update to the story of the Zuni people of western New Mexico and the health conditions they commonly face: chronic kidney disease and diabetes. Describes the Home-Based Kidney Care model to train tribal members fluent in Zuni to become community health workers. The community health workers visit patients weekly, providing them with education on healthy lifestyles, medication support, and data collection. The original story, published in July 2014, is included at the end of the update.
Date: 03/2017
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Food Insecurity and Chronic Diseases Among American Indians in Rural Oklahoma: The THRIVE Study
Details a study on food security and cardiovascular disease in American Indians in Oklahoma. Bases conclusions on survey data from 513 AI adults from 2 tribal nations completed between April and May of 2015. Breaks down data by age, gender, and education, as well as rates of diabetes, obesity, and hypertension.
Author(s): Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod
Citation: American Journal of Public Health, 107(3), 441-446
Date: 03/2017
Type: Document
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