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Rural Health
Resources by Topic: Racial and ethnic groups

Adverse Childhood Experiences among American Indian/Alaska Native Children: The 2011-2012 National Survey of Children's Health
Examines parent-reported adverse childhood experiences (ACEs) and related outcomes in American Indian and Alaska Native (AI/AN) children aged 0 to 17 years to understand the causes contributing to high rates of mortality and/or morbidity among AI/AN adolescents and young adults. Analyzes 2011-2012 National Survey of Children's Health data on 1,453 AI/AN children and 61,381 non-Hispanic White children to compare race-based differences in prevalence rates and in provider-diagnosed conditions.
Author(s): Kenney, M.K., Singh, G.K.
Citation: Scientifica, 2016
Date: 07/2016
Type: Document
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American Indian Health Equity/Disparities
Describes the distinction between health equity and health disparities with a focus on American Indian health. Includes examples of factors contributing to the causes of health inequity for the American Indian and Alaska Native populations.
Date: 07/2016
Type: Document
Sponsoring organization: Center for American Indian Resilience
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Madison Outreach and Services through Telehealth (MOST) Network
Video featuring the Madison Outreach Services through Telehealth (MOST) Network, which serves the Hispanic/Latino population of Brazos Valley, Texas. Highlights their partnership with Texas A&M's Telehealth Counseling Clinic, where doctoral-level students and promotoras connect with patients in remote clinics to offer mental health and substance abuse counseling.
Date: 07/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Oral Health Care Service in North Dakota Community Health Care Centers
Presents an overview of the federally funded Community Health Center (CHC) program in North Dakota. Addresses their locations within the state, services provided, sources of revenue, and patient demographics. Particular attention is given to the oral health services provided by CHCs, including a cost comparison between oral health services and medical services.
Author(s): Jun Lee, Shawnda Schroeder
Date: 07/2016
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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Social Factors Affecting Pediatric Oral Health in North Dakota
Presents the findings of surveys given to North Dakota children and youth in grade school through high school to determine their knowledge of, and resources to practice, good oral hygiene. Results were tabulated by race and address disparities in the frequency of brushing, the consumption of sugary beverages, and access to oral healthcare supplies.
Author(s): Shawnda Schroeder
Date: 07/2016
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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Vulnerable Rural Counties: The Changing Rural Landscape, 2000-2010
Examined how rural counties were impacted by the 2008 recession, specifically focused on an increase in poverty levels, shifts in population, and loss or reduction of healthcare services and facilities. Includes county-by-county maps with data such as poverty and unemployment rates, elderly population, educational level, non-White population, health insurance coverage, availability of primary care and other specialties, and change in number of hospitals and other healthcare facilities. Appendices include tables comparing urban and rural/remote county statistics.
Additional links: Fact Sheet
Author(s): Kevin J. Bennett, Yu-Hsiu Lin, Matthew Yuen, Deshia Leonhirth, Janice C. Probst
Date: 07/2016
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Advancing Health Equity for Native American Youth: Workshop Summary
Report of a roundtable workshop held in New Mexico that brought together leaders from a wide range of fields, including those in Native American healthcare, to address the need for greater visibility for the health disparities faced by tribal and indigenous populations, how to develop programs to address those disparities, and how to encourage support for Native American leaders to advance those programs. This workshop specifically focused on Native American youth, addressing such topics as suicide, the importance of grandparents in the lives and care of children, and the cultural resiliency of Native Americans to overcome trauma and disparities.
Additional links: Read Online
Author(s): Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities
Date: 07/2016
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The Role of Bias by Emergency Department Providers in Care for American Indian Children
Examines implicit and explicit bias by emergency department (ED) caregivers toward American Indian (AI) children and their parental units. Utilizes survey data from 154 providers across 5 Upper Midwest hospitals to determine bias against or preference for White or AI patients. Includes associations of the demographic variables of the caregivers with their Implicit Association Test (IAT) scores, including rural versus urban ED location.
Author(s): Susan E. Puumala, Katherine M. Burgess, Anupam B. Kharbanda, et al.
Citation: Medical Care, 54(6), 562–569
Date: 06/2016
Type: Document
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Disparities in Alcohol, Drug Use, and Mental Health Condition Prevalence and Access to Care in Rural, Isolated, and Reservation Areas: Findings From the South Dakota Health Survey
Presents a study comparing disparities in drug and alcohol use and mental health issues in rural and urban areas. Explores data from a cross-sectional survey of people in South Dakota in rural and urban areas, including on American Indian reservations.
Author(s): Melinda M. Davis, Margaret Spurlock, Kristen Dulacki, et al.
Citation: Journal of Rural Health, 32(3), 287-302
Date: 06/2016
Type: Document
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Medicaid Disenrollment Patterns Among Children Coming into Contact with Child Welfare Agencies
Analyzes Medicaid claims from 36 states over a 4-year period to assess retention of health insurance coverage for children involved with the child welfare system. Identifies associations between insurance loss and sociodemographic factors, such as age, race/ethnicity, rural versus urban residence, and other factors.
Author(s): Ramesh Raghavan, Benjamin Allaire, Derek Brown, Raven Ross
Citation: Maternal and Child Health Journal, 20(6), 1280-1287
Date: 06/2016
Type: Document
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