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Rural Health
Resources by Topic: Racial and ethnic groups

Interest in Shared-Use Mobility Services in Tribal Communities
Explores the impact that technology-enabled, shared-use mobility services such as rideshare, carshare, bikeshare, microtransit, and more may have on rural and tribal areas. Identifies relevant literature on shared-use mobilities services, a case study based on a tribal community in Oklahoma, and best practices and challenges related to emerging transit technologies.
Author(s): Ranjit Godavarthy, Jill Hough
Date: 12/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Health Equity: A Native American Perspective
Discusses health equity from a Native American perspective. Highlights a model of equity that goes beyond overcoming barriers around access and incorporates cultural knowledge, spiritual well-being, and community involvement, among other factors.
Author(s): John Lowe
Citation: Milbank Quarterly
Date: 12/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Impact of the COVID-19 Pandemic on Physical Activity among Mostly Older, Overweight Black Women Living in the Rural Alabama Black Belt
Examines the effect of the COVID-19 pandemic on physical activity in 4 rural, predominantly Black Alabama communities from March 2020 to Aug 2021. Study participants were predominantly Black, overweight, older women with low levels of physical activity. Provides data on changes in physical activity levels during the pandemic, concerns influencing physical activity, leisure time physical activity habits, and demographic characteristics.
Author(s): Whitney N. Neal, Erica A. Schleicher, Kerri Baron, et al.
Citation: International Journal of Environmental Research and Public Health, 20(24), 7180
Date: 12/2023
Type: Document
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Confronting Workforce Shortages and Health Worker Well-Being
Six videos addressing the impact of healthcare worker shortages and how those shortages affect individual well-being and the ability to provide care in rural communities. Includes a keynote presentation by the Chief Medical Officer of the Indian Health Service. Transcripts available under the descriptions of the videos.
Date: 12/2023
Type: Video/Multimedia
Sponsoring organization: National Academy of Medicine
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Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map
Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including race, income, mental health, rurality, environment, violence, trauma, and more. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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The Influence of Organizational Aspects of the U.S. Agricultural Industry and Socioeconomic and Political Conditions on Farmworkers' COVID-19 Workplace Safety
Interviewed 14 rural Latinx California farmworkers between July 2020 and April 2021 on the impacts of regulatory oversight and workplace safety measures on COVID-19 risks in the workplace. Discusses legal status for farmworkers and offers policy recommendations for occupational health and safety measures.
Author(s): Fabiola M. Perez-Lua, Alec M. Chan-Golston, Nancy J. Burke, Maria-Elena De Trinidad Young
Citation: International Journal of Research and Public Health, 20(23), 7138
Date: 12/2023
Type: Document
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Breast Cancer Disparity and Outcomes in Underserved Women
Provides an overview of breast cancer disparities experienced by underserved and vulnerable women. Discusses racial and ethnic groups, gender minority population, and rural population, and highlights the significance of social determinants of health. Describes strategies to mitigate disparities and improve access, including education and engagement, community health workers, mobile mammography, and care coordination.
Author(s): B Bersu Ozcan, Başak E. Dogan, Ann R. Mootz, et al.
Citation: RadioGraphics, 44(1), 230090
Date: 12/2023
Type: Document
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Rural, Regional, Racial Disparities in Telemedicine Use During the COVID-19 Pandemic Among US Adults: 2021 National Health Interview Survey (NHIS)
Analyzes telemedicine use among rural and urban adults in context of the COVID-19 pandemic using 2021 National Health Interview Survey data. Presents data on telemedicine use and urbanization level, region, income, sex, race and ethnicity, and other demographic characteristics. Highlights access disparities, and discusses COVID-19's influence on telehealth adoption.
Author(s): Jeong-Hui Park, Min Jee Lee, Meng-Han Tsai, Huan-Ju Shih, Jongwha Chang
Citation: Patient Preference and Adherence, 17, 3477-3487
Date: 12/2023
Type: Document
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Who is Served by USDA Rural Broadband Projects? Study Shows Smaller Share of Eligible American Indians and Alaska Natives Reached by ReConnect
Examines which populations were reached in fiscal years 2009-2021 by three USDA rural broadband programs: the Broadband Initiatives Program, the Community Connect grant program, and the ReConnect grant and loan program. Provides information about each program, its service area, and obligations. For the ReConnect program, looks at eligibility and project approval by race/ethnicity, educational attainment, poverty, and population 65 and older, with particular discussion of disparities in access for eligible American Indian and Alaska Native populations.
Author(s): John Pender
Citation: Amber Waves
Date: 12/2023
Type: Document
Sponsoring organization: USDA Economic Research Service
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Disparities in LTSS Needs and Supportive Resources at Age 55, and Outcome Disparities During the Next Decade
Reports on disparities in long-term services and supports (LTSS) needs and resources of adults at age 55, and analyzes outcomes over the next 10 years of their lives, using 2008-2018 longitudinal Health and Retirement Study data. Covers race and ethnicity, rural or urban setting, and other demographic information. Highlights financial resources, health insurance, social supports, cognitive decline, assets, and more.
Date: 12/2023
Type: Document
Sponsoring organizations: ATI Advisory, Robert Wood Johnson Foundation
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