Rural Health
Resources by Topic: Racial and ethnic groups
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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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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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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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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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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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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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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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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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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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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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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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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