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Rural Health
Resources by Topic: Racial and ethnic groups

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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Tribal Nursing Homes: Best Practices for Patients with Dementia and Alzheimer's Disease
Details a report on tribal nursing homes' best practices for treatment of Dementia and Alzheimer's disease. Discusses cultural considerations and risk factors in caring for Native American elders. Includes related organizations, resources, and webinars.
Date: 03/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Roundtable Discussion on "Building Native America Together: Infrastructure Innovation and Improvements for the New Administration and Indian Country."
Provides a webinar recording of the U.S. Senate Committee on Indian Affairs, the U.S. Senate Committee on Environment and Public Works (EPW), the House Committee on Natural Resources, and participating panelists, discussing infrastructure needs in Indian country. Focuses on healthcare, education, economic development, broadband, and other infrastructure needs.
Date: 03/2017
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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