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Rural Health
Resources by Topic: Racial and ethnic groups

Economic Pressure and Parent Acculturative Stress: Effects on Rural Midwestern Low-Income Latinx Child Behaviors
Examines economic and acculturative stress on rural Latinx immigrant families in the Midwest. Analyzes interview data from 148 rural low-income Latinx immigrant mothers for themes such as economic pressures, parent acculturative stress, maternal depressive symptoms, parenting competence, child internalizing and externalizing behaviors, and more.
Author(s): Juan Bao, Kimberly Greder
Citation: Journal of Family and Economic Issues, 44, 490-501
Date: 06/2023
Type: Document
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The Alaska State Plan for Senior Services FFY 2024 - FFY 2027
Provides an analysis of a statewide initiative to identify the issues and needs of seniors in Alaska to guide the development of senior health and human services in the state. Discusses the demographic trends and needs of this population based on ongoing needs assessment activities. Identifies specific goals, objectives, and performance measures developed by the State Plan for Senior Services Advisory Committee for FFY 2024-2027.
Date: 06/2023
Type: Document
Sponsoring organization: Alaska Department of Health
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Texans' Views and Experiences with End-of-Life Issues
Survey of 2,305 Texans regarding attitudes, experiences, and needs around illness and end-of-life issues. Discusses barriers to access of end-of-life care, race and ethnicity, insurance status, and more. Includes rural data throughout.
Additional links: Research Summary
Date: 06/2023
Type: Document
Sponsoring organizations: Perry Undem, St. David's Foundation
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Family Strengthening Research: 2022 Report
Provides an overview of the Division of Family Strengthening's (DFS) major research investments through 2022. Reports on DFS focus areas: strengthening and supporting relationships, fatherhood, children, and families; reducing teen pregnancy and supporting positive youth development; and preventing family violence. Includes discussions on programs and issues specific to tribal and rural communities.
Date: 06/2023
Type: Document
Sponsoring organizations: Administration for Children and Families, U.S. Department of Health and Human Services
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Oral Health Disparities Through the Lifespan: Challenges and Opportunities
Recording of a June 7, 2023, conference session on oral health disparities as part of the Centers for Medicare & Medicaid Services (CMS) Health Equity Conference. Features a presentation from the CMS Office of the Administrator comparing differences in rural and urban dental opioid prescribing to adolescent/young adult and adult Medicaid/CHIP enrollees by patient and county characteristics. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Carla Shoff, Centers for Medicare & Medicaid Services Office of the Administrator - Presentation Slides
Date: 06/2023
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Transforming Tribal Health: Addressing American Indians and Alaska Natives Health Disparities
Recording of a June 8, 2023, conference session on addressing tribal health disparities as part of the Centers for Medicare & Medicaid Services (CMS) Health Equity Conference. Includes presentations from the Arizona Health Care Cost Containment System on the use of care coordination and care management strategies and the National Indian Health Board on rethinking how CMS approaches health equity for American Indians and Alaska Natives. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Carrie Field, National Indian Health Board - Presentation Slides, Leslie Short, Arizona Health Care Cost Containment System - Presentation Slides
Date: 06/2023
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Native LGBTQ+ & Two-Spirit Resources
Presents a list of organizations and resources for LGBTQ+ and two-spirited people in American Indian and Alaska Native communities. Features resources for youth, parents and caregivers, schools, and providers, among others.
Date: 06/2023
Type: Document
Sponsoring organization: Office of Juvenile Justice and Delinquency Prevention
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Advancing Economic Development in Persistent-Poverty Communities
Examines census tracts to identify areas of "persistent poverty," defined as an area with at least a 20% poverty rate for at least 30 years. Discusses the distribution of the persistently poor population between rural and urban areas and highlights specific regions such as the Southeast, Tribal areas, and Appalachia. Outlines contributors to persistent poverty including workforce development, lack of infrastructure, race and ethnicity, economic conditions, and more. Presents 4 case studies, including 2 rural studies, to highlight overall themes and make recommendations for improving conditions in persistently poor locations. Interactive map provides information and data on persistent poverty counties.
Additional links: Executive Summary, Interactive Map
Author(s): August Benzow, Kenan Fikri, Joanne Kim, Daniel Newman
Date: 06/2023
Type: Document
Sponsoring organization: Economic Innovation Group
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Rural Health on Life Support
Podcast episode discussing the effects of policy on rural maternal health outcomes and access to maternity care services. Covers racial and ethnic disparities in severe maternal morbidity and mortality and the role of state policies, including Medicaid policies, on maternal and infant health.
Date: 06/2023
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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Differences in the Merit-Based Incentive Payment System (MIPS) Performance of Clinicians in Metropolitan and Nonmetropolitan Counties in 2018
Provides a brief overview of the Merit-Based Incentive Payment System (MIPS) and describes rural clinician performance in MIPS in 2018. Compares rural and urban MIPS performance scores, payment adjustments, and risk-adjusted standardized Medicare Spending per Beneficiary (MSPB). Also compares rural and urban MIPS performance by practice size and the proportion of racial/ethnic minorities served. Presents the most frequently reported MIPS measures by urban and rural practices.
Date: 06/2023
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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