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Rural Health
Resources by Topic: Racial and ethnic groups

Potentially More Out of Reach: Public Reporting Exacerbates Inequities in Home Health Access
Examines the impact of the introduction of home health star ratings on changes in high-quality home health agency utilization. Describes differences in high-quality home health agency use by race, ethnicity, income status, neighborhood racial composition, and neighborhood poverty status.
Author(s): Shekinah A. Fashaw-Walters, Momotazur Rahman, Gilbert Gee, et al.
Citation: Milbank Quarterly
Date: 03/2023
Type: Document
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Health Equity in Indian Country: Rethinking How the Centers for Medicare & Medicaid Services Approaches Health Equity for American Indians and Alaska Natives
Summary of three events in 2022 between the National Indian Health Board (NIHB), Centers for Medicare & Medicaid Services (CMS), and CMS Tribal Technical Advisory Group (TTAG) to discuss health equity within CMS programs for American Indian and Alaska Natives (AI/AN). Includes recommendations for effective health equity policy to CMS generally and the CMS Framework for Health Equity 2022-2032 specifically.
Date: 03/2023
Type: Document
Sponsoring organization: National Indian Health Board
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Racial and Ethnic Disparities in Periodontal Health among Adults Seeking Dental Care in Rural North Carolina Communities: A Retrospective Study
Examines the prevalence of periodontitis in adults seen in dental clinics in rural North Carolina. Analyzes 10,544 electronic health records (EHRs) from 2011 to 2017 to observe periodontitis prevalence by age, race and ethnicity, tobacco use, diabetes diagnosis, and payer status. Discusses health disparities present in various sociodemographic groups.
Author(s): Alex Gillone, Acela A. Martinez Luna, Qiang Wu, et al.
Citation: Journal of Periodontology, 94(3), 364-375
Date: 03/2023
Type: Document
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Changes in Suicide in California from 2017 to 2021: A Population-Based Study
Examines suicide trends in California in 2020 and 2021 compared to pre-COVID-19 pandemic years. Includes suicide mortality data broken down by sex, education, race, age, method, and rural versus urban location. Discusses the burden of suicide trends by specific demographic groups.
Author(s): Julia J. Lund, Elizabeth Tomsich, Julia P. Schleimer, Veronica A. Pear
Citation: Injury Epidemiology, 10, 19
Date: 03/2023
Type: Document
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Palliative Care and Healthcare Utilization among Metastatic Breast Cancer Patients in U.S. Hospitals
Examines in-patient palliative care use by hospitalized metastatic breast cancer patients. Analyzes 26,961 female patients from 2010 to 2014 for palliative care use, with patient information further broken down by age, race, income, insurance type, and status of hospital utilized, such as urban teaching, urban nonteaching, or rural.
Author(s): Sun Jung Kim, Isha Patel, Chanhyun Park, Dong Yeong Shin, Jongwha Chang
Citation: Scientific Reports,13, 4358
Date: 03/2023
Type: Document
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Trauma-Informed Supervision in Tribal Child Welfare (Part 1 of 2): Maintaining Clear Roles with Realistic Expectations
A webinar recording that discusses strategies to develop culturally-responsive and trauma-informed supervision in tribal child welfare. Discusses how to support child welfare staff, such as maintaining clear roles and ensuring manageable caseload expectations.
Author(s): Kimee Wind-Hummingbird, Lisa Stark
Date: 03/2023
Type: Video/Multimedia
Sponsoring organization: Capacity Building Center for Tribes
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American Indian and Alaska Native Worker Safety and Health Strategic Plan
Highlights a strategic plan for researching occupational safety and health of American Indian and Alaska Native workers. Provides a step-by-step guide for conducting and disseminating research on the health and safety risks of AI/AN workers, as well as crafting safety policy for tribal communities.
Author(s): Elizabeth Dalsey, Robert Foley, Sarah Hatcher, et al.
Date: 03/2023
Type: Document
Sponsoring organization: National Institute for Occupational Safety and Health
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Addressing the Long-Term Effects of the COVID-19 Pandemic on Children and Families
Report discusses the long-term physical, mental, and social outcomes of the COVID-19 pandemic. Explores the effects of social isolation, school closures, financial hardships, and physical illness caused by the pandemic and highlights the groups that have been disproportionately affected, such as American Indian and Alaska Native communities.
Additional links: Read Online, Report Highlights
Author(s): Board on Children, Youth, and Families
Date: 03/2023
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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American Indian and Alaska Native Communities Face a 'Disproportionate Burden of Oral Disease' - Reversing Inequities Involves Challenges and Opportunities
White paper explores the state of American Indian and Alaska Native oral health. Discusses some of the oral health disparities faced by AI/AN communities, such as historical and cultural factors, workforce shortages, and oral health literacy, among other factors. Presents solutions and strategic recommendations to address AI/AN oral health disparities.
Additional links: Executive Summary
Author(s): Mary Altenberg, Terrence Batliner, Tommie Chavis II, et al.
Date: 03/2023
Type: Document
Sponsoring organizations: CareQuest Institute for Oral Health, National Indian Health Board
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The Mental Health, Substance Use, Physical Health, and Mental Health Treatment Need of Community Individuals Experiencing Homelessness in Hawai'i
Results of a study detailing the health-related needs of Hawai'i's unhoused people, most of whom live in rural areas. Features statistics on self-reported rates of depression and anxiety, illicit substance use, alcohol use, smoking, obesity, and overall physical health.
Author(s): Andrew M. Subica, Daryl S. Sampaga, Jana Ortiz-Misiaszek, Tammy K. K. Martin, Scott K. Okamoto
Citation: Community Mental Health Journal, 59, 1021–1026
Date: 03/2023
Type: Document
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