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Rural Health
Resources by Topic: Racial and ethnic groups

Improving Maternal Health Outcomes To Reduce Maternal Mortality and Severe Maternal Morbidity
Report highlights the Inter-Tribal Council of Arizona's Maternal Health Innovation (MHI) Program's goals and strategies for achieving them. Details the current state of maternal health in the Council's 21 tribe area and explores the barriers to maternal care, as well as a program timeline.
Date: 10/2022
Type: Document
Sponsoring organization: Inter Tribal Council of Arizona, American Indian Research Center for Health
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Assessing Effectiveness of Early Childhood Home Visiting Models Implemented with Tribal Populations
Report assesses the efficacy of early childhood home visiting models for tribal populations. Reviews and assesses home visiting literature, information, and implementation procedures to establish best-practices for American Indian and Alaska Native populations.
Author(s): Rachel Bleiweiss-Sande, Emily Sama-Miller, Carla Chavez, Rebecca Coughlin, Andrea Mraz Esposito
Date: 10/2022
Type: Document
Sponsoring organization: Administration for Children and Families
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Tips for Disaster Responders: Understanding Historical Trauma and Resilience When Responding to an Event in Indian Country
Describes historical trauma and its impact on Native American populations, and offers guidance for behavioral health responders when engaged in disaster preparedness and response efforts for tribal communities.
Date: 10/2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural Health Research Recap: Maternal Health Disparities: An Intersection of Race and Rurality
Summarizes recent research from Rural Health Research Centers examining the loss of hospital-based obstetric services and racial/ethnic disparities surrounding maternal and infant health. Features statistics on percent of counties which lost obstetric services from 2014-2018 with breakdowns by 4 levels of population density, annual births at hospitals providing obstetric services from 2010-2018 by rurality, percent of rural counties without obstetric services in 2019, and rates of preterm birth by race/ethnicity and rurality from 2012-2018.
Author(s): Per Ostmo, Jessica Rosencrans
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Association of Co-Occurring Mental Health Problems with Hepatitis C Status among Young People Who Inject Drugs in Rural New Mexico, 2016–2018
Study examining mental health problems and hepatitis C virus (HCV) for young adult people who inject drugs (PWID) in 2 rural New Mexico counties. Analyzes data from a parent study of 263 patients, discussing implications for addiction treatment and HCV prevention in rural settings.
Author(s): Akash Gupta, Fatma M. Shebl, Yao Tong, et al.
Citation: Addiction Science and Clinical Practice, 17, 58
Date: 10/2022
Type: Document
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Changes in Emergency Department Visits in the Initial Period of the COVID-19 Pandemic (April–December 2020), 29 States
Presents data from 29 states on the difference between the number of emergency department (ED) visits and ED admission rates between April and December 2020 and compares this data to the same time period in 2019. Includes data by patient characteristics, including urban-rural status and race/ethnicity.
Date: 10/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Association of Health Insurance, Geography, and Race and Ethnicity with Disparities in Receipt of Recommended Postpartum Care in the US
Explores whether there is a significant difference in the characteristics of patients who received a postpartum visit and the content covered in these visits. Uses data from the 2016-2019 Pregnancy Risk Assessment Monitoring System (PRAMS) surveys to compare visit attendance and content across health insurance type, rural or urban residency, and race and ethnicity.
Author(s): Julia D. Interrante, Lindsay Admon, Caitlin Carroll, et al.
Citation: JAMA Health Forum, 3(10), e223292
Date: 10/2022
Type: Document
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How Alaska Supports Rural and Frontier Behavioral Health Services
Describes Alaska's Behavioral Health Aide (BHA) program, a non-licensed provider type designed to promote behavioral health and wellness in Alaska Native individuals, families, and communities through culturally relevant training and education. Discusses qualifications for the BHA certification, payment, and next steps for other states seeking to develop similar programs.
Date: 10/2022
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Community Health Worker Intervention Improves Early Childhood Vaccination Rates: Results from a Propensity-Score Matching Evaluation
Examines the effectiveness of community health worker (CHW) home visiting interventions in the Health Start Program (HSP) in Arizona to improve childhood vaccination rates. Utilizes the Arizona State Immunization Information System (ASIIS) database to compare vaccination uptake among children whose mothers participated in the HSP between 2006 and 2016 to a demographically similar cohort. Analyzes vulnerable populations with a history of low vaccination uptake including Hispanic/Latinx, American Indian, children of low socioeconomic status and/or living with parents with less than a high school education, rural border counties, children with teen mothers, and first-born children.
Author(s): Patrick Wightman, Kelly McCue, Samantha Sabo, et al.
Citation: BMC Public Health, 22,1854
Date: 10/2022
Type: Document
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Best of ARM: Evaluating Engagement in Multisector Community Health Networks: The Case of Tribal Organizations
Highlights a study on public health systems' engagement with tribal organizations. Aims to quantify the interactions between public health systems and tribal organizations in tribal communities where tribal facilities are present. Details the factors that contribute to more engagement with tribal organizations and make suggestions to promote collaboration.
Author(s): Kelsey M. Owsley, Kyla L. Bauer, Glen P. Mays
Citation: Health Services Research, 57(5), 1077-1086
Date: 10/2022
Type: Document
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