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Rural Health
Resources by Topic: Racial and ethnic groups

Disproportionality in Child Welfare
Explains the concept of disproportionality in child welfare, paying particular attention to the overrepresentation of American Indian/Alaska Native (AI/AN) children in the child welfare and foster care systems. Discusses the problem at the national level, and also lists the top 15 U.S. states with the highest rates of disproportionality.
Date: 12/2021
Type: Document
Sponsoring organization: National Indian Child Welfare Association
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Environmental Scan of Evidence-Based Promising Practices & Strategies to Improve Vaccine Acceptance Among Racial and Ethnic Minority, Rural and other Underserved Groups
Offers evaluations and recommendations for evidence-based, promising practices and strategies to improve COVID-19 vaccine acceptance among rural and underserved groups. Uses information from a rapid environmental scan and analysis of published literature including peer-reviewed journal articles, commentary articles, and impact reports.
Author(s): Ankit Sanghavi, Afrida Faria, Cody Price, Aila Prieto
Date: 12/2021
Type: Document
Sponsoring organization: Texas Health Institute
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Experiences and Correlates of Violence Among American Indian and Alaska Native Youth: A Brief Report
Study examining experiences of violence and harassment within 6 months among American Indian youth based on survey data from 400 participants. Breaks down responses by type of interpersonal violence and victimization and self-reported mental health issues.
Author(s): Katie M. Edwards, Victoria L. Banyard, Leon Leader Charge, Laura M. Mercer Kollar, Beverly Fortson
Citation: Journal of Interpersonal Violence, 36, 23-24, 11808-11821
Date: 12/2021
Type: Document
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Native Health in the Bemidji Area - COVID-19 in Nursing Homes
Report details the impact of COVID-19 on tribal nursing homes in the Bemidji Area IHS Region which includes Minnesota, Wisconsin, and Michigan. Highlights a breakdown of COVID-19 cases, deaths, and fatality rate for American Indian elders by state.
Date: 12/2021
Type: Document
Sponsoring organization: The Great Lakes Inter-Tribal Epidemiology Center
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Planning a Reentry Program: A Toolkit for Tribal Communities
Toolkit provides information and guidance for developing a reentry program for American Indians and Alaska Natives who are transitioning from the criminal justice system to civilian life. Highlights evidence-based practices for reentry programs, including partnerships to connect returning citizens to housing, job training and placement, and medical, mental health, and/or substance use treatment, among other services.
Date: 12/2021
Type: Document
Sponsoring organizations: Bureau of Justice Assistance, Center for Court Innovation, Community Justice & Safety For All, U.S. Department of Justice
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Successful Implementation of the Healthy Diné Nation Act in Stores on the Navajo Nation
Highlights a study evaluating the implementation of the Healthy Diné Nation Act (HDNA), which adds a 2% tax on unhealthy foods and a 5% tax waiver for healthy foods in the grocery stores, training posts, and convenience stores across the Navajo Nation. Breaks down a timeline of the implementation process and the results from Navajo Nation stores.
Author(s): Carmen George, Carolyn Bancroft, Shine Salt, et al.
Citation: Preventive Medicine Reports, 24, 101573
Date: 12/2021
Type: Document
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Trends in Racial, Ethnic, Sex, and Rural-Urban Inequities in Health Care in Medicare Advantage: 2009-2018
Presents an analysis of historical trends in inequities by race and ethnicity, sex, and rural-urban residence among Medicare beneficiaries enrolled in Medicare Advantage (MA) plans nationwide. Uses patient experience and clinical care measures to examine how inequities in healthcare have changed between 2009 and 2018, how scores for each beneficiary group have changed over time, and which inequities remained in 2018.
Date: 12/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Reimagining Hunger Responses in Times of Crisis: Insights from Case Examples and a Survey of Native Communities' Food Access During COVID-19
Report examining food insecurity among American Indian and Alaska Native communities during the COVID-19 pandemic based on 504 food access survey responses. Discusses food insecurity rates in relation to respondent characteristics, resiliency of Native producers and food economies, and policy recommendations to address food access issues.
Author(s): Toni Stanger-McLaughlin, Sandy Martini, Geri Henchy, et al.
Date: 12/2021
Type: Document
Sponsoring organizations: Food Research & Action Center, Indigenous Food and Agriculture Initiative, Native American Agriculture Fund
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Alaska Healthy and Equitable Communities Strategic Plan, 2022-2025
Describes goals and strategies to increase health equity in Alaska, including specific population health concerns and goals for Alaska Native communities and rural populations. Presents data from meetings and surveys that represent views of healthy and equitable communities as well as changes to improve health and equity in the state.
Date: 12/2021
Type: Document
Sponsoring organizations: Alaska Department of Health, Alaska Division of Public Health
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COVID-19 National Emergency: Early Trends in Hospitalizations for Hospital Readmissions Reduction Program Health Conditions and 30-Day Readmission Rates
Provides an overview of the Hospital Readmissions Reduction Program (HRRP). Describes monthly trends in hospitalizations of Medicare beneficiaries for HRRP conditions before and after the implementation of COVID-19 emergency measures through September 30, 2020. Examines how monthly trends in unadjusted 30-day readmission rates before and after implementation of COVID-19 emergency measures and how these rates differ by sociodemographic characteristics, including rurality. Discusses policy opportunities and interventions to enhance post-discharge follow-up and reduce readmission rates.
Date: 12/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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