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Rural Health Information Hub

Rural Health
Resources by Topic: Tribal communities

Traffic Safety Facts, 2021 Data: Race and Ethnicity
National data on traffic fatalities by race and ethnicity, based on data from official death certificates. Features statistics from 2017-2021 with breakdowns by vehicle type, restraint use, alcohol-impaired driving, speeding, and rural or urban location.
Date: 05/2024
Sponsoring organization: National Highway Traffic Safety Administration
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COVID-19 Infection and Incident Diabetes in American Indian and Alaska Native people: A Retrospective Cohort Study
Examines associations between COVID-19 infection and diabetes in American Indian and Alaska Native (AI/AN) people. Utilizes the Indian Health Service's (IHS) National Patient Information Reporting System to analyze incident diabetes among 3 participant cohorts: pre-pandemic, pandemic but no COVID-19 infection, and pandemic with COVID-19 infection. Discusses the relationship between COVID-19 infection and new-onset diabetes in AI/AN populations.
Author(s): James W. Keck, Mary E. Lacy, Sara Bressler, Ian Blake, Uzo Chukwuma, Michael G. Bruce
Citation: The Lancet Regional Health - Americas, 33, 100727
Date: 05/2024
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Health Coverage Options for American Indians and Alaska Natives
Fact sheet details the healthcare coverage options for American Indian and Alaska Native populations. Provides guidance for accessing healthcare coverage through the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP) and breaks down the various verification and eligibility requirements.
Date: 05/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Assisting American Indian and Alaska Native Consumers
Presentation slides discuss the ACA health insurance marketplace, the Indian Health Services, and provides information for American Indian and Alaska Native people pertaining to healthcare coverage. Presents guidance for AI/AN people to ensure they have consistent healthcare coverage.
Date: 05/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Telephone-Based Guideline-Directed Medical Therapy Optimization in Navajo Nation: The Hózhó Randomized Clinical Trial
Explores whether a guideline-directed medical therapy (GDMT) is initiated and titrated through telehealth improves GDMT use among patients with heart failure with reduced ejection fraction in Navajo Nation. Summarizes results of a stepped-wedge, pragmatic comparative effectiveness trial conducted from February to August 2023 at two Indian Health Service facilities in rural Navajo Nation. Discusses the importance of community-designed and locally-tailored strategies to improve GDMT rates.
Author(s): Lauren A. Eberly, Ada Tennison, Daniel Mays, et al.
Citation: JAMA Internal Medicine, 184(6), 681-690
Date: 04/2024
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Current and Projected Flood Exposure for Alaska Coastal Communities
Analyzes historical flood data to estimate current flood exposure for 63 Alaskan communities. Discusses disparate risk for Alaska Native villages and specific challenges for rural and remote communities.
Author(s): Richard M. Buzard, Christopher V. Maio, Li H. Erikson, et al.
Citation: Scientific Reports, 14, 7765
Date: 04/2024
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Bridging the Gap in HPV Vaccinations: Community-Driven Strategies in Rural Areas
Discusses development and implementation of an HPV vaccination intervention focused on education and outreach, primary care team training, and data assessment which took place at a Federally Qualified Health Center (FQHC) serving primarily rural and Native American patients in California. Highlights the significance of trust-building and communication efforts to reduce rural vaccine hesitancy.
Author(s): Julie H.T. Dang
Date: 04/2024
Sponsoring organization: St. Jude Children's Research Hospital
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Clinical Outcomes from the Alaska Native Tribal Health Consortium Colorectal Cancer Control Program: 2009–2015
Evaluates Colorectal Cancer Control Program (CRCCP) implementation by the Alaska Native Tribal Health Consortium (ANTHC) from 2009 to 2015. Presents data on CRCCP demographics, quality measures, clinical outcomes, and screening methods. Discusses the significance of colonoscopy provision for Native Alaskan tribal populations with high colorectal cancer incidence.
Author(s): Sarah H. Nash, Elizabeth Verhage, Christie Flanagan, et al.
Citation: International Journal of Environmental Research and Public Health, 21(5), 552
Date: 04/2024
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The Cost-Efficacy of a Healthy Food Box for Managing Hypertension Within a Native American Population: A Group Randomized Controlled Trial
Evaluates the cost-efficacy of healthy food delivery and fruit and vegetable vouchers aimed at reducing hypertension in the Chickasaw Nation. Includes data on blood pressure and quality of life. Discusses the importance of food environment to cardiovascular disease reduction in rural and tribal areas.
Author(s): Austin Henderson, Robert Rosenman, Amber L. Fyfe-Johnson, et al.
Citation: Archives of Public Health, 82, 59
Date: 04/2024
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USDA Rural Utilities Service's Support for Tribes and Other Indigenous Entities
Provides an overview of U.S. Department of Agriculture (USDA) Rural Utilities Service (RUS) programs that help offset the costs of building and repairing utility systems in rural areas. Describes the types of tribal and other Indigenous entities eligible to apply for RUS programs. Highlights two USDA Rural Development authorities that can help tribes and other Indigenous entities access RUS programs. Outlines issues Congress may consider if it chooses to constrict, maintain, or expand the laws governing these programs.
Date: 04/2024
Sponsoring organization: Congressional Research Service
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