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Rural Health Information Hub

Rural Health
Resources by Topic: Tribal communities

Wisconsin Perinatal Periods of Risk (PPOR) Analysis, 2015–2019: Understanding Inequities in Fetal and Infant Mortality Impacting American Indian and Alaska Native Communities
Provides an overview of fetal and infant mortality in American Indian/Alaska Native (AI/AN) populations in Wisconsin from 2015-2019. Includes data on 4 perinatal periods of risk (PPOR) and comparisons between the AI/AN population and the general Wisconsin population. Discusses prevention areas and needs for culturally competent care related to sudden unexpected infant death (SUID), factors of low birthweight, and delivery complications and mortality related to low birthweight.
Additional links: Summary
Date: 04/2023
Sponsoring organization: Wisconsin Department of Health Services
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Midwives: Information on Births, Workforce, and Midwifery Education
Presents data on midwife-attended births, the midwifery workforce, and challenges to obtaining midwifery care. Discusses midwifery education programs, the number of students in these programs, midwifery educational challenges, and available federal financial support through the Health Resources and Services Administration (HRSA) and the Indian Health Service (IHS). Describes challenges to measuring the quality of maternal healthcare, including midwifery care.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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Mapping a New Terrain: 5 Principles for Equitable Rural Outdoor Recreational Economies
Offers suggestions for rural communities and Native nations looking at ways to improve economic prosperity, and population health and well-being through the development of natural assets and rural outdoor recreation. Topics cover ownership and control of recreation assets, building a resilient infrastructure, coordinating assets and stakeholder engagement, respect for the landscape, people and culture during the development process, and designing for equitable access and participation for all residents. Includes recommendations for community organizations, local government, and philanthropic organizations.
Additional links: Executive Summary
Date: 04/2023
Sponsoring organizations: Aspen Institute, Community Strategies Group
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The Opioid Crisis: Impact on Native American Communities
Describes the opioid crisis impact on Non-Hispanic Native American communities since 2000. Compares deaths for Native Americans with the general U.S. population and the general New Mexican population. Also shows impact of different types of opioids and deaths for Non-Hispanic Native Americans by sex and age in 2021 as well as drug use among Native American high school students in New Mexico in 2021 by drug type.
Date: 04/2023
Sponsoring organization: Albuquerque Area Southwest Tribal Epidemiology Center
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Disparities in Health and Health Care: 5 Key Questions and Answers
Defines health and healthcare disparities and discusses the social and economic inequities that drive them. Provides details on the current status of health disparities in the U.S., the importance of addressing them, and what the federal government is doing to alleviate health disparities. Includes discussion of rural health disparities.
Author(s): Nambi Ndugga, Samantha Artiga
Date: 04/2023
Sponsoring organization: KFF
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Bridging the Gap: Ensuring Vaccine Equity for Native Communities
A podcast that discusses COVID-19 vaccine equity in American Indian and Alaskan Native (AI/AN) communities. Discusses the importance of culturally appropriate, local, community-driven public health efforts to reduce vaccine hesitancy in AI/AN populations.
Author(s): Anne Zink, Gary Lankford, Johnny Delgado
Date: 04/2023
Sponsoring organization: Association of State and Territorial Health Officials
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Indian/Tribal Clinics in Rural Oregon
Shows a county-level map of Oregon identifying locations of tribal clinics.
Date: 04/2023
Sponsoring organization: Oregon Office of Rural Health
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American Indian and Alaskan Native Maternal Mental Health
Report discusses the rates of maternal mental health conditions experienced by American Indian and Alaska Native women. Highlights correlations and contributing factors driving mental health disparities among native mothers.
Date: 03/2023
Sponsoring organization: Policy Center for Maternal Mental Health
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Community Member Perspectives on Adapting the Cascade of Care for Opioid Use Disorder for a Tribal Nation in the United States
Explores the potential efficacy of the Opioid Use Disorder (OUD) Cascade of Care model for American Indian and Alaska Native communities. Bases conclusion on interviews with clinicians, peer support specialists, cultural practitioners, and others familiar with OUD treatment for Anishinaabe people in rural Minnesota. Breaks down data by age, sex, and employment type.
Author(s): Frank Johnson Jr, Amy RedCloud, Jennifer Mootz, et al.
Citation: Addiction, 118(8), 1540-1548
Date: 03/2023
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Sexually Transmitted Infections in Alaska Among Alaska Native/American Indian People: 2015-2020
Provides rates of sexually transmitted infections (STIs) in Alaska among American Indian/Alaska Native (AI/AN) people from 2015 to 2020 with comparisons to non-native people.
Date: 03/2023
Sponsoring organization: Alaska Native Tribal Health Consortium
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