Rural Health
Resources by Topic: Tribal communities
Syndromic Surveillance in Tribal Health: Perspectives from Three Tribal Epidemiology Centers on Access and Utilization
Discusses the use of syndromic surveillance by Tribal Epidemiology Centers (TECs) to monitor and communicate health needs and support effective public health response in American Indian and Alaska Native (AI/AN) communities. Highlights implementation and policy barriers to successful syndromic surveillance and suggests strategies for more effective state and tribal collaboration and data use.
Author(s): Cheng Wang, Lowrie Ward, Nicole Holdaway Smith
Citation: International Journal of Environmental Research and Public Health, 22(5), 664
Date: 04/2025
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Discusses the use of syndromic surveillance by Tribal Epidemiology Centers (TECs) to monitor and communicate health needs and support effective public health response in American Indian and Alaska Native (AI/AN) communities. Highlights implementation and policy barriers to successful syndromic surveillance and suggests strategies for more effective state and tribal collaboration and data use.
Author(s): Cheng Wang, Lowrie Ward, Nicole Holdaway Smith
Citation: International Journal of Environmental Research and Public Health, 22(5), 664
Date: 04/2025
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Quantifying Arizona's Dental Health Workforce Shortage Using Health Professional Shortage Area (HPSA) Data: Updated April 2025
Reports on dental workforce shortages in Arizona. Includes data on safety net providers and workforce supply in Arizona counties and tribal nations.
Author(s): B. Koch, C. Drake, A. Garn, D. Derksen
Date: 04/2025
Sponsoring organization: Arizona Center for Rural Health
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Reports on dental workforce shortages in Arizona. Includes data on safety net providers and workforce supply in Arizona counties and tribal nations.
Author(s): B. Koch, C. Drake, A. Garn, D. Derksen
Date: 04/2025
Sponsoring organization: Arizona Center for Rural Health
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Uranium Exposure, Hypertension, and Blood Pressure in the Strong Heart Family Study
Examines the correlation between uranium exposure and health conditions such as hypertension and blood pressure changes in rural, tribal communities. Analyzes health status and uranium levels of 1,453 participants in the Strong Heart Family Study. Discusses rock and soil health, groundwater, and surface water contamination as factors in uranium exposure.
Author(s): Kevin P. Patterson, Abigail Onderwyzer Gold, Miranda J. Spratlen, et al.
Citation: Preventing Chronic Disease, 22
Date: 04/2025
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Examines the correlation between uranium exposure and health conditions such as hypertension and blood pressure changes in rural, tribal communities. Analyzes health status and uranium levels of 1,453 participants in the Strong Heart Family Study. Discusses rock and soil health, groundwater, and surface water contamination as factors in uranium exposure.
Author(s): Kevin P. Patterson, Abigail Onderwyzer Gold, Miranda J. Spratlen, et al.
Citation: Preventing Chronic Disease, 22
Date: 04/2025
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Initiating Research in Indian Country: Lessons From the Strong Heart Study
Discusses the process of the National Heart, Lung, and Blood Institute (NHLBI) initiating studies to examine cardiovascular disease in rural and remote areas, isolated populations, and sovereign nations. Discusses the steps in conducting research with a focus on building trust, transparent implementation, and mutual feedback and results sharing.
Author(s): Barbara V. Howard, Elisa T. Lee, Thomas K. Welty, Richard R. Fabsitz
Citation: Preventing Chronic Disease, 22
Date: 04/2025
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Discusses the process of the National Heart, Lung, and Blood Institute (NHLBI) initiating studies to examine cardiovascular disease in rural and remote areas, isolated populations, and sovereign nations. Discusses the steps in conducting research with a focus on building trust, transparent implementation, and mutual feedback and results sharing.
Author(s): Barbara V. Howard, Elisa T. Lee, Thomas K. Welty, Richard R. Fabsitz
Citation: Preventing Chronic Disease, 22
Date: 04/2025
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Vitamin D Deficiency and Cardiovascular Disease Risk Factors Among American Indian Adolescents: The Strong Heart Family Study
Examines Vitamin D deficiency in adolescents from 12 tribal communities and the correlation with cardiovascular disease (CVD) risk factors. Utilizes data from sovereign tribal nations located in multiple U.S. states and provides breakdowns on adolescents' demographic profiles, health status, and Vitamin D deficiency status.
Author(s): Jessica A. Reese, Erin Davis, Amanda M. Fretts, et al.
Citation: Preventing Chronic Disease, 22
Date: 04/2025
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Examines Vitamin D deficiency in adolescents from 12 tribal communities and the correlation with cardiovascular disease (CVD) risk factors. Utilizes data from sovereign tribal nations located in multiple U.S. states and provides breakdowns on adolescents' demographic profiles, health status, and Vitamin D deficiency status.
Author(s): Jessica A. Reese, Erin Davis, Amanda M. Fretts, et al.
Citation: Preventing Chronic Disease, 22
Date: 04/2025
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Wandering Elder & Alzheimer's Toolkit: Creating a Tribal Elder Safety Net to Address Wandering Persons
Provides guidelines, tools, and strategies supporting community responses to wandering incidents among tribal elders with Alzheimer's disease and related dementias. Discusses cultural, clinical, and community factors influencing ADRD prevalence and treatment, wandering behavior, and community response in tribal nations and communities.
Date: 03/2025
Sponsoring organization: International Association for Indigenous Aging
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Provides guidelines, tools, and strategies supporting community responses to wandering incidents among tribal elders with Alzheimer's disease and related dementias. Discusses cultural, clinical, and community factors influencing ADRD prevalence and treatment, wandering behavior, and community response in tribal nations and communities.
Date: 03/2025
Sponsoring organization: International Association for Indigenous Aging
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Two Modeling Strategies in Analyzing Clustered Time-to-Event Data: The Strong Heart Family Study
Examines the use of the shared frailty and marginal Cox proportional hazards models to study associations between leukocyte telomere length and time-to-incident stroke among 4,635 American Indian study participants from tribal communities in Arizona, Oklahoma, North Dakota, and South Dakota. Discusses effective use of data models for population genetic studies.
Author(s): Heather Willmott, Caroline Gochanour, Kai Ding, et al.
Citation: Preventing Chronic Disease, 22, 240387
Date: 03/2025
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Examines the use of the shared frailty and marginal Cox proportional hazards models to study associations between leukocyte telomere length and time-to-incident stroke among 4,635 American Indian study participants from tribal communities in Arizona, Oklahoma, North Dakota, and South Dakota. Discusses effective use of data models for population genetic studies.
Author(s): Heather Willmott, Caroline Gochanour, Kai Ding, et al.
Citation: Preventing Chronic Disease, 22, 240387
Date: 03/2025
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Exploring Strategies for Small Local & Tribal Health Departments to Succeed in Accreditation
A recorded webinar that discusses challenges small and tribal health departments face when preparing for the accreditation process. Provides guidance and strategies to help accelerate and achieve accreditation. Transcript available below description.
Additional links: Slides
Author(s): Peg Allen, Matthew Fifolt, Amy Belflower Thomas, Jennifer Clarke-Lofters
Date: 03/2025
Sponsoring organization: Public Health Accreditation Board
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A recorded webinar that discusses challenges small and tribal health departments face when preparing for the accreditation process. Provides guidance and strategies to help accelerate and achieve accreditation. Transcript available below description.
Additional links: Slides
Author(s): Peg Allen, Matthew Fifolt, Amy Belflower Thomas, Jennifer Clarke-Lofters
Date: 03/2025
Sponsoring organization: Public Health Accreditation Board
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Modular Decentralized Water System Associated With Improved Child Health and Increased In-Home Water Use in Remote Alaska Native Communities
Explores the health effects of using Miniature Portable Alternative Sanitation Systems (Mini-PASS) on children 12 years old and younger in tribal communities in Alaska. Discusses Mini-PASS as an affordable option for communities that require a decentralized water system that doesn't require piping or sewer. Highlights the health and sanitation benefits such a system can bring to these communities.
Author(s): Amanda Hansen, Gretchen Day, Marla Wehrli, Laura Eichelberger
Citation: Journal of Water and Health, 23(3), 364–372.
Date: 03/2025
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Explores the health effects of using Miniature Portable Alternative Sanitation Systems (Mini-PASS) on children 12 years old and younger in tribal communities in Alaska. Discusses Mini-PASS as an affordable option for communities that require a decentralized water system that doesn't require piping or sewer. Highlights the health and sanitation benefits such a system can bring to these communities.
Author(s): Amanda Hansen, Gretchen Day, Marla Wehrli, Laura Eichelberger
Citation: Journal of Water and Health, 23(3), 364–372.
Date: 03/2025
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Exercising Self-Governance Through an Indian Managed Care Entity: The Eastern Band of Cherokee Indians Tribal Option
Profiles the Cherokee Indian Hospital Authority (CIHA), a health system serving the Eastern Band of Cherokee Indians (EBCI). Discusses the design and impact of their Medicaid managed care entity.
Author(s): Anne Smithey, Rob Houston
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Profiles the Cherokee Indian Hospital Authority (CIHA), a health system serving the Eastern Band of Cherokee Indians (EBCI). Discusses the design and impact of their Medicaid managed care entity.
Author(s): Anne Smithey, Rob Houston
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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