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Rural Health
Resources by Topic: Tribal communities

Key Findings from a 2024 Survey of Native American Caregivers: Experiences with Food Access and the Summer Meals Program
Examines food insecurity for families in tribal areas and the use of federal food programs. Analyzes data from the Family Spirit FOOD (Finding Opportunities and Options for Distribution of Nourishing Food for Tribal Communities) Survey to analyze use of congregate and rural non-congregate Summer Meals Programs.
Author(s): S. Vanegas, A. Harris, N. Neault, K. Nelson, A. Barlow
Date: 01/2025
Sponsoring organizations: Center for Indigenous Health, Johns Hopkins Bloomberg School of Public Health, No Kid Hungry
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Food Access Interventions in American Indian and Alaska Native Communities: A Scoping Review
Examines food access in American Indian and Alaska Native (AI/AN) communities and provides a scoping review that analyzes social ecological model (SEM) levels and their related food access interventions. Includes discussion on AI/AN food access issues in rural tribal locations.
Author(s): Danya Carroll, Lynn Mad Plume, Nicole Redvers
Citation: Journal of Agriculture, Food Systems, and Community Development, 14(1), 11-28
Date: 01/2025
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Factors Influencing the Choice Between Multi-Target Stool DNA and Colonoscopy for Colorectal Cancer Screening Among Alaska Native Peoples
Examines colorectal cancer (CRC) screening preferences and awareness among Alaska Native people living in rural or remote areas of Alaska. Compares attitudes toward colonoscopy and multi-target stool DNA test (mt-sDNA) testing, including discussion of common barriers to access.
Author(s): Lauren A. Jeffries, Christie A. Flanagan, Lila J. Finney Rutten, John B. Kisiel, Diana G. Redwood
Citation: Life, 15(1), 120
Date: 01/2025
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Addressing Colorectal Cancer Among Alaska Native Peoples: A Community and Subject Matter Expert Symposium
Reports proceedings from the 2023 Alaska Native CRC Research Symposium in Anchorage, Alaska. Describes the current state of research and programs focused on addressing colorectal cancer disparities and access to services among Alaska Native people. Summarizes topics explored at the conference, including concerns specific to rural, tribal, and remote areas.
Author(s): Diana Redwood, Samantha McNelly, Kate Flynn, et al.
Citation: Gastro Hep Advances, 4(3), 100572
Date: 01/2025
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Not Enough: Medicaid Expansion, Medical Debt, and Cost Avoidance in Rural American Indian and Alaska Native Households
Presents a study on the effect of Medicaid expansion on the medical debt and cost avoidance for rural American Indian and Alaska Native households. Compares rates medical debt and cost avoidance from AI/AN communities in Medicaid expansion and nonexpansion states.
Author(s): Sean Hubbard
Citation: Journal of Rural Health, 41(1), e12925
Date: 01/2025
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Building Sovereignty: Native Leaders on Investing in Health and Self-Determination
Highlights key topics in partnerships between healthcare organizations, Tribal governments, and other Native-led organizations. Includes discussion of Native self-determination, cultural responsiveness, and other aspects of investment and collaboration.
Date: 01/2025
Sponsoring organization: Build Healthy Places Network
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Eighth Biennial Report 2025: Health Issues for the State of North Dakota
Updates the previous seven editions of this report with a comprehensive examination of healthcare workforce licensure data related to number of licensed professionals, locations, specialties, and demographics in rural and urban North Dakota. Includes three new chapters on indigenous health, women's and children's health, and the community impacts of the School of Medicine and Health Sciences.
Additional links: Executive Summary
Date: 01/2025
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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Rural Recovery Innovations
Discusses disparities in behavioral health recovery support services in rural, frontier, and tribal communities. Highlights innovative and promising practices for addressing behavioral health disparities, such as addressing stigma, supporting peer workforce, and addressing social determinants of health, among other measures.
Date: 01/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Mobile Health Clinics in a Rural Setting: A Cost Analysis and Time Motion Study of La Clínica in Oregon, United States
Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
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Translation and Assessment of Encultured Meaning of the Multi-Dimensional Scale of Perceived Social Support in Diné Bizaad (Navajo) Using Community-Based Participatory Action Research Methods
Highlights the community-engaged research approach to translating the Multidimensional Scale of Perceived Social Support (MSPSS) into the Diné bizaad (Navajo) language so that it can be used to measure perceived social support in Navajo communities. Breaks down the structure of the MSPSS and details the translation process through a community-based participatory research method.
Author(s): Tapati Dutta, Jon Agley, Camille Keith, Gregory Zimet
Citation: Rural and Remote Health, 25(1), 9433
Date: 01/2025
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