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Rural Health
Resources by State: California

Roadmap for Resilience: The California Surgeon General's Report on Adverse Childhood Experiences, Toxic Stress, and Health
Reports on Adverse Childhood Experiences (ACEs) and toxic stress in California, addressing the health impacts of ACEs and stress, economic costs, and public health implications of the issue. Discusses initiatives that increase access to screening and treatment for ACEs in urban, rural, and tribal communities. Explores prevention strategies among public health, social service, early childhood, education, and justice agencies.
Author(s): Devika Bhushan, Krista Kotz, Julianne McCall, et al.
Date: 12/2020
Type: Document
Sponsoring organization: California Office of the Surgeon General
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Water Safety in California Public Schools Following Implementation of School Drinking Water Policies
Study examining results from a California testing program created to detect lead in charter and public school drinking water. Analyzes factors associated with access to safe drinking water, including differences between rural and urban schools. Features data and statistics indicating whether school water systems were compliant with health standards and whether school drinking water was tested for lead.
Author(s): Isioma L. Umunna, Lauren S. Blacker, Christina E. Hecht, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
Type: Document
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Cost-Effectiveness of Scaling Up HCV Prevention and Treatment in the United States for People Who Inject Drugs
Highlights the cost-effectiveness of combining medication-assisted treatment (MAT) and syringe-service programs (SSP) with hepatitis C (HCV) treatment for people who inject drugs. Compares services for patients in rural Perry County, KY; and urban San Fransisco, CA.
Author(s): Carolina Barbosa, Hannah Fraser, Thomas J. Hoerger, et al.
Citation: Addiction, 114(12), 2267-2278
Date: 12/2020
Type: Document
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Income Disparities Widen the Gap in Oral Health of California Adults
Policy brief discussing associations between social determinants of health (SDOH) and oral health in California adults using data from the 2017 and 2018 California Health Interview Surveys (CHIS). Describes barriers related to oral health education, literacy, access to care, and oral health screening for low-income populations. Related infographic offers a map of oral health differences by region, noting disparities in rural California counties and data on income and racial/ethnic population characteristics.
Additional links: Infographic
Author(s): Nadereh Pourat, Maria Ditter
Date: 11/2020
Type: Document
Sponsoring organization: UCLA Center for Health Policy Research
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Culturally Affirming Care for Rural Students During the Pandemic: A Karuk Perspective
Offers a perspective of care in rural schools that focuses on providing children with food, healthcare, and mental health support. Discusses education that is trauma-informed, culturally-aware, and responsive to disparities such as lack of internet access in rural areas.
Date: 08/2020
Type: Website
Sponsoring organization: Regional Educational Laboratory Program
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Development of a Survivorship Care Plan (SCP) Program for Rural Latina Breast Cancer Patients: Proyecto Mariposa - Application of Intervention Mapping
Investigates the use of Intervention Mapping (IM) in developing Proyecto Mariposa, a comprehensive Survivorship Care Plan (SCP) program focused on helping Latina breast cancer survivors in a rural U.S.–Mexico border area. Lists steps and activities implemented during SCP program development and describes personal and environmental determinants that can affect SCP use.
Author(s): Eunjeong Ko, María Luisa Zúñiga, Susan I. Woodruff, Yolanda Serra-Martinez, Veronica Cardenas
Citation: International Journal of Environmental Research and Public Health, 17(16), 5784
Date: 08/2020
Type: Document
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Challenges and Facilitators of Hospice Decision-making: A Retrospective Review of Family Caregivers of Home Hospice Patients in a Rural US-Mexico Border Region - A Qualitative Study
Highlights a study on hospice care utilization in the rural U.S.-Mexico border region of Southern California. Explores the decisions made by family care givers around hospice care and discusses the factors that shaped those decisions.
Author(s): Eunjeong Ko, Dahlia Fuentes, Savitri Singh-Carlson, Frances Nedjat-Haiem
Citation: BMJ Open, 10(7), e035634
Date: 07/2020
Type: Document
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Risk for Coccidioidomycosis among Hispanic Farm Workers, California, USA, 2018
Study of occupational risk factors for coccidioidomycosis (a pulmonary and systemic infection also known as Valley fever or San Joaquin Valley Fever) among Hispanic farmworkers in California. Describes the illness and analyzes data collected between June 2016 - August 2018 from patients who received serologic testing for coccidioidomycosis and questionnaire responses from 203 participants representing demographics, health history, and agricultural work history including dust exposure and work hours.
Author(s): Stephen A. McCurdy, Catherine Portillo-Silva, Carol L. Sipan, Heejung Bang, Kirt W. Emery
Citation: Emerging Infectious Diseases, 26(7), 1430-1437
Date: 07/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Experiences of Community Health Centers in Expanding Telemedicine
Presents an overview of the experiences of nine health centers in California that received funding to increase their telemedicine services. Describes barriers to implementing and sustaining expanded services, including reimbursement policies and other regulatory restrictions. Includes recommendations for health centers and policymakers to promote the use of telehealth services.
Author(s): Lori Uscher-Pines, Jessica Sousa, Alina I. Palimaru, et al.
Date: 07/2020
Type: Document
Sponsoring organization: RAND Corporation
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Evidence Briefing: Tackling the Digital Divide & Telehealth Access for Low-Income Californians
Recording of a July 28, 2020 briefing that features a panel of health care providers discussing strategies to improve access to broadband internet and telehealth services in California. Offers perspectives from a Federally Qualified Health Center and a VA health system that serve rural California residents. Transcript available by clicking the dots above the Subscribe tab, then selecting Open Transcript.
Date: 07/2020
Type: Video/Multimedia
Sponsoring organization: California Initiative for Health Equity and Action
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