Rural Health
Resources by Topic: Culture
Community Healers: How Cherokee Indian Hospital Authority Leads in Health and Wellness
Discusses how the Cherokee Indian Hospital Authority (CIHA) addresses the health needs of its community, by integrating Cherokee culture and Western medical care as a way to improve community health. Documents CIHA's work in promoting relationships between federal and state entities and Native Nations.
Author(s): Hailey A. Baker, Mariana Tuttle, Katy Backes Kozhimannil
Date: 12/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Discusses how the Cherokee Indian Hospital Authority (CIHA) addresses the health needs of its community, by integrating Cherokee culture and Western medical care as a way to improve community health. Documents CIHA's work in promoting relationships between federal and state entities and Native Nations.
Author(s): Hailey A. Baker, Mariana Tuttle, Katy Backes Kozhimannil
Date: 12/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Community-Engaged Dissemination and Implementation of an Evidence-Based Health Promotion Intervention for Native American Families: "Delivery of Turtle Island Tales to Promote Family Wellness" Protocol
Study protocol for the implementation and assessment of Turtle Island Tales, a culturally-grounded obesity prevention intervention for Native American families, in rural and frontier counties in Montana, Oregon, South Dakota, and Wisconsin.
Author(s): Emily J. Tomayko, Alexandra K. Adams, Teresa Warne, James L. Merle, Paul A. Estabrooks
Citation: Implementation Science Communications, 6, 126
Date: 11/2025
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Study protocol for the implementation and assessment of Turtle Island Tales, a culturally-grounded obesity prevention intervention for Native American families, in rural and frontier counties in Montana, Oregon, South Dakota, and Wisconsin.
Author(s): Emily J. Tomayko, Alexandra K. Adams, Teresa Warne, James L. Merle, Paul A. Estabrooks
Citation: Implementation Science Communications, 6, 126
Date: 11/2025
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Rural Missourians' Perspectives on Pain: "I Like To Be in Control of My Life"
Explores Missourians' attitudes toward pain and pharmacological and non-pharmacological pain management via interviews of 25 rural Missourians. Discusses how pain treatment is influenced by pain medication stigma, desire for self-sufficiency, and other cultural factors.
Author(s): Karla T. Washington, Klaudia Kukulka, Archana Bharadwaj, et al.
Citation: Health & Place, 96, 103561
Date: 11/2025
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Explores Missourians' attitudes toward pain and pharmacological and non-pharmacological pain management via interviews of 25 rural Missourians. Discusses how pain treatment is influenced by pain medication stigma, desire for self-sufficiency, and other cultural factors.
Author(s): Karla T. Washington, Klaudia Kukulka, Archana Bharadwaj, et al.
Citation: Health & Place, 96, 103561
Date: 11/2025
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Redefining Rurality: Adopting an Identity-Based and Community-Engaged Approach to Defining Rural Cancer Disparities
Discusses how rural definitions influence cancer disparities research via an examination of perspectives originally presented at the Transforming Community and Rural Healthcare 2024 conference. Details limitations and inconsistencies in current rural definitions and highlights the value of community-based participatory research and identity-based approaches to rurality.
Author(s): Trevor Kauer, Courtny L. Franco, Dominique D. Munroe, et al.
Citation: JNCI: Journal of the National Cancer Institute
Date: 11/2025
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Discusses how rural definitions influence cancer disparities research via an examination of perspectives originally presented at the Transforming Community and Rural Healthcare 2024 conference. Details limitations and inconsistencies in current rural definitions and highlights the value of community-based participatory research and identity-based approaches to rurality.
Author(s): Trevor Kauer, Courtny L. Franco, Dominique D. Munroe, et al.
Citation: JNCI: Journal of the National Cancer Institute
Date: 11/2025
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Assessing Family Medicine Obstetrics Training Needs to Strengthen Maternal Health in Underserved and Rural US Communities
Examines the impact of the PROMOTE OB track (PRimary care Obstetrics and Maternal Outcomes Training Enhancement) to improve maternity care access from family medicine obstetricians (FMOBs) in rural and underserved areas. Examines focus group feedback from PROMOTE OB participants regarding training gaps, collaborative care, cultural components, and patient needs.
Author(s): Matthew D Kearney, Caroline S O'Brien, Melissa L Donze, et al.
Citation: Journal of Primary Care & Community Health
Date: 10/2025
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Examines the impact of the PROMOTE OB track (PRimary care Obstetrics and Maternal Outcomes Training Enhancement) to improve maternity care access from family medicine obstetricians (FMOBs) in rural and underserved areas. Examines focus group feedback from PROMOTE OB participants regarding training gaps, collaborative care, cultural components, and patient needs.
Author(s): Matthew D Kearney, Caroline S O'Brien, Melissa L Donze, et al.
Citation: Journal of Primary Care & Community Health
Date: 10/2025
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Rural Women Choose Self-Sampling over a Pelvic Exam for Cervical Cancer Screening: A Mixed-Method Study
Examines factors related to cervical cancer screening methods in an underserved, rural population in Michigan. Utilizes mixed methods to analyze demographics, barriers, and perspectives related to self-sampling screenings.
Author(s): Timothy C Guetterman, Alexandra Vinson, Matthew Stack, et al.
Citation: Cancer Causes Control, 36(12), 2023-2037
Date: 10/2025
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Examines factors related to cervical cancer screening methods in an underserved, rural population in Michigan. Utilizes mixed methods to analyze demographics, barriers, and perspectives related to self-sampling screenings.
Author(s): Timothy C Guetterman, Alexandra Vinson, Matthew Stack, et al.
Citation: Cancer Causes Control, 36(12), 2023-2037
Date: 10/2025
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Community Health Workers and Rural Age-Friendly Care
Discusses the roles of community health workers (CHWs) in enhancing access, quality, and affordability of healthcare for older adults in rural areas. Describes challenges and opportunities for integrating CHWs into rural health systems. Offers policy and action recommendations to enable and support CHWs in improving healthcare for rural older adults.
Author(s): Elizabeth Eckstrom, Denise A. Hernadez, Lindsay Miller, Rebecca Yeboah
Date: 10/2025
Sponsoring organization: National Rural Health Association
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Discusses the roles of community health workers (CHWs) in enhancing access, quality, and affordability of healthcare for older adults in rural areas. Describes challenges and opportunities for integrating CHWs into rural health systems. Offers policy and action recommendations to enable and support CHWs in improving healthcare for rural older adults.
Author(s): Elizabeth Eckstrom, Denise A. Hernadez, Lindsay Miller, Rebecca Yeboah
Date: 10/2025
Sponsoring organization: National Rural Health Association
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Examining the Relationship Between Health Literacy and the Primary Source of Information for Healthcare Services among Rural Residents
Analyzes relationships between health literacy and use of the internet, community newsletters, television, text-based communication, and other methods as a primary source for healthcare services information among 464 survey respondents living in Oklahoma's rural Tillman and Harmon counties. Discusses how health communication strategies can be tailored by information source for different rural groups to improve healthcare information sharing and access to services.
Author(s): Xuewei Chen, Tao Hu, Rose W. Njoroge, Ming Li, Gary Kreps
Citation: Health Behavior Research, 8(4)
Date: 10/2025
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Analyzes relationships between health literacy and use of the internet, community newsletters, television, text-based communication, and other methods as a primary source for healthcare services information among 464 survey respondents living in Oklahoma's rural Tillman and Harmon counties. Discusses how health communication strategies can be tailored by information source for different rural groups to improve healthcare information sharing and access to services.
Author(s): Xuewei Chen, Tao Hu, Rose W. Njoroge, Ming Li, Gary Kreps
Citation: Health Behavior Research, 8(4)
Date: 10/2025
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Supporting Individuals With Cognitive Impairment and Family Members in Rural Communities: Protocol for a Mixed Methods Digital Health Study
Study protocol for the Northern Arizona Memory Study (NAZMS), which will support dementia risk identification and promote understanding of cognitive health needs and supports via surveys and interviews of Alzheimer's disease and related dementia (ADRD) caregiver and care-receiver dyads in rural Northern Arizona. Details study design and implementation, and highlights the importance of culturally-tailored, accessible, and practical ADRD care supports and interventions for rural and tribal families in Arizona.
Author(s): Eric S. Cerino, Megan C. McCoy, Margarita Martinez, et al.
Citation: JMIR Research Protocols, 14, e77958
Date: 10/2025
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Study protocol for the Northern Arizona Memory Study (NAZMS), which will support dementia risk identification and promote understanding of cognitive health needs and supports via surveys and interviews of Alzheimer's disease and related dementia (ADRD) caregiver and care-receiver dyads in rural Northern Arizona. Details study design and implementation, and highlights the importance of culturally-tailored, accessible, and practical ADRD care supports and interventions for rural and tribal families in Arizona.
Author(s): Eric S. Cerino, Megan C. McCoy, Margarita Martinez, et al.
Citation: JMIR Research Protocols, 14, e77958
Date: 10/2025
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"No Rest for Me Tonight": A Social-Ecological Exploration of Insomnia in Rural Appalachian Women
Examines individual, social, and societal factors associated with insomnia among rural, Appalachian women in Kentucky, analyzing and providing excerpts from interviews with 46 women with self-reported insomnia symptoms. Details the high impact of insomnia on women in rural Appalachia and identifies cultural factors influencing insomnia prevalence and treatment.
Author(s): Mairead E. Moloney, Daniela C. Moga, Michael Grandner, Nancy Schoenberg
Citation: Sleep Health, 11(5), 717-723
Date: 10/2025
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Examines individual, social, and societal factors associated with insomnia among rural, Appalachian women in Kentucky, analyzing and providing excerpts from interviews with 46 women with self-reported insomnia symptoms. Details the high impact of insomnia on women in rural Appalachia and identifies cultural factors influencing insomnia prevalence and treatment.
Author(s): Mairead E. Moloney, Daniela C. Moga, Michael Grandner, Nancy Schoenberg
Citation: Sleep Health, 11(5), 717-723
Date: 10/2025
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