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Rural Health
Resources by Topic: Culture and cultural competency

Exploring the Role of Critical Health Literacy in Addressing the Social Determinants of Health
Brief reporting on a workshop held by the Roundtable on Health Literacy that explored Social Determinants of Health (SDOH) and health literacy to serve vulnerable communities. Discusses SDOH models, research methods to engage communities, and critical health literacy. Project examples include work with rural Native American communities.
Author(s): Board on Population Health and Public Health Practice
Date: 06/2021
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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CMS Office of Minority Health COVID-19 Vaccine Resources
Vaccination resources for healthcare providers and community partners working with racial and ethnic minorities, people with disabilities, people with limited English proficiency, sexual and gender minorities, and rural populations. Provides resources to share with consumers and patients, including information in different languages.
Date: 06/2021
Type: Website
Sponsoring organizations: Centers for Medicare and Medicaid Services, CMS Office of Minority Health
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Tri-Area Community Health Provides Community-Focused Integrated Care
Features a rural Virginia Federally Qualified Health Center that provides integrated primary care and behavioral health services. Discusses how services have been adapted to meet the needs of a growing Hispanic population, and describes a behavioral health training program offered in partnership with Radford University.
Author(s): Kathryn Rutz
Citation: Rural Monitor
Date: 05/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Vaccine Central
Resources to support health departments, community-based organizations, and others with vaccine efforts among refugee, immigrant, and migrant communities.
Additional links: A Checklist for COVID-19 Vaccine Roll-out Among Refugees, Immigrants, and Migrants, COVID-19 Vaccines - Focus Group Discussion (FGD) Facilitation Guide, COVID-19 Vaccines - Focus Group Discussion (FGD) Note-Taking Guide & Template, Guide: Mobile COVID-19 Vaccination Campaigns for Refugee, Immigrant and Migrant (RIM) Communities
Date: 05/2021
Type: Website
Sponsoring organization: National Resource Center for Refugees, Immigrants, and Migrants
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The Road to Equity: Examining Structural Racism in Health Care
Recordings of a 2-day forum on health equity, structural racism in healthcare, and the role of federal agencies in responding to issues of inequity. Day 2 includes a presentation on rural-specific issues including health disparities, access to healthcare, facility closures and workforce issues.
Additional links: Day 1 Transcript, Day 2 Recording, Day 2 Transcript
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: CDC's Office of Minority Health & Health Equity
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State Health Disparities Research in Rural America: Gaps and Future Directions in an Era of COVID-19
Discusses research methods and partnerships to address rural health disparities. Highlights recommendations from a national workshop on rural health disparities, including community participation in rural health research, innovative research design, interventions that are relevant to rural challenges, and cultural competence in rural research.
Author(s): Lisa Cacari Stone, Mary C. Roary, Augusto Diana, Patricia A. Grady
Citation: The Journal of Rural Health, 37(3), 460-466
Date: 04/2021
Type: Document
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Notes from the Field: COVID-19 Case Investigation and Contact Tracing Program — Spirit Lake Tribe, North Dakota, September–November 2020
Reports on how the CDC helped the Spirit Lake Tribe build a tribally managed program to address increasing COVID-19 cases through comprehensive case investigations, case notification, contact tracing, contact testing, and contact management. Describes the work of Spirit Lake community members who served as investigators and contact tracers, providing culturally appropriate advice about the need to isolate or quarantine. Discusses housing challenges that impacted isolation and quarantine efforts.
Author(s): James Matthias, Tracy Charboneau, Cheri Schaffer, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 533-534
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 Incidence and Mortality Among American Indian/Alaska Native and White Persons — Montana, March 13–November 30, 2020
Examines COVID-19 incidence and mortality rates among American Indian/Alaska Native (AI/AN) and White people in Montana. Discusses factors that may have contributed to greater incidence and mortality for the AI/AN population and the need for culturally appropriate public health measures and vaccine allocation strategies to address disparities.
Author(s): Laura L. Williamson, Todd S. Harwell, Todd M. Koch, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 510-513
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Healing Tool - Pocket Guide for Addressing Behavioral Health Goals in Native Communities
Provides data and strategies for addressing mental health and substance use issues in American Indian and Alaska Native communities. Discusses issues around stigma, medication-assisted treatment, and traditional healing practices, among other measures, for creating culturally competent care in tribal communities.
Author(s): Shirley M. Cain
Date: 03/2021
Type: Document
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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CHWs At Work: Making a Difference for Oklahoma's Marshallese Community
Highlights an Oklahoma program that uses community health workers (CHWs) for outreach to the Marshallese community in a three-county area. Provides a brief history and overview of the Marshallese population and discusses the health concerns the CHWs address.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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