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Rural Health
Resources by Topic: Culture and cultural competency

Rural Community Organizations Building Inclusive Environments for LGBTQ+ Residents
Highlights community-based organizations working to create more inclusive environments and programming for LGBTQ+ residents. Discusses the activities of organizations in Ohio, Virginia, and Washington supporting the improvement of LGBTQ+ health and quality of life.
Author(s): Mariana Tuttle, Robert Libal, Madeleine Pick, Carrie Henning-Smith
Date: 06/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Improving Access to LGBTQIA+-Friendly Care in Rural Areas
Highlights the work of the Pride of Rural Virginia and Rural TransECHO programs to provide healthcare access to LGBTQIA+ populations in rural areas across the U.S. Includes organizational overviews as well as challenges and opportunities when providing culturally sensitive healthcare.
Author(s): Mariana Tuttle, Maddy Pick, Robert Libal, Carrie Henning-Smith
Date: 06/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Growing Racial Diversity in Rural America: Results from the 2020 Census
Describes growing diversity of the nonmetropolitan population from 2010-2020 as a reflection of differential patterns of demographic change among racial and ethnic sub-groups in rural America. Features statistics on the nonmetropolitan population by race and age group, and county-level maps of the U.S. showing racial diversity among adults and children ages 0-17.
Author(s): Kenneth Johnson, Daniel Lichter
Date: 05/2022
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Perceptions of the Coronavirus and COVID-19 Testing and Vaccination in Latinx and Indigenous Mexican Immigrant Communities in the Eastern Coachella Valley
Examines social determinants of health (SDOH) and socio-cultural perceptions of COVID-19 spread, testing, and vaccination among Latinx and indigenous Mexican farm-working communities in the rural borderland of Eastern Coachella Valley. Discusses data from 55 focus group participants about themes of misinformation, distrust of institutions, and employment and residency instability.
Author(s): Daniel Gehlbach, Evelyn Vázquez, Gabriela Ortiz, et al.
Citation: BMC Public Health, 22
Date: 05/2022
Type: Document
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Rural Patient Experiences of Accessing Care for Chronic Conditions: A Systematic Review and Thematic Synthesis of Qualitative Studies
Investigates rural patient experiences related to accessing healthcare for the purpose of chronic disease management. Analyzes 62 studies from 2010-2019 with a total 1,354 participants experiencing chronic health issues. Discusses themes of navigating the rural environment and its cultural expectations, navigating the healthcare system, and financing healthcare.
Author(s): Elizabeth H. Golembiewski, Derek L. Gravholt, Victor D. Torres Roldan, et al.
Citation: The Annals of Family Medicine, 20(3), 266-272
Date: 05/2022
Type: Document
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Innovations from the Field: AAAs Work to Improve Diversity, Equity and Inclusion
Presents case studies of how seven Area Agencies on Aging (AAAs) implemented equity and inclusion efforts within their organizations and through service delivery. Highlights programs serving rural Iowa, Oregon, and New York.
Date: 05/2022
Type: Document
Sponsoring organization: USAging
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The Never-Ending Maze: Continued Failure to Protect Indigenous Women from Sexual Violence in the USA
Report examining criminal justice, healthcare, and support service issues related to disparities in sexual violence for American Indian and Alaska Native women. Covers challenges due to jurisdictional limitations, challenges and opportunities in tribal policing, the need for training and access to rape kits at Indian Health Service (IHS) facilities, and culturally competent support for survivors of sexual violence.
Date: 05/2022
Type: Document
Sponsoring organization: Amnesty International
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Assessing the Effectiveness of Policies to Improve Access to Primary Care for Underserved Populations
Case study of policy initiatives to increase access to primary care, focusing on rural Grant County, New Mexico. Discusses challenges to expanding the primary care workforce, bringing outpatient clinics into communities, mobile clinics and telehealth, affordability, and more.
Author(s): Maanasa Kona, Megan Houston, Jalisa Clark, Emma Walsh-Alker
Date: 05/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Precious Moments: Tribal Home Visiting Programs Support Families During Pregnancy and Postpartum
Provides an overview of how 7 Tribal Home Visiting grantees provide support to American Indian and Alaskan Native (AIAN) families during pregnancy and postpartum. Focuses on providing culturally competent care related to AIAN traditions, addressing historical and personal trauma in caregiving, improving maternal health outcomes, and providing education on breastfeeding, postpartum depression, healthy diet, and more.
Date: 04/2022
Type: Document
Sponsoring organizations: Administration for Children and Families, Tribal Home Visiting
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Building a Culturally Aware Native Hawaiian Health Professions Workforce
Highlights the Native Hawaiian Health Scholarship Program's efforts to build the Native Hawaiian health workforce. Describes the development of the program and changes to make the program more culturally aware and to integrate Native Hawaiian values into workforce training and professional development.
Author(s): Donna-Marie Palakiko, Kai'olu DeFries, Kilohana Haitsuka, Lisa L. Ka'anoi
Citation: Hawaii Journal of Health and Social Welfare, 81(4), Supplement 2, 15-19
Date: 04/2022
Type: Document
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