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Rural Health
Resources by Topic: Culture and cultural competency

How One New Mexico County is Taking a Community-Wide Approach to Treating Alcohol and Substance Use Disorders
Features a McKinley County, New Mexico community consortium that takes a holistic approach to recovery. Discusses the need for cultural understanding of Native culture in providing treatment services. Describes the growth of the collaboration over time and the range of local organizations involved.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 02/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Improving the Representativeness of the Tribal Behavioral Risk Factor Surveillance System Through Data Integration
Examines the effectiveness of utilizing data integration methods to improve representation of American Indian/Alaska Native (AI/AN) populations in the Tribal Behavioral Risk Factor Surveillance System (TBRFSS). Provides comparisons of data before and after selected data integration methods and discusses the usefulness of calibration and sequential mass imputation as methods to improve representation.
Author(s): Sixia Chen, Janis Campbell, Erin Spain, Alexandra Woodruff, Cuyler Snider
Citation: BMC Public Health, 23, 273
Date: 02/2023
Type: Document
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4C for Cherokee Children Cultural Connection
Discusses the trauma Cherokee children experience in the foster care system and a related program meant to mitigate the grief and loss after being removed from the home. Focuses on utilizing cultural knowledge to process trauma and improve physical and mental health.
Date: 02/2023
Type: Video/Multimedia
Sponsoring organization: Capacity Building Center for Tribes
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"Ancestral Recipes": A Mixed-Methods Analysis of MyPlate-Based Recipe Dissemination for Latinos in Rural Communities
Examines the adoption of a MyPlate-informed cookbook culturally tailored toward Latinx communities to improve nutrition, healthy lifestyles, and knowledge related to chronic diseases such as diabetes. Discusses results of holding 20 cooking demonstrations with pre- and post-test surveys as well as focus group interviews with 19 participants.
Author(s): Ann Marie Cheney, William J. McCarthy, MarĂ­a Pozar, et al.
Citation: BMC Public Health, 23, 216
Date: 02/2023
Type: Document
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Exploring Rural-Based Professionals' and Community Stakeholders' Perceptions Towards the Uptake of Buprenorphine
Examines barriers and facilitators related to the uptake of buprenorphine in 7 southern Indiana counties. Discusses cultural issues impacting the perception of buprenorphine uptake, including stigma, transportation, education, collaboration, telehealth, and insurance.
Author(s): Josephine Njeri Mwangi
Date: 01/2023
Type: Document
Sponsoring organizations: Indiana Center for Rural Engagement, Indiana University's School of Public Health
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Not Enough Food on the Dinner Table: A Look into Food Insecurity among Hispanics/Latinos Living in Rural Communities in the United States
Discusses food insecurity among Hispanics/Latinos in the U.S. and provides program and policy recommendations to improve food access. Reports on a 2022 needs assessment that includes a literature review, socio-demographic survey, focus group with rural Latino adults, and interviews with community-based organizations (CBOs). Offers strategies such as wellness and nutrition education, culturally sensitive engagement, and technology to improve access.
Author(s): Melawhy Garcia, Natalia Gatdula, Vanessa Torres, et al.
Date: 01/2023
Type: Document
Sponsoring organizations: Center for Latino Community Health Evaluation and Leadership Training, UnidosUS
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'A Life-Changing Partnership': First Tribally-Affiliated Medical School in the U.S. Builds Workforce Pipeline to Underserved Communities
Describes how Oklahoma State University's College of Osteopathic Medicine at the Cherokee Nation is preparing students to work in rural and tribal settings. Highlights how cultural competence is included the curriculum and training opportunities.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 01/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Emerging Adults Voice their Lived Experience: State of Hawai`i Substance Use System of Care Needs Assessment focused on Emerging Adults
Reports on a culturally responsive needs assessment focused on the substance use system in Hawaii and the experiences of emerging adults aged 18 to 29. Discusses qualitative data from behavioral health professionals as well as 24 emerging adults who have lived experiences with substance use disorder (SUD). Includes participants from various geographic areas with quotes from respective participants labeled by their rural or urban location.
Author(s): Susana Helm, Tai-An Miao, James Taylor, et al.
Date: 12/2022
Type: Document
Sponsoring organization: State of Hawai`i Department of Health, Alcohol & Drug Abuse Division
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Understanding Intimate Partner Violence Service Delivery for Latinx Survivors in Rural Areas
Examines the perceived challenges of domestic violence (DV) organizations related to service delivery for Latinx intimate partner violence (IPV) survivors living in rural areas. Examines staff qualifications and Latinx-specific community services of 78 DV organizations, discussing associated perceived barriers in these organizations.
Author(s): Jeongsuk Kim, Cynthia Fraga Rizo, Christopher J. Wretman, et al.
Citation: Violence Against Women
Date: 12/2022
Type: Document
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Interpretation Services for Patients with Limited English Proficiency in Critical Access Hospitals
Discusses the importance of language interpretation services and guidelines for communication and language assistance in healthcare. Describes common themes that emerged through interviews with six Critical Access Hospitals (CAHs) located in areas with a high proportion of patients with limited English proficiency (LEP) regarding the provision of language translation services, and identifies best practices that CAHs can emulate.
Author(s): Madeleine Pick, Megan Lahr, Shehrose Charania
Date: 12/2022
Type: Document
Sponsoring organization: Flex Monitoring Team
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