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Rural Health
Resources by Topic: Culture and cultural competency

Rural Adults' Perceptions of Nutrition Recommendations for Cancer Prevention: Contradictory and Conflicting Messages
Explores perceptions of web-based nutrition recommendations for colorectal cancer (CRC) prevention, utilizing interview data from 48 rural men and women aged 50 to 73 who participated in a CRC prevention intervention. Identifies challenges related to contradictory recommendations, cultural and dietary preferences, and information gaps. Includes discussion of factors promoting CRC screening.
Author(s): Melissa J. Vilaro, Emma Bryan, Te Palani, et al.
Citation: Preventive Oncology and Epidemiology, 1, 2237680
Date: 11/2023
Type: Directory
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The Magic of APRIL
Photovoice project from the 2023 Association of Programs for Rural Independent Living (APRIL) Conference. Project highlights APRIL's conference, describes Photovoice principles, and identifies themes that emerged from the Photovoice exercise in addition to the Photovoice project.
Date: 11/2023
Type: Document
Sponsoring organizations: Association of Programs for Rural Independent Living, Research and Training Center on Disability in Rural Communities
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Indigenous Voices Against Suicide: A Meta-Synthesis Advancing Prevention Strategies
Analyzes research on suicide prevention for Indigenous populations in the U.S. Highlights Indigenous voices in the research and selects for a number of programmatic themes, such as integration of culture as prevention, support preferences, and challenges to prevention, among others.
Author(s): Meenakshi Richardson
Citation: International Journal of Environmental Research and Public Health, 20(22), 7064
Date: 11/2023
Type: Document
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Provider- and System-Level Barriers and Facilitators to Colonoscopy and Multi-Target Stool DNA for Colorectal Cancer Screening in Rural/Remote Alaska Native Communities
Highlights a study of the barriers and facilitators to colorectal cancer screening for Alaska Native communities in rural and remote regions of Alaska. Bases findings on interviews with providers and an analysis of system-level factors, such as travel time and costs, weather, and COVID-19, among others.
Author(s): Diana Redwood, Melissa Toffolon, Christie Flanagan, et al.
Citation: International Journal of Environmental Research and Public Health, 20(22), 7030
Date: 11/2023
Type: Document
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Developing a Culturally Relevant Physical Activity Guide for Alaska Native Head Start Students in Rural Alaska: The Got Neqpiaq? Study
Highlights a survey of Alaska Native Elders, teachers, and parents on cultural modifications to the Head Start preschool programs' physical playtime activities in tribal communities. Features a partnership between the Alaska Native Tribal Health Consortium, Head Start, and the Rural Alaska Community Action Program. Details lessons learned from survey results on developing culturally competent physical education programming for Alaska Native preschoolers.
Author(s): Teresa Hicks, Barb Stillwater, Kathryn Koller, et al.
Citation: International Journal of Circumpolar Health, 82(1), 2287791
Date: 11/2023
Type: Document
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Invisible Children, Invisible Families: A Blueprint for Supporting The Child Care Needs Of American Indian And Alaska Native Families
Discusses the review of 184 Tribal Child Care Plans to understand access to culturally relevant child care and childhood education in tribal areas. Provides recommendations such as strengthening communication and collaboration between state governments and tribes, creating new approaches for tribes to serve members living off reservation, and reforming federal funding to address tribal needs using data-driven methods.
Author(s): Barb Fabre, Rob Grunewald, Linda K. Smith, Caroline Osborn
Date: 11/2023
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Bridging the Rural–Urban Health-Care Divide Through Community Research Partnerships
Highlights a health equity program that partners researchers with a remote indigenous community. Discusses the Siamit program in a remote, predominately Iñupiat, region of Alaska that partners with Harvard Medical School and Massachusetts General Hospital working to advance health equity.
Author(s): Lucas Trout, Margaret Smith, Linda Joule, Stuart Harris
Citation: Nature
Date: 11/2023
Type: Document
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RCORP: Helping Meet Rural Needs
Video series featuring the Federal Office of Rural Health Policy's Rural Communities Opioid Response Program (RCORP), a multi-year initiative that funds a range of grant programs to help rural communities treat and prevent opioid use disorder. RCORP grantees share how they have used this funding to address the needs of their communities.
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Improving Access to Primary Care for Underserved Populations: A Review of Findings from Five Case Studies and Recommendations
Summarizes and synthesizes the findings from a series of five case studies that explored the impact of policy initiatives that aim to improve access to primary care. Covers increasing the availability of primary care providers, improving underserved communities' access to outpatient clinics, removing structural barriers to care, making primary care affordable, and improving comfort and communication between providers and patients. Presents recommendations for federal and state policymakers, primary care practices, medical schools, and other relevant stakeholders. Includes rural examples and considerations throughout.
Additional links: Executive Summary
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker
Date: 11/2023
Type: Document
Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform
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Maintaining Momentum to Advance Health Equity in Adverse Environments
Discusses how to progress health equity and overcome institutional and legislative challenges. Focuses on building organizational processes, tailoring communications, committing to progress, prioritizing professional purpose and collective care, and engaging in community-level interventions, with examples from rural areas and organizations.
Author(s): Abena Ohene-Ntow, Jahira Sterling, Jamye Chapman, Shilpa Patel, Dana E. Crawford
Date: 11/2023
Type: Document
Sponsoring organization: Center for Health Care Strategies
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