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Rural Health
Resources by Topic: Culture and cultural competency

Healthy Brain Initiative: Road Map for Indian Country
Report discusses Alzheimer's disease and dementia among American Indian and Alaska Native populations. Includes an overview of the disease and details the trends among Native Americans. Provides strategies and resources for tribal communities to provide early diagnosis, treatment, and care for elders with dementia.
Date: 05/2019
Type: Document
Sponsoring organizations: Alzheimer's Association, Centers for Disease Control and Prevention
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Reducing Cancer Among Native Populations: Models for Research, Prevention, and Treatment
Highlights the work of a cancer researcher, a foundation director, and healthcare provider who are engaging American Indians and Alaska Natives in cancer research, prevention, and treatment.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 05/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women
Presents a study on culturally adapted Cognitive Processing Therapy (CPT) to improve PTSD and substance abuse outcomes and lower the risk of contracting HIV in Native American women. Details data by age, education, and employment status, among other measures.
Author(s): Cynthia R. Pearson, Debra Kaysen, David Huh, Michele Bedard-Gilligan
Citation: AIDS and Behavior, 23(3), 695-706
Date: 03/2019
Type: Document
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Recommendations to the Indian Health Service on American Indian/Alaska Native Pregnant Women and Women of Childbearing Age with Opioid Use Disorder
Report details recommendations from the American College of Obstetricians and Gynecologists to the Indian Health Service on best practices for treating pregnant American Indian and Alaska Native women with opioid use disorder (OUD). Discusses screening for OUD, medication-assisted treatment (MAT), and care integration, among other factors.
Date: 03/2019
Type: Document
Sponsoring organization: The American College of Obstetricians and Gynecologists
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Developing a Culturally-Informed Survey Instrument to Assess Biomedical Research Participation among Latinos on the U.S.-Mexico Border
Reports on a project to develop a quantitative biomedical research survey tool to evaluate the beliefs, willingness, and preferences of Latino participants from the U.S.-Mexico border region. Discusses challenges in representing minority, rural, and low-income populations in research. Describes a process of developing multiple qualitative and quantitative data collection and analysis methodologies, sharing lessons learned.
Author(s): Sarah D. Hoh., Rachel Ceballos, Mary Alice Scott, Beti Thompson
Citation: Qualitative Health Research, 29(3), 445-454
Date: 02/2019
Type: Document
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Mujeres Fuertes y Corazones Saludables, a Culturally Tailored Physical Activity and Nutrition Program for Rural Latinas: Findings from a Pilot Study
Provides an overview of a pilot study of a culturally-tailored group-based nutrition education and physical activity program for rural Latinas in Washington state. Discusses the challenges of recruiting and retaining rural Latinas in a lifestyle program, including limited individual resources, changing contact information, and lack of trust.
Author(s): Rebecca A. Seguin, Cynthia K. Perry, Emma Solanki, et al.
Citation: International Journal of Environmental Research and Public Health, 16(4), 630
Date: 02/2019
Type: Document
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Indian Health Service Strategic Plan FY 2019-2023
Highlights the strategic plan for the Indian Health Service's 2019-2023 fiscal years. Features operational goals for cultural competency, innovation, and program management.
Date: 02/2019
Type: Document
Sponsoring organization: Indian Health Service
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TIP 61: Behavioral Health Services for American Indians and Alaska Natives
Presents guidelines from the Substance Abuse and Mental Health Services Administration (SAMHSA) for behavioral health providers serving American Indians and Alaska Natives. Features a discussion of the behavioral health disparities facing tribal communities and provides guidance for the development and implementation of culturally competent treatment practices. Includes an executive summary and literature review.
Date: 02/2019
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Superfund: EPA Should Improve the Reliability of Data on National Priorities List Sites Affecting Indian Tribes
Examines the Environmental Protection Agency's (EPA) list of seriously contaminated sites for those having a health or cultural impact on Native American tribes, actions taken by the EPA to address tribal needs when cleaning up these sites, and EPA records on the sites and their consultation with tribes. Provides recommendations for the EPA. Appendices include a list of identified sites and 6 case studies.
Additional links: Full Report
Date: 01/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Advancing Tobacco Prevention and Control in Rural America
Discusses different contexts for rural tobacco prevention and control, such as sociodemographic risk factors, culture, and infrastructure. Includes statistics on the national prevalence of tobacco users in the past month by rural and urban adults. Describes 3 types of tobacco control and prevention efforts in rural areas: cessation, prevention of initiation, and smoke free air. Offers recommendations on rural tobacco prevention and control for federal and state agencies, communities, tribes, and other stakeholders.
Additional links: Executive Summary
Author(s): Jean A. Talbot, Martha Elbaum Williamson, Karen Pearson, et al.
Date: 01/2019
Type: Document
Sponsoring organization: National Network of Public Health Institutes
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