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Rural Health
Resources by Topic: Culture and cultural competency

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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Actions Toward Equity: Strategies Communities Are Using to Ensure Everyone Has a Fair and Just Opportunity for Health
Highlights community strategies to improve social and economic conditions and promote health equity. Focuses on the strategies used by Robert Wood Johnson Foundation Culture of Health Prize-winning communities from 2013-2017. Includes examples from tribal and rural communities.
Author(s): Carrie Carroll, Olivia Little, Devarati Syam, Julie Willems Van Dijk
Date: 2019
Type: Document
Sponsoring organization: University of Wisconsin Population Health Institute
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A Holistic Definition of Healthy Traditional Harvest Practices for Rural Indigenous Communities in Interior Alaska
Explores the ways in which sharing of wild resources is important for food security, wellness, and cultural identity in Indigenous Alaska communities. Discusses how environmental changes are affecting Alaskans' way of life and challenging access to foods needed for nutrition and cultural preservation.
Author(s): Krista M. Heeringa, Orville Huntington, Brooke Woods, et al.
Citation: Journal of Agriculture, Food Systems, and Community Development, 9(2, Suppl. 2), 115–129.
Date: 2019
Type: Document
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A Community Moves Beyond the Boom and Bust
Profiles Lake County, Colorado, a winner of the 2019 Robert Wood Johnson Foundation Culture of Health Prize. Highlights some of Lake County's efforts to actively promote health and wellness throughout the rural county.
Date: 2019
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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For This Island Community, Better Health Is Everyone's Journey
Features the community of Sitka, Alaska, a winner of the 2019 Robert Wood Johnson Foundation Culture of Health Prize. Highlights some of Sitka's efforts to actively promote health and wellness throughout the community with projects such as the Sitka Health Summit, community gardens, and home-based childcare.
Date: 2019
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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