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Rural Health
Resources by Topic: Culture and cultural competency

Diné (Navajo) Healer Perspectives on Commercial Tobacco Use in Ceremonial Settings: An Oral Story Project to Promote Smoke-free Life
Presents a study discussing the role of American Indian (AI) healers in defining the ceremonial uses of tobacco in opposition to the regular use of commercial tobacco products in AI communities. Aims to shape culturally competent tobacco-free policies.
Author(s): Jamie Wilson, Samantha Sabo, Carmenlita Chief, et al.
Citation: American Indian and Alaska Native Mental Health Research, 26(1), 63-78
Date: 2019
Type: Document
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Wac'inyeya: Hope among American Indian Youth
Study aims to identify the factors that make American Indian (AI) youth hopeful for the future. Highlights data on AI youth suicide and details the methods of the focus-group based study.
Author(s): Jacqueline S. Gray, Lisa Schrader, Devon S. Isaacs, Megan K. Smith, Naomi M. Bender
Citation: American Indian and Alaska Native Mental Health Research, 26(2), 151-171
Date: 2019
Type: Document
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Examining Civic Engagement Links to Health: Findings from the Literature and Implications for a Culture of Health
Reports findings from a literature review focused on the relationship between health and civic engagement. Covers studies from the U.S. as well as other countries. Includes some discussion of findings from studies conducted in rural areas.
Author(s): Christopher Nelson, Jennifer Sloan, Anita Chandra
Date: 2019
Type: Document
Sponsoring organization: RAND Corporation
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Does a Program That Focuses on Lifestyle Changes Reduce Heart Disease Risk Factors in a Rural Community in Appalachian Kentucky?
Examines a tailored, culturally appropriate cardiovascular disease self-care intervention, HeartHealth, compared to a model of patient referrals to a primary care provider for standard care for cardiovascular risk factors in a rural Appalachian Kentucky community.
Author(s): Debra K. Moser, Frances Feltner, Martha J. Biddle, et al.
Date: 2019
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Procuring Health: Experiences of Mexican Immigrant Women in Rural Midwestern Communities
Thematic study examining health outcomes, perceptions of health, and health promotion for first-generation Mexican immigrant women living in rural Midwestern communities. Compiles data drawn from interviews with 15 women held in 2012, including education, household information, health screening, health issues, transportation, and other data points. Discusses health disparities for Latino populations, the growth of Latino populations in the Midwest, the economic contribution of Latino immigrants to rural communities, and the role of Latina women in family health.
Author(s): Kimberly Greder and Angelica Reina
Citation: Qualitative Health Research, 29(9), 1334-1344
Date: 12/2018
Type: Document
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2020-2022 New Mexico State Health Improvement Plan
Describes a disease prevention and health promotion plan to improve health outcomes for New Mexico's population where the majority are people of color. Major health issues include access to primary care, obesity and diabetes, substance use disorder, and mental health with a focus on the cultural and linguistic needs of New Mexico's unique population.
Date: 12/2018
Type: Document
Sponsoring organization: New Mexico Department of Health
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Social Medicine in Practice: Realizing the American Indian and Alaska Native Right to Health
Explores the health disparities facing American Indian and Alaska Native populations and the social determinants of health specific to Native nations. Features a case study of the Maniilaq Social Medicine Program (SMP) in Alaska, which aims to address Native health disparities.
Author(s): Lucas Trout, Corina Kramer, Lois Fischer
Citation: Health and Human Rights Journal, 20(2), 19–30
Date: 12/2018
Type: Document
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Ke A'o Mau: Strengthening Cultural Competency in Interdisciplinary Education
Summarizes an interprofessional cultural competency course focused on Native Hawaiians. Offers recommendations for designing other courses focused on training interdisciplinary teams in cultural competency to address health disparities.
Author(s): Theresa M. Kreif, Shayne Kukunaokala Yoshimoto, Noreen Mokuau
Citation: Hawai'i Journal of Medicine and Public Health, 77(12), 333-336
Date: 12/2018
Type: Document
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Designed Cultural Adaptation and Delivery Quality in Rural Substance Use Prevention: An Effectiveness Trial for the Keepin' it REAL Curriculum
Examines the effectiveness of two versions – one urban and one rural - of a culturally adapted evidence-based middle school substance use prevention curriculum on adolescents. Data collected included adolescent self-reported substance use, and ratings of quality in delivery analyzed from video recordings of lessons presented.
Author(s): Michael L. Hecht, YoungJu Shin, Jonathan Pettigrew, Michelle Miller-Day, Janice L. Krieger
Citation: Prevention Science 19(8), 1008-1018
Date: 11/2018
Type: Document
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Health Disparities Among American Indians/Alaska Natives — Arizona, 2017
Reports on sociodemographic characteristics, healthcare access, health behaviors, health status, and chronic conditions among Arizona adults, with data for American Indian/Alaska Native (AI/AN), White, and other adults. Discusses the need for culturally tailored public health approaches to address AI/AN health disparities.
Author(s): Monique Adakai, Michelle Sandoval-Rosario, Fang Xu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(47), 1314-1318
Date: 11/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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