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Rural Health
Resources by Topic: Culture and cultural competency

The Influence of Transformations in Supply on Methamphetamine Initiation Among People Injecting Opioids in the United States
Discusses the co-use of methamphetamine (MA) and opioids (pharmaceutical pills, heroin and fentanyls) through interview and observation of 30 individuals in West Virginia. Explores drug initiation and supply as well as evolving cultural beliefs and taboos of drug use, including those related to rural spaces in West Virginia.
Author(s): Sarah Mars, Jeff Ondocsin, Nicole Holm, Daniel Ciccarone
Citation: Harm Reduction Journal, 21, 57
Date: 03/2024
Type: Document
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The Way Forward: Report of the Alyce Spotted Bear & Walter Soboleff Commission on Native Children To the President and Congress of the United States
Report details the findings of a comprehensive study by the Alyce Spotted Bear & Walter Soboleff Commission on Native Children on the programs, grants, and other support available to American Indian, Alaska Native, and Native Hawaiian children. Highlights the socioeconomic, cultural knowledge, and physical and mental wellness rates, among other measures, of Native children. Makes recommendations on cultural engagement, local control, flexible funding, and trauma-informed approaches to support services for Native children.
Author(s): Dr. Dolores Subia Bigfoot, Stephanie Bryan, Dr. Tami Decoteau, et al.
Date: 02/2024
Type: Document
Sponsoring organization: Alyce Spotted Bear and Walter Soboleff Commission on Native Children
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Addressing Adolescent Substance Abuse and Risky Sexual Health Behaviors Via Youth-Led Initiatives: A Review of the Teens Linked to Care Pilot Program
Evaluates the Teens Linked to Care (TLC) pilot program which is meant to reduce substance use and risky sexual health behaviors in high-risk youth, including sexual and gender minority youth (SGMY). Examines the program framework, strategies, and implementation in 2 rural sites and discusses the impact of education, access to care, and supportive environments to promote healthy behaviors. Includes demographic and behavioral health data of participants.
Author(s): Hailey Bednar, Suzanne McMillan, Turquoise Sidibe, Melissa Bennett
Citation: International Journal of Environmental Research and Public Health, 21(3), 252
Date: 02/2024
Type: Document
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The Suicide Epidemic in Rural Minnesota: How We Got Here and How We Move Forward
Provides information on the yearly increase of suicides and deaths of despair in Minnesota, with data broken down by sex, region, and rurality. Discusses factors that impact suicide rates in rural areas, with a focus on rural and indigenous cultures, farming, stigma, firearm access, and more.
Author(s): Marnie Werner, Tracie Rutherford Self
Date: 02/2024
Type: Document
Sponsoring organizations: Center for Rural Behavioral Health, Center for Rural Policy and Development
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Creating Community-Based Health Education Materials for Indigenous Farmworkers
Describes the importance of accessible and culturally relevant resources for Mexican and Central American Indigenous farmworkers, and outlines steps for health education material development. Identifies techniques for promoting health literacy and encouraging community input. Highlights the importance of distinguishing Mesoamerican Indigenous farmworkers from non-Indigenous Latino populations.
Date: 01/2024
Type: Document
Sponsoring organizations: Language Access Florida, National Center for Farmworker Health, Rural Women's Health Project
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A Participatory Trust-Building Model for Conducting Health Equity Research With Rural and Urban Native American, Black, and Latinx Communities: WEAVE NM (Wide Engagement for Assessing Vaccine Equity in New Mexico)
Highlights an intervention that aims to increase vaccine equity, engagement, and community trust among rural and urban Black, Indigenous, and Latinx people in New Mexico. The community-based participatory research initiative explores social and cultural elements that shape engagement with the broader community and the effect this has on public health outcomes.
Author(s): Lisa Cacari Stone, Anabel Canchola, Elroy Keetso, et al.
Citation: American Journal of Public Health, 114(Suppl 1), S41–S44
Date: 01/2024
Type: Document
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Clinician Burnout in Rural & Tribal Communities
An infographic that describes clinician burnout in rural and tribal areas, with a focus on staffing challenges, cultural and community factors, scope of practice, continuity of care issues, and related resources and strategies to mitigate challenges.
Date: 01/2024
Type: Document
Sponsoring organization: National Health Service Corps
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How Tribal Medical Education Programs Could Solve the Rural Health Care Crisis with Natasha Bray, DO
Highlights a partnership between The Cherokee Nation and the Oklahoma State University College of Osteopathic Medicine to address physician recruitment and retention in tribal communities. Discusses physician residencies, cultural competency, national physician shortages, and lessons learned. Transcript beneath podcast player.
Date: 01/2024
Type: Audio
Sponsoring organization: American Medical Association
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Tobacco Use Among MSAW: Environmental Scan Findings Report
Reports on tobacco use among migratory and seasonal agricultural workers (MSAWs) using surveys of MSAW-serving organizations and focus groups with MSAWs. Includes discussion of tobacco use, beliefs about health effects, tobacco use in the workplace, cultural differences, cessation programs, and more. Offers recommendations for healthcare providers and MSAW-serving organizations addressing tobacco use.
Date: 2024
Type: Document
Sponsoring organization: National Center for Farmworker Health
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Identifying Our Needs: A Survey of Elders Cycle VIII (2020-2023) - 2024 Final Report
Report highlights data collected from a survey of American Indian and Alaska Native elders regarding their health and wellness. Explores reported rates of healthcare access, substance use, social support, housing, healthcare screening, and more.
Additional links: Infographic: Caregiving and Socialization Among Native Elders, Infographic: Frailty and Physical Functioning Among Native Elders, Infographic: Native Elders in the United States, Infographic: Nutrition Among Native Elders
Date: 2024
Type: Document
Sponsoring organization: National Resource Center on Native American Aging
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