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Rural Health
Resources by Topic: Culture and cultural competency

Effect of Acculturation and Access to Care on Colorectal Cancer Screening in Low-Income Latinos
Examines the associations between acculturation, access to and utilization of healthcare services, and colorectal cancer (CRC) in low-income Latino men and women living in colonias of the Texas-Mexico border area.
Author(s): Lara S. Savas, Sally W. Vernon, John S. Atkinson, Maria E. Fernández
Citation: Journal of Immigrant and Minority Health, 17(3) 696-703
Date: 06/2015
Type: Document
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Adaptation of a Culturally Relevant Nutrition and Physical Activity Program for Low-Income, Mexican-Origin Parents With Young Children
Describes a 5-year community-based study on obesity intervention programs in children ages 2-8 in two rural Mexican-American communities in California's Central Valley. Discusses family-centered, culturally adapted programs promoting healthy eating and physical activity for children of rural agricultural workers.
Author(s): Lucia Kaiser, Judith Martinez, Marcel Horowitz, et al.
Citation: Preventing Chronic Disease, 12
Date: 05/2015
Type: Document
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Developing a Culturally Competent, Sustainable Rural Model for Diabetes Prevention
Assesses a community- and family-based approach to diabetes prevention and management in 11 Appalachian counties across 3 states. Highlights the benefits of utilizing a culturally sensitive approach to diabetes education and awareness when engaging rural communities.
Author(s): Lesli Johnson, Sharon Denham
Citation: Rural and Remote Health, 15(1), 3031
Date: 02/2015
Type: Document
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Empowering Promotores de Salud as Partners in Cancer Education and Research in Rural Southwest Kansas
Discusses a community-based participatory method providing cancer research training to promotores and to assess their capability to disseminate cancer research information to Latinos in rural Kansas.
Author(s): Ana Paula Cupertino, Mercedes Saint-Elin, Johana Bravo de los Rios, et al.
Citation: Oncology Nursing Forum, 42(1), 15-22
Date: 01/2015
Type: Document
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Acceptability of an Embodied Conversational Agent-Based Computer Application for Hispanic Women
Examines computer and technology use in adult Hispanic women living in rural areas. Evaluates the acceptability of using an embodied conversational agent (ECA) computer application as a possible method to assist providers and engage patients in health education. Includes a link to the relational agents video publicly available.
Author(s): Kristen J. Wells, Coralia Vázquez-Otero, Marissa Bredice, et al.
Citation: Hispanic Health Care International, 13(4), 179-185
Date: 2015
Type: Document
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The Social Determinants of Health of Type 2 Diabetes and Obesity: A Research Framework
Examines the social determinants of health related to childhood obesity and type 2 diabetes from a Native perspective, considering historical trauma, self-determination, and cultural factors. Looks at currently available information, identifies gaps, and provides a research framework to help build a better understanding of the causes of child obesity among Native Americans.
Date: 2015
Type: Document
Sponsoring organization: Notah Begay III Foundation
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Systematic Review of Interventions Focusing on Indigenous Adolescent Mental Health and Substance Use
Analyzes mental health and substance use interventions for American Indian and Alaska Native (AI/AN) adolescent populations to identify key intervention factors in reducing mental health disparities.
Author(s): Mapuana C. K. Antonio, Jane J. Chung-Do
Citation: American Indian and Alaska Native Mental Health Research, 22(3), 36-56
Date: 2015
Type: Document
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Predicting Attitudes Toward Seeking Professional Psychological Help among Alaska Natives
Gauges attitudes of Alaska Natives toward psychological help by examining current and previous experience, social and self stigma, and cultural identity. Identifies variables in mental health help-seeking attitudes to better inform methods for increasing service use among Alaska Natives.
Author(s): Brittany Freitas-Murrell, Joshua K. Swift
Citation: American Indian and Alaska Native Mental Health Research, 22(3), 21-35
Date: 2015
Type: Document
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A Community-Based, Culturally Relevant Intervention to Promote Healthy Eating and Physical Activity among Middle-Aged African American Women in Rural Alabama: Findings from a Group Randomized Controlled Trial
Examines a community-based, culturally relevant intervention to promote healthy eating and physical activity among African American women between the ages of 45-65 living in rural Alabama. Includes study participant demographic data at the starting baseline and a 24 month follow up. Covers healthy lifestyle data at the starting baseline, 12 month, and 24 month follow up for dietary and physical activity measures.
Author(s): Isabel C. Scarinci, Artisha Moore, Theresa Wynn, et al.
Citation: Preventive Medicine, 69, 13-20
Date: 12/2014
Type: Document
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Lessons Learned from 20 Years of Diabetes Self-Management Research with Mexican Americans in Starr County, Texas
Provides an overview of research on diabetes self-management education interventions focused on rural Mexican Americans along the Texas-Mexico border. Reports on lessons learned from pilot testing, focus group interviews, and randomized controlled trials. Addresses the impact of culture, behavioral change motivators, and more.
Author(s): Sharon A. Brown, Joseph H. Blades, Craig L. Hanis
Citation: Diabetes Educator, 40(4), 476-487
Date: 07/2014
Type: Document
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