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Rural Health
Resources by Topic: Culture and cultural competency

Providing High-Quality Support to Pregnant People and Their Families in Racially Diverse Rural Communities
Presents a series of case studies of how hospitals and health systems with obstetric units in racially diverse rural communities work to meet patient needs and provide evidence-based, supportive services during pregnancy, childbirth, and the postpartum period. Highlights communities in Colorado, Alaska, and Texas and discusses key features of programs at hospitals or health systems in each area.
Date: 08/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Health Workforce Issues in American Indian and Alaska Native (AI/AN) Populations
Rapid response policy brief providing an overview of the Indian Health Service (IHS), and discussing tribally-operated health services and access to health services and insurance outside of tribal or IHS networks. Describes the representation of AI/AN populations within the healthcare workforce and offers recommendations and strategies to strengthen the health workforce providing care for AI/AN populations.
Author(s): Natalia V. Oster, Susan M. Skillman, Bianca K. Frogner
Date: 07/2022
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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HIV Prevention and Treatment Challenges in Rural America
A webinar recording that covers issues related to HIV healthcare in rural communities and presents HIV data in the United States. Discusses populations who should be offered pre-exposure prophylaxis (PrEP), current options in HIV treatment, and rural health issues such as stigma, medical and mental health shortage areas, and LGBT discrimination. Provides healthcare options available in Kansas.
Date: 07/2022
Type: Video/Multimedia
Sponsoring organizations: AIDS Education and Training Centers National Coordinating Resource Center, University of Kansas Medical Center
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Trans-Mission: Leveraging Telehealth for Care, Support, Advocacy and Education in Central Virginia for Trans and Non-Binary Individuals, Their Support System, Families and the Community During the COVID-19 Pandemic
Toolkit offering an overview of telehealth services for transgender and gender-diverse patients, focusing on Central Virginia and addressing barriers and lessons learned during the COVID-19 pandemic. Presents key considerations for providing gender-affirming care through telehealth and best practices, and highlights rural challenges related to broadband access.
Date: 06/2022
Type: Document
Sponsoring organization: Mid-Atlantic Telehealth Resource Center
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Rural Community Organizations Building Inclusive Environments for LGBTQ+ Residents
Highlights community-based organizations working to create more inclusive environments and programming for LGBTQ+ residents. Discusses the activities of organizations in Ohio, Virginia, and Washington supporting the improvement of LGBTQ+ health and quality of life.
Author(s): Mariana Tuttle, Robert Libal, Madeleine Pick, Carrie Henning-Smith
Date: 06/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Improving Access to LGBTQIA+-Friendly Care in Rural Areas
Highlights the work of the Pride of Rural Virginia and Rural TransECHO programs to provide healthcare access to LGBTQIA+ populations in rural areas across the U.S. Includes organizational overviews as well as challenges and opportunities when providing culturally sensitive healthcare.
Author(s): Mariana Tuttle, Maddy Pick, Robert Libal, Carrie Henning-Smith
Date: 06/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Growing Racial Diversity in Rural America: Results from the 2020 Census
Describes growing diversity of the nonmetropolitan population from 2010-2020 as a reflection of differential patterns of demographic change among racial and ethnic sub-groups in rural America. Features statistics on the nonmetropolitan population by race and age group, and county-level maps of the U.S. showing racial diversity among adults and children ages 0-17.
Author(s): Kenneth Johnson, Daniel Lichter
Date: 05/2022
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Perceptions of the Coronavirus and COVID-19 Testing and Vaccination in Latinx and Indigenous Mexican Immigrant Communities in the Eastern Coachella Valley
Examines social determinants of health (SDOH) and socio-cultural perceptions of COVID-19 spread, testing, and vaccination among Latinx and indigenous Mexican farm-working communities in the rural borderland of Eastern Coachella Valley. Discusses data from 55 focus group participants about themes of misinformation, distrust of institutions, and employment and residency instability.
Author(s): Daniel Gehlbach, Evelyn Vázquez, Gabriela Ortiz, et al.
Citation: BMC Public Health, 22
Date: 05/2022
Type: Document
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Rural Patient Experiences of Accessing Care for Chronic Conditions: A Systematic Review and Thematic Synthesis of Qualitative Studies
Investigates rural patient experiences related to accessing healthcare for the purpose of chronic disease management. Analyzes 62 studies from 2010-2019 with a total 1,354 participants experiencing chronic health issues. Discusses themes of navigating the rural environment and its cultural expectations, navigating the healthcare system, and financing healthcare.
Author(s): Elizabeth H. Golembiewski, Derek L. Gravholt, Victor D. Torres Roldan, et al.
Citation: The Annals of Family Medicine, 20(3), 266-272
Date: 05/2022
Type: Document
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Innovations from the Field: AAAs Work to Improve Diversity, Equity and Inclusion
Presents case studies of how seven Area Agencies on Aging (AAAs) implemented equity and inclusion efforts within their organizations and through service delivery. Highlights programs serving rural Iowa, Oregon, and New York.
Date: 05/2022
Type: Document
Sponsoring organization: USAging
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