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Rural Health Information Hub

Rural Health
Resources by Topic: Culture and cultural competency

Purposefully Investing in the Tribal Home Visiting Workforce
Examines the Tribal Home Visiting workforce and the various programs that impact the well-being of American Indian/Alaska Native (AI/AN) populations. Includes stories from home visitor staff regarding their work with AI/AN populations, culturally sensitive programming, recruitment and retention strategies, and management of appropriate compensation and training opportunities for the home visiting workforce.
Date: 05/2023
Type: Document
Sponsoring organization: Tribal Home Visiting
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The Value of Rural Independent Living
Presents a Photovoice project evaluating rural community outreach for Centers for Independent Living along the themes of inclusion, raising awareness, being in community, community connections, and rural community living and values.
Date: 04/2023
Type: Document
Sponsoring organizations: Association of Programs for Rural Independent Living, University of Montana: Rural Institute for Inclusive Communities
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Best Practices for COVID-19 Vaccination and Testing
Summarizes findings of an environmental scan of testing and vaccination policies and programs serving people who are medically or socially at disproportionate risk for COVID-19 and related adverse outcomes. Identifies populations at disproportionate risk, including rural residents, and their barriers to COVID-19 testing, COVID-19 vaccination, and routine vaccination. Describes programs that aim to overcome these barriers and increase access to testing and vaccination services. Discuss the implications of these programs' strategies and approaches for future pandemics and public health crises.
Date: 04/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Wisconsin Perinatal Periods of Risk (PPOR) Analysis, 2015–2019: Understanding Inequities in Fetal and Infant Mortality Impacting American Indian and Alaska Native Communities
Provides an overview of fetal and infant mortality in American Indian/Alaska Native (AI/AN) populations in Wisconsin from 2015-2019. Includes data on 4 perinatal periods of risk (PPOR) and comparisons between the AI/AN population and the general Wisconsin population. Discusses prevention areas and needs for culturally competent care related to sudden unexpected infant death (SUID), factors of low birthweight, and delivery complications and mortality related to low birthweight.
Additional links: Summary
Date: 04/2023
Type: Document
Sponsoring organization: Wisconsin Department of Health Services
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The Development of Accessible and Sustainable Transgender Health Education for Rural-Serving Medical Providers in Appalachia
Presents the results of a project to develop and implement a cultural competency training program for rural-serving medical residents focused on transgender primary healthcare in South Central Appalachia – an area that is medically under-resourced and experiences intersectional discrimination. The Kern Model medical curriculum and data from clinic stakeholders, residents, and transgender community members were utilized in the development of this training program. Highlights the value of virtual training providing increased accessibility for rural clinics.
Author(s): Rebecca Altschuler, Abbey K. Mann
Citation: Rural and Remote Health, 23 (2)
Date: 04/2023
Type: Document
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Rural Mental Health's Stressors, Barriers, and Protective Factors: Q&A with Dr. Dawn Morales
An interview with Dawn Morales, Program Chief of the Office of Rural Mental Health Research at the National Institute of Mental Health. Discusses challenges related to rural mental healthcare as well as the importance of cultural competency and protective factors, especially in rural populations such as American Indian and Alaska Native communities and farmers and ranchers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Community Member Perspectives on Adapting the Cascade of Care for Opioid Use Disorder for a Tribal Nation in the United States
Explores the potential efficacy of the Opioid Use Disorder (OUD) Cascade of Care model for American Indian and Alaska Native communities. Bases conclusion on interviews with clinicians, peer support specialists, cultural practitioners, and others familiar with OUD treatment for Anishinaabe people in rural Minnesota. Breaks down data by age, sex, and employment type.
Author(s): Frank Johnson Jr, Amy RedCloud, Jennifer Mootz, et al.
Citation: Addiction, 118(8), 1540-1548
Date: 03/2023
Type: Document
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Measuring and Addressing Health Equity: An Assessment of Cancer Center Designation Requirements
Examines equity structures, processes, and outcomes in cancer center endorsements and their relationship to high-quality cancer care for all populations. Discusses cancer health disparities due to socioeconomic and insurance status, minoritized racial/ethnic groups, medically underserved populations, and rural populations and how endorsing bodies can incorporate health equity requirements in cancer care for these groups.
Author(s): Jason T. Semprini, Caitlin B. Biddell, Jan M. Eberth, et al.
Citation: Cancer Causes & Control, 34, 23-33
Date: 03/2023
Type: Document
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Health Equity in Indian Country: Rethinking How the Centers for Medicare & Medicaid Services Approaches Health Equity for American Indians and Alaska Natives
Summary of three events in 2022 between the National Indian Health Board (NIHB), Centers for Medicare & Medicaid Services (CMS), and CMS Tribal Technical Advisory Group (TTAG) to discuss health equity within CMS programs for American Indian and Alaska Natives (AI/AN). Includes recommendations for effective health equity policy to CMS generally and the CMS Framework for Health Equity 2022-2032 specifically.
Date: 03/2023
Type: Document
Sponsoring organization: National Indian Health Board
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Integration of Case-Based Dialogue to Enhance Medical Students' Understanding of Using Health Communication to Address Social Determinants of Health
Examines the impact of case-based social determinants of health (SDOH) curriculum on third year medical student knowledge related to SDOH and willingness to care for culturally diverse and underserved patients. Analyzes pre- and post-test survey answers from 640 medical students about their SDOH perceptions and knowledge, including confidence levels in working with rural and medically underserved patients.
Author(s): Jalysa King, Jennifer Taylor
Citation: Advances in Medical Education and Practice,14, 237-244
Date: 03/2023
Type: Document
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