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Rural Health Information Hub

Rural Health
Resources by Topic: Culture

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
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
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
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
Sponsoring organization: Wisconsin Department of Health Services
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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
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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 related to socioeconomic and insurance status, racial/ethnic groups, medically underserved populations, and rural populations. Describes 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
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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 patients with various cultural differences and needs. 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 underresourced patients.
Author(s): Jalysa King, Jennifer Taylor
Citation: Advances in Medical Education and Practice,14, 237-244
Date: 03/2023
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Trauma-Informed Supervision in Tribal Child Welfare (Part 1 of 2): Maintaining Clear Roles with Realistic Expectations
A webinar recording that discusses strategies to develop culturally-responsive and trauma-informed supervision in tribal child welfare. Discusses how to support child welfare staff, such as maintaining clear roles and ensuring manageable caseload expectations. Transcript available below description.
Author(s): Kimee Wind-Hummingbird, Lisa Stark
Date: 03/2023
Sponsoring organization: Capacity Building Center for Tribes
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American Indian and Alaska Native Worker Safety and Health Strategic Plan
Highlights a strategic plan for researching occupational safety and health of American Indian and Alaska Native workers. Provides a step-by-step guide for conducting and disseminating research on the health and safety risks of AI/AN workers, as well as crafting safety policy for tribal communities.
Author(s): Elizabeth Dalsey, Robert Foley, Sarah Hatcher, et al.
Date: 03/2023
Sponsoring organization: National Institute for Occupational Safety and Health
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Indigenous Evaluation Toolkit: An Actionable Guide for Organizations Serving American Indian/Alaska Native Communities through Opioid Prevention Programming
Toolkit presents guidance for American Indian and Alaska Native communities and organizations for providing opioid prevention services. Provides a four-phase plan for program design and details holistic and culturally competent approaches to opioid prevention.
Author(s): Danielle Eakins, Angela Gaffney, Caelin Marum, et al.
Date: 02/2023
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
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