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Rural Health
Resources by Topic: Families

Families in Crisis: The Human Service Implications of Rural Opioid Misuse
Presents findings and policy recommendations from the National Advisory Committee on Rural Health and Human Services' 2016 meeting with rural residents, healthcare providers, and stakeholders regarding the impact and effects of opioid use disorders on rural families. Topics addressed include drug overdose and death, conflict with partners and children, emotional disturbance, adverse health risks, and related impacts on employment and economic sustainability.
Date: 07/2016
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Advancing Health Equity for Native American Youth: Workshop Summary
Report of a roundtable workshop held in New Mexico that brought together leaders from a wide range of fields, including those in Native American healthcare, to address the need for greater visibility for the health disparities faced by tribal and indigenous populations, how to develop programs to address those disparities, and how to encourage support for Native American leaders to advance those programs. This workshop specifically focused on Native American youth, addressing such topics as suicide, the importance of grandparents in the lives and care of children, and the cultural resiliency of Native Americans to overcome trauma and disparities.
Additional links: Read Online
Author(s): Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities
Date: 07/2016
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The Role of Bias by Emergency Department Providers in Care for American Indian Children
Examines implicit and explicit bias by emergency department (ED) caregivers toward American Indian (AI) children and their parental units. Utilizes survey data from 154 providers across 5 Upper Midwest hospitals to determine bias against or preference for White or AI patients. Includes associations of the demographic variables of the caregivers with their Implicit Association Test (IAT) scores, including rural versus urban ED location.
Author(s): Susan E. Puumala, Katherine M. Burgess, Anupam B. Kharbanda, et al.
Citation: Medical Care, 54(6), 562–569
Date: 06/2016
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Perceptions of the Role of West Virginia's Cooperative Extension Service in Tobacco Control Coalitions
Examines the Cooperative Extension Service's involvement in county-level coalitions addressing tobacco use in West Virginia with a focus on prevention for elementary students. Identifies methods to increase the role of the Extension Service that will improve lives, reduce economic hardships on families, and lessen the healthcare costs on state government.
Author(s): Donald Reed, Dana Lester, Kathy Danberry, et al.
Citation: Frontiers in Public Health, 4, 83
Date: 05/2016
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Understanding Trends in Rural Child Poverty, 2003-14
Discusses the income inequality experienced in rural America and changes in child poverty rates over time.
Author(s): Thomas Hertz, Tracey Farrigan
Citation: Amber Waves
Date: 05/2016
Sponsoring organization: USDA Economic Research Service
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Adverse Childhood Experiences in Rural and Urban Contexts
Reports on a study analyzing the prevalence of rural individual adverse childhood experiences (ACEs), the level of exposure to ACEs in rural regions, and the rural-urban differences of exposure to ACEs by adults using data from the Behavioral Risk Factor Surveillance System (BRFSS).
Author(s): Jean Talbot, Donald Szlosek, Erika C. Ziller
Date: 04/2016
Sponsoring organization: Maine Rural Health Research Center
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Dementia - Capable North Carolina: A Strategic Plan for Addressing Alzheimer's Disease and Related Dementias
Presents results from the North Carolina Senate mandated Task Force on Alzheimer's Disease and Related Dementias. Offers recommendations focused on improving statewide awareness and education about Alzheimer's disease and dementia, supporting people with dementia and their families, enhancing services for treatment of Alzheimer's disease and dementia including those in underserved areas, and improving data collection and research.
Date: 03/2016
Sponsoring organizations: North Carolina Department of Health and Human Services, North Carolina Institute of Medicine
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Differences in Human Papillomavirus Vaccination Among Adolescent Girls in Metropolitan Versus Non-Metropolitan Areas: Considering the Moderating Roles of Maternal Socioeconomic Status and Health Care Access
Compares the rate of human papillomavirus (HPV) in girls aged 12-17 in metropolitan and nonmetropolitan areas of the U.S. Analyzes cross-sectional data form the 2008-2010 Behavioral Risk Factor Surveillance System. Discusses the maternal role as a determining factor in vaccination initiation and completion.
Author(s): Shannon M. Monnat, Danielle C. Rhubart, Sherrie Flynt Wallington
Citation: Maternal and Child Health Journal, 20(2), 315-325
Date: 02/2016
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Relationships of Physical Activity and Sedentary Time in Obese Parent-Child Dyads: A Cross-Sectional Study
Highlights a study focusing on physical activity of obese parents and children on weekdays versus weekends. Participants were selected from rural North Carolina. Breaks down data by age group, gender, and ethnicity.
Author(s): Robert G. McMurray, Diane C. Berry, Todd A. Schwartz, et al.
Citation: BMC Public Health, 16, 124
Date: 02/2016
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Intergenerational Trauma: Understanding Natives' Inherited Pain
Discusses the concept of intergenerational (historical) trauma and its influence on the behavior and health conditions of American Indian and Alaska Native (AI/AN) populations. Identifies the connection between excessive amounts of stress and the development of health issues such as addiction, depression, intimate partner violence, suicide, and diabetes. Includes personal stories to demonstrate the intensity of stress experienced by AI/AN children and families through generations.
Author(s): Mary Annette Pember
Date: 2016
Sponsoring organization: Indian Country Today Media Network
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