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Rural Health Information Hub

Rural Health
Resources by Topic: Frontier and remote areas

Youth Exposure to Marijuana Advertising in Oregon's Legal Retail Marijuana Market
Uses school-based survey results to investigate marijuana advertising exposure among 8th and 11th graders in Oregon. Provides data and statistics on survey respondents' characteristics and exposure to marijuana advertising, with information broken down by urban, rural, and frontier locations.
Author(s): Steven Fiala, Julia Dilley, Erik Everson, Caislin Firth, Julie Maher
Citation: Preventing Chronic Disease, 17
Date: 09/2020
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Crisis Services: Meeting Needs, Saving Lives
Presents the National Guidelines for Behavioral Health Crisis Care Best Practices Toolkit and a number of companion papers on crisis care. Toolkit highlights best practices for crisis care and the papers discuss a number of related topics, including homelessness, substance use, opioid-related deaths, and rural and frontier areas, among other issues.
Date: 08/2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Recruitment Best Practices of a Cardiovascular Risk Reduction Randomised Control Trial in Rural Alaska Native Communities
Describes the research methods of the Healthy and Empowering Alaskan Lives Towards Healthy Hearts (HEALTHH) project, which recruited participants from the 16 communities that make up the rural Norton Sound region of Alaska to study smoking behavior and chronic disease prevention efforts among Alaska Native populations. Explores special considerations for research involving remote tribal communities and analyzes data related to recruitment best practices, staffing issues, and barriers to enrolling study participants.
Author(s): Mariah Knox, Jordan Skan, Neal L. Benowitz, Matthew Schnellbaecher, Judith J. Prochaska
Citation: International Journal of Circumpolar Health, 79(1), 1806639
Date: 08/2020
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Strategies for the Delivery of Behavioral Health Crisis Services in Rural and Frontier Areas of the U.S.
Report highlights the challenges of providing behavioral health crisis services to rural and frontier communities. Details the barriers to crisis service delivery such as lack of transportation, travel distance, and broadband access, among others. Includes a discussion on the effect of COVID-19 pandemic rural crisis service delivery.
Author(s): Kristin A. Neylon
Date: 08/2020
Sponsoring organization: National Association of State Mental Health Program Directors
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Organizational Readiness to Implement System Changes in an Alaskan Tribal Dental Care Organization
Study of an Alaska tribal dental care organization's readiness for system-level changes based on surveys of dental providers, assistants, and support staff employed by the organization at 15 clinics in remote villages and 3 main dental clinics located in cities. Discusses perceptions of staff regarding workforce issues and support for change related to policies and evidence-based practices. Scores each area of readiness for change based on survey data, including organizational functioning, resources, and management.
Author(s): C.L. Randall, K. Hort, C.E. Huebner, et al.
Citation: Journal of Clinical and Translational Research, 5(2), 156-165
Date: 04/2020
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North Dakota Frontier Counties
Map of North Dakota identifying the counties designated as frontier based on 2018 population estimates.
Date: 02/2020
Sponsoring organization: University of North Dakota Center for Rural Health
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Frontier Counties
Printable map that shows the location of frontier counties nationwide. Data source: U.S. Census Bureau
Date: 2020
Sponsoring organization: Rural Health Information Hub
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Enhancing Career Paths for Tomorrow's Radiation Oncologists
Presents several alternative or additional career paths for radiation oncologists. Details global health, radiation epidemiology, and frontier medicine among other paths.
Author(s): Neha Vapiwala, Charles R. Thomas, Jr, Surbhi Grover, et al.
Citation: International Journal of Radiation Oncology, Biology, and Physics, 105(1), 52-63
Date: 09/2019
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Wisconsin Divided Ten Ways: A Review of Rural-Urban Classification Systems
Provides a high-level overview of core classification systems, and systems that are county-based, census tract-based, ZIP code-based, and municipal-based. Includes county-level maps with shadings indicating levels of population density, based on various definitions of the terms urban and rural.
Additional links: Appendix A - Wisconsin County Classifications, Appendix B - Wisconsin Census Tract Classifications, Appendix C - Wisconsin ZIP Code Classification, Appendix D - Municipal Classifications
Date: 07/2019
Sponsoring organization: Wisconsin Office of Rural Health
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Opportunities to Advance Complex Care in Rural and Frontier Areas
Examines obstacles rural and frontier healthcare organizations face in providing complex care based on interviews with experts around the U.S. Focuses on rural social determinants of health, workforce shortages, and rural community relationships. Includes examples of models related to community collaboration, care coordination, social determinants of health, the health workforce, technology, and payment.
Author(s): Jim Lloyd
Date: 05/2019
Sponsoring organization: Center for Health Care Strategies
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