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Rural Health Information Hub

Rural Health
Resources by Topic: Health disparities

Oversight Hearing "Examining the COVID-19 Response in Native Communities: Native Health Systems One Year Later"
Recording of an oversight hearing of the Senate Committee on Indian Affairs evaluates the response of native healthcare systems to the COVID-19 one year into the pandemic. Features testimonies by representatives of the Indian Health Service, the National Indian Health Board, the National Council of Urban Indian Health, the Papa Ola Lōkahi organization, and the Alaska Native Medical Center.
Additional links: Michael Toedt Testimony, Robert Onders Testimony, Sheri-Ann Daniels Testimony, Walter Murillo Testimony, William Smith Testimony
Date: 04/2021
Sponsoring organization: Senate Committee on Indian Affairs
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COVID-19 Incidence and Mortality Among American Indian/Alaska Native and White Persons — Montana, March 13–November 30, 2020
Examines COVID-19 incidence and mortality rates among American Indian/Alaska Native (AI/AN) and White people in Montana. Discusses factors that may have contributed to greater incidence and mortality for the AI/AN population and the need for appropriate public health measures and vaccine allocation strategies to address disparities.
Author(s): Laura L. Williamson, Todd S. Harwell, Todd M. Koch, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 510-513
Date: 04/2021
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 in Rural America: Impact on Farms & Agricultural Workers
Fact sheet highlights the impact of COVID-19 on American farms, farmworkers, and rural areas broadly. Details information about protective equipment, housing, and unemployment benefits, among other factors.
Date: 04/2021
Sponsoring organization: National Center for Farmworker Health
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Arizona Primary Care Needs Assessment
Analyzes data related to health outcomes and access to primary care in Arizona. Identifies communities with the greatest unmet healthcare needs and describes current efforts in the areas of health disparities, workforce programs, community development, and shortage designations. Designed to help stakeholders with community-level health planning and grant writing. Includes references to rural throughout.
Date: 03/2021
Sponsoring organization: Arizona Department of Health Services
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Mississippi Primary Care Needs Assessment
Identifies Mississippi communities with the greatest unmet healthcare needs and offers recommendations for allocating resources, managing shortage designations, and coordinating the recruitment and retention of healthcare professionals. Includes sections on social determinants of health, Health Professional Shortage Areas, Graduate Medical Education, and workforce development. Features statistics on various diseases and health conditions.
Date: 03/2021
Sponsoring organizations: Mississippi State Department of Health, The Mississippi Center for Rural Health and Population Studies
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New Hampshire Statewide Primary Care Needs Assessment
Identifies the New Hampshire communities with the greatest unmet healthcare needs, disparities, and health workforce shortages, and also identifies the key barriers to accessing healthcare for these communities. Features statistics on demographics, barriers to care, workforce, preventive care, substance use and mental health, maternal health, and outcomes, with breakdowns by rural and nonrural locations. Data in this report represents the New Hampshire landscape from 2013-2019, prior to COVID-19 impacts.
Date: 03/2021
Sponsoring organization: New Hampshire Rural Health & Primary Care
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Vermont Baseline Needs Assessment: Rural Practitioners and Community Stakeholders
Report details a needs assessment of Vermont's rural practitioners' capacity to treat substance use disorder (SUD). Breaks down workforce distribution by county and highlights their concern about various substances encountered in their practices. Discusses the need for consultation, resources, training, and technical assistance to facilitate SUD treatment.
Additional links: Report Summary
Date: 03/2021
Sponsoring organization: University of Vermont Center on Rural Addiction
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Rural-Urban Disparities: Diabetes, Hypertension, Heart Disease, and Stroke Mortality Among Black and White Adults, 1999–2018
Article examining racial disparities in diabetes, hypertension, heart disease, and stroke mortality, comparing Black and White populations and breaking down data by rural and urban location using CDC Wonder 1999-2018 data. Discusses trends in racial disparities in urban and rural areas.
Author(s): Rahul Aggarwal, Nicholas Chiu, Emefah C. Loccoh, et al.
Citation: Journal of the American College of Cardiology, 77(11), 1480-1481
Date: 03/2021
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Factors Affecting Adoption of Coordinated Anxiety Learning and Management (CALM) in Veterans' Affairs Community-Based Outpatient Clinics
Explores the efficacy of a training program designed to educate rural providers on evidence-based psychotherapies (EBPs) in VHA affiliated clinics. Details the barriers and facilitators of the program in rural areas and features the perspectives of providers who participated in the program.
Author(s): Anthony H. Ecker, Traci H. Abraham, Lindsey A. Martin, et al.
Citation: Journal of Rural Health, 37(2), 447-455
Date: 03/2021
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Family-Centered Prevention Effects on the Association Between Racial Discrimination and Mental Health in Black Adolescents: Secondary Analysis of 2 Randomized Clinical Trials
Details a study exploring the efficacy of family-centered prevention programs in protecting rural Black adolescents from the mental health consequences of racial discrimination. Highlights two programs operating in 12 rural counties in Georgia. Breaks down data for both programs by family socioeconomic risk, encountered discrimination, and depressive/anxious symptoms, among other factors.
Author(s): Gene H. Brody, Tianyi Yu, Edith Chen, et al.
Citation: JAMA Network Open, 4(3), e211964
Date: 03/2021
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