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Rural Health
Resources by Topic: Health disparities

Reviewing the Broken Promises Report: Examining the Chronic Federal Funding Shortfalls in Indian Country
Video recording and testimony from a November 19, 2019 House Committee on Natural Resources Subcommittee for Indigenous Peoples of the United States hearing focused on the U.S. Commission on Human Rights report Broken Promises: Continuing Federal Funding Shortfall for Native Americans, which evaluated federal spending on Native American programs.
Additional links: GAO Testimony
Date: 11/2019
Type: Video/Multimedia
Sponsoring organization: House Committee on Natural Resources Subcommittee for Indigenous Peoples of the United States
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Video: How Communities Are Working Together to Improve Access to Care in Rural Communities
Discusses physician shortages in rural Oklahoma and highlights a public-private partnership working to improve access. Details the partnership between Blue Cross and Blue Shield of Oklahoma, the Physician Manpower Training Commission, Oklahoma Medical Association, Texas County, and Memorial Hospital of Texas County.
Date: 11/2019
Type: Video/Multimedia
Sponsoring organization: Blue Cross Blue Shield
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Differences in Preventive Care Among Rural Residents by Race and Ethnicity
Explores race and ethnicity as a factor in rural preventive care delivery. Breaks down vaccination rates and cancer screening rates by race/ethnicity and discusses potential implications of the findings.
Author(s): Carrie Henning-Smith, Marizen R. Ramirez, Ashley Hernandez, Rachel Hardeman, Katy Kozhimannil
Date: 11/2019
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Prevalence and Mortality of Heart Disease and Related Conditions: Disparities Affecting the South, Rural Areas, and American Indian and Alaska Natives
Policy brief describing trends in the prevalence of stroke, angina or coronary heart disease, and heart attack from 2011-2015, and assessing trends in mortality for heart disease and associated conditions from 2006-2016. Explores whether disease-related mortality and prevalence of disease varied across region, rurality, and time period. Features statistics including mortality from congestive heart failure, stroke and cerebrovascular disease, and ischemic heart disease in 2016, with breakdowns by 6 levels of population density.
Author(s): Samuel D. Towne, Jr., Timothy H. Callaghan, Alva O. Ferdinand, et al.
Date: 11/2019
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Lung Cancer Incidence in Nonmetropolitan and Metropolitan Counties — United States, 2007–2016
Reports on lung cancer incidence rates in metropolitan and nonmetropolitan counties, with data by sex and by age at diagnosis. Includes data for 2007 and 2016, as well as the change in rate from 2007 to 2016. Discusses strategies to reduce exposure to lung cancer risk factors and how those strategies might be targeted to decrease disparities.
Author(s): Mary Elizabeth O'Neil, S. Jane Henley, Elizabeth A. Rohan, Taylor D. Ellington, M. Shayne Gallaway
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(44), 993-998
Date: 11/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Potentially Excess Deaths from the Five Leading Causes of Death in Metropolitan and Nonmetropolitan Counties — United States, 2010–2017
Reports on the rural-urban disparities regarding potentially preventable deaths caused by heart disease, cancer, unintentional injury, chronic lower respiratory disease (CLRD), and stroke for populations less than 80 years of age. Updates a January 2017 report on the same topic, with the new report using a 6-level urban-rural classification scheme and adding additional years and annual percentage change information.
Additional links: Supplementary Table 1: Number of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 2: Percentage of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 3: Number of Potentially Excess Deaths, by State for Metro and Nonmetro, Supplementary Table 4: Percentage of Potentially Excess Deaths, by State for Metro and Nonmetro
Author(s): Macarena C. Garcia, Lauren M. Rossen, Brigham Bastian, et al.
Citation: MMWR Surveillance Summaries, 68(10), 1-11
Date: 11/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Disparities in Cancer Incidence and Trends among American Indians and Alaska Natives in the United States, 2010–2015
Reports on cancer trends and incidence rates from 2010 to 2015 for American Indian and Alaska Native populations compared to non-Hispanic White populations living in Indian Health Service (IHS) or purchased/referred care delivery areas (PRCDA) counties.
Author(s): Stephanie C. Melkonian, Melissa A. Jim, Donald Haverkamp, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 28(10), 1604-1611
Date: 10/2019
Type: Document
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Development, Acceptability, Appropriateness and Appeal of a Cancer Clinical Trials Implementation Intervention for Rural- and Minority-Serving Urology Practice
Describes an implementation intervention for urologists in rural and minority serving community practices to increase their participation in clinical trials supporting the development of new cancer therapies. Compares the acceptability of the intervention among a diverse group of urology practices in the South and Midwest United States.
Author(s): Shellie Ellis, Mugur Geana, Tomas Griebling, et al.
Citation: Trials, 20(1), 578
Date: 10/2019
Type: Document
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Indian Health Disparities
Fact sheet providing statistics on American Indian and Alaska Native health disparities and mortality disparities.
Date: 10/2019
Type: Document
Sponsoring organization: Indian Health Service
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Subcommittee on Health Oversight Hearing: Native Veterans' Access to Healthcare
Discusses the current state of healthcare access for Native American veterans. Features testimonies from representatives from the National Indian Health Board, the National Congress of American Indians, and the Alaska Native Health Board, among others.
Additional links: Witness Testimonies
Date: 10/2019
Type: Document
Sponsoring organization: House Veterans' Affairs Committee, Subcommittee on Health
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