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Rural Health
Resources by Topic: LGBT

Engaging With Communities - Lessons (Re)Learned From COVID-19
Discusses health disparities in the U.S. and offers recommendations for community engagement and partnerships in public health to achieve and maintain improved health outcomes, especially among vulnerable populations. Offers examples of community, local health department, and other partner's efforts to respond to COVID-19, including activities implemented in tribal and rural settings.
Author(s): Lloyd Michener, Sergio Aguilar-Gaxiola, Philip Alberti, et al.
Citation: Preventing Chronic Disease, 17
Date: 07/2020
Type: Document
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Exploring the Pre-Exposure Prophylaxis (PrEP) Health Care Experiences among Men Who Have Sex with Men (MSM) Who Live in Rural Areas of the Midwest
Study examining access to pre-exposure prophylaxis (PrEP) for rural, Midwestern men who have sex with men (MSM). Draws data from interviews with 34 MSM. Describes availability of PrEP, willingness of providers to prescribe PrEP, and stigma as a barrier to prescribing PrEP in rural areas.
Author(s): Christopher Owens, Randolph Hubach, Deana Williams, et al.
Citation: AIDS Education and Prevention, 32(1), 51-66
Date: 02/2020
Type: Document
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Rural Primary Care Providers' Attitudes Towards Sexual and Gender Minorities in a Midwestern State in the USA
Discusses current attitudes of primary care providers practicing in rural Michigan toward lesbian, gay, bisexual, and transgender (LGBT) individuals, and identifies any correlation of attitudes that may influence the quality of healthcare.
Author(s): Akshay Sharma, John C. Shaver, Rob B. Stephenson
Citation: Rural and Remote Health,19(4), 5476
Date: 11/2019
Type: Document
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The Report of the 2019 Southern LGBTQ Health Survey
Results of a convenience sample of 5,617 respondents detailing their experiences of LGBTQ health and healthcare in the South. Features demographics and self-reported statistics on physical and mental health ratings, healthcare quality, abuse and violence, insurance, dental care, HIV diagnoses, and disparities in reported health ratings by urban or rural location.
Additional links: Executive Summary
Author(s): Chase Harless, Megan Nanney, Austin H. Johnson, et al.
Date: 11/2019
Type: Document
Sponsoring organizations: Southern LGBTQ Health Initiative, Western North Carolina Community Health Services
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LGBT Poverty in the United States: A Study of Differences Between Sexual Orientation and Gender Identity Groups
First in a series of reports examining the poverty rates and economic disparities of lesbian, gay, bisexual, and transgender (LGBT) people. Using data from the Behavioral Risk Factor Surveillance System (BRFSS) survey, this report provides estimates and compares the number of LGBT and cisgender people living in poverty in rural and urban communities. Poverty rates are further identified by sexual orientation and gender identity (SOGI), race, ethnicity, and by state. Discusses the effect of disability status, education level, health, marital status, and employment status on poverty rates.
Author(s): M. V. Lee Badgett, Soon Kyu Choi, Bianca D.M. Wilson
Date: 10/2019
Type: Document
Sponsoring organization: UCLA School of Law, Williams Institute
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Leveraging Medicaid Financing and Coverage Benefits to Deliver PrEP Intervention Services
Shows how stakeholders in Medicaid agencies, Medicaid managed care organizations, and public health departments can identify barriers to pre-exposure prophylaxis (PrEP) medication and clinical services, in an effort to prevent HIV. Includes a section on provision of PrEP through Federally Qualified Health Centers and Rural Health Centers, and through telehealth.
Author(s): Naomi Seiler
Date: 05/2019
Type: Document
Sponsoring organization: AcademyHealth
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A Portfolio Analysis of Culturally Tailored Trials to Address Health and Healthcare Disparities
Examines the cultural tailoring strategies used in behavioral health trials among racial and ethnic minorities, rural populations, people with low socioeconomic status, individuals with disabilities, people with low health literacy, and lesbian, gay, bisexual, and transgender (LGBT) communities to improve quality of healthcare, and reduce health and healthcare disparities.
Author(s): Marisa Torres-Ruiz, Kaitlynn Robinson-Ector, Dionna Attinson, et al.
Citation: International Journal of Environmental Research and Public Health, 15(9), 1859
Date: 09/2018
Type: Document
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HIV Testing, Linkage to HIV Medical Care, and Interviews for Partner Services Among Black Men Who Have Sex with Men — Non–Health Care Facilities, 20 Southern U.S. Jurisdictions, 2016
Reports on work by 20 health departments and 24 community-based organizations (CBOs) funded by CDC to provide HIV testing and related services to black gay, bisexual, and other men who have sex with men in the South. Provides rural-urban data on the number of HIV tests provided, new HIV-positive diagnoses, linking people with HIV infection to medical care, and interviews for partner services.
Author(s): Mariette Marano, Renee Stein, Wei Song, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(28), 778-781
Date: 07/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Addressing the Health Needs of Sex and Gender Minorities in New Mexico
Describes disparities among sexual and gender minority (SGM) populations in New Mexico. Covers issues and health behaviors specific to SGMs, including challenges rural SGMs face. Offers recommendations to address SGM health disparities and improve health.
Author(s): Doug Calderwood, Rebecca Dakota, Dawn Hunter, et al.
Date: 06/2018
Type: Document
Sponsoring organization: New Mexico Department of Health
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A Mixed-Method Assessment of a Pilot Peer Advocate Intervention for Rural Gender and Sexual Minorities
Examines implementation challenges of a peer-based, community health worker intervention intended to help rural lesbian, gay, bisexual, transgender, and queer (LGBTQ) people with mental health or substance abuse issues. Details the pilot program, which focused on a diverse area of rural New Mexico, discusses the results and challenges, and offers recommendations based on the findings.
Author(s): Cathleen E. Willging, Audrey Harkness, Tania Israel, et al.
Citation: Community Mental Health Journal, 54(4), 395-409
Date: 05/2018
Type: Document
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