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Rural Health
Resources by Topic: LGBTQ+

Suicide in Wisconsin: Impact and Response
Discusses suicide in Wisconsin, including data, risk factors, and the statewide prevention plan. Provides data on suicide trends from 2000-2017; suicide rates by sex, age, sexual orientation, and other demographics; methods of suicide; and more. Compares rural and urban counties on rates of suicide and hospitalization with self-harm injuries.
Date: 09/2020
Type: Document
Sponsoring organization: Wisconsin Department of Health Services
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Reversing the Rising Tide of Suicide
Issue guide covering suicide risk factors, statistics, prevention strategies, and impacts of suicide on specific populations, including veterans, first responders, and LGBTQ youth. Discusses state-level initiatives including Mental Health First Aid training, Applied Suicide Intervention Skills Training (ASIST), and the Zero Suicide framework, with examples of state legislation to implement these models.
Author(s): Charlie Severance-Medaris
Date: 08/2020
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Practicing Holistic Review in Medical Education
Issue brief that explores holistic review in medical school admissions and key issues related to diversifying and assessing medical school applicants and cohorts in order to expand the healthcare workforce in rural, minority, and underserved areas. Discusses the history and purpose of holistic review, which considers not only academic measures of potential success but also applicants' life experiences, socioeconomic background, race/ethnicity, sexual orientation and gender identity, and disability status, among other characteristics. Recaps informant interviews describing issues and lessons learned from medical school administrators, particularly related to applicant evaluation and emerging assessment methods.
Author(s): Tim Bates, Sunita Mutha, Janet Coffman
Date: 07/2020
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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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 D. Hubach, Deana Williams, et al.
Citation: AIDS Education and Prevention, 32(1), 51-66
Date: 02/2020
Type: Document
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The 2019 National School Climate Survey: The Experiences of Lesbian, Gay, Bisexual, Transgender, and Queer Youth in Our Nation's Schools
Study examining the experiences of LGBTQ students and the impacts of school climate on well-being, mental and physical health, and educational outcomes. Provides survey data on issues of harassment, assault, safety concerns, discriminatory policies, and examines support resources available to LGBTQ students. Discusses differences in the prevalence of issues and access to resources in urban and rural school.
Additional links: 2019 National School Climate Survey Webinar, Executive Summary, Infographics and Posters
Author(s): Joseph G. Kosciw, Caitlin M. Clark, Nhan L. Truong, Adrian D. Zongrone
Date: 2020
Type: Document
Sponsoring organization: GLSEN
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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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