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Rural Health
Resources by Topic: LGBTQ+

Trans*Forming Access and Care in Rural Areas: A Community-Engaged Approach
Article exploring the healthcare experiences and barriers to accessing services for rural transgender and gender diverse (TGD) populations based on qualitative data gathered in Appalachia. Describes the limited research on TGD populations and health and barriers to care including transportation, gender-affirming care access, provider knowledge and inclusivity, and avoidance of care.
Author(s): Megan E. Gandy, Kacie M. Kidd, James Weiss, Judith Leitch, Xavier Hersom
Citation: International Journal of Environmental Research and Public Health, 18(23), 12700
Date: 12/2021
Type: Document
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Research Brief: LGBTQ Youth in Small Towns and Rural Areas
Reports findings of a national survey of LGBTQ youth comparing urban and rural responses related to mental health, risk of depression, and considered or attempted suicide. Discusses reported acceptance of LGBTQ people in different levels of urbanicity.
Date: 11/2021
Type: Document
Sponsoring organization: The Trevor Project
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American Indian and Alaskan Native LGBT Adults in the US: LGBT Well-Being at the Intersection of Race
Report examining demographics, mental and physical health, and experiences with stress, stigma, and victimization among LGBT American Indians and Alaska Natives (AI/AN) in the U.S. Analyzes data by gender, compares LGBT and non-LGBT AI/AN populations, and breaks down socioeconomic and health data by region. Draws data from the Gallup-Sharecare Well-Being Index Survey, the Generations Study, and the TransPop Study.
Author(s): Bianca D.M. Wilson, Lauren Bouton, Christy Mallory
Date: 10/2021
Type: Document
Sponsoring organization: Williams Institute
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Services to Conduct a Needs Assessment For Substance Use Prevention and Treatment Services Among Special Youth Populations Using Qualitative Methods, Protocol 2: In-Depth Interviews with Youth Regarding the System of Care
Reports on a needs assessment related to social determinants of health (SDOH) for special youth populations in Hawaii, including those who identify as Native Hawaiian, Compacts of Free Association (COFA) Nation/Micronesian, sexual and gender minorities, and rural populations. Discusses health disparities, substance use, adverse childhood experiences, cultural responsiveness, mental health and trauma, stigma issues, and data on school facilities and enrollment by county.
Additional links: Executive Summary, Interim Report
Author(s): Susana Helm, Tai-An Miao, Jane Onoye, et al.
Date: 09/2021
Type: Document
Sponsoring organizations: State of Hawai`i, Department of Health, Alcohol and Drug Abuse Division, University of Hawai`i at Mānoa, Department of Psychiatry, Research Division
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Leveraging Evidence-Based Policies to Improve Health, Control Costs, and Create Health Equity
Explores health inequities and healthcare access in marginalized populations, including racial and ethnic minority groups, sexual and gender minorities, people living in poverty and in rural communities, and people formerly incarcerated. Discusses strategies and policies to reduce inequities focused on access to healthcare, economic mobility, affordable housing, safe learning environments for young adults and children, and health-promoting excise taxes.
Date: 07/2021
Type: Document
Sponsoring organization: Trust for America's Health
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Law and Policy Pathways to Addressing Rising Youth Suicide Rates
Provides information on how to prevent death by suicide in vulnerable populations, such as rural, indigenous, and LGBTQ youth. Includes evidence-based suicide prevention strategies and ways to engage communities in prevention efforts.
Author(s): April Shaw
Date: 04/2021
Type: Document
Sponsoring organization: Network for Public Health Law
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Minority Health and Health Disparities Strategic Plan 2021–2025
Planning document presenting goals to address health disparities through scientific research, activities that sustain research, and outreach efforts. Describes health disparity populations, including racial and ethnic minority, rural, less privileged socioeconomic status (SES), and sexual and gender minorities (SGM) populations. Outlines plans to implement research projects and activities, and discusses Leap Forward priority areas that will advance research methods in minority health and health disparities.
Date: 03/2021
Type: Document
Sponsoring organizations: National Institute on Minority Health and Health Disparities (NIMHD), National Institutes of Health
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Sexually Transmitted Infections - Adopting a Sexual Health Paradigm
Highlights the rates of sexually transmitted infections (STIs) across the U.S. Discusses how marginalized groups, such as women, LGBTQ, American Indian and Alaska Native, and Native Hawaiian and Pacific Islander populations, among others, are disproportionately affected. Details how the barriers to healthcare access in rural areas, particularly rural American Indian reservations, can affect the rates of STIs. Makes policy recommendations to address these disparities.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 2021
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Project ECHO - Indiana University (IU) Richard M. Fairbanks School of Public Health
Offers CMEs and continuing education via live teleclinics for physicians and non-physicians, pharmacists, nurses, social workers, and certified health education specialists. Programs include didactic and case-based learning on hepatitis C, HIV, LGBTQ+, cancer, pain management, and COVID-19 response.
Date: 2021
Type: Tutorial/Training
Sponsoring organizations: Indiana University - Purdue University Indiana (IUPUI), Richard M. Fairbanks School of Public Health
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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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