Rural Health
Resources by Topic: LGBTQI+
Overcoming Technical and Cultural Challenges to Delivering Equitable Care for LGBTQ+ Individuals in a Rural, Underserved Area
Offers guidance for healthcare organizations when addressing the health inequities experienced by LGBTQ+ populations based on the 5-year experience of a rural integrated health system. Topics cover collecting sexual orientation and gender identity (SOGI) data for electronic health records (EHRs), clinical decision support and workflows using SOGI, strengthening the culture of diversity and inclusion within the organization, and partnering with local organizations to develop trust.
Author(s): Heather L. Marney, David K. Vawdrey, Leyla Warsame, et al.
Citation: Journal of the American Medical Informatics Association, 29(2), 372-378
Date: 03/2022
Type: Document
view details
Offers guidance for healthcare organizations when addressing the health inequities experienced by LGBTQ+ populations based on the 5-year experience of a rural integrated health system. Topics cover collecting sexual orientation and gender identity (SOGI) data for electronic health records (EHRs), clinical decision support and workflows using SOGI, strengthening the culture of diversity and inclusion within the organization, and partnering with local organizations to develop trust.
Author(s): Heather L. Marney, David K. Vawdrey, Leyla Warsame, et al.
Citation: Journal of the American Medical Informatics Association, 29(2), 372-378
Date: 03/2022
Type: Document
view details
Tailoring Opioid Overdose Prevention Efforts for Diverse Groups within Tribal and Urban Indian Settings - A Toolkit for Providers and Community Organizations Serving American Indian/Alaska Native Communities
Toolkit features resources and strategies for preventing opioid overdoses in American Indian and Alaska Native (AI/AN) communities. Features information for AI/AN elders, youth, veterans, and LGBTQ2S+, as well as urban and tribal communities.
Author(s): Danielle Eakins, Maya Magarati, Katie Hess, et al.
Date: 03/2022
Type: Document
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
view details
Toolkit features resources and strategies for preventing opioid overdoses in American Indian and Alaska Native (AI/AN) communities. Features information for AI/AN elders, youth, veterans, and LGBTQ2S+, as well as urban and tribal communities.
Author(s): Danielle Eakins, Maya Magarati, Katie Hess, et al.
Date: 03/2022
Type: Document
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
view details
LGBTQIA+ Health in Rural America
Policy brief discussing LGBTQIA+ health and healthcare in rural areas. Explores limitations to address LGBTQIA+ health in rural communities, policy considerations, and policy recommendations to improve community-level disparities in LGBTQIA+ healthcare.
Author(s): Beth O'Connor, Kaitlin Phelon, Bryan Price, et al.
Date: 03/2022
Type: Document
Sponsoring organization: National Rural Health Association
view details
Policy brief discussing LGBTQIA+ health and healthcare in rural areas. Explores limitations to address LGBTQIA+ health in rural communities, policy considerations, and policy recommendations to improve community-level disparities in LGBTQIA+ healthcare.
Author(s): Beth O'Connor, Kaitlin Phelon, Bryan Price, et al.
Date: 03/2022
Type: Document
Sponsoring organization: National Rural Health Association
view details
COVID-19 Vaccination Coverage and Vaccine Confidence by Sexual Orientation and Gender Identity — United States, August 29–October 30, 2021
Examines COVID-19 vaccination coverage and confidence in COVID-19 vaccines among LGBT adults aged 18 years and older. Includes data on vaccination coverage by sexual orientation, gender identity, and sex for those living in metropolitan and nonmetro areas.
Author(s): A.D. McNaghten, Noel T. Brewer, Mei-Chuan Hung, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(5), 171-176
Date: 02/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details
Examines COVID-19 vaccination coverage and confidence in COVID-19 vaccines among LGBT adults aged 18 years and older. Includes data on vaccination coverage by sexual orientation, gender identity, and sex for those living in metropolitan and nonmetro areas.
Author(s): A.D. McNaghten, Noel T. Brewer, Mei-Chuan Hung, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(5), 171-176
Date: 02/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details
The 2021 National School Climate Survey: The Experiences of LGBTQ+ Youth in Our Nation's Schools
Report examining school climate and experiences of LGBTQ+ youth based on 22,298 surveys of students conducted between April and August 2021. Presents data on reported harassment, support through staff and school resources, and changes in school climate and discrimination. Includes data broken down by urban, suburban, and rural or small town residence.
Additional links: Executive Summary
Author(s): Joseph G. Kosciw, Caitlin M. Clark, Leesh Menard
Date: 2022
Type: Document
Sponsoring organization: GLSEN
view details
Report examining school climate and experiences of LGBTQ+ youth based on 22,298 surveys of students conducted between April and August 2021. Presents data on reported harassment, support through staff and school resources, and changes in school climate and discrimination. Includes data broken down by urban, suburban, and rural or small town residence.
Additional links: Executive Summary
Author(s): Joseph G. Kosciw, Caitlin M. Clark, Leesh Menard
Date: 2022
Type: Document
Sponsoring organization: GLSEN
view details
"I Didn't Come Here to Make Trouble": Resistance Strategies Utilized by Transgender and Gender Diverse Youth in the Midwestern U.S.
Explores resilience in transgender and gender diverse (TGD) youth living in rural Midwestern states. Discusses stigma, discrimination, and victimization TGD youth experience and how a strength-focused analysis shows how they cultivate strategies to resist oppression, such as navigating difficult relationships, seeking mental health support, and accessing community resources.
Author(s): Megan S. Paceley, Jacob Goffnett, April L. Diaz, et al.
Citation: Youth, 1(1), 29-46
Date: 12/2021
Type: Document
view details
Explores resilience in transgender and gender diverse (TGD) youth living in rural Midwestern states. Discusses stigma, discrimination, and victimization TGD youth experience and how a strength-focused analysis shows how they cultivate strategies to resist oppression, such as navigating difficult relationships, seeking mental health support, and accessing community resources.
Author(s): Megan S. Paceley, Jacob Goffnett, April L. Diaz, et al.
Citation: Youth, 1(1), 29-46
Date: 12/2021
Type: Document
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details