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Rural Health
Resources by Topic: LGBTQI+

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.
Author(s): Adam Lustig, Marilyn Cabrera
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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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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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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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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