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Rural Health
Resources by Topic: Limited English proficient

Health and Health Care in the U.S.-Mexico Border Region
Examines the differences in sociodemographic characteristics, health coverage, access to care, and health outcomes of populations in the U.S.-Mexico border states to guide efforts addressing the needs of border communities. Analysis is based on 2019 county-level data from the American Community Survey (ACS) five-year data tables, Health Resources and Services Administration's Area Health Resource Files (AHRF), Behavioral Risk Factors Surveillance System (BRFSS), and 2020 data from Centers for Disease Control and Prevention's (CDC) WONDER database.
Author(s): Drishti Pillai, Samantha Artiga
Date: 11/2022
Type: Document
Sponsoring organization: KFF
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Association Between Social Vulnerability and a County's Risk for Becoming a COVID-19 Hotspot — United States, June 1–July 25, 2020
Examines associations between social vulnerability and COVID-19 hotspot locations, based on June 1–July 25, 2020 county-level COVID-19 cases and data from the 2018 CDC social vulnerability index. Includes data by level of urbanicity for large metropolitan, small/medium metro, and nonmetro counties. Looks at both social vulnerability overall and specific components, including racial/ethnic minority population, percent of residents who speak English less than well, and housing and transportation vulnerability.
Author(s): Sharoda Dasgupta, Virginia B. Bowen, Andrew Leidner, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(42), 1535-1541
Date: 10/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Living and Learning Through COVID-19 - Samaritan North Lincoln Hospital and Samaritan Pacific Communities Hospital
Profiles how two CAHs in rural Lincoln County, Oregon, prepared for and responded to a COVID-19 outbreak. Discusses steps taken to address staffing, supply chain, and cultural awareness challenges that emerged during the pandemic.
Date: 08/2020
Type: Document
Sponsoring organization: American Hospital Association
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2020 Census: Actions Needed to Address Challenges to Enumerating Hard-to-Count Groups
Examines the U.S. Census Bureau's plans for the 2020 Census to improve the count of hard-to-count groups, which includes people living in rural or geographically isolated areas, racial and ethnic minorities, people with mental and/or physical disabilities, and other groups. Discusses factors that make it challenging to count certain people, including difficulties related to locating, contacting, persuading, and interviewing.
Additional links: Full Report
Date: 07/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Self-Reported Occupational Injuries and Perceived Occupational Health Problems among Latino Immigrant Swine Confinement Workers in Missouri
Describes self-reported occupational injuries and perceived occupational health problems among Latino immigrants working in concentrated animal feeding operations (CAFOs) in Missouri. Includes statistics on occupational injuries; health status; healthcare access; and demographics, such as age, education, English language proficiency, marital status, length of employment, and more.
Author(s): Athena K. Ramos, Axel Fuentes, Marcela Carvajal-Suarez
Citation: Journal of Environmental and Public Health, 2018, 8710901
Date: 06/2018
Type: Document
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Employment, Poverty, and Public Assistance in the Rural United States
Compares economic and demographic characteristics of rural counties by county income level. Includes data on employment, race/ethnicity, and English-language proficiency. Also examines reliance on public sector supports: the Earned Income Tax Credit (EITC), the Supplemental Nutrition Assistance Program (SNAP), and children's health insurance.
Author(s): Rebecca Glauber, Andrew Schaefer
Date: 2017
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Acceptability of an Embodied Conversational Agent-Based Computer Application for Hispanic Women
Examines computer and technology use in adult Hispanic women living in rural areas. Evaluates the acceptability of using an embodied conversational agent (ECA) computer application as a possible method to assist providers and engage patients in health education. Includes a link to the relational agents video publicly available.
Author(s): Kristen J. Wells, Coralia Vázquez-Otero, Marissa Bredice, et al.
Citation: Hispanic Health Care International, 13(4), 179-185
Date: 2015
Type: Document
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New Jersey Clinic Promotes Healthy Lifestyles
Profiles the lifestyle and weight management counseling program at a Federally Qualified Health Center (FQHC) in rural New Jersey.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 02/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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Compliance Review Initiative: Advancing Effective Communication in Critical Access Hospitals
Describes a communication initiative so that limited English proficient individuals can effectively participate in healthcare services at Critical Access Hospitals.
Date: 04/2013
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Rural Hospitals and Spanish Speaking Patients with Limited English Proficiency
Explores how rural hospitals are meeting the needs of patients with Limited English Proficiency (LEP), based on a survey of rural hospitals in counties with large established Latino populations and counties with high growth in Latino population between 1990 and 2000. Describes language services provided. Identifies barriers and strengths for providing these services.
Additional links: Fact Sheet
Author(s): Myriam E. Torres, Deborah Parra-Medina, Amy Brock Martin, et al.
Date: 10/2005
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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