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Rural Health
Resources by Topic: Racial and ethnic groups

Disadvantaged Groups Have Greater Spatial Access to Pharmacies in New York State
Examines spatial pharmacy access in low-income and racial minority communities across New York State. Utilizes population weighted mean shortest road network distance (PWMSD) to examine distance to closest pharmacy. Includes Census Tract-level maps showing demographics such as poverty, education level, Black, and Hispanic/Latino quartile percentages and the correlation to pharmacy access. Includes discussion about how rurality factors into pharmacy access for disadvantaged groups.
Author(s): Abhinav Suri, James Quinn, Raymond R. Balise, et al.
Citation: BMC Health Services Research, 24, 471
Date: 04/2024
Type: Document
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COVID-19 Infection and Incident Diabetes in American Indian and Alaska Native people: A Retrospective Cohort Study
Examines associations between COVID-19 infection and diabetes in American Indian and Alaska Native (AI/AN) people. Utilizes the Indian Health Service's (IHS) National Patient Information Reporting System to analyze incident diabetes among 3 participant cohorts: pre-pandemic, pandemic but no COVID-19 infection, and pandemic with COVID-19 infection. Discusses the relationship between COVID-19 infection and new-onset diabetes in AI/AN populations.
Author(s): James W. Keck, Mary E. Lacy, Sara Bressler, Ian Blake, Uzo Chukwuma, Michael G. Bruce
Citation: The Lancet Regional Health - Americas, 33
Date: 04/2024
Type: Document
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Indian Health Service: Opportunities Exist to Improve Clinician Screening Adherence and Oversight
Examines the Indian Health Service's (IHS) oversight of the credentialing and privileging process that reviews and verifies the professional qualifications of IHS physicians. Describes administrative tasks performed by IHS clinicians at federally operated facilities and the amount of time spent on these tasks. Offers recommendations to IHS, including the development of a single, authoritative source outlining procedures to meet credentialing and privileging requirements.
Additional links: Full Report
Date: 04/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Communities Need Safe Drinking Water: A Rural Environmental Justice Case Study
Discusses access to clean drinking water in rural, underserved communities and Native nations, and presents case studies of communities working to improve environmental health equity. Features the Environmental Justice Community Action Network (EJCAN) of North Carolina, the Rural Community Assistance Corporation (RCAC) of the Native Village of Hooper Bay, Alaska, and community leaders in Ivanhoe, North Carolina.
Author(s): Rebecca Huenink
Date: 04/2024
Type: Document
Sponsoring organization: Aspen Institute
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A Strategy To Support Perinatal Mental Health By Collaborating With Tribal Communities In Montana
Describes a community-based participatory approach with Montana tribal communities to create an online guide of mental health resources for prenatal to age three populations. Discusses the outcomes of collaboration, the Two-Eyed Seeing approach for health promotion, and opportunities for including cultural knowledge and values in future health promotion work.
Author(s): Amy Stiffarm, Stephanie Morton, Dawn Gunderson, et al.
Citation: Health Affairs, 43(4)
Date: 04/2024
Type: Document
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Building Flourishing Native Families and Thriving Communities: A Reflection on 2023
Provides background on the Administration for Native Americans, outlines strategic priorities for 2023 and 2024, and discusses community partners and collaborations. Focuses on issues such as economic development funding for Native Hawaiians, early childhood development, Native languages, and missing and murdered indigenous people.
Date: 04/2024
Type: Document
Sponsoring organization: Administration for Children and Families
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Household Food Insecurity Across Race and Ethnicity in the United States, 2016–21
Provides sociodemographic data on household food insecurity in the United States from 2016 to 2021. Includes data breakdowns according to race/ethnicity, household composition, poverty, employment status, education level, geographic region, metro versus nonmetro location, and more.
Author(s): Laura J. Hales, Alisha Coleman-Jensen
Date: 04/2024
Type: Document
Sponsoring organization: USDA Economic Research Service
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Sherman Lecture: Are We Aiming at the Correct Targets to Reduce Disparities in Stroke Mortality? Celebration, Reflection, and Redirection
Discusses disparities in stroke deaths and opportunities for cardiovascular health improvement. Provides data on racial and ethnic, regional, and rural stroke disparities, and identifies approaches to stroke risk reduction in Black and rural populations.
Author(s): George Howard
Citation: Journal of the American Heart Association, 13(7), e031309
Date: 03/2024
Type: Document
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Drug Overdose Deaths: South Carolina, 2022
Reports drug overdose deaths for South Carolina in 2022 using state vital statistics data. Includes statistics on the demographics of drug-related mortality, unintentional and intentional deaths, drug categories, and selected drugs. Includes county-by-county tables and maps showing totals, rates, and change over time.
Date: 03/2024
Type: Document
Sponsoring organization: South Carolina Department of Health and Environmental Control
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Maternal and Infant Health: HHS Should Strengthen Processes for Measuring Program Performance
Provides an overview of the Healthy Start program, which aims to reduce rates of infant death, improve maternal health outcomes, and reduce racial and ethnic disparities. Describes Healthy Start grantees and participants served during the April 2019-March 2024 grant period, as well as services that grantees are expected to provide and changes to these expectations for the 2024-2029 grant period. Explores the U.S. Department of Health and Human Services's (HHS) efforts to measure program performance, the extent to which Healthy Start performance measures meet key attributes of effective measures, and HHS' efforts to align Healthy Start performance measures with those of related HHS programs. Includes information on Healthy Start programs and participants by organization type, race, and rurality. Offers recommendations regarding reviewing and coordinating Healthy Start performance measures across Healthy Start and related programs.
Additional links: Full Report
Date: 03/2024
Type: Document
Sponsoring organization: Government Accountability Office
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