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Rural Health
Resources by Topic: Racial and ethnic groups

Indian Health Service: Considerations Related to Providing Advance Appropriation Authority
Examines the effects of budget uncertainty on Indian Health Service (IHS) funding and considerations that should be taken into account if IHS was given advance appropriation authority like the Department of Veterans Affairs (VA). Focuses on administrative impacts, provider recruitment and retention, and the financial effects for tribes.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Broadband Internet: FCC's Data Overstate Access on Tribal Lands
Examines the Federal Communications Commission's (FCC) data collection methods to evaluate tribal broadband access in order to improve the accuracy of their efforts to fund underserved areas. Addresses scenarios that affect broadband access and offers three recommendations for the FCC.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Native American Youth: Involvement in Justice Systems and Information on Grants to Help Address Juvenile Delinquency
Reports data on Native American youth in various levels of the justice systems, including broad offense categories such as drugs and alcohol. Discusses factors that can increase the likelihood of Native American youth being involved with the justice system, such as poverty and exposure to violence. Identifies federal grant programs that may help address these issues and challenges impacting success in applying for the grants.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Using Community-Based Participatory Research to Develop Healthy Retail Strategies in Native American-Owned Convenience Stores: The THRIVE Study
Highlights a study on the Tribal Health and Resilience in Vulnerable Environments (THRIVE) retail intervention that implements healthy food options in convenience stores in Native American communities. Details the results of a participant survey about the perceived food environment in their communities, and describes the implementation strategies, as well as the foods offered by the intervention.
Author(s): Valarie Blue Bird Jernigan, Mary Williams, Marianna Wetherill, et al.
Citation: Preventive Medicine Reports, 11, 148-153
Date: 09/2018
Type: Document
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Factors Associated with American Indian Mental Health Service Use in Comparison with White Older Adults
Describes the factors associated with mental health service use by older American Indian (AI) adults living in South Dakota, and compares these factors to usage by older White adults to better understand the barriers in utilization of mental health services.
Author(s): Moon, H., Lee, Y.S,, Roh, S., Burnette, C.E..
Citation: Journal of Racial and Ethnic Health Disparities, 5(4), 847-859
Date: 08/2018
Type: Document
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Dental Health Aides in Alaska: A Qualitative Assessment to Improve Pediatric Oral Health in Remote Rural Villages
Evaluates the response to oral health disparities and access issues in remote Alaska Native villages by pediatric dental health aides. Draws data from interviews with patient focus groups, providers, and individual community members. Discusses barriers and strengths for pediatric dental health aides, including cultural competency, program sustainability, and expanded access to preventative oral health services.
Author(s): Kirsten Senturia, Louis Fiset, Kim Hort, et al.
Citation: Community Dentistry and Oral Epidemiology, 46(4), 416-424
Date: 08/2018
Type: Document
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Trajectory Classes of Cannabis Use and Heavy Drinking among Rural African American Adolescents: Multilevel Predictors of Class Membership
Presents a study on cannabis and alcohol use among African American youth in rural Georgia. Features data assessments over nine years beginning when the participants are 16 and ending when they are 25 and looks a perceived stress and other psychological risk factors.
Author(s): Allen W. Barton, Gene. H. Brody, Tamika C. B. Zapolski, et al.
Citation: Addiction, 113(8), 1439-1449
Date: 08/2018
Type: Document
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Prevention of Underage Drinking on California Indian Reservations Using Individual- and Community-Level Approaches
Reports on a study evaluating the long term effects of combined individual-level and community-level interventions to reduce the consumption of alcohol by tribal youth living in 9 rural California reservations. The overall impact of combining interventions was assessed using anonymous data from the California Healthy Kids Survey (CHKS). Comparisons of consumption were made between tribal youth in the intervention area and tribal youth outside the intervention area.
Author(s): Roland S. Moore, David A. Gilder, Joel W. Grube, Juliet P. Lee, Jennifer A. Geisler, et al.
Citation: American Journal of Public Health, 108(8), 1035-1041
Date: 08/2018
Type: Document
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Exploring the Rural Context for Adverse Childhood Experiences (ACEs)
Discusses adverse childhood experiences (ACEs) and how they may impact rural health. Provides policy recommendations focused on the rural dimensions of ACEs. Addresses categories of ACEs, prevalence in rural areas and for Native populations, federal efforts to address ACEs, and the opioid epidemic. Covers the role of school-based healthcare programs to increase access to pediatric specialty services or linking children to needed non-medical services. Profiles a committee site visit focused on a model ACEs program in New York in Appendix A.
Date: 08/2018
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Geographic Differences in Obesity Prevalence and Its Risk Factors Among Asian Americans: Findings from the 2013–2014 California Health Interview Survey
Analyzes the geographic disparities in obesity prevalence and the differences in its risk factors among Asian Americans, including Filipinos, Koreans, Japanese, Vietnamese, and Chinese, who live in rural and urban California.
Author(s): Shaoqing Gong, Kesheng Wang, Ying Li, Arsham Alamian
Citation: Science Reports, 8, 12510
Date: 08/2018
Type: Document
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