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Rural Health
Resources by Topic: Racial and ethnic groups

LTSS Research: Hospice in Indian Country
Presents a literature review on the barriers to end-of-life care for American Indians and Alaska Natives (AI/AN), and provides recommendations to minimize these barriers. Discusses the cultural considerations of hospice and palliative care for AI/AN patients.
Date: 04/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Promoting Optimal Native Outcomes (PONO) by Understanding Women's Stress Experiences
Examines psychosocial stressors in women, aged 18-35, living in a rural Hawaiian community with a large Native Hawaiian and Pacific Islander population to promote optimal native outcomes (PONO). Analyzes information from 36 women participating in focus groups and identifies seven stressor themes: intimate relationships; family and home life; child rearing; time for self; neighborhood environment; workplace; and finances.
Author(s): May Okihiro, Lisa Duke, Deborah Goebert, et al.
Citation: The Journal of Primary Prevention, 38(1-2), 159-173
Date: 04/2017
Type: Document
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The Oral Health of American Indian and Alaska Native Children Aged 6-9 Years: Results of the 2016-2017 IHS Oral Health Survey
Provides an overview of the oral health status of American Indian and Alaska Native children in kindergarten through third grad using data from the 2016-2017 Indian Health Service (IHS) oral health surveillance survey.
Author(s): Kathy R. Phipps, Timothy L. Ricks
Date: 04/2017
Type: Document
Sponsoring organization: Indian Health Service
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Designing a Health System That Works for the Tribe
Outlines the challenges facing the Rosebud Sioux Tribe as they work to restore services and improve quality in their Indian Health Service (IHS) hospital. Despite challenges leading to the closure of their emergency department and surgical and obstetrics wards, members of the Rosebud Sioux Tribe are exploring the option of hospital self-governance and believe a high quality healthcare system is within reach.
Author(s): Jessica Bylander
Citation: Health Affairs, 36(4), 592-595
Date: 04/2017
Type: Document
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The Association of Health Literacy and Blood Pressure Reduction in a Cohort of Patients with Hypertension: The Heart Healthy Lenoir Trial
Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
Type: Document
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"We Need Help in the Delta": Barriers to Health Promotion Among Older African American Men in the Mississippi Delta
Studies the challenges of promoting health in the rural Mississippi Delta, focusing on older African American men who participated in a small study group. Describes interviews with individuals and focus groups, emphasizing different understandings of the term "health" and structural concerns about health disparities that create barriers for health promotion.
Author(s): Sherry Wang, LaShaundrea Crook, Carol Connell, Kathy Yadrick
Citation: American Journal of Men's Health, 11(2), 414-425
Date: 03/2017
Type: Document
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Multilevel Prevention Trial of Alcohol Use Among American Indian and White High School Students in the Cherokee Nation
Evaluates a multilevel intervention program developed to prevent alcohol use among rural White and Native American youth in the Cherokee Nation. Studies 6 communities by comparing a control program with two intervention programs targeting access to alcohol and screening paired with targeted intervention through the school system. Evaluates survey data, reporting the outcomes of these intervention methods on heavy episodic drinking and 30-day alcohol use.
Author(s): Kelli Komro, Melvin Livingston, Alexander Wagenaar, et al.
Citation: American Journal of Public Health, 107(3), 453-459
Date: 03/2017
Type: Document
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2017 County Health Rankings Key Findings Report
Provides information on county-level health disparities by analyzing health factors and outcomes throughout the U.S. Covers risk factors for premature death, including drug overdose and other injury fatalities, and discusses opportunities for youth and young adults. Includes data breakdowns by rurality and race/ethnicity.
Date: 03/2017
Type: Document
Sponsoring organization: County Health Rankings & Roadmaps
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Important Factors To Consider When Developing Rural Healthcare Systems: Suggestions From A Moloka'i Native
Highlights a number of factors to consider when developing healthcare systems for rural indigenous communities in Hawaii. Discusses community factors, workforce education, and material factors important to providing healthcare to the Moloka'i people.
Author(s): Luke Kikukawa
Citation: Hawaii Journal of Medicine and Public Health, 76(3), 47-48
Date: 03/2017
Type: Document
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The Effects of Perceived Racial/Ethnic Discrimination on Substance Use Among Youths Living in the Cherokee Nation
Study examining the association of racial discrimination and substance misuse from a sample of American Indian, American Indian and White, and White adolescents living in small rural communities of northeast Oklahoma within the Cherokee Nation Tribal Jurisdictional Service Area (CNTJSA).
Author(s): Brady A. Garrett, Bethany J. Livingston, Melvin D. Livingston, Kelli A. Komroc
Citation: Journal of Child & Adolescent Substance Abuse, 26(3), 242–249
Date: 03/2017
Type: Document
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