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Rural Health
Resources by Topic: Racial and ethnic groups

Health Status Profile of American Indians in Arizona: 2020 Data Book
Provides detailed data on Native Americans in Arizona. Covers sociodemographics, healthcare use, mortality by age and for different causes such as diabetes, and maternal and newborn health factors. Presents data by tribe and by select county for Native populations residing off-reservation.
Date: 03/2023
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Association of Receipt of Opioid Use Disorder-Related Telehealth Services and Medications for Opioid Use Disorder With Fatal Drug Overdoses Among Medicare Beneficiaries Before and During the COVID-19 Pandemic
Reports on a study to determine the benefits of expanding opioid use disorder (OUD) related telehealth services and remote prescribing of medications for opioid use disorder (MOUD) during the COVID-19 pandemic to reduce the number of fatalities due to drug overdose. Examines clinical and sociodemographic characteristics of Medicare fee-for-service beneficiaries with OUD by analyzing data on sex, age, race/ethnicity, county rural and urban status, death rates, disability, mental health diagnosis, chronic conditions, and other substance use disorders.
Author(s): Christopher M. Jones, Carla Shoff, Carlos Blanco, et al.
Citation: JAMA Psychiatry, e230310
Date: 03/2023
Type: Document
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Why the Federal Government Needs to Change How It Collects Data on Native Americans
Describes how the federal government collects data on race and ethnicity and resulting inaccuracies that impact data on American Indian and Alaska Native people. Identifies a number of issues related to race and ethnicity data, including how information on multiracial individuals is looked at and potential changes to how Hispanic identity will be considered. Discusses policy and research implications and offers recommendations for data collection.
Author(s): Robert Maxim, Gabriel R. Sanchez, Kimberly R. Huyser
Date: 03/2023
Type: Document
Sponsoring organization: Brookings Institution
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Potentially More Out of Reach: Public Reporting Exacerbates Inequities in Home Health Access
Examines the impact of the introduction of home health star ratings on changes in high-quality home health agency utilization. Describes differences in high-quality home health agency use by race, ethnicity, income status, neighborhood racial composition, and neighborhood poverty status.
Author(s): Shekinah A. Fashaw-Walters, Momotazur Rahman, Gilbert Gee, et al.
Citation: Milbank Quarterly
Date: 03/2023
Type: Document
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Health Equity in Indian Country: Rethinking How the Centers for Medicare & Medicaid Services Approaches Health Equity for American Indians and Alaska Natives
Summary of three events in 2022 between the National Indian Health Board (NIHB), Centers for Medicare & Medicaid Services (CMS), and CMS Tribal Technical Advisory Group (TTAG) to discuss health equity within CMS programs for American Indian and Alaska Natives (AI/AN). Includes recommendations for effective health equity policy to CMS generally and the CMS Framework for Health Equity 2022-2032 specifically.
Date: 03/2023
Type: Document
Sponsoring organization: National Indian Health Board
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COVID-19 Vaccination Willingness and Uptake among Rural Black/African American, Latino, and White Adults
Using the COVID-19 Unequal Racial Burden survey, compares rural and nonrural adults' willingness to vaccinate against COVID-19. 1,500 respondents (500 from each racial or ethnic group) were used to compare willingness to vaccinate from rural Black or African American, Latino, and White adult population groups. Includes descriptive graphs showing reasons for their willingness or unwillingness among rural adults.
Author(s): Paula D. Strassle, Alexis L. Green, Caleb A. Colbert, Anita L. Stewart, Anna M. NĂ¡poles
Citation: Journal of Rural Health
Date: 03/2023
Type: Document
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Racial and Ethnic Disparities in Periodontal Health among Adults Seeking Dental Care in Rural North Carolina Communities: A Retrospective Study
Examines the prevalence of periodontitis in adults seen in dental clinics in rural North Carolina. Analyzes 10,544 electronic health records (EHRs) from 2011 to 2017 to observe periodontitis prevalence by age, race and ethnicity, tobacco use, diabetes diagnosis, and payer status. Discusses health disparities present in various sociodemographic groups.
Author(s): Alex Gillone, Acela A. Martinez Luna, Qiang Wu, et al.
Citation: Journal of Periodontology, 94(3), 364-375
Date: 03/2023
Type: Document
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Changes in Suicide in California from 2017 to 2021: A Population-Based Study
Examines suicide trends in California in 2020 and 2021 compared to pre-COVID-19 pandemic years. Includes suicide mortality data broken down by sex, education, race, age, method, and rural versus urban location. Discusses the burden of suicide trends by specific demographic groups.
Author(s): Julia J. Lund, Elizabeth Tomsich, Julia P. Schleimer, Veronica A. Pear
Citation: Injury Epidemiology, 10, 19
Date: 03/2023
Type: Document
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2023 Legislative and Policy Agenda for Indian Health
Provides policy recommendations from the National Indian Health Board regarding tribal health issues. Addresses equitable funding, infrastructure, health equity, behavioral health, tribal healthcare workforce, access to quality healthcare, and more.
Date: 03/2023
Type: Document
Sponsoring organization: National Indian Health Board
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Palliative Care and Healthcare Utilization among Metastatic Breast Cancer Patients in U.S. Hospitals
Examines in-patient palliative care use by hospitalized metastatic breast cancer patients. Analyzes 26,961 female patients from 2010 to 2014 for palliative care use, with patient information further broken down by age, race, income, insurance type, and status of hospital utilized, such as urban teaching, urban nonteaching, or rural.
Author(s): Sun Jung Kim, Isha Patel, Chanhyun Park, Dong Yeong Shin, Jongwha Chang
Citation: Scientific Reports,13, 4358
Date: 03/2023
Type: Document
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