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Rural Health
Resources by Topic: Stigma

Concussion in Rural America: Experts Detail Injury and Recovery of Traumatic Brain Injury
Reports on concussions, or mild traumatic brain injuries (mTBI), in rural areas. Discusses the impact of these injuries, the role of support networks, TBI training for rural clinicians, rural TBI data, and management of mTBI in rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Growing Stress on the Farm: The Expanding Economic and Mental Health Disparities in Rural Missouri
Identifies disparities in mental health outcomes and economic factors for farmers and other rural Missourians. Presents opportunities to promote access to mental health services, improve outcomes, and reduce stigma. Includes statistics on suicides in Missouri with breakdowns by metropolitan and rural areas, age, and gender, and hospital emergency visits by rural Missourians for psychiatric disorders, substance use disorder, and suicidality.
Author(s): M. Reidhead, J. Medows, K. Dothage, et al.
Date: 02/2020
Type: Document
Sponsoring organizations: Missouri Coalition for Community Behavioral Healthcare, Missouri Department of Mental Health, Missouri Farm Bureau, Missouri Hospital Association, University of Missouri Extension
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Healthcare Professionals' Mental Health Needs: Where Can They Go?
Provides an overview of the mental health needs of healthcare providers and the barriers to accessing care. Features the work of physician health programs, professional societies, state licensure boards, and other groups to help ensure providers' mental health needs are addressed. Discusses the impact of provider wellness on patient safety and healthcare quality.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities
Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Recognition and Stigma of Prescription Drug Abuse Disorder: Personal and Community Determinants
Highlights a study on the role personal and community characteristics play in levels of stigma around prescription drug misuse. Breaks down data by age, race, income, and rurality of the county.
Author(s): Robert Shupp, Scott Loveridge, Mark Skidmore, et al.
Citation: BMC Public Health, 20, 977
Date: 2020
Type: Document
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Access to Specialty Healthcare in Urban Versus Rural US Populations: A Systematic Literature Review
Surveys research between January 2013 – August 2018 on healthcare access, seeking clear definition and understanding of barriers to specialty care. Draws data from 67 peer-reviewed articles, presenting a conceptual framework based on common themes. Discusses issues of availability, perception, policy, stigma, and other access factors.
Author(s): Melissa E. Cyr, Anna G. Etchin, Barbara J. Guthrie, James C. Benneyan
Citation: BMC Health Services Research, 19, 974
Date: 12/2019
Type: Document
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Community-Driven Strategies to Address Stigma and Build Healthier Communities in Maine
Describes 3 communities working to reduce stigma in order to create equitable systems that enhance the health and well-being of Maine residents. Presents community responses to reducing stigma, common themes, and implications for complex system change initiatives in health.
Author(s): Susan Foster, Teresa Doksum
Date: 11/2019
Type: Document
Sponsoring organization: Maine Health Access Foundation
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Rural Primary Care Providers' Attitudes Towards Sexual and Gender Minorities in a Midwestern State in the USA
Discusses current attitudes of primary care providers practicing in rural Michigan toward lesbian, gay, bisexual, and transgender (LGBT) individuals, and identifies any correlation of attitudes that may influence the quality of healthcare.
Author(s): Akshay Sharma, John C. Shaver, Rob B. Stephenson
Citation: Rural and Remote Health,19(4), 5476
Date: 11/2019
Type: Document
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Rural First Responder Access to Mental Health Care: A National Crisis
Explores mental health challenges experienced by first responders and increased risk of suicide. Describes barriers to accessing adequate mental healthcare within the scope of their employment, especially in rural areas where services remain limited and stigma may be associated with the need for assistance.
Author(s): Jeffrey Hintz, Carrie Hintz
Date: 10/2019
Type: Document
Sponsoring organization: Journal of Emergency Medical Services
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Iowa TelePrEP: A Public-Health-Partnered Telehealth Model for Human Immunodeficiency Virus Preexposure Prophylaxis Delivery in a Rural State
Describes a regional telehealth program developed through a partnership of the Iowa Department of public health, disease specialists, and human immunodeficiency virus (HIV) testing programs addressing the barriers in accessing HIV preexposure prophylaxis (PrEP) in rural areas due to stigma and the long distances to providers.
Author(s): Angela B. Hoth, Cody Shafer, Dena Behm Dillon, et al.
Citation: Sexually Transmitted Diseases, 46(8), 507-512
Date: 08/2019
Type: Document
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