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Rural Health
Resources by Topic: Stigma

Facilitators and Barriers of HPV Vaccination: A Qualitative Study in Rural Georgia
Presents findings from interviews with 40 parents and young adults in rural southwest Georgia on attitudes, knowledge, and preferences related to human papillomavirus (HPV) vaccination uptake. Discusses challenges and opportunities related to transportation, knowledge, trust, and stigma.
Author(s): Courtney N. Petagna, Stephen Perez, Erica Hsu, et al.
Citation: BMC Cancer, 24, 592
Date: 05/2024
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Addressing Food Insecurity in Rural Primary Care: A Mixed-Methods Evaluation of Barriers and Facilitators
Examines food insecurity (FI) in rural areas and the barriers and facilitators to identifying FI during primary care visits. Provides interview feedback from rural New England primary care practitioners, focused on factors that impact screening for FI and potential interventions to address patient FI. Discusses difficulty of addressing FI in rural geographies, stigma in rural communities, and food resource options from local farms.
Author(s): Kayla E. Jordanova, Arvind Suresh, Chelsey R. Canavan, et al.
Citation: BMC Primary Care, 25, 163
Date: 05/2024
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Legacy - Mental Health in Colorado's Modern Day Agriculture
Documentary film covering mental health among farmers and ranchers and their families in Colorado. Highlights a collaboration with Colorado's Farm Bureau and discusses some of the struggles and efforts to destigmatize mental health among the agricultural community.
Date: 04/2024
Sponsoring organization: Colorado Department of Agriculture
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Primary Care Providers' Experiences Treating Opioid Use Disorder Using Telehealth in the Height of the COVID-19 Pandemic
Presents a study of the experiences of primary care providers who used telehealth for opioid use disorder treatment during the COVID-19 pandemic. Draws on the insights of participants from rural and urban counties in Kentucky and Arkansas and compares the experiences of rural and urban providers.
Author(s): Sarah Alexandra Marshall, Lachan E. Siebenmorgen, Nickolas Zaller, et al.
Citation: Journal of Primary Care and Community Health, 15
Date: 04/2024
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Coming to Terms with Housing and Homelessness in Rural Places with Elizabeth Carpenter-Song, Ph.D
Podcast episode discussing rural homelessness and housing security. Covers stigma associated with rural homelessness; barriers to accessing resources, healthcare, and programs; life for families in rural homeless shelters; and how rural families endure poverty and rural homelessness, with a focus on rural New England.
Date: 04/2024
Sponsoring organization: Impact! Communications, Inc.
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Evaluating a Web-Based Training Curriculum for Disseminating Best Practices for the Care of Newborns with Neonatal Opioid Withdrawal Syndrome in a Rural Hospital, the NOWS-NM Program
Evaluates the NOWS-NM program, a web-based training program for care of newborns with neonatal opioid withdrawal syndrome (NOWS) in rural New Mexico hospitals. Describes results of interviews with 16 providers on their experiences with NOWS and attitudes toward local NOWS treatment. Discusses stigma reduction and knowledge of non-pharmacologic NOWS treatment.
Author(s): Heather Pratt-Chavez, Heidi Rishel Brakey, Sarah G. Sanders, et al.
Citation: BMC Pediatrics, 24, 258
Date: 04/2024
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How Do People Who Use Opioids Express Their Qualities and Capacities? An Assessment of Attitudes, Behaviors, and Opportunities
Evaluates perceived strengths among 46 people who nonmedically use opioids and other drugs in rural southern Illinois and New York City. Highlights situational factors affecting urban and rural people who use drugs, describes the impact of stigma on quality of life and access to substance use treatment, and discusses strengths-based treatment models.
Author(s): Jerel M. Ezell, Mai T. Pho, Elinor Simek, et al.
Citation: Harm Reduction Journal, 21, 79
Date: 04/2024
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The Relationship Between Felt Stigma and Non-Fatal Overdose among Rural People Who Use Drugs
Analyzes associations between felt stigma and recent non-fatal overdose among 2,608 rural people who use opioids from January 2018 to March 2020. Discusses factors influencing stigma in rural areas and describes interventions which reduce stigma-related barriers to treatment and overdose prevention.
Author(s): Adams L. Sibley, Emma Klein, Hannah L.F. Cooper, et al.
Citation: Harm Reduction Journal, 21, 77
Date: 04/2024
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Effects of the Communities that Heal (CTH) Intervention on Perceived Opioid-Related Community Stigma in the HEALing Communities Study: Results of a Multi-Site, Community-Level, Cluster-Randomized Trial
Examines levels of community stigma toward naloxone use, medication for opioid use disorder (MOUD), and people treated for opioid use disorder (OUD), as related to different periods during the Communities that Heal (CTH) intervention. Analyzes survey data from 66 communities across 4 states by rural-urban status regarding their perceptions of OUD. Discusses implications of the intervention for rural communities addressing OUD and stigma.
Author(s): Alissa Davis, Hannah K. Knudsen, Daniel M. Walker, et al.
Citation: The Lancet Regional Health - Americas, 32
Date: 04/2024
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Strategies to Eliminate Inequity in PrEP Services in the US South and Rural Communities
Examines novel and promising programs and interventions to potentially improve HIV pre-exposure prophylaxis (PrEP) access in the U.S. South and rural communities. Describes ways to normalize, digitalize, and simplify PrEP care.
Author(s): Emiko Kamitani, Yuko Mizuno, Linda J. Koenig
Citation: Journal of the Association of Nurses in AIDS Care, 35(2), 153-160
Date: 03/2024
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