Rural Health
Resources by Topic: Tribal communities
Annual Report To the Congress of the United States On Sanitation Deficiency Levels for Indian Homes and Communities: Fiscal Year 2023
Reports on sanitation deficiencies in tribal communities and describes efforts and priorities of the Indian Health Service to improve tribal water, sewer, and solid waste infrastructure. Includes data on estimated costs to address sanitation deficiencies, estimated health impacts, and healthcare costs avoided by infrastructure investment.
Date: 08/2025
Sponsoring organization: Indian Health Service
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Reports on sanitation deficiencies in tribal communities and describes efforts and priorities of the Indian Health Service to improve tribal water, sewer, and solid waste infrastructure. Includes data on estimated costs to address sanitation deficiencies, estimated health impacts, and healthcare costs avoided by infrastructure investment.
Date: 08/2025
Sponsoring organization: Indian Health Service
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Rural & Safety Net Health Facilities in Arizona
Map of Arizona's Critical Access Hospitals, Indian Health Service and Tribal Facilities, Rural Health Clinics, and Federally Qualified Health Centers.
Date: 08/2025
Sponsoring organization: Arizona Center for Rural Health
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Map of Arizona's Critical Access Hospitals, Indian Health Service and Tribal Facilities, Rural Health Clinics, and Federally Qualified Health Centers.
Date: 08/2025
Sponsoring organization: Arizona Center for Rural Health
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35 Years of Partnership to Advance Cardiovascular Health and Well-Being in American Indian Communities: The Strong Heart Study and Strong Heart Family Study
Discusses the impact of the Strong Heart Study (SHS) and Strong Heart Family Study (SHFS) to provide population health and cardiovascular health outcomes information on rural tribal communities. Focuses on the importance of longitudinal studies, rigorous data collection, knowledge sharing, and partnerships.
Author(s): Amanda M. Fretts, Jessica A. Reese, Ying Zhang
Citation: Preventing Chronic Disease, 22
Date: 07/2025
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Discusses the impact of the Strong Heart Study (SHS) and Strong Heart Family Study (SHFS) to provide population health and cardiovascular health outcomes information on rural tribal communities. Focuses on the importance of longitudinal studies, rigorous data collection, knowledge sharing, and partnerships.
Author(s): Amanda M. Fretts, Jessica A. Reese, Ying Zhang
Citation: Preventing Chronic Disease, 22
Date: 07/2025
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Strong Heart Study: 35 Years of Research Collaboration With American Indian Communities
Special issue of Preventing Chronic Disease featuring articles that highlight research produced through the Strong Heart Study and Strong Heart Family Study, which focus on cardiovascular health in American Indian tribal communities. Includes articles related to American Indian cardiovascular mortality, health research methods, environmental health, coincident health conditions, and more.
Citation: Preventing Chronic Disease
Date: 07/2025
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Special issue of Preventing Chronic Disease featuring articles that highlight research produced through the Strong Heart Study and Strong Heart Family Study, which focus on cardiovascular health in American Indian tribal communities. Includes articles related to American Indian cardiovascular mortality, health research methods, environmental health, coincident health conditions, and more.
Citation: Preventing Chronic Disease
Date: 07/2025
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Visit-to-Visit Blood Pressure Variability as a Risk Factor for All-Cause Mortality, Cardiovascular Mortality, and Major Adverse Cardiovascular Events Among American Indians: The Strong Heart Study
Examines the relationship of systolic blood pressure (SBPSD) and diastolic blood pressure (DBPSD) with all-cause mortality, cardiovascular mortality, and major adverse cardiovascular events (MACE) in tribal populations. Analyzes data from 3,352 participants in the Strong Heart Study and includes breakdowns according to demographic characteristics, medical history, and health outcomes.
Author(s): Richard R. Fabsitz, Jessica A. Reese, Jean Leidner, et al.
Citation: Preventing Chronic Disease, 22
Date: 06/2025
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Examines the relationship of systolic blood pressure (SBPSD) and diastolic blood pressure (DBPSD) with all-cause mortality, cardiovascular mortality, and major adverse cardiovascular events (MACE) in tribal populations. Analyzes data from 3,352 participants in the Strong Heart Study and includes breakdowns according to demographic characteristics, medical history, and health outcomes.
Author(s): Richard R. Fabsitz, Jessica A. Reese, Jean Leidner, et al.
Citation: Preventing Chronic Disease, 22
Date: 06/2025
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Indian Health Service's Controls Over Sanitation Facilities Construction Program Projects Funded Under the Infrastructure Investment and Jobs Act Could Be Improved
Explores Indian Health Service (IHS) internal controls regarding identifying, recording, and tracking projects in the Sanitation Deficiency System (SDS) and ensuring that Infrastructure Investment and Jobs Act (IIJA) funds are limited to eligible project costs. Offers recommendations to IHS to improve controls for identifying and recording SFC Program projects funded under IIJA and for ensuring IIJA funds are used only for eligible project costs.
Additional links: Report Highlights
Date: 05/2025
Sponsoring organization: Office of Inspector General (HHS)
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Explores Indian Health Service (IHS) internal controls regarding identifying, recording, and tracking projects in the Sanitation Deficiency System (SDS) and ensuring that Infrastructure Investment and Jobs Act (IIJA) funds are limited to eligible project costs. Offers recommendations to IHS to improve controls for identifying and recording SFC Program projects funded under IIJA and for ensuring IIJA funds are used only for eligible project costs.
Additional links: Report Highlights
Date: 05/2025
Sponsoring organization: Office of Inspector General (HHS)
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Finding Hidden Insights in American Indian and Alaska Native Data on data.census.gov
Webinar recording discusses how to use data.census.gov to access American Indian and Alaska Native (AI/AN) demographic data. Highlights strategies such as using specialized filter sections,overlooked data sources, and other techniques to reveal detailed data on AI/AN geographies and populations.
Additional links: Webinar Slides
Date: 05/2025
Sponsoring organization: U.S. Census Bureau
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Webinar recording discusses how to use data.census.gov to access American Indian and Alaska Native (AI/AN) demographic data. Highlights strategies such as using specialized filter sections,overlooked data sources, and other techniques to reveal detailed data on AI/AN geographies and populations.
Additional links: Webinar Slides
Date: 05/2025
Sponsoring organization: U.S. Census Bureau
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Longitudinal Lipidomic Profile of Subclinical Peripheral Artery Disease in American Indians: The Strong Heart Family Study
Examines associations between lipid species and peripheral artery disease (PAD) among 1,886 American Indian members of tribal communities who participated in the Strong Heart Family Study. Provides data on the connection between specific lipid species and PAD, coronary heart disease, and other clinical factors.
Author(s): Mingjing Chen, Guanhong Miao, Mary J. Roman, et al.
Citation: Preventing Chronic Disease, 22, 240220
Date: 05/2025
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Examines associations between lipid species and peripheral artery disease (PAD) among 1,886 American Indian members of tribal communities who participated in the Strong Heart Family Study. Provides data on the connection between specific lipid species and PAD, coronary heart disease, and other clinical factors.
Author(s): Mingjing Chen, Guanhong Miao, Mary J. Roman, et al.
Citation: Preventing Chronic Disease, 22, 240220
Date: 05/2025
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Uranium Exposure, Hypertension, and Blood Pressure in the Strong Heart Family Study
Examines the correlation between uranium exposure and health conditions such as hypertension and blood pressure changes in rural, tribal communities. Analyzes health status and uranium levels of 1,453 participants in the Strong Heart Family Study. Discusses rock and soil health, groundwater, and surface water contamination as factors in uranium exposure.
Author(s): Kevin P. Patterson, Abigail Onderwyzer Gold, Miranda J. Spratlen, et al.
Citation: Preventing Chronic Disease, 22
Date: 04/2025
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Examines the correlation between uranium exposure and health conditions such as hypertension and blood pressure changes in rural, tribal communities. Analyzes health status and uranium levels of 1,453 participants in the Strong Heart Family Study. Discusses rock and soil health, groundwater, and surface water contamination as factors in uranium exposure.
Author(s): Kevin P. Patterson, Abigail Onderwyzer Gold, Miranda J. Spratlen, et al.
Citation: Preventing Chronic Disease, 22
Date: 04/2025
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Initiating Research in Indian Country: Lessons From the Strong Heart Study
Discusses the process of the National Heart, Lung, and Blood Institute (NHLBI) initiating studies to examine cardiovascular disease in rural and remote areas, isolated populations, and sovereign nations. Discusses the steps in conducting research with a focus on building trust, transparent implementation, and mutual feedback and results sharing.
Author(s): Barbara V. Howard, Elisa T. Lee, Thomas K. Welty, Richard R. Fabsitz
Citation: Preventing Chronic Disease, 22
Date: 04/2025
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Discusses the process of the National Heart, Lung, and Blood Institute (NHLBI) initiating studies to examine cardiovascular disease in rural and remote areas, isolated populations, and sovereign nations. Discusses the steps in conducting research with a focus on building trust, transparent implementation, and mutual feedback and results sharing.
Author(s): Barbara V. Howard, Elisa T. Lee, Thomas K. Welty, Richard R. Fabsitz
Citation: Preventing Chronic Disease, 22
Date: 04/2025
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