Rural Health
Resources by Topic: Tribal communities
A Look at the Latest Alcohol Death Data and Change Over the Last Decade
Describes findings from an analysis of 2012 to 2022 CDC WONDER data regarding trends in deaths caused by conditions directly attributable to alcohol consumption, also referred to as alcohol-induced deaths or alcohol deaths. Presents data on alcohol death rates in 2022 and over time by race and ethnicity, age, sex, state, and rurality. Discusses factors that may contribute to increases in alcohol deaths since 2012.
Author(s): Heather Saunders, Robin Rudowitz
Date: 05/2024
Sponsoring organization: KFF
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Describes findings from an analysis of 2012 to 2022 CDC WONDER data regarding trends in deaths caused by conditions directly attributable to alcohol consumption, also referred to as alcohol-induced deaths or alcohol deaths. Presents data on alcohol death rates in 2022 and over time by race and ethnicity, age, sex, state, and rurality. Discusses factors that may contribute to increases in alcohol deaths since 2012.
Author(s): Heather Saunders, Robin Rudowitz
Date: 05/2024
Sponsoring organization: KFF
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Annual Report To the Congress of the United States On Sanitation Deficiency Levels for Indian Homes and Communities: Fiscal Year 2022
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: 05/2024
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: 05/2024
Sponsoring organization: Indian Health Service
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Frontier Health Care: Ensuring Veterans' Access No Matter Where They Live
Recording of a May 15, 2024, U.S. Senate Committee on Veterans' Affairs hearing regarding rural veterans' access to healthcare and efforts to address challenges to care. Covers rural staffing and recruitment, limited access to broadband, distance to healthcare providers, and more. Features testimony from the U.S. Department of Veterans Affairs (VA) Veterans Health Administration's Office of Rural Health, the Great Plains Veterans Services Center, the Government Accountability Office, and Disabled American Veterans.
Additional links: Alyssa M. Hundrup, Government Accountability Office - Testimony, Chauncey Parker, Great Plains Veterans Services Center - Testimony, Jon Retzer, Disabled American Veterans - Testimony, Peter Kaboli, U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Rural Health - Testimony
Date: 05/2024
Sponsoring organizations: Committee on Veterans' Affairs, U.S. Senate
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Recording of a May 15, 2024, U.S. Senate Committee on Veterans' Affairs hearing regarding rural veterans' access to healthcare and efforts to address challenges to care. Covers rural staffing and recruitment, limited access to broadband, distance to healthcare providers, and more. Features testimony from the U.S. Department of Veterans Affairs (VA) Veterans Health Administration's Office of Rural Health, the Great Plains Veterans Services Center, the Government Accountability Office, and Disabled American Veterans.
Additional links: Alyssa M. Hundrup, Government Accountability Office - Testimony, Chauncey Parker, Great Plains Veterans Services Center - Testimony, Jon Retzer, Disabled American Veterans - Testimony, Peter Kaboli, U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Rural Health - Testimony
Date: 05/2024
Sponsoring organizations: Committee on Veterans' Affairs, U.S. Senate
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Traffic Safety Facts, 2021 Data: Race and Ethnicity
National data on traffic fatalities by race and ethnicity, based on data from official death certificates. Features statistics from 2017-2021 with breakdowns by vehicle type, restraint use, alcohol-impaired driving, speeding, and rural or urban location.
Date: 05/2024
Sponsoring organization: National Highway Traffic Safety Administration
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National data on traffic fatalities by race and ethnicity, based on data from official death certificates. Features statistics from 2017-2021 with breakdowns by vehicle type, restraint use, alcohol-impaired driving, speeding, and rural or urban location.
Date: 05/2024
Sponsoring organization: National Highway Traffic Safety Administration
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COVID-19 Infection and Incident Diabetes in American Indian and Alaska Native people: A Retrospective Cohort Study
Examines associations between COVID-19 infection and diabetes in American Indian and Alaska Native (AI/AN) people. Utilizes the Indian Health Service's (IHS) National Patient Information Reporting System to analyze incident diabetes among 3 participant cohorts: pre-pandemic, pandemic but no COVID-19 infection, and pandemic with COVID-19 infection. Discusses the relationship between COVID-19 infection and new-onset diabetes in AI/AN populations.
Author(s): James W. Keck, Mary E. Lacy, Sara Bressler, Ian Blake, Uzo Chukwuma, Michael G. Bruce
Citation: The Lancet Regional Health - Americas, 33, 100727
Date: 05/2024
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Examines associations between COVID-19 infection and diabetes in American Indian and Alaska Native (AI/AN) people. Utilizes the Indian Health Service's (IHS) National Patient Information Reporting System to analyze incident diabetes among 3 participant cohorts: pre-pandemic, pandemic but no COVID-19 infection, and pandemic with COVID-19 infection. Discusses the relationship between COVID-19 infection and new-onset diabetes in AI/AN populations.
Author(s): James W. Keck, Mary E. Lacy, Sara Bressler, Ian Blake, Uzo Chukwuma, Michael G. Bruce
Citation: The Lancet Regional Health - Americas, 33, 100727
Date: 05/2024
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Health Coverage Options for American Indians and Alaska Natives
Fact sheet details the healthcare coverage options for American Indian and Alaska Native populations. Provides guidance for accessing healthcare coverage through the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP) and breaks down the various verification and eligibility requirements.
Date: 05/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet details the healthcare coverage options for American Indian and Alaska Native populations. Provides guidance for accessing healthcare coverage through the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP) and breaks down the various verification and eligibility requirements.
Date: 05/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Assisting American Indian and Alaska Native Consumers
Presentation slides discuss the ACA health insurance marketplace, the Indian Health Services, and provides information for American Indian and Alaska Native people pertaining to healthcare coverage. Presents guidance for AI/AN people to ensure they have consistent healthcare coverage.
Date: 05/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presentation slides discuss the ACA health insurance marketplace, the Indian Health Services, and provides information for American Indian and Alaska Native people pertaining to healthcare coverage. Presents guidance for AI/AN people to ensure they have consistent healthcare coverage.
Date: 05/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Telephone-Based Guideline-Directed Medical Therapy Optimization in Navajo Nation: The Hózhó Randomized Clinical Trial
Explores whether a guideline-directed medical therapy (GDMT) is initiated and titrated through telehealth improves GDMT use among patients with heart failure with reduced ejection fraction in Navajo Nation. Summarizes results of a stepped-wedge, pragmatic comparative effectiveness trial conducted from February to August 2023 at two Indian Health Service facilities in rural Navajo Nation. Discusses the importance of community-designed and locally-tailored strategies to improve GDMT rates.
Author(s): Lauren A. Eberly, Ada Tennison, Daniel Mays, et al.
Citation: JAMA Internal Medicine, 184(6), 681-690
Date: 04/2024
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Explores whether a guideline-directed medical therapy (GDMT) is initiated and titrated through telehealth improves GDMT use among patients with heart failure with reduced ejection fraction in Navajo Nation. Summarizes results of a stepped-wedge, pragmatic comparative effectiveness trial conducted from February to August 2023 at two Indian Health Service facilities in rural Navajo Nation. Discusses the importance of community-designed and locally-tailored strategies to improve GDMT rates.
Author(s): Lauren A. Eberly, Ada Tennison, Daniel Mays, et al.
Citation: JAMA Internal Medicine, 184(6), 681-690
Date: 04/2024
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Current and Projected Flood Exposure for Alaska Coastal Communities
Analyzes historical flood data to estimate current flood exposure for 63 Alaskan communities as well as projected exposure due to climate change. Discusses disparate risk for Alaska Native villages and specific challenges for rural and remote communities.
Author(s): Richard M. Buzard, Christopher V. Maio, Li H. Erikson, et al.
Citation: Scientific Reports, 14, 7765
Date: 04/2024
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Analyzes historical flood data to estimate current flood exposure for 63 Alaskan communities as well as projected exposure due to climate change. Discusses disparate risk for Alaska Native villages and specific challenges for rural and remote communities.
Author(s): Richard M. Buzard, Christopher V. Maio, Li H. Erikson, et al.
Citation: Scientific Reports, 14, 7765
Date: 04/2024
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Bridging the Gap in HPV Vaccinations: Community-Driven Strategies in Rural Areas
Discusses development and implementation of an HPV vaccination intervention focused on education and outreach, primary care team training, and data assessment which took place at a Federally Qualified Health Center (FQHC) serving primarily rural and Native American patients in California. Highlights the significance of trust-building and communication efforts to reduce rural vaccine hesitancy.
Author(s): Julie HT Dang
Date: 04/2024
Sponsoring organization: St. Jude Children's Research Hospital
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Discusses development and implementation of an HPV vaccination intervention focused on education and outreach, primary care team training, and data assessment which took place at a Federally Qualified Health Center (FQHC) serving primarily rural and Native American patients in California. Highlights the significance of trust-building and communication efforts to reduce rural vaccine hesitancy.
Author(s): Julie HT Dang
Date: 04/2024
Sponsoring organization: St. Jude Children's Research Hospital
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