Rural Health
Resources by Topic: Tribal communities
Implementing a Tribally Engaged Lung Cancer Screening Pilot Program in Rural Oklahoma
Presents a study on the efficacy of a lung cancer screening program within a tribally operated health system in the Choctaw Nation of Oklahoma. Bases findings on pre- and post-intervention surveys. Makes recommendation for program expansion and highlights key barriers and facilitators to implementation.
Author(s): Zsolt Nagykaldi, Mark Doescher, Dorothy A. Rhoades, et al.
Citation: Cancer Prevention Research, 18(7), 423-430
Date: 07/2025
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Presents a study on the efficacy of a lung cancer screening program within a tribally operated health system in the Choctaw Nation of Oklahoma. Bases findings on pre- and post-intervention surveys. Makes recommendation for program expansion and highlights key barriers and facilitators to implementation.
Author(s): Zsolt Nagykaldi, Mark Doescher, Dorothy A. Rhoades, et al.
Citation: Cancer Prevention Research, 18(7), 423-430
Date: 07/2025
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EMS Service Integration in American Indian and Native Alaskan Rural Communities
Highlights several initiatives aimed at expanding emergency medical services (EMS) in tribal communities. Explores the role of tribal sovereignty, cost effectiveness, and infrastructure improvements in expanding and optimizing EMS in tribal communities.
Author(s): Chelsea Tsasse, John Shufeldt
Citation: AMA Journal of Ethics, 27(7), 525-529
Date: 07/2025
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Highlights several initiatives aimed at expanding emergency medical services (EMS) in tribal communities. Explores the role of tribal sovereignty, cost effectiveness, and infrastructure improvements in expanding and optimizing EMS in tribal communities.
Author(s): Chelsea Tsasse, John Shufeldt
Citation: AMA Journal of Ethics, 27(7), 525-529
Date: 07/2025
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Rural Transit Fact Book, 2025
Features national-, state-, and county-level information on rural transit in the United States. Includes rural and urban comparisons on demographics and transportation. Provides information for agencies receiving section 5311 funding and includes a section on tribal transit.
Author(s): Jeremy Mattson, Del Peterson
Date: 06/2025
Sponsoring organization: Upper Great Plains Transportation Institute
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Features national-, state-, and county-level information on rural transit in the United States. Includes rural and urban comparisons on demographics and transportation. Provides information for agencies receiving section 5311 funding and includes a section on tribal transit.
Author(s): Jeremy Mattson, Del Peterson
Date: 06/2025
Sponsoring organization: Upper Great Plains Transportation Institute
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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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Reestablishing and Reviving Great Lakes Intertribal Food Systems to Heal Tribal Communities
A video featuring tribal leaders of the Menominee Indian Tribe residing in Wisconsin and their efforts to reclaim traditional food sustenance practices. Discusses issues such as food insecurity in tribal communities and how traditional indigenous agriculture can improve health and sustainability. Transcript available below description.
Date: 05/2025
Sponsoring organization: Medical College of Wisconsin
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A video featuring tribal leaders of the Menominee Indian Tribe residing in Wisconsin and their efforts to reclaim traditional food sustenance practices. Discusses issues such as food insecurity in tribal communities and how traditional indigenous agriculture can improve health and sustainability. Transcript available below description.
Date: 05/2025
Sponsoring organization: Medical College of Wisconsin
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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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Tribal Data Sharing Lessons from Alaska: Improving a State's Process for Disclosing Data for Public Health Purposes to Tribal Public Health Organizations
Discusses data sharing agreements between Tribal-Serving Organizations and other state or local public health agencies. Examines the process of collaboration between the Alaska Division of Public Health (DPH) and the Alaska Native Tribal Health Consortium (ANTHC), with a focus on overcoming barriers, working through legal considerations, and lessons learned.
Author(s): Chris Alibrandi O'Connor
Date: 05/2025
Sponsoring organization: Association of State and Territorial Health Officials
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Discusses data sharing agreements between Tribal-Serving Organizations and other state or local public health agencies. Examines the process of collaboration between the Alaska Division of Public Health (DPH) and the Alaska Native Tribal Health Consortium (ANTHC), with a focus on overcoming barriers, working through legal considerations, and lessons learned.
Author(s): Chris Alibrandi O'Connor
Date: 05/2025
Sponsoring organization: Association of State and Territorial Health Officials
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Syndromic Surveillance in Tribal Health: Perspectives from Three Tribal Epidemiology Centers on Access and Utilization
Discusses the use of syndromic surveillance by Tribal Epidemiology Centers (TECs) to monitor and communicate health needs and support effective public health response in American Indian and Alaska Native (AI/AN) communities. Highlights implementation and policy barriers to successful syndromic surveillance and suggests strategies for more effective state and tribal collaboration and data use.
Author(s): Cheng Wang, Lowrie Ward, Nicole Holdaway Smith
Citation: International Journal of Environmental Research and Public Health, 22(5), 664
Date: 04/2025
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Discusses the use of syndromic surveillance by Tribal Epidemiology Centers (TECs) to monitor and communicate health needs and support effective public health response in American Indian and Alaska Native (AI/AN) communities. Highlights implementation and policy barriers to successful syndromic surveillance and suggests strategies for more effective state and tribal collaboration and data use.
Author(s): Cheng Wang, Lowrie Ward, Nicole Holdaway Smith
Citation: International Journal of Environmental Research and Public Health, 22(5), 664
Date: 04/2025
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