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Rural Health
Resources by Topic: Tribal communities

Understanding Opioid Use Within a Southwestern American Indian Reservation Community: A Qualitative Study
Examines motivations, consequences, and general impact of opioid use among youth and young adults based on interviews with 18 individuals living in a Southwestern reservation community. Discusses prevention efforts such as family-based services and community program interventions.
Author(s): Emma Waugh, Jerreed Ivanich, Victoria O'Keefe, et al.
Citation: Journal of Rural Health, 39(1), 179-185
Date: 2023
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Disparities in Access to Radiation Therapy by Race and Ethnicity in the United States With Focus on American Indian/Alaska Native People
Explores access to radiation therapy American Indian and Alaska Native people across the U.S. Explores travel distances to receive radiation therapy for AI/AN majority and non-AI/AN majority groups. Breaks down data by Indian Health Service region.
Author(s): Solmaz Amiri, Matthew D. Greer, Clemma J. Muller, et al.
Citation: Value in Health, 25(12), 1929-1938
Date: 12/2022
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Exploring Remaining Needs and Opportunities for Improvement in Rural Communities: A Focus on Temporary Assistance for Needy Families (TANF) Programs
Provides an overview of the Temporary Assistance for Needy Families (TANF) program. Presents findings from interviews with TANF program staff and partner organizations regarding delivering TANF services in rural communities. Identifies rural areas with remaining need for TANF cash assistance and Tribal TANF services. Offers providers' lessons learned and recommendations to help inform policy and service delivery moving forward.
Author(s): Emma Ward, Neel Chakraborti, Emily Brimsek, James Murdoch, Heather Hahn
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families, Urban Institute
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A Snapshot of Racial Inequities in Human Services Programs in Rural Contexts
Examines the need for human services across rural counties and broken down by racial/ethnic groups. Provides data on human services funding per person, unemployment rate, poverty rate, access to broadband, and access to vehicles by rural Black, Hispanic, Native, and White citizens. Includes a 2018 county-level U.S. map that depicts rural counties with high needs for human services.
Author(s): Emma Ward, James Murdoch, Neel Chakraborti
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families
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Exploring Remaining Needs and Opportunities for Improvement in Rural Communities: A Focus on Health Profession Opportunity Grants (HPOG) Programs
Report explores the distribution and impact of the Health Profession Opportunity Grants (HPOG) in rural counties. Details the grant recipient type and location by state and county. Discusses the remaining need for HPOG in rural counties.
Author(s): Emma Ward, Emily Brimsek, James Murdoch, Neel Chakraborti
Date: 12/2022
Sponsoring organizations: 2M Research, Administration for Children and Families
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COVID-19 Relief Funds: Lessons Learned Could Improve Future Distribution of Federal Emergency Relief to Tribal Recipients
Examines approaches selected federal agencies used to administer programs that provided COVID-19 funds to tribal recipients. Identifies lessons learned that could improve future federal relief to these recipients.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Serving Native American Households Using ERA: Learning from High-Spending Programs
Examines high-spending Emergency Rental Assistance (ERA) on Native lands to address housing issues such as overcrowding, homelessness, and application accessibility, among others. Examines 7 Tribes and Tribally Designated Housing Entities (TDHEs) in the states of North Dakota, South Dakota, Colorado, Utah, Wyoming, Montana, and Nebraska. Provides background on housing instability, statistics about allocated funding and households served by ERA, and challenges TDHEs face.
Author(s): Neetu Nair, Sophie Siebach-Glover, Andrew Aurand
Date: 12/2022
Sponsoring organizations: National Low Income Housing Coalition, United Native American Housing Association
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Development of a Colorectal Cancer Screening Intervention for Alaska Native People During a Pandemic Year
Examines the development and implementation of a screening methodology for colorectal cancer (CRC) in Alaska Native (AN) populations. Analyzes 32 rural/remote AN communities who received various community-based CRC screening interventions compared to 14 AN communities who received opportunistic care for CRC screening. Includes discussion about barriers and challenges of screening in rural AN populations, particularly during the COVID-19 pandemic.
Author(s): Christie A. Flanagan, Lila J. Finney Rutten, John B. Kisiel, et al.
Citation: Contemporary Clinical Trials Communications, 30, 101016
Date: 12/2022
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Health and Health Care in the U.S.-Mexico Border Region
Examines the differences in sociodemographic characteristics, health coverage, access to care, and health outcomes of populations in the U.S.-Mexico border states to guide efforts addressing the needs of border communities. Analysis is based on 2019 county-level data from the American Community Survey (ACS) five-year data tables, Health Resources and Services Administration's Area Health Resource Files (AHRF), Behavioral Risk Factors Surveillance System (BRFSS), and 2020 data from Centers for Disease Control and Prevention's (CDC) WONDER database.
Author(s): Drishti Pillai, Samantha Artiga
Date: 11/2022
Sponsoring organization: KFF
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The Oral Health of American Indian and Alaska Native Adult Dental Patients 35 Years and Older A Follow-up Report to the 2015 Survey
Details the oral health of American Indian and Alaska Native adults over 35. Presents rates of AI/AN people with untreated decay and caries, severe periodontal disease, and missing teeth, among other measures. Compares AI/AN rates with the U.S. as a whole and with other groups.
Author(s): Kathy R. Phipps, Timothy L. Ricks, Nathan P. Mork, Timothy L. Lozon
Date: 11/2022
Sponsoring organization: Indian Health Service
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