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Rural Health
Resources by Topic: Tribal communities

Identifying Disparities in Health Outcomes and Mortality for American Indian and Alaska Native Populations Using Tribally Disaggregated Vital Statistics and Health Survey Data
Study examining disaggregated health surveillance and mortality data for American Indian and Alaska Native (AI/AN) populations, discussing the challenges of data collection related to tribal-national enrollment and racial identification. Addresses health disparities and severe health risks among AI/AN populations and the need for collaboration with tribal nations to obtain accurate data.
Author(s): Desi Small-Rodriguez, Randall Akee
Citation: American Journal of Public Health, 111(S2), S126-132
Date: 07/2021
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Native Americans And COVID-19 Vaccine Hesitancy: Pathways Toward Increasing Vaccination Rates For Native Communities
Highlights vaccination rates, hesitancy, and barriers in Native American communities. Discusses methods of improving vaccination rates in Native nations, including messaging to combat hesitancy.
Author(s): Gabriel R. Sanchez, Raymond Foxworth
Citation: Health Affairs Blog
Date: 07/2021
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Strengths and Barriers in Implementing the ACE Screening Tool in Tribal, Urban Indian, and Rural Settings
Report examining barriers to the implementation of consistent Adverse Childhood Experience (ACE) screening in rural, tribal, and urban Indian clinics through the California Medi-Cal ACES Aware program. Describes barriers and recommendations related to issues of addressing resiliency, administering screening during a crisis, potential to trigger trauma or other sensitivity in the patient, and cultural appropriateness based on 12 key informant interviews.
Author(s): Becky Garrow, Maureen Wimsatt
Date: 06/2021
Sponsoring organization: ACEs Aware
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Midwest Initiative Seeks to Reduce Opioid Use in Rural and Tribal Communities
Profile of the Midwest Tribal Opioid Meta-Evaluation (MTOM) and the American Indian Resource and Resiliency Team (AIRRT), an Opioid Use Disorder treatment partnership serving American Indian communities in Minnesota and the Northern Plains. Describes the process of conducting a meta-evaluation and the program's activities.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Sponsoring organization: Pew
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Exploring the Role of Critical Health Literacy in Addressing the Social Determinants of Health
Brief reporting on a workshop held by the Roundtable on Health Literacy that explored Social Determinants of Health (SDOH) and health literacy to serve vulnerable communities. Discusses SDOH models, research methods to engage communities, and critical health literacy. Project examples include work with rural Native American communities.
Author(s): Board on Population Health and Public Health Practice
Date: 06/2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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National RTAP/FTA Webinar: Rural Transportation Planning and the COVID-19 Response
Webinar recording discusses how the COVID-19 pandemic has affected rural and tribal transit, their communities, and the providers responding to the pandemic. Features speakers from the Federal Transit Administration, the National Rural Transit Assistance Program, the Confederated Tribes of the Umatilla Indian Reservation, the Crawford Area Transit Authority, and Nevada County Transit Services.
Date: 06/2021
Sponsoring organization: National Rural Transit Assistance Program
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Poverty Rates by Race/Ethnicity and Metro/Nonmetro Residence, 2019
Bar chart comparing metropolitan and nonmetro poverty levels for White, African American, American Indian/Alaska Native, and Hispanic populations.
Date: 06/2021
Sponsoring organization: USDA Economic Research Service
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Alaska Native Mortality Report 1980-2018
Provides an overview of Alaskan Native mortality, including leading causes of death, age-specific mortality rates, years of life potentially lost, mortality rate trends, excess death, life expectancy, and alcohol-related mortality. Includes data breakdowns by region and health condition.
Date: 05/2021
Sponsoring organization: Alaska Native Tribal Health Consortium
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Empowering our People: Predictors of Retention in an STI Risk Reduction Program among Rural Native Americans with Binge Substance Use
Examines retention factors for Native Americans who have experienced binge substance use and who participate in sexually transmitted infection (STI) risk reduction programs. Discusses connection between substance use and STI risk behavior in rural Native communities and analyzes data for 150 participants of an STI risk reduction program.
Author(s): Lauren Tingey, Summer Rosenstock, Rachel Chambers, et al.
Citation: Journal of Rural Health, 38(2), 323-335
Date: 05/2021
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Law and Policy Pathways to Addressing Rising Youth Suicide Rates
Provides information on how to prevent death by suicide in different youth populations, including rural youth. Includes evidence-based suicide prevention strategies and ways to engage communities in prevention efforts.
Author(s): April Shaw
Date: 04/2021
Sponsoring organization: Network for Public Health Law
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