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Rural Health
Resources by Topic: Tribal communities

Leaving the Emergency Department Without Complete Care: Disparities In American Indian Children
Examines children who leave the emergency department (ED) without complete evaluation or care (LWCET) in American Indian (AI) pediatric populations between June 2011 and May 2012. Analyzes 68,461 visits made by 47,228 children to 5 EDs and investigates factors such as demographic characteristics of patient, triage level, distance from the ED, timing of visit, ED activity level, and more.
Author(s): Tess L. Weber, Katherine M. Ziegler, Anupam B. Kharbanda, et al.
Citation: BMC Health Services Research, 18(267)
Date: 04/2018
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Infant Sleep-Surface Sharing and Other Safe Sleep Practices among Oklahoma American Indian Mothers
Reports on a study of infant sleep environment by maternal race/ethnicity and demographics in Oklahoma in response to higher rates of infant mortality among American Indian mothers, particularly due to sleep-related conditions. Offers recommendations for outreach and education efforts among the American Indian community.
Date: 04/2018
Sponsoring organization: Oklahoma State Department of Health
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Moving Away from the Tip of the Pyramid: Screening and Brief Intervention for Risky Alcohol and Opioid Use in Underserved Patients
Summarizes the findings of an online survey of a practice-based research network of 126 medical providers serving Hispanic/Latino and Native American patients in rural and urban settings in New Mexico. Discusses clinician perspectives on the need to address substance use in primary care, current screening and treatment practices, and their willingness to adapt practices to meet the needs of the patient populations.
Author(s): Kamilla L. Venner, Victoria Sánchez, Jacqueline Garcia, et al.
Citation: Journal of the American Board of Family Medicine, 31(2), 243-251
Date: 03/2018
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Dental Therapists Linked to Improved Dental Outcomes for Alaska Native Communities in the Yukon-Kuskokwim Delta
Features a study of dental outcomes in Alaska's Yukon-Kuskokwim Delta since Dental Health Aide Therapists (DHATs) have been added to the communities' dental workforce. Details annual data on dental utilization for both children and adults.
Author(s): Donald L. Chi, Dane Lenaker, Lloyd Mancl, Matthew Dunbar, Michael Babb
Citation: Journal of Public Health Dentistry, 78(2), 175-182
Date: 03/2018
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How Does Household Income Affect Child Personality Traits and Behaviors?
Reports on a study using longitudinal data to determine the effects of family income on a child's emotional and behavioral health, and personality characteristics, and the mechanisms supporting these effects. The study included American Indian families who received financial support from the Eastern Band of Cherokee Indians tribal government, and compared changes at the household level prior to and after receiving these funds, as well as comparisons with families who did not receive this funding. Comparisons of economic status were noted between rural Native Americans and rural African Americans.
Author(s): Randall Akee, William Copeland, E. Jane Costello, Emilia Simeonova
Citation: American Economic Review,108(3), 775-827
Date: 03/2018
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Tribal Nursing Home Best Practices: Cultural Sensitivity
Details several models for culturally competent tribal nursing homes and the measures the facilities implemented to provide appropriate care for American Indian and Alaska Native elders. Discusses some initiatives implemented, such as hiring a cultural liaison to coordinate traditional activities and providing person-centered care.
Date: 03/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Drinking Water Infrastructure Needs Survey and Assessment: Sixth Report to Congress
Describes the results of the 2015 Drinking Water Infrastructure Needs Survey and Assessment at the national and state levels. Includes information and statistics describing small water systems serving populations of 3,300 or fewer and addresses the needs of American Indian and Alaska Native Village water systems.
Date: 03/2018
Sponsoring organization: U.S. Environmental Protection Agency
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Healthy Children, Healthy Nations: Charting Pathways on Early Childhood Development and Nutrition for Minnesota's Native Children
Discusses the health of Native American children in Minnesota. Features state and national data about Native American children's health, as well as interventions in children's nutrition, early childhood development, and childhood trauma.
Date: 03/2018
Sponsoring organizations: Better Way Foundation, Center for Indian Country Development, Shakopee Mdewakanton Sioux Community, Seeds of Native Health
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Education, Income, and Employment and Prevalence of Chronic Disease Among American Indian/Alaska Native Elders
Results of a study measuring the effects of income, employment status, and education level on the rates of chronic disease among 14,632 American Indian or Alaska Native elders from 2011-2014. Features demographics with breakdowns by 10 chronic diseases.
Author(s): Collette Adamsen, Shawnda Schroeder, Steven LeMire, Paula Carter
Citation: Preventing Chronic Disease, 15
Date: 03/2018
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Oversight Hearing on Opioids in Indian Country: Beyond the Crisis to Healing the Community
Presents the U.S. Senate Committee on Indian Affairs hearing on the opioid crisis in Indian Country. Features testimony from representatives of the U.S. Department of Justice, the Substance Abuse and Mental Health Administration, the Indian Health Service, the Port Gamble S'Klallam Tribe, and the National Indian Health Board.
Date: 03/2018
Sponsoring organization: Senate Committee on Indian Affairs
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