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Rural Health Information Hub

Rural Health
Resources by Topic: Tribal communities

Communities in Action: Pathways to Health Equity
Identifies elements of effective solutions to advance health at the local or community level. Featured examples include the Delta Health Center, a rural Federally Qualified Health Center that uses a community-oriented primary care model to address population health. A brief overview of rural health disparities which includes a discussion on Appalachian health is found on pages 2-19 and 2-20. Appendix A provides a context for understanding Native American health.
Additional links: Read Online
Author(s): Committee on Community Based Solutions to Promote Health Equity in the United States
Date: 01/2017
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Native Americans with Diabetes: Better Diabetes Care Can Decrease Kidney Disease
Provides an overview of diabetes and related kidney disease among American Indians and Alaska Natives. Describes an Indian Health Service (IHS) approach using population health and team-based approaches to diabetes and kidney care.
Additional links: Podcast
Date: 01/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Vital Signs: Decrease in Incidence of Diabetes-Related End-Stage Renal Disease among American Indians/Alaska Natives — United States, 1996–2013
Reports on diabetes-related end-stage renal disease by race/ethnicity from 1996-2013. Discusses clinical, public health, and population management approaches used by Indian Health Service that may have positively impacted incidence rates among American Indians and Alaska Natives.
Author(s): Ann Bullock, Nilka Ríos Burrows, Andrew S. Narva, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(1), 26-32
Date: 01/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Indian Health Service: Actions Needed to Improve Oversight of Quality of Care
Reports results from a performance audit conducted by the Government Accountability Office (GAO) from March 2016 through January 2017, examining IHS's oversight of quality of care in its federally operated facilities. Draws conclusions based on a review of policies related to quality of care, interviews with IHS officials at the headquarters and area offices, and examination of documents from governance meetings. Makes recommendations to the Secretary of the Department of Health and Human Services (HHS) on actions that can be taken to help ensure quality care is provided in federally operated IHS facilities. Appendices include the responding comments from HHS and provide additional information about leadership turnover at IHS offices and facilities.
Additional links: Full Report
Date: 01/2017
Sponsoring organization: Government Accountability Office
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Mental Health Disparities: American Indians and Alaska Natives
Details the mental health disparities that exist among American Indian and Alaska Native populations. Discusses barriers to care, service utilization, and cultural beliefs.
Date: 2017
Sponsoring organization: American Psychiatric Association
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Exploring the Potential for Technology-Based Nutrition Education among WIC Recipients in Remote Alaska Native Communities
Results of a study to estimate media technology use in tribal communities, in order to inform the possibility of providing technology-based nutrition education. Features demographics and statistics showing frequency of media technology-based activities among the 368 questionnaire respondents.
Author(s): Julianne M. Power, Kathryn L. Braun, Andrea Bersamin
Citation: Journal of Nutrition Education and Behavior, 49(7 Supplement 2), S186-S191
Date: 2017
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Infectious Disease Hospitalizations among American Indian/Alaska Native and Non–American Indian/Alaska Native Persons in Alaska, 2010-2011
Analyzes a state database to determine infectious disease hospitalization rates among American Indian/Alaskan Native (AI/AN) Alaskan residents. Compares statistics for AI/AN and non-AI/AN persons by year, sex, and age, and covers other hospitalization statistics.
Author(s): Prabhu P. Gounder, Robert C. Holman, Sara M. Seeman, et al.
Citation: Public Health Reports, 132(1), 65-75
Date: 2017
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Meeting Native American Housing Needs
Offers articles discussing the housing needs of Native Americans from the perspectives of national coalitions, a Native-owned bank, and practitioners working in tribal areas. Shares strategies for working with Native populations towards housing solutions. Highlights the Sisseton Wahpeton Housing Authority's role in providing housing and community development on the Sisseton Wahpeton Oyate reservation in South Dakota.
Citation: Rural Voices, 21(3)
Date: 2017
Sponsoring organization: Housing Assistance Council
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Access to Capital and Credit in Native Communities: A Data Review
Examines progress in Native Communities' access to capital since 2001, and summarizes capital and credit access for Native consumers, Native business owners, and tribal communities and governments. Features statistics related to credit scores, loans, and startup capital.
Author(s): Miriam Jorgensen, Randall K.Q. Akee
Date: 2017
Sponsoring organization: Native Nations Institute
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Decreases in Suicide Deaths and Attempts Linked to the White Mountain Apache Suicide Surveillance and Prevention System, 2001–2012
Discusses a youth suicide tracking and prevention program developed in 2006 by the White Mountain Apache tribe in Arizona. Describes suicide prevention needs and disparities in Native American communities and the interventions put in place by the White Mountain Apache tribe. Using data from a tribally mandated surveillance system, compares suicide death rates and characteristics from 2001-2006 to data from 2007-2012. Table 1 offers a breakdown of suicide death rates by age group, and Figure 1 compares suicide death rates to national data.
Author(s): Mary Cwik, Lauren Tingey, Alexandra Maschino, et al.
Citation: American Journal of Public Health, 106(12), 2183-2189.
Date: 12/2016
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