California Resources
Emergency Medical Services (EMS): A Look at Disparities in Funding and Outcomes
Details disparities related to rurality, income, sex, and race in emergency medical services (EMS) funding, staffing, and patient outcomes. Provides a case study of local EMS agencies in 11 California counties, highlighting challenges rural agencies face related to funding and quality of care.
Date: 10/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Details disparities related to rurality, income, sex, and race in emergency medical services (EMS) funding, staffing, and patient outcomes. Provides a case study of local EMS agencies in 11 California counties, highlighting challenges rural agencies face related to funding and quality of care.
Date: 10/2024
Sponsoring organization: Centers for Disease Control and Prevention
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CMS-Approved Waivers Break New Ground for Medicaid Coverage of American Indian and Alaska Native Traditional Health Care Practices
Provides an overview of Centers for Medicare & Medicaid Services (CMS) approved 1115 waivers that allow Medicaid agencies to cover American Indian and Alaska Native (AI/AN) traditional healthcare practices in four states: Arizona, California, New Mexico, and Oregon. Describes who can access traditional healthcare practices under these waivers, where traditional healthcare services can be provided, who will be certified to provide these services, and implementation support.
Author(s): Anne Smithey
Date: 10/2024
Sponsoring organization: Center for Health Care Strategies
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Provides an overview of Centers for Medicare & Medicaid Services (CMS) approved 1115 waivers that allow Medicaid agencies to cover American Indian and Alaska Native (AI/AN) traditional healthcare practices in four states: Arizona, California, New Mexico, and Oregon. Describes who can access traditional healthcare practices under these waivers, where traditional healthcare services can be provided, who will be certified to provide these services, and implementation support.
Author(s): Anne Smithey
Date: 10/2024
Sponsoring organization: Center for Health Care Strategies
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Knowledge, Perceptions, and Feelings Associated with Alzheimer's Disease and Related Dementias: A Qualitative Study among Middle-Aged Latinas Residing in an Underserved Agricultural Community in California
Examines knowledge, perceptions, and feelings related to Alzheimer's disease and related dementias (ADRD) among 20 middle-aged, Latina women in a farmworker community in California's Salinas Valley. Analyzes interview themes and provides excerpts discussing risk and protective factors, prevention methods, memory loss, sense of self, and other ADRD-related concerns.
Author(s): Elizabeth Ambriz, Camila De Pierola, Morga C. Norma, et al.
Citation: BMC Public Health, 24, 2865
Date: 10/2024
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Examines knowledge, perceptions, and feelings related to Alzheimer's disease and related dementias (ADRD) among 20 middle-aged, Latina women in a farmworker community in California's Salinas Valley. Analyzes interview themes and provides excerpts discussing risk and protective factors, prevention methods, memory loss, sense of self, and other ADRD-related concerns.
Author(s): Elizabeth Ambriz, Camila De Pierola, Morga C. Norma, et al.
Citation: BMC Public Health, 24, 2865
Date: 10/2024
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Addressing Travel Costs for Providers of Field-Based Services in Medi-Cal
Examines provider travel costs associated with field-based healthcare services in Medi-Cal, California's Medicaid program. Discusses Medicaid policies related to provider travel costs and the implications for community health workers (CHWs), doula services, and behavioral health services, with emphasis on the impact for rural areas of the state.
Author(s): Logan Kelly
Date: 09/2024
Sponsoring organization: Center for Health Care Strategies
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Examines provider travel costs associated with field-based healthcare services in Medi-Cal, California's Medicaid program. Discusses Medicaid policies related to provider travel costs and the implications for community health workers (CHWs), doula services, and behavioral health services, with emphasis on the impact for rural areas of the state.
Author(s): Logan Kelly
Date: 09/2024
Sponsoring organization: Center for Health Care Strategies
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Addressing Adverse Childhood Experiences in Clinics Serving California Farmworker Communities: NACES Pilot Project Evaluation
Provides an overview of the No More Adverse Childhood Experiences (NACES) pilot project, which aims to address adverse childhood experiences (ACEs) in a rural farmworker community in central California. Summarizes findings of an evaluation of the clinic-based intervention component of NACES, including clinic systems' changes in capacity for ACE screening and response, clinician and clinical staff understanding of how to address ACEs in farmworker communities, and patient process and experience outcomes related to ACE education and screening. Offers recommendations to improve ongoing ACE education, screening, and response work with clinics serving rural farmworkers throughout California.
Author(s): Ingrid Estrada-Darley, Gabriela Alvarado, Alejandro Roa Contreras, et al.
Date: 07/2024
Sponsoring organization: RAND Corporation
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Provides an overview of the No More Adverse Childhood Experiences (NACES) pilot project, which aims to address adverse childhood experiences (ACEs) in a rural farmworker community in central California. Summarizes findings of an evaluation of the clinic-based intervention component of NACES, including clinic systems' changes in capacity for ACE screening and response, clinician and clinical staff understanding of how to address ACEs in farmworker communities, and patient process and experience outcomes related to ACE education and screening. Offers recommendations to improve ongoing ACE education, screening, and response work with clinics serving rural farmworkers throughout California.
Author(s): Ingrid Estrada-Darley, Gabriela Alvarado, Alejandro Roa Contreras, et al.
Date: 07/2024
Sponsoring organization: RAND Corporation
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Nutrition Environment Gaps and Distribution Challenges in Rural Food Pantries During the COVID-19 Pandemic: A Mixed-Methods Study
Discusses the impact of the COVID-19 pandemic on food pantries in rural areas. Analyzes survey data from 19 food pantry representatives working in California's San Joaquin Valley between August 2020 and June 2021. Examines the consumer nutrition environment in rural food pantries utilizing the Nutrition Environment Food Pantry Assessment Tool (NEFPAT).
Author(s): Kimberly D. Sánchez, Karina Díaz Rios, Denise D. Payán
Citation: Journal of the Academy of Nutrition and Dietetics, 124(6), 713-724.E4
Date: 06/2024
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Discusses the impact of the COVID-19 pandemic on food pantries in rural areas. Analyzes survey data from 19 food pantry representatives working in California's San Joaquin Valley between August 2020 and June 2021. Examines the consumer nutrition environment in rural food pantries utilizing the Nutrition Environment Food Pantry Assessment Tool (NEFPAT).
Author(s): Kimberly D. Sánchez, Karina Díaz Rios, Denise D. Payán
Citation: Journal of the Academy of Nutrition and Dietetics, 124(6), 713-724.E4
Date: 06/2024
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Facilitators and Barriers to Passing Local Policies That Prohibit the Sale of Flavored Tobacco Products: Qualitative Analysis of Strategies Implemented by 36 Communities in California, 2017–2021
Examines the success rate of implementing local polices that prohibit flavored tobacco sales in California. Analyzes both rural and urban communities and discusses barriers and facilitators to policy adoption.
Author(s): Sarah Hellesen, Sue Haun, Melanie S. Dove
Citation: Preventing Chronic Disease, 21
Date: 05/2024
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Examines the success rate of implementing local polices that prohibit flavored tobacco sales in California. Analyzes both rural and urban communities and discusses barriers and facilitators to policy adoption.
Author(s): Sarah Hellesen, Sue Haun, Melanie S. Dove
Citation: Preventing Chronic Disease, 21
Date: 05/2024
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Food Deserts and Hypertension Prevalence in the Central Valley
Policy brief analyzing the association between food deserts and hypertension by census tract in San Joaquin Valley, California. Includes color-coded census tract maps. Mentions high incidence of hypertension and food deserts in rural areas.
Author(s): G. Mendoza, E. Alcala
Date: 05/2024
Sponsoring organization: Central Valley Health Policy Institute
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Policy brief analyzing the association between food deserts and hypertension by census tract in San Joaquin Valley, California. Includes color-coded census tract maps. Mentions high incidence of hypertension and food deserts in rural areas.
Author(s): G. Mendoza, E. Alcala
Date: 05/2024
Sponsoring organization: Central Valley Health Policy Institute
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Cohort Profile: The Assessing Imperial Valley Respiratory Health and the Environment (AIRE) Study
Details a prospective cohort study focused on examining the respiratory health effects of childhood exposures to wind-blown particulate matter (PM) in a rural area of California. Utilizes 2017-2019 data to observe asthmatic symptoms and other health indicators across sociodemographic categories. Discusses the impact of PM on childhood health and the potential for geographic disparities.
Author(s): Shohreh F. Farzan, Elizabeth Kamai, Dayane Duenas Barahona, et al.
Citation: Paediatric and Perinatal Epidemiology, 38(4), 359-369
Date: 05/2024
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Details a prospective cohort study focused on examining the respiratory health effects of childhood exposures to wind-blown particulate matter (PM) in a rural area of California. Utilizes 2017-2019 data to observe asthmatic symptoms and other health indicators across sociodemographic categories. Discusses the impact of PM on childhood health and the potential for geographic disparities.
Author(s): Shohreh F. Farzan, Elizabeth Kamai, Dayane Duenas Barahona, et al.
Citation: Paediatric and Perinatal Epidemiology, 38(4), 359-369
Date: 05/2024
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A New Philanthropic Approach to Supporting the Health and Capacity of Rural Communities
Discusses the Imperial Valley Wellness Foundation's efforts to support community development and health equity through its implementation of the Rural Development Hub (RDH) model. Discusses RDHs as facilitators of partnership, cooperation, and philanthropic investment in rural, underserved communities.
Author(s): Roque Barros, Karen Winston
Date: 05/2024
Sponsoring organization: Grantmakers in Health
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Discusses the Imperial Valley Wellness Foundation's efforts to support community development and health equity through its implementation of the Rural Development Hub (RDH) model. Discusses RDHs as facilitators of partnership, cooperation, and philanthropic investment in rural, underserved communities.
Author(s): Roque Barros, Karen Winston
Date: 05/2024
Sponsoring organization: Grantmakers in Health
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Additional resources are available. See a full list of California Resources.
Last Updated: 12/30/2025

