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Rural Health
Resources by Topic: Culture and cultural competency

Health Wanted: Finding Care in Rural America
Series of videos highlighting challenges with access to quality healthcare for rural Americans. Discusses healthcare access in remote locations, food insecurity and cultural farming practices, transportation, wellness initiatives, and chronic health conditions in 5 states. Transcript available in video description.
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: American Heart Association
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An Evaluation of ¡Haz Espacio Para Papi!, a Culturally Tailored Nutrition and Physical Activity Pilot Program for Mexican-Heritage Fathers
Describes outcomes of ¡Haz Espacio Para Papi! (HEPP), a nutrition and physical activity intervention for Latino fathers in colonias near the Texas-Mexico border. Provides data on changes in participants' fruit and vegetable intake, skin carotenoids, and healthy dietary behaviors. Discusses approaches to cultural appropriateness and collaboration with promotoras.
Author(s): Annika Vahk, Pablo Monsivais, Cassandra M. Johnson, Joseph R. Sharkey
Citation: Nutrients, 16(8), 1153
Date: 04/2024
Type: Document
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Does Engagement Matter? The Impact of Patient and Community Engagement on Implementation of Cardiovascular Health Materials in Primary Care Settings
Analyzes New Mexico and Colorado primary care practices' uptake of cardiovascular disease prevention materials produced through Boot Camp Translation (BCT), a participatory research strategy where community members and patients adapt medical information into messages and materials that reflect local culture and language. Compares practices' likelihood of selecting materials produced locally and by demographically and geographically similar BCTs.
Author(s): Linda Zittleman, John M. Westfall, Danelle Callen, et al.
Citation: BMC Primary Care, 25, 135
Date: 04/2024
Type: Document
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Systemic Effects of the COVID Pandemic on Rural Black American Men's Interpersonal Relationships: A Phenomenological Examination
Evaluates the COVID-19 pandemic's effects on Black men's relational health from interviews conducted in 2020 and 2021 with 17 Black men living in rural Georgia. Includes discussion of mental health, interpersonal and health behaviors, and the significance of Black men's cultural experiences for pandemic recovery interventions.
Author(s): Michael G. Curtis, Elizabeth Wieling, Chalandra Bryant, Rosalyn Denise Campbell, Steven M. Kogan
Citation: PLoS ONE, 19(4), e0297876
Date: 04/2024
Type: Document
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Indian Health Service Health Equity Report
Reports on efforts to advance health equity in the Indian Health Service (IHS). Discusses strategies and funding supporting access to facilities and services, quality of care, cultural appropriateness, wellness and disease prevention, and more.
Date: 04/2024
Type: Document
Sponsoring organization: Indian Health Service
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Patient-Centered Respectful Maternity Care: A Factor Analysis Contextualizing Marginalized Identities, Trust, and Informed Choice
Examines issues of maternal autonomy and respect related to a pregnant person's experiences in the healthcare system. Utilizes the Mothers on Respect Index (MORi) and Mothers Autonomy in Decision Making (MADM) scales to analyze data from 484 patients regarding trust, informed choice, and identity. Includes statistics broken down by race, educational attainment, employment, justice involvement, disabilities, social risks, and rural-urban commuting area (RUCA) codes across 7 RUCA categories, from rural area to metropolitan core.
Author(s): Annie Glover, Carly Holman, Patrick Boise
Citation: BMC Pregnancy and Childbirth, 24, 267
Date: 04/2024
Type: Document
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A Strategy To Support Perinatal Mental Health By Collaborating With Tribal Communities In Montana
Describes a community-based participatory approach with Montana tribal communities to create an online guide of mental health resources for prenatal to age three populations. Discusses the outcomes of collaboration, the Two-Eyed Seeing approach for health promotion, and opportunities for including cultural knowledge and values in future health promotion work.
Author(s): Amy Stiffarm, Stephanie Morton, Dawn Gunderson, et al.
Citation: Health Affairs, 43(4)
Date: 04/2024
Type: Document
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Building Flourishing Native Families and Thriving Communities: A Reflection on 2023
Provides background on the Administration for Native Americans, outlines strategic priorities for 2023 and 2024, and discusses community partners and collaborations. Focuses on issues such as economic development funding for Native Hawaiians, early childhood development, Native languages, and missing and murdered indigenous people.
Date: 04/2024
Type: Document
Sponsoring organization: Administration for Children and Families
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Understanding Planning for Tribal Home Visiting Implementation: A Report From the Multi-Site Implementation Evaluation of Tribal Home Visiting
Examines model implementation of home visiting programs within U.S. indigenous communities. Uses community-engaged approaches to identify planning, implementation, challenges, and supports of the Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) program.
Author(s): Melina Salvador, Kirsten Keene, Tess Abrahamson-Richards, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Administration for Children and Families
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Rural-Specific Identity and Associations with Lifestyle Behaviors and Well-Being Among Rural Cancer Survivors
Examines how issues such as rural identity, attitudes toward rurality, and health beliefs impact rural cancer survivors' well-being. Utilizes survey data from 188 cancer survivors to discuss the relationship between sociocultural factors and quality of life, cancer fatalism, cancer information overload, rural identity and perceptions, and more.
Author(s): Kristina L. Tatum, Bonny B. Morris, Trevin E. Glasgow, et al.
Citation: Journal of Rural Health
Date: 03/2024
Type: Document
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