American Indians and Alaska Natives

Completed Projects

Listed by project completion date. You can also view these projects alphabetically.

2023

• Availability of Healthcare Infrastructure in Minoritized Racial/Ethnic Groups
  This analysis compared the likelihood that selected healthcare infrastructure elements are available within rural and urban ZIP Code Tabulation Areas that contain versus do not contain a high proportion of historically disadvantaged minority residents.
  Research center: Rural and Minority Health Research Center
  Topics: American Indians and Alaska Natives, Health disparities and health equity, Healthcare access, Hispanics, Home health, Long-term care, Minority health
  
• Improving Racial Equity for Rural Mothers and Infants
  The purpose of this project was to assess differences in maternal and infant health outcomes and access to perinatal care, among urban and rural counties. We also compared health outcomes and availability of services, including evidence-based services and supports, between rural counties that are majority Black, Indigenous, and People of Color with those that are majority white.
  Research center: University of Minnesota Rural Health Research Center
  Topics: American Indians and Alaska Natives, Critical Access Hospitals (CAHs), Health disparities and health equity, Healthcare access, Hospitals and clinics, Maternal health, Minority health, Rural statistics and demographics, Social determinants of health, Women
  
• Rural/Urban Differences in Postpartum Health Insurance, Healthcare Use, and Health Outcomes
  The purpose of this project was to identify rural/urban differences in health insurance, healthcare use, and health outcomes among postpartum individuals, and to describe policy-relevant implications or strategies to improve insurance coverage, receipt of recommended healthcare, and, ultimately, health outcomes among rural residents who give birth. With a lens towards health equity, all analyses were stratified by race/ethnicity and income.
  Research center: University of Minnesota Rural Health Research Center
  Topics: American Indians and Alaska Natives, Health disparities and health equity, Healthcare access, Healthcare financing, Hispanics, Hospitals and clinics, Legislation and regulation, Maternal health, Medicaid and CHIP, Minority health, Private health insurance, Women
  

2022

• Rural-Urban Differences in Adverse and Positive Childhood Experiences: Results from the National Survey of Children's Health
  Using the 2016-2018 National Survey of Children's Health, the prevalence of adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) exposure in all 50 states and the District of Columbia were examined and whether ACE and PCE exposure differed between rural and urban residents, by type, by count, and by racial/ethnic group.
  Research center: Rural and Minority Health Research Center
  Topics: American Indians and Alaska Natives, Children and adolescents, Hispanics, Minority health, Social determinants of health
  

2020

• Mental Health Treatment Access: How Do Mental Health Treatment Use and Unmet Treatment Need Vary Among Rural and Urban Adults Nationally?
  This project will estimate the prevalence and policy-modifiable correlates of unmet mental health treatment need and utilization among metropolitan, micropolitan, and other non-metropolitan adults nationally who have a mental health condition. Additionally, the study will investigate the same issues among Native Americans/American Indians.
  Research center: Rural and Underserved Health Research Center
  Topics: American Indians and Alaska Natives, Health disparities and health equity, Health services, Mental and behavioral health
  
• Risky Substance Use Among Adolescents and Adults in Nonmetropolitan and Metropolitan Counties
  Little research has examined the prevalence of risky substance use (alcohol and drugs) among nonmetropolitan adolescents and adults relative to their metropolitan counterparts. Using nationally representative data, this project shed new light on the prevalence and correlates of risky substance use that could inform prevention strategies.
  Research center: Rural and Underserved Health Research Center
  Topics: American Indians and Alaska Natives, Health disparities and health equity, Health promotion and disease prevention, Mental and behavioral health, Minority health, Substance use and treatment
  

2019

• Social Determinants of Health Among Minority Populations in Rural America
  This project compiled information from the U.S. Census, the Area Health Resource File, and the Robert Wood Johnson Foundation County Rankings data set into a comprehensive summary of key social determinants of health among rural populations: demographic characteristics, economic characteristics, health facility availability, and selected health outcomes.
  Research center: Rural and Minority Health Research Center
  Topics: American Indians and Alaska Natives, Hispanics, Minority health, Rural statistics and demographics, Social determinants of health
  

2007

• Tribal Long-Term Care: Barriers to Best Practices in Policy and Programming for a National Sample of Rural Tribes
  This project will examine barriers experienced by rural American Indian and Alaska Native (AI/AN) tribes in developing long term care policy and service provision, identify tribes which exemplify best practices in the area of long term care policy, and document what other tribes would need to know to develop successful long term care programs (i.e., lessons learned).
  Research center: FORHP-funded Individual Grantees
  Topics: Aging, American Indians and Alaska Natives, Long-term care, Minority health
  

2006

• Impact of Health Insurance Coverage on Native Elder Health: Implications for Addressing the Health Care Needs of Rural American Indian Elders
  This project examined the types of health insurance coverage of rural Native American elders ages 55 and older, and examine how different types of health insurance coverage and lack of health insurance coverage impact access to health care services among Native American elders by geographic location (rural frontier, rural non-frontier and urban).
  Research center: Upper Midwest Rural Health Research Center
  Topics: Aging, American Indians and Alaska Natives, Frontier health, Healthcare access, Minority health, Private health insurance, Rural statistics and demographics, Uninsured and underinsured
  

2005

• National Trends in the Perinatal and Infant Health Care of Rural and Urban American Indians (AIs) and Alaska Natives (ANs)
  This project examined and compared trends in prenatal care and mortality rates of rural and urban AI/AN and non-AI/AN populations in order to determine the level of disparity between these populations and their temporal changes.
  Research center: WWAMI Rural Health Research Center
  Topics: American Indians and Alaska Natives, Children and adolescents, Health disparities and health equity, Maternal health, Minority health
  
• Native Elder Care Needs Assessment: Development of a Long Term Care Planning Tool Kit
  A long term care planning tool kit will assist tribes with interpreting long term care data obtained through a national Native Elder Care Needs Assessment. It will also assist tribes in using the data to develop long term care infrastructure and comprehensive services that respond to local needs and services.
  Research center: FORHP-funded Individual Grantees
  Topics: Aging, American Indians and Alaska Natives, Long-term care, Minority health
  

2004

• Prevalence of Chronic Disease and the Degree of Rurality of American Indian Elders in a Nationally Representative Sample of 100 Tribes
  This project will determine if there are differences in prevalence of chronic disease in American Indian elders across age groups in urban vs. rural vs. frontier counties. Moderating factors of chronic disease will also be examined including health damaging behaviors, access to health care services and providers and degree of functional limitation.
  Research center: FORHP-funded Individual Grantees
  Topics: Aging, American Indians and Alaska Natives, Chronic diseases and conditions, Frontier health, Long-term care, Minority health, Rural statistics and demographics
  

2003

• Availability of Specialty Health Care for Rural American Indians and Alaska Natives
  Research center: WWAMI Rural Health Research Center
  Topics: American Indians and Alaska Natives, Health services, Minority health