South Carolina Rural Health Research Center

Completed Projects

Adequacy of Ambulatory Care among Rural African Americans with Congestive Heart Failure, Diabetes or Asthma
Funder: Office of Rural Health Policy (ORHP)
Topics: African Americans, Chronic diseases and conditions, Minority health

Assessment of Barriers to the Delivery of Medicare Reimbursed Diabetes Self-Management Education in Rural Areas
Funder: Office of Rural Health Policy (ORHP)
Topics: Chronic diseases and conditions, Medicare, Minority health

Chartbook: Obesity in Urban and Rural Children
By providing a descriptive analysis of the disparities of childhood obesity by residence, socioeconomic status and race/ethnicity, the study will offer important information about the needs of children and adolescents living in rural areas and from families of low socioeconomic status.
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Obesity, Rural statistics and demographics

Chartbook: Oral Health and Unmet Needs for Dental Care Among Children
This study will characterize oral health status, dental care utilization, and unmet dental care needs among U.S. children by urban/rural residence. It will provide a descriptive analysis, using cross-sectional data from the 2003 National Survey of Children’s Health.
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Dental health, Health disparities, Rural statistics and demographics

Demand for Medical Services among Previously Uninsured Children: The Role of Rurality
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Health insurance and the uninsured, Medicaid and S-CHIP

Depression and Generalized Anxiety Disorder across Rural Populations
Funder: Office of Rural Health Policy (ORHP)
Topics: Health disparities, Mental health, Minority health

Diabetes and Hypertension in Rural Hispanics
The project will examine the similarities and differences between rural and urban Hispanics and Caucasian adults diagnosed with diabetes mellitus and hypertension.
Funder: Office of Rural Health Policy (ORHP)
Topics: Chronic diseases and conditions, Cultural competency, Health disparities, Hispanics, Minority health

Disability Burdens among Rural and Urban Older Americans
This project will use the 1994-2000 Second Longitudinal Study of Aging to develop detailed estimates of healthy, disabled, and total life expectancy among rural and urban populations. We will develop and compare the estimates between women and men, by race/ethnicity, and across differing levels of education.
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Disabilities, Health disparities, Long term care, Rural statistics and demographics

Effects of Alcohol Use on Educational Attainment and Employment in Rural Youth
This study will examine the effects of alcohol use during the teen years on subsequent educational attainment and employment in a panel of rural residents.
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Substance abuse

Effects of Uninsurance during the Preceding 10 Years on Health Status Among Rural Working Age Adults
Utilizing data from the 1979 National Longitudinal Survey of Youth, the effects of long-term, continuous uninsurance on health status will be analyzed through a comparison of rural and urban populations who were between the ages of 14-22 in 1979.
Funder: Office of Rural Health Policy (ORHP)
Topic: Health insurance and the uninsured

Emergency Department Use by Medically Indigent Rural Residents
Funder: Office of Rural Health Policy (ORHP)
Topics: Emergency medical services (EMS), Health insurance and the uninsured, Hospitals and clinics

Estimated Mental Health Care Utilization and Costs in Rural Areas
Funder: Office of Rural Health Policy (ORHP)
Topic: Mental health

How Rural Hospitals Are Meeting the Needs of Low-English Proficiency Patients
This study will determine the extent to which rural hospitals have implemented plans for compliance with the DHHS Low-English Proficiency regulations, describe the difficulties rural hospitals must overcome in order to provide health care to Hispanic clients, ascertain the translation techniques most commonly used by rural hospitals, and describe the most effective approaches in the provision of culturally competent health care to Hispanic clients.
Funder: Office of Rural Health Policy (ORHP)
Topics: Cultural competency, Hispanics, Legislation and regulation, Minority health

Impact of Medicaid Managed Care, Race/Ethnicity, and Rural/Urban Residence on Avoidable Maternity Complications: A Five-State Multi-level Analysis
This project will examine differences in access to care for pregnant women enrolled in Medicaid Managed Care (MMC) and Medicaid fee-for-service, and examine differences in the impact of MMC on access among rural and minority persons.
Funder: Office of Rural Health Policy (ORHP)
Topics: Maternal and child health, Medicaid and S-CHIP, Minority health, Women

Insurance Status and Quality of Care for Children in Rural Areas: 1993-2000
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Health insurance and the uninsured, Minority health, Poverty, Quality

Mental Health Risk Factors, Unmet Needs and Provider Availability for Rural Children
The study will examine the prevalence of subclinical problems in rural children, assess risk factors associated with problems in children, and assess the influence of local provider availability on healthcare provider contact.
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Health services, Mental health

Mode of Travel and Actual Distance Traveled for Medical or Dental Care by Rural Residents
This project examined the influence of race and rural isolation on distance traveled to receive medical or dental care, and how the potential interaction of these factors might exacerbate disparities in access to care.
Funder: Office of Rural Health Policy (ORHP)
Topics: Dental health, Health disparities, Health services, Minority health

Poverty, Parental Stress, and Violent Disagreements in the Home among Rural Families
Using the National Survey of Children's Health, this study will address the prevalence of poverty, parental stress and violent disagreements in the home in rural and urban families. Associations among economic hardships, parent stress, violent disagreements in the home and mental health problems in children will also be investigated.
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Physical abuse and domestic violence, Poverty, Women

Resource Mothers: Effect of a Home Visitation Program Using Indigenous Paraprofessionals on Maternal-Infant Preventive Services, Modifiable Risk Factors and Health Outcomes
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Maternal and child health

Role of English Proficiency and Area of Residence in the Use of Adult Preventive Health Services Among Latino Subgroups
This project will examine whether and how language and residence influence the utilization of preventive health services by Latino adults.
Funder: Office of Rural Health Policy (ORHP)
Topics: Cultural competency, Health promotion and disease prevention, Hispanics, Minority health

Rural EMS Infrastructure
Funder: Office of Rural Health Policy (ORHP)
Topics: Emergency medical services (EMS), Frontier health

Rural Health Center Expansion and Recruitment Survey
This collaborative project between WWAMI and the South Carolina Rural Health Research Centers examined and described the current staffing needs of rural health centers (HC), ascertained the staffing, recruitment, and retention issues that HC CEOs regard as most critical; distinguish edhow issues differ between CEOs contemplating development of expansion sites versus those who are not; and described how these findings correlate with the literature and current national supply projections for the categories of health professions needed by the HCs.
Funder: Office of Rural Health Policy (ORHP)
Topics: Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), Workforce

Rural Minority Health Data Warehouse
Funder: Office of Rural Health Policy (ORHP)
Topics: Health disparities, Minority health, Rural statistics and demographics

Rural Minority Health: A Comprehensive Assessment
This study will profile demographics of rural African Americans by region of the U.S.; describe clinical problems prevalent in rural African American populations; explore available health care facilities and practitioners in rural areas; investigate outpatient treatment provided to rural African American populations by type of practitioner; explore expenditures for health care among rural African Americans by region of the U.S.; and determine barriers to care such as insurance, provider availability, and health beliefs and behaviors.
Funder: Office of Rural Health Policy (ORHP)
Topics: African Americans, Health disparities, Minority health, Rural statistics and demographics

Rural Minority Health: A Comprehensive Assessment of Health Status, Health Care Utilization and Barriers to Care among Rural Minorities
Funder: Office of Rural Health Policy (ORHP)
Topics: Health disparities, Minority health, Rural statistics and demographics

Rural-Urban Comparison of Mental Health Care Treatment and Costs
Funder: Office of Rural Health Policy (ORHP)
Topics: Health care financing, Mental health

Teen Violence
This study will use national data to assess the prevalence of violence among rural youth, define risk factors for violence exposure among rural youth, and assess the current ability of rural school systems to provide appropriate mental health care and/or referrals for youth exposed to violence.
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Mental health, Physical abuse and domestic violence

Trends in Uninsurance Among Rural Minority Children
This project analyzed trends in health insurance coverage and health services utilization among rural children, in order to ascertain whether the S-CHIP program has positively affected rural children, and whether all rural children, including minority children, have benefited equally.
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Health insurance and the uninsured

Unhealthy Lifestyle Behaviors Among Minority Group Members: A National Rural and Urban Study
Funder: Office of Rural Health Policy (ORHP)
Topics: Health disparities, Health promotion and disease prevention, Minority health