Rural and Underserved Health Research Center

Completed Projects

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

2022

  • Longitudinal Trends in Community Mental Health Center and Federally Qualified Health Center Supply in Nonmetropolitan and Metropolitan Counties
    This study described how the supply of community mental health centers and Federally Qualified Health Centers has changed over time in nonmetropolitan and metropolitan counties nationally.
    Topics: Health disparities and health equity, Health promotion and disease prevention, Hospitals and clinics, Mental and behavioral health, Rural Health Clinics (RHCs), Substance use and treatment
  • Rural and Urban Variation in Family Physicians' Demographics and Practices
    This project examined changes in personal demographics of family physicians comparing urban and rural areas, how these changes aligned with those of the populations they serve, and how rural physician practices have changed over time. This project used American Board of Family Medicine data.
    Topics: Health disparities and health equity, Minority health, Physicians, Rural statistics and demographics
  • Serious Mental Illness and Access to Care Among Rural and Urban Adults
    Very little research has examined the prevalence of serious mental illness and access to mental health treatment among rural relative to urban adults in the U.S. Using nationally representative data, this project shed new light on the prevalence and correlates of serious mental illness and related access to mental health services.
    Topics: Health disparities and health equity, Healthcare access, Hospitals and clinics, Mental and behavioral health, Substance use and treatment
  • Unintentional Injury in Metropolitan and Nonmetropolitan Settings by Race or Ethnicity
    This study described the rates of fatal and nonfatal unintentional injury comparing metropolitan and nonmetropolitan areas, stratified by race or ethnicity. This study used Centers for Disease Control WONDER data (2014-2018) and the 2018 National Hospital Ambulatory Medical Care Survey.
    Topics: Emergency medical services and trauma, Health disparities and health equity

2021

  • Lung Diseases Among Coal Miners
    Coal miners are at increased risk of lung diseases. Using secondary datasets, we will assess the distribution of lung diseases across regions, identify patterns of healthcare utilization among miners relative to HRSA-funded Black Lung Clinics, and compare healthcare utilization patterns, behaviors, and comorbidities among miners and non-miners.
    Topics: Chronic diseases and conditions, Environmental and agricultural health, Health disparities and health equity, Health services
  • Rural Variation in Access to Naloxone for Opioid Overdose Prevention
    This project examined variability in access to naloxone-based metropolitan/nonmetropolitan dispensing counts from a representative sample of outpatient pharmacies across the U.S.
    Topics: Health disparities and health equity, Healthcare access, Pharmacy and prescription drugs, Substance use and treatment
  • The Association of Occupation with Mental Illnesses and Death by Suicide
    This study examined the association of occupational risk factors with mental illnesses, all-cause mortality, and suicide.
    Topics: Health disparities and health equity, Mental and behavioral health, Social determinants of health

2020

2019

2018

  • Barriers and Disparities Associated with Pneumococcal Immunization Among Rural Elderly Adults
    Our Center conducted analyses of national survey data and unique insurance claims data sets to identify how rurality of residence and key demographic, social, and economic characteristics serve as barriers or facilitators to vaccination against pneumococcal disease, which is relatively common although largely preventable among older Americans.
    Topics: Health disparities and health equity, Health promotion and disease prevention
  • The Impact of Medicaid Expansion on Rural/Urban Variations in Access to Substance Use Treatment
    Research indicates that substance use treatment access is insufficient in rural areas. We made use of our rare access to restricted use NSDUH data to offer new insights about the impact of Medicaid expansion on access to substance abuse treatment among individuals with substance abuse disorders, analyzing 13 years (2004-2016).
    Topics: Health disparities and health equity, Health services, Substance use and treatment
  • Variation in Scope of Practice and Medical Services Available at Family Physician Practices within Rural Areas
    Using data collected during recertification of family physicians by the American Board of Family Medicine, we examined variation in the scope of practice of family physicians and services available in the primary practice site by degree of rurality and within rural categories by community-level deprivation, as well as variation by Patient Centered Medical Home status.
    Topics: Health disparities and health equity, Health services, Physicians

2017

  • Exploring the Impact of Rural Hospital Closures on Use of Emergency Medical Services
    Using a unique national database, The Enterprise Data Trust, we will explore pre- and post-closure hospital emergency department use with specific emphasis on those who used public emergency medical transportation, testing for significant changes. This study will be the first to look at the impacts of rural hospital closure at the patient level.
    Topics: Emergency medical services and trauma, Health disparities and health equity, Health services, Transportation