Rural and Underserved Health Research Center

Completed Projects

Alphabetical list. You can also view by project completion date.

  • 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
  • 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
  • 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
  • Medicare Beneficiaries' Access to Preventive Services: Diabetes Self-Management Training, Medical Nutrition Therapy, and Health and Behavior Assessment and Intervention
    Medicare offers preventive services focused on self-management through several programs: Diabetes Self-Management Training, Medical Nutrition Therapy, and Health and Behavior Assessment and Intervention.
    Topics: Diabetes, Health promotion and disease prevention, Medicare, Obesity
  • 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.
    Topics: American Indians and Alaska Natives, Health disparities and health equity, Health services, Mental and behavioral health
  • Predictors of Buprenorphine Prescribing by Family Physicians in Rural Areas Nationally
    This project examined how physician and practice-level characteristics are associated with family physicians prescribing buprenorphine for opioid use disorder across rural and urban areas. The study made use of a unique dataset collected among family physicians nationally in 2017.
    Topics: Health disparities and health equity, Health services, Mental and behavioral health, Pharmacy and prescription drugs, Physicians, Substance use and treatment
  • 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.
    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
  • Rural and Urban Differences in Access to Psychiatric Partial Hospitalization Programs
    The project informed policymakers about the accessibility of psychiatric partial hospitalization programs, which provide moderately intensive and structured psychiatric services in outpatient settings, particularly hospital-based outpatient clinics.
    Topics: Health services, Healthcare access, Hospitals and clinics, Mental and behavioral health
  • 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
  • Substance Use, Depression, and Suicide: What Are the Individual and Policy-Modifiable Correlates Amongst Metropolitan and Non-metropolitan Adults?
    We estimated the prevalence of depression and suicidal ideation and attempts amongst metropolitan and non-metropolitan adults nationally. We also investigated how demographic, social, economic, and health (including alcohol and drug abuse) as well as healthcare access factors explain depression and suicide indicators amongst residents.
    Topics: Health disparities and health equity, Health services, Mental and behavioral health, 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
  • 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