• Current Projects - (1)
• Completed Projects - (4)
• Publications - (8)

---

Current Projects - (1)

• How Well are We Doing Meeting Healthy People 2020 Mortality Objectives at Midterm? Rural v. Urban Differences
  The purpose of this project is to conduct a midterm examination of urban versus rural disparities in meeting Healthy People 2020 mortality objectives for the top 10 leading causes of death in the U.S. utilizing existing secondary databases.
  Research center: Southwest Rural Health Research Center
  Topics: Chronic diseases and conditions, Health disparities and health equity
  

---

Completed Projects - (4)

• Chronic Disease Management in Rural Areas: Examination of Medicare and Medicaid Managed Care Programs
  The goal of this project was to advance knowledge of the use of disease management (DM) to address chronic conditions among rural populations, analyzing information from participating health plans and providers about special challenges and effective strategies in DM initiatives targeting rural populations.
  Research center: Southwest Rural Health Research Center
  Topics: Chronic diseases and conditions, Medicaid and S-CHIP, Medicare
  
• Rural/Urban Differences in Chronic Diseases and Delay of Needed Care
  This project examines rural versus urban differences in the prevalence, incidence, stage, and severity of several chronic diseases, including heart disease, stroke, and selected cancers. There is a focus on delayed access to needed care and whether rural residents present later and with more advanced disease states.
  Research center: Southwest Rural Health Research Center
  Topics: Cancer, Chronic diseases and conditions, Health disparities and health equity
  
• The Burden of Diabetes in Rural America
  The purpose of this project is to determine rural versus urban differences in type 2 diabetes prevalence, morbidity and mortality in the U.S. Diabetes complications, disparities and associated demographics are reported. A comparison of Mexican-American border versus non-border states is also included.
  Research center: Southwest Rural Health Research Center
  Topics: Chronic diseases and conditions, Diabetes, Health disparities and health equity, Minority health
  
• Use and Effect on Patients of Disease Management in Rural Areas
  Research center: Southwest Rural Health Research Center
  Topic: Health services
  

---

Publications - (8)

• Assessing Diabetes and Factors Associated with Foregoing Medical Care among Persons with Diabetes: Disparities Facing American Indian/Alaska Native, Black, Hispanic, Low Income, and Southern Adults in the U.S. (2011-2015)
  Southwest Rural Health Research Center
  Date: 04/2017
  The purpose of this project was to identify individual- and place-based factors associated with diagnosed diabetes and foregone medical care among those diagnosed with diabetes. Diabetes prevalence and foregone medical care were found to be higher for those with lower incomes, for several racial/ethnic groups, and in the South versus other regions.
• Cancer Mortality in Rural America: 1999-2016
  Policy Brief
  Southwest Rural Health Research Center
  Date: 11/2018
  This policy brief details the differences in mortality from cancer at various levels of rurality in America. The primary aim of this study was to understand the scope of cancer mortality in urban and rural areas of the U.S. Common cancer types—breast, cervical, lung, prostate, and colon—were analyzed over an 18-year period from 1999-2016.
• Chronic Disease Management In Rural Areas
  Southwest Rural Health Research Center
  Date: 05/2004
  This article describes a study of six chronic disease management programs throughout the United States. It discusses issues related to chronic disease management in rural areas.
• Diabetes and Forgone Medical Care due to Cost in the U.S. (2011-2015): Individual-level and Place-based Disparities
  Policy Brief
  Southwest Rural Health Research Center
  Date: 08/2017
  This brief is the first in a series prepared by the Southwest Rural Health Research Center on the topic of diabetes. The two aims of this study were to identify trends in diabetes rates and forgone medical care among persons with diabetes in the U.S. and to identify geographic determinants and other social determinants of health disparities.
• Diabetes Mortality in Rural America: 1999-2015
  Policy Brief
  Southwest Rural Health Research Center
  Date: 08/2017
  This brief is the second in a series prepared by the Southwest Rural Health Research Center on the topic of diabetes. The primary aim of this study was to understand the scope of diabetes-related mortality in urban and rural America. We analyzed mortality caused by diabetes over a 16-year period and explored the roles played by rurality and race.
• Diabetes-Related Hospital Mortality in Rural America: A Significant Cause for Concern
  Policy Brief
  Southwest Rural Health Research Center
  Date: 03/2018
  This brief is the third in a series prepared by the Southwest Rural Health Research Center on the topic of diabetes. The aim of this study was to examine trends and rates of diabetes-related deaths for persons hospitalized in the U.S., with emphasis on differences across the urban-rural continuum and across census regions.
• Differences Between Newly Admitted Nursing Home Residents in Rural and Nonrural Areas in a National Sample
  Southwest Rural Health Research Center
  Date: 02/2006
  This research investigates whether differences in acuity are a function of differences in resident payer status and occur for both individuals admitted for short stays, with Medicare as payer, and those needing chronic care.
• Individual- and County-Level Predictors of Cervical Cancer Screening: A Multi-Level Analysis
  Southwest Rural Health Research Center
  Date: 05/2018
  Despite gains in cervical cancer screening, persistent socio-economic, geographical, racial, and ethnic disparities remain. The objective of this study was to examine the combined effect of individual- and county-level characteristics on the use of cervical cancer screening tests such as Papanicolaou (Pap) tests in Texas.