• Current Projects - (2)
• Completed Projects - (1)
• Publications - (2)

---

Current Projects - (2)

• 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.
  Research center: Rural and Underserved Health Research Center
  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.
  Research center: Rural and Underserved Health Research Center
  Topics: Diabetes, Health promotion and disease prevention, Medicare, Obesity
  

---

Completed Projects - (1)

• Barriers and Disparities Associated with Pneumococcal Immunization Among Rural Elderly Adults
  Our Center will conduct 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.
  Research center: Rural and Underserved Health Research Center
  Topics: Health disparities and health equity, Health promotion and disease prevention
  

---

Publications - (2)

• Rural/Urban Disparities in Pneumococcal Vaccine Service Delivery Among the Fee-for-Service Medicare Population
  Policy Brief
  Rural and Underserved Health Research Center
  Date: 02/2018
  Using 2014 Medicare data, we found a significant disparity in pneumococcal vaccine service delivery to fee-for-service Medicare beneficiaries. Although primary care providers delivered the majority of pneumococcal vaccines to this population, pharmacy providers delivered a significantly greater proportion of vaccines in rural versus urban counties.
• Update: Rural/Urban Disparities in Pneumococcal Vaccine Service Delivery Among the Fee-for-Service Medicare Population, 2012-2015
  Policy Brief
  Rural and Underserved Health Research Center
  Date: 11/2018
  Delivery of pneumococcal vaccines to fee-for-service Medicare beneficiaries increased 380% from 2014-2015 as a result of uptake of pneumococcal conjugate vaccine (PCV13). However, a significant rural-urban disparity remains. Pharmacy providers delivered a significantly greater proportion of vaccines in rural versus urban counties.