Nathaniel Anderson, MPH

Maine Rural Health Research Center

Phone: 207.228.8187
Email: nathaniel.anderso@maine.edu

University of Southern Maine
PO Box 9300
Portland, ME


Completed Projects - (1)

  • Patterns of Care for Rural and Urban Children with Mental Health Problems
    This study will assess whether use of office-based care and psychotropic medicine by children differs between rural and urban areas, as well as the role of insurance coverage and availability of mental health providers on use of these services.
    Research center: Maine Rural Health Research Center
    Topics: Children, Health disparities, Mental health

Publications - (6)

  • Health Insurance Profile Indicates Need to Expand Coverage in Rural Areas (Policy Brief)
    Maine Rural Health Research Center
    Date: 07/2009
    Rural residents-particularly in the most remote rural communities-are in greater need of health reform, as demonstrated by an uninsured rate higher than that of urban residents. The rural-urban disparity in coverage is driven by higher uninsured rates among rural adults, a group that should be part of any strategic effort to improve coverage. This brief provides information on the health insurance status of rural Americans, summarized from a more detailed chartbook. Analyses are based on the 2004-05 Medical Expenditure Panel Survey.
  • Impact of Employment Transitions on Health Insurance Coverage of Rural Residents
    Maine Rural Health Research Center
    Date: 10/2010
    Explores the impact of changes in employment status on insurance coverage for rural and urban workers.
  • Many Urban and Rural Workers Lose Health Insurance During Job Transitions (Policy Brief)
    Maine Rural Health Research Center
    Date: 10/2010
    Explores the impact of changes in employment status on insurance coverage for rural and urban workers, and the factors behind any differences.
  • Patterns of Care for Rural and Urban Children with Mental Health Problems
    Maine Rural Health Research Center
    Date: 06/2013
    Reports that rural children are significantly less likely to be diagnosed and treated for non-ADHD mental health problems than urban children and are less likely to receive mental health counseling.
  • Profile of Rural Health Insurance Coverage: A Chartbook
    Maine Rural Health Research Center
    Date: 06/2009
    As the nation considers whether and how to reform the healthcare system, it is important to consider differences in health insurance coverage for those living in rural and urban areas. Analyses of persons under age 65 from the 2004-05 Medical Expenditure Panel Survey reveal a greater proportion of rural residents than urban residents who are uninsured or covered through public sources, especially among those living in remote areas. Rural adults are at high risk of being uninsured compared to rural children. Uninsured rates are highest among adults over age 50 in the most remote rural places. Compared to urban adults, rural adults are less likely to be in employment situations where private coverage is offered.
  • Rural Adults Face Parity Problems and Other Barriers to Appropriate Mental Health Care
    Maine Rural Health Research Center
    Date: 11/2008
    Findings suggest that a multi-level approach is essential for meeting the mental health service needs of rural residents.

    Key facts include: 8% of rural adults say that they are in "fair" or "poor" mental health versus 6% of urban adults;
    Among those using mental health services, rural residents are more likely than urban residents to use medication but not therapy. Practice guidelines for quality mental health treatment recommend that medications be given in combination with therapy;
    Both rural and urban adults have greater cost sharing for their mental healthcare than for their total healthcare use. The percentages do not differ by residence; however, rural residents may be at greater risk of forgoing mental healthcare due to costs.
    This Research & Policy Brief is based on a longer study by the authors. For more information about this study, please contact Erika Ziller at eziller@usm.maine.edu