Marvellous A. Akinlotan, PhD, MPH, BDS

Southwest Rural Health Research Center

Phone: 979.436.9467
Fax: 979.436.9598
Email: akinlotan@tamu.edu

College of Nursing
Texas A&M University
School of Public Health
TAMU 1266
College Station, TX 77843-1266

Current Projects - (1)
Publications - (15)

Current Projects - (1)

Trends and Predictors of Urban-Rural and Racial/Ethnic Disparities in Hospitalizations Tied to Acute Myocardial Infarction
This project will update the Federal Office of Rural Health Policy's research portfolio on hospital-based disparities associated with acute myocardial infarctions (AMIs). Very little is known about variances in hospital-based outcomes for AMIs along the urban-rural continuum and among diverse sub-populations in the U.S.
Research center: Southwest Rural Health Research Center
Topic: Health disparities and health equity

Publications - (15)

2023

Travel for Medical or Dental Care by Race/Ethnicity and Rurality in the U.S.: Findings From the 2001, 2009 and 2017 National Household Travel Surveys
Journal Article
Southwest Rural Health Research Center
Date: 10/2023
This study examines trends in the travel distance and time for medical/dental care trips. Using 2001 to 2017 data from the National Household Travel Survey, our analysis found that travel distance and time increased for rural residents relative to urban residents.
Factors Associated With Hospitalizations for Co-occurring HIV and Opioid-related Diagnoses: Evidence From the National Inpatient Sample, 2009-2017
Journal Article
Southwest Rural Health Research Center
Date: 05/2023
This study explores trends in co-occurring HIV and opioid-related hospitalizations and identifies key risk factors.

2021

Rural Urban Variation in Travel Burdens for Care: Findings From the 2017 National Household Travel Survey (Executive Summary)
Supplement
Southwest Rural Health Research Center
Date: 12/2021
This project focuses on geographic access to medical and dental care, knowing that travel distances can keep people from getting necessary care. The study examines how rural residents' travel behaviors vary by socio-demographic and geographic characteristics and evaluates factors associated with a higher travel burden for medical and dental care.
Racial, Rural, and Regional Disparities in Diabetes-Related Lower-Extremity Amputation Rates, 2009–2017
Journal Article
Southwest Rural Health Research Center
Date: 09/2021
This study examines race, rurality, and regional disparities in diabetes-related lower-extremity amputations (LEA) among adult hospitalizations from 2009-2017. Findings indicate rising minor LEA rates among Asians/Pacific Islanders and rising major LEA rates among hospitalized diabetes patients in the Midwest.
Rural-Urban Variations in Travel Burdens for Care: Findings From the 2017 National Household Travel Survey (Policy Brief)
Policy Brief
Southwest Rural Health Research Center
Date: 07/2021
This project focuses on geographic access to medical and dental care, knowing that travel distances can keep people from getting necessary care. The study examines how rural residents' travel behaviors vary by socio-demographic and geographic characteristics and evaluates factors associated with a higher travel burden for medical and dental care.
The Co-occurrence of HIV and Opioid Mortality in Rural and Urban America From 1999-2018
Policy Brief
Southwest Rural Health Research Center
Date: 06/2021
This project evaluates trends in mortality from human immunodeficiency virus (HIV) and opioid use in rural and urban areas of the U.S. It explores whether HIV and opioid deaths appear to be related over time in rural and urban areas.

2020

Factors Affecting the Likelihood of a Hospitalization Following a Diabetes-Related Emergency Department Visit: A Regional and Urban-Rural Analysis
Journal Article
Southwest Rural Health Research Center
Date: 05/2020
This study examines place-based and individual-level predictors of diabetes-related hospitalizations using 2009-2014 data from the National Inpatient Sample. Our findings indicate a higher incidence of these hospitalizations in residents of noncore areas in the South and Midwest, racial and ethnic minorities, and the uninsured population.
Healthy People 2020 Progress for Leading Causes of Death in Rural and Urban America: A Chartbook
Chartbook
Southwest Rural Health Research Center
Date: 03/2020
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.

2019

Congestive Heart Failure-Related Hospital Deaths Across the Urban-Rural Continuum in the United States
Journal Article
Southwest Rural Health Research Center
Date: 12/2019
This study examines congestive heart failure (CHF)-related, in-hospital mortality across six levels of rurality and four census regions. Results indicated CHF-related hospital admissions in small metropolitan, micropolitan, and noncore areas, compared to large central metropolitan areas, were more likely to result in death.
Prevalence and Mortality of Heart Disease and Related Conditions: Disparities Affecting the South, Rural Areas, and American Indian and Alaska Natives
Policy Brief
Southwest Rural Health Research Center
Date: 11/2019
This policy brief identifies trends in the prevalence of stroke, heart disease, and heart attack while also assessing trends in mortality for heart disease and related conditions across the nation. The study examined whether disease-related mortality and prevalence varied across place and time.
The Changing Landscape of Diabetes Mortality in the United States Across Region and Rurality, 1999-2016
Journal Article
Southwest Rural Health Research Center
Date: 02/2019
This brief report examines place-based differences in diabetes mortality to understand whether disparities in diabetes mortality have changed across U.S. Census regions and levels of rurality over time. Reductions in diabetes mortality are lagging in rural areas, and the rural South in particular, relative to other areas of the country.
Diabetes-Related Hospital Mortality in the U.S.: A Pooled Cross-Sectional Study of the National Inpatient Sample
Journal Article
Southwest Rural Health Research Center
Date: 02/2019
This study examined place-based and individual-level variations in diabetes-related hospital deaths using the 2009-2015 National Inpatient Sample. Results show that place-based disparities exist. Targeted focus should be placed on the control of diabetic complications in the South, West, and Midwest census regions and among rural residents.

2018

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.
Individual- and County-Level Predictors of Cervical Cancer Screening: A Multi-Level Analysis
Journal Article
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.
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.