Stephanie Mathis, DrPH, MPH

Rural Health Equity Research Center

Phone: 423.439.5506
Email: mathiss@etsu.edu

Center for Rural Health and Research
East Tennessee State University
PO Box 70704
Johnson City, TN 37614


Current Projects - (3)

  • Building the Rural Evidence Base: Examining the Feasibility of Implementing Pilot Programs and Demonstrations in Rural Communities
    Evidence-based interventions are commonly developed in populated, urban centers and then adapted for rural communities. This project will investigate the benefits of piloting and evaluating interventions in rural areas to build the rural evidence base as a step in addressing health disparities and improving health conditions in rural communities.
    Research center: Rural Health Equity Research Center
    Topics: Health disparities and health equity, Health promotion and disease prevention, Health services
  • Considerations for the Use of Area-Level Vulnerability and Resilience Indices and Rurality in Funding Formulas
    The purpose of this study is to model potential funding formulas within states to understand how structural elements in formulas (i.e., inclusion of the Social Vulnerability Index, use of rural carve-outs or floor amounts, and other factors) affect county-level allocations compared to simple, population-based formulas.
    Research center: Rural Health Equity Research Center
    Topics: Health disparities and health equity, Healthcare financing, Public health, Social determinants of health
  • Going Beyond Hospital Closures: Estimating Rural and Urban Changes in Access to Hospital Service Lines
    Rural hospital closures have been prominent in the last decade and are an important reflection of decreases in access to essential healthcare services. However, hospital closures alone may overlook other decreases to access through service line closures. This study estimates hospital service line closures over time and by rurality.
    Research center: Rural Health Equity Research Center
    Topics: Critical Access Hospitals (CAHs), Health services, Healthcare access, Hospitals and clinics

Completed Projects - (3)

  • Assessment of the Area Deprivation Index in Rural Areas
    The Area Deprivation Index (ADI) was created by University of Wisconsin researchers to provide a score for neighborhoods based on their level of disadvantage. This study characterized differences in ADI in rural vs urban areas, summarized the existing literature on ADI, and described expert considerations for utilizing the ADI for future policy.
    Research center: Rural Health Equity Research Center
    Topics: Frontier health, Health disparities and health equity, Poverty, Rural statistics and demographics, Social determinants of health
  • Examining the Burden of Public Stigma Associated with Mental Illness in the Rural U.S.
    This project quantitatively examined the burden of public stigma associated with mental illness in rural versus nonrural communities using a nationally representative panel-based survey. Findings inform strategies aimed at reducing stigma and improving the lives of those experiencing mental illness in rural communities.
    Research center: Rural Health Equity Research Center
    Topics: Health services, Mental and behavioral health
  • Following the Money: Do Block Grant Resources Reach Rural Communities?
    This project applied a mixed methods design to describe the distribution of block grant resources from federal agencies through states to the local level in rural and non-rural communities in the United States. Findings could guide federal agencies and policy makers to develop strategies to more effectively target block grant resources to ensure that the needs of vulnerable rural populations are addressed.
    Research center: Rural Health Equity Research Center
    Topics: Health services, Healthcare financing, Public health, Rural statistics and demographics

Publications - (3)

2024

2023

  • State Priorities and Needs: The Role of Block Grants
    Journal Article
    Rural Health Equity Research Center
    Date: 11/2023
    This study looks at state-level funding allocations for 5 federal block grant programs from 2015-2019, and associations with state-level measures of need that align with the purposes of each block grant program.
  • The Relationship Between Experience With Mental Illness and Stigmatizing Attitudes and Beliefs
    Policy Brief
    Rural Health Equity Research Center
    Date: 08/2023
    This policy brief documents the relationship between self-reported experience with any mental illness (whether first-hand or second-hand) and public stigma associated with mental illness. Differences in the prevalence of experience with mental illness by geography are also explored.