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)
- Completed Projects - (3)
- Publications - (3)
Current Projects - (3)
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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
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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
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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)
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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
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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
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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
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Use of the Area Deprivation Index and Rural Applications in the Peer-Reviewed Literature
Policy Brief
Rural Health Equity Research Center
Date: 03/2024
The Area Deprivation Index (ADI) was developed to capture area-level social deprivation for use in policy and research. In this literature review, researchers find that the use of the ADI in research is common.
2023
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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.