Ty Borders, PhD
Director, Rural and Underserved Health Research Center
Phone: 859.218.0108
Email: ty.borders@uky.edu
College of Nursing
University of Kentucky
Healthy Kentucky Research Building
760 Press Avenue, Suite 360
Lexington, KY 40536
- Current Projects - (4)
- Completed Projects - (5)
- Publications - (3)
Current Projects - (4)
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Availability and Characteristics of Outpatient and Residential Substance Use Treatment in Rural and Urban Areas
This study will look at: 1) the availability of residential and outpatient treatment centers in rural and urban counties, including identifying counties with no facilities; and 2) characteristics of services offered (e.g., residential, outpatient), demographics of persons treated, and insurance plans accepted by rural vs urban centers.
Research center: Rural and Underserved Health Research Center
Topics: Health services, Healthcare access, Mental and behavioral health, Pharmacy and prescription drugs, Social determinants of health, Substance use and treatment
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Mental Health Treatment Among Rural and Urban Adults at Risk for Suicide
This study will look at rural/urban disparities in 1) the receipt and sources of mental health treatment among adults with suicidal thoughts and attempts using data from the National Survey on Drug Use and Health; and 2) mental health follow-up visits among adults with a hospital admission or emergency department visit for self-inflicted harm using data from a national insurance claims dataset.
Research center: Rural and Underserved Health Research Center
Topics: Health services, Healthcare access, Mental and behavioral health, Post-acute care
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Risky Substance Use Among Rural and Urban Adults: An Update
Very little research has examined rural vs. urban differences in substance misuse and treatment access nationally. Using public and nationally representative data from the National Survey on Drug Use and Health, this project will: 1) Estimate and compare alcohol use and binge drinking, and 2) Estimate and compare drug use (marijuana, other illicit drugs, and non-medical use of other drugs) between non-metropolitan and metropolitan adults.
Research center: Rural and Underserved Health Research Center
Topics: Mental and behavioral health, Substance use and treatment
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Work Settings, Education, and Intent to Leave Practice among Rural vs. Urban Nurses
Using data from the 2022 National Nursing Workforce Survey, this project will describe rural/urban differences in nurses' work settings, levels of education and licensure, demographic characteristics, income, and intention to retire or leave practice. Study findings could be applied to implement policies aimed at increasing nursing school output and attracting nurses to practice in rural areas.
Research center: Rural and Underserved Health Research Center
Topics: Nurses and nurse practitioners, Workforce
Completed Projects - (5)
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Rural and Urban Differences in Access to Psychiatric Partial Hospitalization Programs
The project informed policymakers about the accessibility of psychiatric partial hospitalization programs, which provide moderately intensive and structured psychiatric services in outpatient settings, particularly hospital-based outpatient clinics.
Research center: Rural and Underserved Health Research Center
Topics: Health services, Healthcare access, Hospitals and clinics, Mental and behavioral health
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Rural and Urban Primary Care Physicians' Colorectal Screening Performance
The objectives of this project were to profile, compare, and further understand rural versus urban differences in colorectal screening performance among primary care physicians nationally.
Research center: Rural and Underserved Health Research Center
Topics: Cancer, Chronic diseases and conditions, Health promotion and disease prevention, Healthcare access, Physicians
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Rural/Urban Variations in Cancer Screening During the COVID-19 Pandemic
Using the National Cancer Institute Health Information National Trends Survey, we examined how the COVID-19 pandemic disrupted the receipt of recommended screenings for common cancers. Findings informed policymakers about potential widening of rural/urban disparities in the receipt of cancer preventive services and the potential need to target these services toward rural residents.
Research center: Rural and Underserved Health Research Center
Topics: Cancer, Coronavirus Disease 2019 (COVID-19), Health promotion and disease prevention, Health services, Healthcare access
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Serious Mental Illness and Access to Care Among Rural and Urban Adults
Very little research has examined the prevalence of serious mental illness and access to mental health treatment among rural relative to urban adults in the U.S. Using nationally representative data, this project shed new light on the prevalence and correlates of serious mental illness and related access to mental health services.
Research center: Rural and Underserved Health Research Center
Topics: Healthcare access, Hospitals and clinics, Mental and behavioral health, Substance use and treatment
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Substance Use, Depression, and Suicide: What Are the Individual and Policy-Modifiable Correlates Amongst Metropolitan and Non-metropolitan Adults?
We estimated the prevalence of depression and suicidal ideation and attempts amongst metropolitan and non-metropolitan adults nationally. We also investigated how demographic, social, economic, and health (including alcohol and drug abuse) as well as healthcare access factors explain depression and suicide indicators amongst residents.
Research center: Rural and Underserved Health Research Center
Topics: Health services, Mental and behavioral health, Substance use and treatment
Publications - (3)
2024
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Cervical Cancer Screening Rates Among Rural and Urban Females, From 2019 to 2022
Journal Article
Rural and Underserved Health Research Center
Date: 06/2024
This study examines the receipt of a Papanicolaou test in the past year among U.S. females overall and females residing in rural and urban areas in 2019, 2020, and 2022, using the Health Information National Trends Survey.
2023
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Colorectal Cancer Screening in Rural and Urban Primary Care Practices Amid Implementation of the Medicare Access and CHIP Reauthorization Act
Journal Article
Rural and Underserved Health Research Center
Date: 06/2023
This study examined whether colorectal cancer screening rates improved among rural and urban primary care practices amid implementation of the Medicare Access and CHIP Reauthorization Act. Researchers tested for rural/urban differences and changes in screening rates between 2016 and 2020.
2021
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Suicide Mortality Rates in Farm-Related Occupations and the Agriculture Industry in the United States
Journal Article
Rural and Underserved Health Research Center
Date: 09/2021
This article examines suicide mortality among agricultural workers comparing rural and urban residents using pooled data from the Mortality‐Linked National Health Interview Survey, 1986–2014.