Browsing by Subject "Rural Sociology"
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Item Characteristics of Primary Care Physicians Serving in Texas Medically Underserved Areas(2006-08-01) Lancaster, Scott Bradley; Kristine Lykens; Russell Gamber; Jeffrey TalbertLancaster, Scott Bradley, Characteristics of Primary Care Physicians Serving in Texas Medically Underserved Areas, 2005. Master of Public Health (Health Management and Policy), May 2006, 63 pp., 13 tables, bibliography, 59 titles. Primary care physician demographics were examined to determine if subgroups differed in choice of practice location in urban and rural Medically Underserved Areas (MUAs) in Texas. Compared with the overall proportion of physicians practicing in rural MUAs (8.8%), subgroups that significantly differed were Dos (13.5%), males (10.6%), general practitioners (19.4%), family physicians (12.4%), and graduates of medical school prior to or during 1960 (18.8%) and from 1961-1970 (11.2%). Compared with the overall proportion of physicians practicing in urban MUAs (23.2%), subgroups that significantly differed were females (25%), Blacks (29.7%), and Latinos (38.7). Binary logistic regression showed that Asian ethnicity, general practice specialty, and graduate year of 1961-1970 predicted MUA practice location. The statistically significant differences observed underscore the importance of further study to examine potential differences between rural and urban MUAs. Public policy that provides incentives for more equitable physician distribution should be based on sound research.Item Osteopathic Physicians in Primary Care, Texas 2003(2003-12-01) Miller, Thaddeus L.; Roderick Hooker; Doug A. MainsMiller, Thaddeus L., Osteopathic Physicians in Primary Care, Texas, 2003. Master of Public Health (Health Management and Policy), December 2003, 62 pp., 11 tables, 4 illustrations, bibliography, 51 titles. Physician demographics were examined to determine if female osteopaths differ in choice of practice specialty and location in Texas. Taken relative to gender and medical degree type female osteopaths have the highest rate of primary care practice, with over 70% engaged in family or general practice, internal medicine, or pediatrics. Female osteopaths have an odds ratio 4 times greater than other physicians to practice primary care. Female osteopaths are also 2.5 times likelier than female allopaths to practice rural primary care. Male osteopaths are 2.3 times likelier than other physicians to practice rural primary care. Primary care osteopaths are 1.4 times likelier to practice rural primary care than allopaths. Policy intended to produce primary or rural primary care physicians should encourage medical school candidates to consider osteopathy.Item Urbanicity and Mammography Utilization: How Living in an Urban or Rural Area Affects Mammography Screening Utilization Among Women in the United States(2008-05-01) Ylitalo, Kelly R.; Kathryn Cardarelli; Fang Fang Zhang; Nuha LackanYlitalo, Kelly R., Urbanicity and Mammography Utilization: How Living in an Urban or Rural Area Affects Mammography Screening Utilization among Women in the United States. Master of Public Health (Epidemiology), May 2008, 67 pp., 7 tables, 1 figure, references. Mammography is a widely used screening tool that can help prevent breast cancer mortality, yet utilization is not consistent. We utilized the 2006 Behavioral Risk Factor Surveillance System data to evaluate differences in mammography screening practices by urbanicity (urban vs. rural residence). Chi-square analyses, logistic regression, and propensity score matching were utilized to determine the association between urbanicity and mammography compared to women who lived in rural areas, even after controlling for individual variables. Geographic access to health care as represented by individual urban or rural residence may contribute to mammography screening practices in the United States.