The impact of Medicaid expansion on the rural mortality penalty in the United States
医疗补助扩大对美国农村死亡率的影响
基本信息
- 批准号:10726695
- 负责人:
- 金额:$ 44.3万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-09-30 至 2025-09-29
- 项目状态:未结题
- 来源:
- 关键词:AddressAdoptedAdoptionAdultAgeAgingAlcohol consumptionAreaCOVID-19COVID-19 mortalityCOVID-19 pandemicCOVID-19 pandemic effectsCardiovascular systemCategoriesCensusesCessation of lifeCodeCountyDataDeath RecordsDemographyDevelopmentDifferential MortalityDisparityDistrict of ColumbiaElderlyEligibility DeterminationEthnic OriginExhibitsExploratory/Developmental GrantGeographyGoalsHealth InsuranceHealth PolicyHealth StatusHealthcareIncomeInsurance CoverageLinkLongevityLow incomeMathematicsMeasuresMedicaidMental HealthMetabolicMethodologyMethodsMortality DeclineNational Institute on AgingOutcomePatternPersonsPoliciesPopulationPrincipal InvestigatorPrivacyProcessRaceRecordsReduce health disparitiesResearchResearch DesignRoleRuralScientistShapesStandardizationStatistical ModelsTechniquesTestingTrainingUnited StatesUnited States National Center for Health StatisticsUrbanizationVariantVital StatisticsWorkaccess restrictionsageddeprivationdesigndisabilityexpectationexperiencefederal policyhealth care availabilityinnovationinsightinterestmortalitymortality disparitymortality statisticsnovelpopulation healthresidencerural arearural countiessexsex disparitysocioeconomicstrendurban areaurban disparity
项目摘要
Project Summary
Rural areas in the United States (U.S.) have exhibited higher mortality rates than urban areas since the late 1990s, a
pattern known as the rural mortality penalty. Recent research has found that the rural mortality penalty continues growing
due to mortality associated with preventable causes (metabolic and cardiovascular causes, alcohol use, and mental health).
The expansion of Medicaid adopted by many states in the U.S. had the potential to reduce death due to these and other
causes by facilitating access to healthcare to people who were not eligible under previous eligibility thresholds. While
some state in the nation adopted this expansion, a process that started in 2014, others rejected it. While the
adoption/rejection of this expansion is well-documented, little is known about the role the adoption of this policy at the
state level impacted well-established demographic phenomenon such as the rural mortality penalty. This project requests
access to restricted data to produce mortality rates for the population aged 19-64, by sex and by race/ethnicity to conduct a
novel analysis of the differences observed in the rural mortality penalty employing a difference-in-difference design. The
project evaluate whether the Medicaid expansion impacted the rural mortality penalty emphasizing the overall population,
and disparities by sex and race/ethnicity. The project will also be the first to explore whether the COVID-19 pandemic
impacted rural/urban mortality dynamics based on state-level adoption of the expansion of Medicaid by 2020. The
analytic approach will combine formal and mathematical demographic methods with novel statistical models to evaluate
the impact of the expansion of Medicaid in rural/urban mortality dynamics. Findings from this project will illustrate the
role that state-level policies have in shaping diverging or congruent trajectories in mortality and in the face of the ongoing
COVID-19 pandemic.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Alexis R Santos-Lozada其他文献
Alexis R Santos-Lozada的其他文献
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{{ truncateString('Alexis R Santos-Lozada', 18)}}的其他基金
Impact of the implementation of differential privacy to decennial census data in understanding of health disparities in the United States
对十年一次的人口普查数据实施差别隐私对了解美国健康差异的影响
- 批准号:
10349747 - 财政年份:2022
- 资助金额:
$ 44.3万 - 项目类别:
Impact of the implementation of differential privacy to decennial census data in understanding of health disparities in the United States
对十年一次的人口普查数据实施差别隐私对了解美国健康差异的影响
- 批准号:
10597013 - 财政年份:2022
- 资助金额:
$ 44.3万 - 项目类别:
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