Progress 06/01/00 to 12/31/04
Outputs
The Rural Health, Safety and Security Institute was established to conduct basic and applied reearch into the social, cultural, cognitive and behavioral dimensions of human health, safety, and security relevant for rural populations in America with special emphasis on Mississippi and which appear likely to be addressed successfully through interventions aimed at the modification of behavior patterns. Originally funded in June 2000 through a grant from the Office of Rural Health Policy, U.S. Department of Health and Human Services, the Institute brought together a critical mass of scientists with special expertise in behavioral, organizational, economic and policy issues. In recognition that important research questions involving rural health, safety and security require the combined expertise of numerous disciplines and professions, the Institute, through the SSRC and MSU, has created strategic research alliances to expand its research capacity and horizons. The
Institute made 46 awards for a total of $3,044,491 to support start-up research efforts. The Institutes' researchers submitted 116 proposals for funding by external entities and received 77 awards with budgets totaling $10,595,632. Researchers have published books, book chapters and journal articles and have made numerous presentations at scholarly meetings and before policy makers.
Impacts
The Rural Health, Safety and Security Institute produced policy research reports in the areas of physician labor force, Medicaid economic impacts, dental health policy, children's health and academic achievement, tobacco control policy, effects of environmental tobacco control, obesity and mortality which have been made available to policy makers and legislators.
Publications
- Cosby, A.G., Greenberg, R. E., Southward, L. and Weitzman, M. (Senior Editors). 2004. About Children: An Authoritative Resource on the State of Childhood Today. The American Academy of Pediatrics.
- McMillen, R. C., Breen, J., and Cosby, A. 2004. Rural-Urban Differences in the Social Climate Surrounding Environmental Tobacco Smoke: A Report from the 2002 Social Climate Survey of Tobacco Control. The Journal of Rural Health, 20(1): 7-16.
- Cossman, R. E., Cossman, J. S., James, W. L., Blanchard, T. C., and Cosby, A. 2004. Mortality Rates across Time: Does Persistence Suggest Healthy and Unhealth Places in the United States? In WorldMinds: Geographical Perspectives on 100 Problems, edited by Janelle, D.G., Warf, B., and Hansen, K. Amsterdam: Kluwer Press.
- McMillen, R. C., Valentine, N., and Cosby, A.G. 2004. The Mississippi Social Climate of Tobacco Control, 2000-2003. Social Science Research Center. Mississippi State University.
- McMillen, R., Valentine, N., Breen, J., Frese, W., and Cosby, A. 2004. The National Social Climate of Tobacco Control, 2000-2003. Social Science Research Center, Mississippi State University.
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Progress 01/01/03 to 12/31/03
Outputs
The Rural Health, Safety and Security Institute completed a number of significant activities that included the establishment of the Mississippi Health Policy Research Center (MHPRC), the production of 12 policy fact sheets, briefs and papers through the MHPRC, received three year funding from the Agency for Healthcare Research and Quality (AHRQ) for the Delta children's research infrastructure project, published reports on rural urban differences in ETS and publications on healthy and unhealthy places as well as a large number of other health, safety and security issues.
Impacts
The Rural Health, Safety and Security Institute produced policy research reports in the areas of physician labor force, Medicaid economic impacts, dental health policy, children's health and academic achievement, tobacco control policy, effects of environmental tobacco control, obesity and mortality which have been made available to policy makers and legislators.
Publications
- Cossman, J.S. 2003. Mississippi's physician labor force: current status and future concerns. White Paper. Mississippi Health Policy Research Center, Social Science Research Center, Mississippi State University. Mississippi State, MS.
- Cossman, J.S. 2004. Mississippi's physician labor force: current status and future concerns. Journal of the Mississippi State Medical Association. XLV(1):8-31.
- Cossman, R.E., Cossman, J.S., Jackson, R. and Cosby, A. 2003. Mapping high or low mortality places across time in the United States: a research note on a health visualization and analysis project. Health and Place. 9(4):361-69.
- Cossman, R.E., Blanchard, T.C., James, W., Jackson-Belli, R. and Cosby, A. 2002. Healthy and unhealthy places in America: are these really spatial clusters? Proceedings of the 22nd Annual ESRI International User Conference. Published as a CD and available on-line at: http:gis.esri.com/library/userconf/proc02/abstracts/a1064.html.
- Cossman, R.E., Cossman, J.S., James, W.L., Blanchard, T.C. and Cosby, A.G. 2004. Mortality rates across time: does persistence suggest healthy and unhealthy places in the United States? In Janelle, D.G., Warf, B., and Hansen, K., eds., WorldMinds: geographical perspectives on 100 problems. Amsterdam: Kluwer Press.
- McMillen, R.C., Breen, J., and Cosby, A.G. 2004. Rural urban differences in the social climate surrounding environmental tobacco smoke: a report from the 2001 Social Climate Survey of Tobacco Control. Journal of Rural Health. 20:7-16.
- McMillen, R.C., Dawson, L., Jones, E. and Gill, D.G. 2003. A community health assessment of the North Mississippi Health Services catchment area. Journal of the Mississippi State Medical Association. 44:135-40.
- McMillen, R.C., Winickoff, J.P., Klein, J.D. and Weitzman, M. 2003. U.S. adult attitudes and practices regarding smoking restrictions and child exposure to environmental tobacco smoke (ETS): changes in the social climate from 2000 to 2001. Pediatrics. 112:e55-360.
- Baldwin, N., McMillen, R. and Cosby, A. G. 2003. Youth smoking rates in Mississippi, 1998-2002. Poster presented at the 131st annual meeting of the American Public Health Association. San Francisco, CA.
- McMillen, R.C., Winickoff, J., Klein, J., Tanski, S. and Weitzman, M. 2003. Dose response relationship between number of tobacco cessation advice-sites and likelihood of quit attempts. Poster presented at the 2003 Pediatric Academic Societies' annual Meeting. Seattle, WA.
- Pascoe, J., McMillen, R.C. and Southward, L.H. 2003. Correlates of mothers' depressive sysmptoms: findings from a national survey, 2002. Poster session at the Pediatric Academic Societies' annual meeting. Seattle, WA.
- Pascoe, J., McMillen, R.C., and Southward, L.H. 2003. Correlates of mothers' spanking beliefs: findings from a national survey. Poster session at the Pediatric Academic Societies' annual meeting. Seattle, WA.
- Southward, L.H., McMillen, R.C. and Pascoe, J. 2003. Women's oral health attitudes, beliefs and practices: findings from a national survey. Paper presented to the National Rural Health Association meeting. Salt Lake City, UT.
- Southward, L.H., Pascoe, J. and McMillen, R. 2003. Social climate of early child health and well-being: a national survey. Poster presented at the 5th International Conference on the Scientific Basis of health Services. Washington, DC.
- Tanski, S., Winickoff, J., McMillen, R., Klein, J. and Weitzman, M. 2003. Changes from 2000 to 2002 in U.S. adult attitudes and practices regarding tobacco control and childrens' exposure to environmental tobacco smoke. Poster presented at the 2003 Pediatric Academic Societies' annual meeting. Seattle, WA.
- Weitzman, M., McMillen, R.C. and Pascoe, J. 2003. Maternal smoking and maternal depression: a previously undescribed pediatric co-morbidity. Platform session presented at the 2003 Pediatric Academic Societies' annual meeting. Seattle, WA.
- Winickoff, J., McMillen, R.C., Tanski, S., Klein, J., and Weitzman, M. 2003. Do child healthcare providers use effective therapies to help parental smokers quit? Poster presented at the 2003 Pediatric Academic Societies' annual meeting. Seattle, WA.
- Wood, P.B., Dunaway, R.G., Parisi, D., Estis, M. and Lee, M.R. 2002. The socioeconomic impact of prison construction in Mississippi counties. Paper presented at the annual meeting of the Southern Sociological Society. Baltimore, MD.
- Cossman, R.E. and Cossman, J.S. 2003. Are mixing populations healthier than stable populations: a county-level analysis of mortality and population mixing. Paper presented at the annual meeting of the American Sociological Association. Atlanta, GA.
- Cossman, R.E., Cossman, J.S., Blanchard, T.C., James, W. and Campbell, C. 2003. How standardization of rates affects the spatial patterns of mortality in the U.S. Poster presented at the annual meeting of the Population Association of America. Winner of the PAA Poster Excellence Award. Minneapolis, MN.
- Cossman, R.E. and James, W. 2003. Characteristics of healthy and unhealthy places in the United States. Paper presented at the Southern Demographic Association Annual Meeting. Arlington, VA.
- McMillen, R.C., Baldwin, N. and Cosby, A.G. 2003. Psychosocial correlates of youth smoking in Mississippi. Paper presented at the 2003 National Conference on Tobacco OR Health. Boston, MA.
- McMillen, R.C., Breen, J. and Cosby, A.G. 2003. Rural and urban trends in the prevalence of smoking bans: a report from the national social climate survey of tobacco control, 2000-2002. Platform session presented at the 26th annual National Rural Health Association Meeting, Salt Lake City, UT.
- Cossman, J.S. 2003. Impacts of physician labor shortages in the state. Presentation to the Haley Barbour Job Creation Summit. Jackson, MS.
- Cossman, J.S. 2003. Mississippi's physician labor force: current research and future directions. Presented to the Delta Medical Society. Delta State University, Cleveland, MS.
- Cossman, J.S. 2003. Physician labor force assessment in Mississippi. Invited presentation to the Kosciusko Rotary Club. Kosciusko, MS.
- Cossman, J.S., Blanchard, T.C. and Levin, M.L. 2002. Structural impacts on mortality: the importance of place. Paper presented at the annual meeting of the Southern Sociological Society. Baltimore, MD.
- Cossman, J.S., Blanchard, T.C. and Levin, M.L. 2002. Contextual correlates of mortality: are there healthy places to live? Poster presented at the annual meeting of the Population Association of America. Atlanta, GA.
- Cossman, J.S., Cossman, R.E., James, W., Blanchard, T.C., Campbell, C., Cosby, A.G. and Breen, J. 2003. Healthy and unhealthy places in America: are these really spatial clusters? Presented at the Croft Institute for International Studies Lecture Series. University of Mississippi. Oxford, MS.
- Cossman, J.S., Cossman, R.E., James, W., Blanchard, T.C., Campbell, C., Jackson-Belli, R., Cosby, A.G. and Breen, J. 2003. Healthy and unhealthy places in America: are these really spatial clusters? Presented to the Social Science Roundtable, Social Science Research Center, Mississippi State University, Mississippi State, MS.
- Blanchard, T.C. 2003. Community context and U.S. mortality. Paper presented at the annual meeting of the Southern Sociological Society. New Orleans, LA.
- Blanchard, T.C. 2003. The contextual effect of income inequality and civic community on the individual risk of mortality for U.S. adults. Refereed paper presented at the Southern Demographic Association annual meeting. Washington, D.C.
- Blanchard, T.C. 2003. Multi-level explanations of rural nutrition and health related outcomes. Paper presented at the annual meeting of the Rural Sociological Society. Montreal, Quebec, Canada.
- Blanchard, T.C., Cossman, J.S. and Levin, M.L. 2003. Data sources for the estimation of hierarchical models of individual mortality outcomes. Paper presented at the annual meeting of the Population Association of America. Minneapolis, MN.
- Cosby, A.G. 2003. Capacity of the Social Science Research Center for homeland security research. Presented to the U.S. Department of Homeland Security. Social Science Research Center, Mississippi State University. Mississippi State, MS.
- Cosby, A.G. 2003. Progress report: Atlas of American Children and the Mississippi Health Policy Research Center. Presented to the Bower Foundation Board of Directors' meeting. New Orleans, LA.
- Cosby, A.G. and Jones, E. 2003. Closing the gap: how policymakers make decisions. Paper presented at the Tri-State Health Policy Meeting. Jackson, MS.
- Cosby, A.G., Ritchie, J.B., Cossman, R.E., Wagner, M. and Parisi, D. 2003. Visualization of social science phenomena: a demonstration of emerging spatial technologies. Paper presented at the Rural Sociology Society Meetings. Montreal, Quebec, Canada.
- Cosby, A.G., Wagner, M., Southward, L.H., Cossman, R.E. and Breen, D. 2003. Health and economic status of the Mississippi Delta region. Paper presented at the Health as an Economic Engine in the Delta Conference. Memphis, TN.
- Cossman, J.S. 2003. Confluence of factors influencing the physician labor force in Mississippi and patient access. Presentation to the Mississippi Acaademy of Family Physicians. Destin, FL.
- Cossman, J.S. 2003. Factors influencing recruitment and retention of physicians in Mississippi. Invited presentation to the Mississippi Access for Rural Care Recruitment and Retention Committee. Jackson, MS.
- Cossman, J.S. 2003. Future levels of access to physicians in Mississippi: survey results from the Mississippi MD survey. Presentation to the Mississippi Health Care Professional Labor Force Task Force. Jackson, MS.
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Progress 01/01/02 to 12/31/02
Outputs
The Rural Health Safety, and Security Institute has conducted a number of research endeavors that include: established the Mississippi Health Policy Research Center with core funding through The Bower Foundation, participated in national and state surveys in tobacco control and environmental tobacco smoke, received funding for The Atlas of American Children Project from The Bower Foundation and the Phil Hardin Foundation, received initial funding for the establishment of the Social Science Research Center facility, received second year funding from the Agency for BRIC activities in the Mississippi Delta and continued analysis on projects dealing with healthy and unhealthy places.
Impacts
The impacts of the project have been to improve health policy in Mississippi through tobacco control, environmental tobacco smoke (ETS), health policy research, dental assessments, and identifying healthy and unhealthy places.
Publications
- McMillen, R., Breen, J., Frese, W. and Cosby, A.G. (2002). The Mississippi Social Climate of Tobacco Control, 2000-2002. Mississippi State University, Social Science Research Center.
- McMillen, R., Breen, J., Frese, W. and Cosby, A.G. (2002). The National Social Climate of Tobacco Control, 2000-2002. Mississippi State University, Social Science Research Center.
- Cossman, R., Cossman, J.S., Belli, R. and Cosby, A.G. (2003). "Mapping High or Low Mortality Places Over Time in the United States; A Research Note on a Health Visualization Project." Health and Place.
- Cossman, R., Cossman, J.S., James, W., Belli, R. and Cosby, A.G. (2002). "Healthy and Unhealthy Places in America: Are These Really Spatial Clusters?" Proceedings of the 22nd Annual ESRI International User Conference, San Diego, CA.
- McMillen, R., Breen, J. and Cosby, A.G. (2002). "Rural and Urban Differences in the Social Climate Surrounding Environmental Tobacco Smoke." Poster, Natl. Conf. on Tobacco or Health, November, San Francisco, CA.
- McMillen, R., Breen, J. and Cosby, A.G. (2002). "The National Social Climate of Tobacco Control, 2000-2002." Presentation to the 130th Annual Meeting of the American Public Health Association, October, Philadelphia, PA.
- McMillen, R., Jones, E. and Cosby, A.G. (2002). "Social Climate Conditions by State-Level Investment in Tobacco Control." Presented at the 20th National Conference on Health Education and Health Promotion, June, New Orleans, LA.
- Cosby, A.G. (2002). "Social and Cultural Context of Health in the South." Presented to the Centers of Disease Control: HIV/STD Among Women in the Non-Urban South, March, Atlanta, GA.
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Progress 01/01/01 to 12/31/01
Outputs
The Rural Health, Safety, and Security Institute has initiated a number of research endeavors that include an analysis of healthy and unhealthy places in America and a health assessment of the catchments area of the nation's largest rural health system (North Mississippi Health Services); conducted a national survey of the Social Climate for Tobacco Control jointly with the Center for Child Health Research of the American Academy of Pediatrics, focusing on ETS; conducted a national household survey to measure rural/urban variation in mental health and trust levels after 9-11; submitted (Dr. Southward) a grant to the Agency for Healthcare Research and Quality that was funded to improve the research infrastructure for children in the Delta; developed strategic alliances with both the North Mississippi Health Services and the Center for Child Health Research of the American Academy of Pediatrics; developed a consortia on issues associated with rural families and children
jointly with Center for Child Health Research - University of Rochester Medical School; initiated a national study of early childrearing practices with Wright State Medical School in healthy and unhealthy places in America.
Impacts
Research from the assessment of the North Mississippi Health Services area is being utilized to improve health services and modify community outreach by that hospital system. The tobacco climate survey information has assisted in legislation that bans smoking on school grounds and is now being used for policy work on smoke-free workplaces. Our BRIC project is impacting the manner in which information on health and well being is maintained in the Delta Region.
Publications
- McMillen, R., Gill, D.A., Yeager, G., Reavis, R. and Frese, W. 2001. North Mississippi Health Services Community Health Assessment: a report on the 2001 Community Health Assessment Survey. Social Science Research Center, Mississippi State University.
- McMillen, R., Gill, D.A. Yeager,G., Reavis, R. and Frese, W. 2001. North Mississippi Health Services Community Health Assessment: a report on the 2001 Community Health Assessment Survey (the Alabama Counties). Social Science Research Center, Mississippi State University.
- Ritchie, J., Gill, D.A., Reavis, R., Parrish, D., Wagner, M., Dean, L., Lynch, K., Parisi, D., and Grice, S. 2001. North Mississippi Health Services Community Health Assessment: a report of socioeconomic and health indicators. Social Science Research Center, Mississippi State University.
- McMillen, R., Yeager, G., Ritchie, L., Baird, C., Frese, W., and Cosby, A.G. 2001. Tobacco control in Mississippi, 1999-2000: a report on the 1999 and 2000 Social Climate Surveys. Mississippi State University, Social Science Research Center.
- McMillen, R., Frese, W., and Cosby, A.G. 2001. The national social climate of tobacco control, 2000-2001. Mississippi State University, Social Science Research Center.
- Gill, D.A., Parisi, D., Frese, W. and Cosby, A.G. 2001. National Survey on Terrorism. Mississippi State University, Social Science Research Center.
- Parrish, D.R. and Southward, L.H. 2001. Enhancing the capabilities of a national pediatric practice-based research network: reaching minority and underserved populations. Final Report submitted to Pediatric Research in Office Settings, American Academy of Pediatrics.
- Southward, L.H. and Robertson, A.A. 2000. Ansell-Casey Life Skills Assessment Reliability Study. Social Science Research Center, Mississippi State, MS.
- Southward, L.H., Robertson, A.A. and Smith, N. 2001. Research partnerships with a Native-American population: creating opportunities for appreciation and understanding. New Global Development: XVII (1&2), pp. 87-91.
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