Elizabeth Crouch
Biographic Data
| ID | 5546656 |
|---|---|
| NAME | Elizabeth Crouch |
| GIVEN NAMES | Elizabeth |
| FAMILY NAME | Crouch |
| SIGNATURE | CROUCH E |
| AFFILIATIONS | University of South Carolina |
| ORCID | 0000-0002-5380-8391 |
| VERIFIED | Yes |
| TOTAL WORKS | 49 |
| TOTAL CITATIONS | 23 |
| AUTHOR COUNT | 49 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2015 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Rural–Urban Differences in Excessive Alcohol Use and Select Mental Health Conditions
Economic Stability of Children, a Key Social Determinant of Health, in the United States
PURPOSE: This study aims to examine rural-urban differences in the prevalence of three measures of one domain of social determinants of heath, economic security, in a national sample of children. METHODS: This was a cross-sectional study (2022-2023) of the National Survey of Children's Health. Primary exposures included rurality and child and caregiver characteristics. Three economic stability outcomes were whether a child experienced housing ins…
Parenting Stress, Family Resilience, and Emotional Support Among US Military Families
Rural–urban differences in bullying perpetration and victimization using a national sample
Letting stories breathe
This study explores the narrated lived experiences of Military-Connected Children and Young People (MCCYP) in Denmark and examines the relationship between Adverse Childhood Experiences (ACEs) and Benevolent Childhood Experiences (BCEs), particularly in the context of parental combat-related PTSD within their told stories. Using content analysis, interview data was re-analysed using the Adverse Childhood Experiences (ACEs) and Benevolent Childhoo…
Health care access barriers among metropolitan and nonmetropolitan populations of eight geographically diverse states, 2018
INTRODUCTION: Nonmetropolitan populations face frequent health care access barriers compared to their metropolitan counterparts, but differences in the number of these barriers across groups are not known. Our objective was to examine the differences in health care access barriers across metropolitan, micropolitan, and noncore populations. METHODS: We used Behavioral Risk Factor Surveillance System data from the optional "Health Care Access" modu…
Geographic disparities in unpaid caregiving
PURPOSE: An updated, nationally representative examination of rural-urban differences in the experiences, health, and well-being of caregivers is needed; previous research on this topic uses older data or has limited generalizability. This study examines rural-urban differences in the characteristics, experiences, and health of caregivers. METHODS: The 2021-2022 Behavioral Risk Factor Surveillance System (n = 44,274 unpaid caregivers) was used, w…
Rural–urban differences in substance use during pregnancy
PURPOSE: Drug overdoses are now a leading cause of pregnancy-related deaths in the United States. Despite evidence of rural-urban disparities in substance use, there has not yet been a nationally representative examination of rural-urban differences in perinatal substance use. This study provides a comprehensive examination of rural-urban disparities in perinatal substance use. METHODS: This study uses cross-sectional data to examine 3499 pregnan…
Adverse Childhood Experiences, Positive Childhood Experiences, and Digital Media Use among Children and Adolescents in the United States
Compensatory internet use has been demonstrated to be a potential coping mechanism for stressors, which may lead to heavy digital media use. Little is known about what family-based factors may contribute to heavy digital media use among children and adolescents. This study used cross-sectional data from the 2021–2022 National Survey of Children’s Health to examine the prevalence of adverse and positive childhood experiences (ACEs and PCEs) and ho…
Varying Forms of Childhood Sexual Abuse and Late-Life Depression Among Older Adults Living with HIV
Childhood sexual abuse (CSA) has been linked to depression in adulthood. However, studies examining the potential link between CSA and depression in older adulthood are limited. Therefore, the aim of this study was to examine the association between CSA and late-life depression among older adults living with HIV (OALH) using two measures of depression. Data were obtained from OALH attending an immunology clinic in South Carolina (n = 91). Multiva…
Childhood sexual trauma and opioid use among older adults living with HIV
Childhood sexual abuse (CSA) has been linked to substance use and substance use disorders in adulthood. However, there have been limited studies examining the relationship between CSA and opioid use among older adults living with HIV (OALH). Therefore, the aim of this study was to determine the association between CSA and opioid use among OALH (n = 91). Data were obtained from an HIV clinic population in South Carolina using paper-and-pen, and on…
Rural‐urban differences in access to care among children and adolescents in the United States
PURPOSE: Rural children and adolescents face disproportionate challenges in access to health care services than their urban counterparts. Yet, recent evidence on disparities in access to health care between rural and urban children and adolescents has been limited. This study examines the associations of residence location with receipt of preventive care, foregone medical care, and continuity of insurance coverage among US children and adolescent…
Sleep, Screen Behaviors, and Adverse Childhood Experiences
Racial, Ethnic, and Rural/Urban Disparities in HIV and Sexually Transmitted Infections in South Carolina
Examining Bullying Victimization, Bullying Perpetration, and Positive Childhood Experiences
BACKGROUND: The National Academy of Sciences has recognized bullying as a serious public health issue, with the outcomes of bullying immediate and long-term. The purpose of this study was to examine the relationship between 7 selected positive childhood experiences, such as having a mentor, and bullying victimization, and bullying perpetration. METHODS: We used cross sectional data from the 2019-2020 National Survey of Children's Health, children…
Examining the association between rurality and positive childhood experiences among a national sample
PURPOSE: The present study examines the association between rurality and positive childhood experiences (PCEs) among children and adolescents across all 50 states and the District of Columbia. Recent work has quantified the prevalence of PCEs at the national level, but these studies have been based on public use data files, which lack rurality information for 19 states. METHODS: Data for this cross-sectional analysis were drawn from 2016 to 2018 …
Changes in access to community health services among rural areas affected and unaffected by hospital closures between 2006 and 2018
PURPOSE: Recent studies suggest that Federally Qualified Health Centers (FQHC) may be expanding their provision of primary care in rural communities that experience a hospital loss. Whether these trends are different from rural areas not being affected by rural hospital closures is unknown. METHODS: Data included Centers for Medicare and Medicaid Services Provider of Services files, the Cecil G. Sheps hospital closure database, and American Commu…
Availability of hospital‐based cancer services before and after rural hospital closure, 2008‐2017
INTRODUCTION: Rural populations have less access to cancer care services and experience higher cancer mortality rates than their urban counterparts, which may be exacerbated by hospital closures. Our objective was to examine the impact of hospital closures on access to cancer-relevant hospital services across hospital service areas (HSAs). METHODS: We used American Hospital Association survey data from 2008 to 2017 to examine the change in access…
The Covid‐19 pandemic impact on independent and provider‐based rural health clinics’ operations and cancer prevention and screening provision in the United States
INTRODUCTION: The COVID-19 pandemic has disrupted cancer care, but it is unknown how the pandemic has affected care in Medicare-certified rural health clinics (RHCs) where cancer prevention and screening services are critical for their communities. This study examined how the provision of these cancer services changed pre- and peri-pandemic overall and by RHC type (independent and provider-based). METHODS: We administered a cross-sectional survey…
Child and Adolescent Health in the United States
Child and Adolescent Anxiety and Depression Prior to and During the Covid-19 Pandemic in the United States
Examining racial–ethnic differences in positive childhood experiences among rural children
Examining Racial/Ethnic Differences in Positive Childhood Experiences Among Respondents in a Southern State
Safe, supportive neighborhoods
The findings from this study highlight the role of social structures in tightening the safety net for oral healthcare in children
An examination of caregiver incarceration, positive childhood experiences, and school success
Exploring the association between parenting stress and a child's exposure to adverse childhood experiences (ACEs)
Rural-Urban Mortality Disparities
Objectives. To examine rural-urban disparities in overall mortality and leading causes of death across Hispanic (any race) and non-Hispanic White, Black, American Indian/Alaska Native (AI/AN), and Asian/Pacific Islander populations. Methods. We performed a retrospective analysis of age-adjusted death rates for all-cause mortality and 5 leading causes of death (cardiovascular, cancer, unintentional injuries, chronic lower respiratory disease, and …
Economic repercussions of marital infidelity
Purpose – Numerous scholars have studied the propensity and related determinants of marital infidelity across socioeconomic and demographic groups. However, the broader social and economic consequences of infidelity remain an unexplored question, particularly the macroeconomic consequences from the individual impacts on families and households. The paper aims to discuss these issues. Design/methodology/approach – Using income data from the Bureau…
Policy effectiveness of U.S. governors
Examining the association between ACEs, childhood poverty and neglect, and physical and mental health
Examining exposure to adverse childhood experiences and later outcomes of poor physical and mental health among South Carolina adults
An examination of caregiver incarceration, positive childhood experiences, and school success
Policy effectiveness of U.S. governors
Group Prenatal Care Results in Medicaid Savings with Better Outcomes
Economic repercussions of marital infidelity
Purpose – Numerous scholars have studied the propensity and related determinants of marital infidelity across socioeconomic and demographic groups. However, the broader social and economic consequences of infidelity remain an unexplored question, particularly the macroeconomic consequences from the individual impacts on families and households. The paper aims to discuss these issues. Design/methodology/approach – Using income data from the Bureau…
Gender and geographic differences in Medicare service utilization during the last six months of life
End-of-life issues are important for senior women, particularly rural women, who are more likely than their urban counterparts to live alone. The role of residence as a factor for health-care utilization among Medicare beneficiaries during the last six months of life has yet to be investigated. The purpose of this study is to examine whether service utilization in the last six months of life differs across gender and rurality. The sample was rest…
Safe, Stable, and Nurtured
Examining exposure to adverse childhood experiences and later outcomes of poor physical and mental health among South Carolina adults
Behavioral risk factor surveillance system state survey on exposure to adverse childhood experiences (ACEs)
Prevalence of adverse childhood experiences (ACEs) among US children
Rural‐Urban Differences in Costs of End‐of‐Life Care for the Last 6 Months of Life Among Patients with Breast, Lung, or Colorectal Cancer
PURPOSE: The purpose of this study was to examine rural-urban differences in utilization and expenditures in the last 6 months of life for patients with breast, lung, or colorectal cancer. METHODS: The study used a 5% sample of the 2013 Medicare Research Identifiable Files to study utilization and expenditures for beneficiaries with breast, lung, or colorectal cancer during the last 6 months before death (n = 6,214). End of life expenditures were…
Homelessness in Childhood and Adverse Childhood Experiences (ACEs)
Exploring associations between adverse childhood experiences and oral health among children and adolescents
Pediatricians, dental hygienists, and dentists need to be aware of how childhood trauma may hinder both caregivers and children from engaging in preventive oral health care or dental treatment. The information provided in our study can inform policies and programs that support children's oral health, through the identification and mitigation of childhood trauma
Exploring the association between parenting stress and a child's exposure to adverse childhood experiences (ACEs)
The Association of Adverse Childhood Experiences With Anxiety and Depression for Children and Youth, 8 to 17 Years of Age
Community water fluoridation perceptions and practice in the United States
The primary objective of this research is to reveal potential challenges in achieving the finalized water fluoridation recommendation made by the Federal Water Fluoridation Panel in the United States (U.S.) with data extracted from consumer confidence reports. A secondary objective is to understand community water system manager's perceptions of and ability to meet this new standard using a survey instrument. Mean fluoridation levels are above th…
A National Survey of RN-to-BSN Programs
BACKGROUND: Increased representation of Bachelor of Science in Nursing (BSN)-prepared nurses improves health and reduces costs. Fewer rural U.S. nurses have BSN degrees compared with the national average. RN-to-BSN programs provide an opportunity to increase the number of BSN-prepared rural nurses. However, the number of these programs targeting rural students is unknown. METHOD: Directors of RN-to-BSN programs were surveyed regarding program cha…
Rural‐Urban Differences in Adverse Childhood Experiences Across a National Sample of Children
Purpose : The purpose of this study was to examine the prevalence of adverse childhood experiences (ACEs) exposure in 34 states and the District of Columbia, and whether exposure differs between rural and urban residents. Methods : This cross‐sectional study used data from the 2016 National Survey of Children's Health (NSCH), restricted to states in which rural versus urban residence was indicated in the public use data (n = 25,977 respondents). …
Assessing Change in Physician Practice Organization Profile in South Carolina
BACKGROUND: Physician practice organization is shifting away from solo, independent practices toward direct employment, but trends for rural-urban differences are often analyzed by dichotomizing rurality. The purpose of this analysis was to examine trends in practice organization across 3 levels of rurality over a 21-year period in South Carolina. METHODS: Physician license renewal forms were used to ascertain type of practice organization where …
Examining the association between ACEs, childhood poverty and neglect, and physical and mental health
Exploring the association between a parent’s exposure to Adverse Childhood Experiences (ACEs) and outcomes of depression and anxiety among their children
Rural-Urban Mortality Disparities
Objectives. To examine rural-urban disparities in overall mortality and leading causes of death across Hispanic (any race) and non-Hispanic White, Black, American Indian/Alaska Native (AI/AN), and Asian/Pacific Islander populations. Methods. We performed a retrospective analysis of age-adjusted death rates for all-cause mortality and 5 leading causes of death (cardiovascular, cancer, unintentional injuries, chronic lower respiratory disease, and …
Covid‐19 risk mitigation behaviors among rural and urban community‐dwelling older adults in summer, 2020
PURPOSE: Risk mitigation behaviors are important for older adults, who experience increased mortality risk from COVID-19. We examined these reported behaviors among rural and urban community-dwelling adults aged 65 and older. METHODS: We analyzed public use files from the National Health and Aging Trends Study, which fielded a COVID survey from June to October, 2020, restricted to community-dwelling adults (n = 2,982). Eight behaviors were studie…
Rural‐Urban Differences in Positive Childhood Experiences Across a National Sample
PURPOSE: The purpose of this study was to examine the prevalence of positive childhood experience (PCE) and adverse childhood experience (ACE) exposures in 31 states plus the District of Columbia and to estimate exposure differences between rural and urban children. METHODS: A cross-sectional study was conducted with a sample of 19,251 respondents from the 2017-2018 National Survey of Children's Health (NSCH), a nationally representative sample o…
Positive Childhood Experiences Promote School Success
The oral health status of America's rural children
As preparations are made for the 2020 Surgeon General's report on oral health, the current study provides important evidence to inform future advocacy and legislative priorities. To reduce urban-rural disparities among children, there must be enhanced dental care access, dental workforce expansion, and increased awareness about preventive oral health services
Examining racial–ethnic differences in positive childhood experiences among rural children
Medicine (41 works) · Environmental health (29 works) · Logistic regression (20 works) · Child Abuse and Trauma (19 works) · Demography (19 works) · Psychology (19 works) · Odds (17 works) · Psychiatry (16 works) · Mental health (15 works) · Public health (15 works)