Erika C Ziller
Biographic Data
| ID | 6080736 |
|---|---|
| NAME | Erika C Ziller |
| GIVEN NAMES | Erika C |
| FAMILY NAME | Ziller |
| SIGNATURE | ZILLER E C |
| AFFILIATIONS | University of Southern Maine |
| ORCID | 0000-0003-3703-7782 |
| VERIFIED | Yes |
| TOTAL WORKS | 15 |
| TOTAL CITATIONS | 5 |
| AUTHOR COUNT | 15 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
Rural‐urban disparities in the prevalence of chronic pain in adults
PURPOSE: To explore rural-urban differences in chronic pain prevalence among adults in the United States. METHODS: This cross-sectional study analyzed pooled data from the 2019-2021 and 2023 National Health Interview Survey. We used chi-square tests and logistic regression to determine how rurality of residence was associated with chronic pain prevalence among adults aged 18 and older before and after adjustment for demographic and socioeconomic …
Excess deaths associated with Covid‐19 by rurality and demographic factors in the United States
PURPOSE: To estimate percent excess deaths during the COVID-19 pandemic by rural-urban residence in the United States and to describe rural-urban disparities by age, sex, and race/ethnicity. METHODS: Using US mortality data, we used overdispersed Poisson regression models to estimate monthly expected death counts by rurality of residence, age group, sex, and race/ethnicity, and compared expected death counts with observed deaths. We then summariz…
Use of electronic health records to manage tobacco screening and treatment in rural primary care
PURPOSE: Electronic health records (EHRs) can facilitate primary care providers' (PCPs) use of best practices in addressing tobacco dependence. It is unknown whether rural PCPs reap the same benefits as their urban counterparts when employing EHRs for this purpose. Our study examines this issue. METHODS: This cross-sectional investigation based on the 2012-2015 National Ambulatory Medical Care Survey used chi-square tests and adjusted logistic re…
Contraceptive Method Use by Rural–Urban Residence among Women and Men in the United States, 2006 to 2017
Telebehavioral health (TBH) use among rural medicaid beneficiaries
A Century Later
The US public health community has demonstrated increasing awareness of rural health disparities in the past several years. Although current interest is high, the topic is not new, and some of the earliest public health literature includes reports on infectious disease and sanitation in rural places. Continuing through the first third of the 20th century, dozens of articles documented rural disparities in infant and maternal mortality, sanitation…
What Is Rural? Challenges And Implications Of Definitions That Inadequately Encompass Rural People And Places
Monitoring and improving rural health is challenging because of varied and conflicting concepts of just what rural means. Federal, state, and local agencies and data resources use different definitions, which may lead to confusion and inequity in the distribution of resources depending on the definition used. This article highlights how inconsistent definitions of rural may lead to measurement bias in research, the interpretation of research outc…
Association Between Rurality and Lung Cancer Treatment Characteristics and Timeliness
BACKGROUND: Lung cancer is the leading cause of cancer-related mortality in the United States, and rural states bear a greater burden of disease. METHODS: We analyzed tumor registry data to examine relationships between rurality and lung cancer stage at diagnosis and treatment. Cases were from the Maine Cancer Registry from 2012 to 2015, and rurality was defined using rural-urban commuting areas. Multivariable models were used to examine the rela…
Female Age at First Sexual Intercourse by Rural–Urban Residence and Birth Cohort
Rural–Urban Differences in the Decline of Adolescent Cigarette Smoking
Objectives. To examine change over time in cigarette smoking among rural and urban adolescents and to test whether rates of change differ by rural versus urban residence. Methods. We used the 2008 through 2010 and 2014 through 2016 US National Survey of Drug Use and Health to estimate prevalence and adjusted odds of current cigarette smoking among rural and urban adolescents aged 12 to 17 years in each period. To test for rural–urban differences …
Mental Health First Aid in Rural Communities
PURPOSE: Mental Health First Aid (MHFA), an early intervention training program for general audiences, has been promoted as a means for improving population-level behavioral health (BH) in rural communities by encouraging treatment-seeking. This study examined MHFA's appropriateness and impacts in rural contexts. METHODS: We used a mixed-methods approach to study MHFA trainings conducted from November 2012 through September 2013 in rural communit…
Rural Considerations in Establishing Network Adequacy Standards for Qualified Health Plans in State and Regional Health Insurance Exchanges
PURPOSE: The Affordable Care Act (ACA) requires Health Insurance Exchanges (HIEs) to specify network adequacy standards for the Qualified Health Plans (QHPs) they offer to consumers. This article examines rural issues surrounding network adequacy standards, and offers recommendations for crafting standards that optimize rural access. METHOD: This policy analysis reviews ACA requirements for QHP network adequacy standards, considering Medicaid man…
Access to Rural Mental Health Services
PURPOSE: To examine rural-urban differences in the use of mental health services (mental health and substance abuse office visits, and mental health prescriptions) and in the out-of-pocket costs paid for these services. METHODS: The pooled 2003 and 2004 Medical Expenditure Panel Surveys were used to assess differences in mental health service use by rural and urban residence and average per person mental health expenditures by payer and by servic…
Uninsured Rural Families
Context: Although research shows higher uninsured rates among rural versus urban individuals, prior studies are limited because they do not examine coverage across entire rural families. Purpose: This study uses the Medical Expenditure Panel Survey (MEPS) to compare rural and urban insurance coverage within families, to inform the design of coverage expansions that build on the current rural health insurance system. Methods: We pooled the 2001 an…
Use of Critical Access Hospital Emergency Rooms by Patients With Mental Health Symptoms
Context: National data demonstrate that mental health (MH) visits to the emergency room (ER) comprise a small, but not inconsequential, proportion of all visits; however, we lack a rural picture of this issue. Purpose : This study investigates the use of critical access hospital (CAH) ERs by patients with MH problems to understand the role these facilities play in rural MH needs and the challenges they face. Methods : Primary data were collected …
A Century Later
The US public health community has demonstrated increasing awareness of rural health disparities in the past several years. Although current interest is high, the topic is not new, and some of the earliest public health literature includes reports on infectious disease and sanitation in rural places. Continuing through the first third of the 20th century, dozens of articles documented rural disparities in infant and maternal mortality, sanitation…
Rural–Urban Differences in the Decline of Adolescent Cigarette Smoking
Objectives. To examine change over time in cigarette smoking among rural and urban adolescents and to test whether rates of change differ by rural versus urban residence. Methods. We used the 2008 through 2010 and 2014 through 2016 US National Survey of Drug Use and Health to estimate prevalence and adjusted odds of current cigarette smoking among rural and urban adolescents aged 12 to 17 years in each period. To test for rural–urban differences …
Use of Critical Access Hospital Emergency Rooms by Patients With Mental Health Symptoms
Context: National data demonstrate that mental health (MH) visits to the emergency room (ER) comprise a small, but not inconsequential, proportion of all visits; however, we lack a rural picture of this issue. Purpose : This study investigates the use of critical access hospital (CAH) ERs by patients with MH problems to understand the role these facilities play in rural MH needs and the challenges they face. Methods : Primary data were collected …
Uninsured Rural Families
Context: Although research shows higher uninsured rates among rural versus urban individuals, prior studies are limited because they do not examine coverage across entire rural families. Purpose: This study uses the Medical Expenditure Panel Survey (MEPS) to compare rural and urban insurance coverage within families, to inform the design of coverage expansions that build on the current rural health insurance system. Methods: We pooled the 2001 an…
Access to Rural Mental Health Services
PURPOSE: To examine rural-urban differences in the use of mental health services (mental health and substance abuse office visits, and mental health prescriptions) and in the out-of-pocket costs paid for these services. METHODS: The pooled 2003 and 2004 Medical Expenditure Panel Surveys were used to assess differences in mental health service use by rural and urban residence and average per person mental health expenditures by payer and by servic…
Rural Considerations in Establishing Network Adequacy Standards for Qualified Health Plans in State and Regional Health Insurance Exchanges
PURPOSE: The Affordable Care Act (ACA) requires Health Insurance Exchanges (HIEs) to specify network adequacy standards for the Qualified Health Plans (QHPs) they offer to consumers. This article examines rural issues surrounding network adequacy standards, and offers recommendations for crafting standards that optimize rural access. METHOD: This policy analysis reviews ACA requirements for QHP network adequacy standards, considering Medicaid man…
Mental Health First Aid in Rural Communities
PURPOSE: Mental Health First Aid (MHFA), an early intervention training program for general audiences, has been promoted as a means for improving population-level behavioral health (BH) in rural communities by encouraging treatment-seeking. This study examined MHFA's appropriateness and impacts in rural contexts. METHODS: We used a mixed-methods approach to study MHFA trainings conducted from November 2012 through September 2013 in rural communit…
What Is Rural? Challenges And Implications Of Definitions That Inadequately Encompass Rural People And Places
Monitoring and improving rural health is challenging because of varied and conflicting concepts of just what rural means. Federal, state, and local agencies and data resources use different definitions, which may lead to confusion and inequity in the distribution of resources depending on the definition used. This article highlights how inconsistent definitions of rural may lead to measurement bias in research, the interpretation of research outc…
Association Between Rurality and Lung Cancer Treatment Characteristics and Timeliness
BACKGROUND: Lung cancer is the leading cause of cancer-related mortality in the United States, and rural states bear a greater burden of disease. METHODS: We analyzed tumor registry data to examine relationships between rurality and lung cancer stage at diagnosis and treatment. Cases were from the Maine Cancer Registry from 2012 to 2015, and rurality was defined using rural-urban commuting areas. Multivariable models were used to examine the rela…
Female Age at First Sexual Intercourse by Rural–Urban Residence and Birth Cohort
Rural–Urban Differences in the Decline of Adolescent Cigarette Smoking
Objectives. To examine change over time in cigarette smoking among rural and urban adolescents and to test whether rates of change differ by rural versus urban residence. Methods. We used the 2008 through 2010 and 2014 through 2016 US National Survey of Drug Use and Health to estimate prevalence and adjusted odds of current cigarette smoking among rural and urban adolescents aged 12 to 17 years in each period. To test for rural–urban differences …
Telebehavioral health (TBH) use among rural medicaid beneficiaries
A Century Later
The US public health community has demonstrated increasing awareness of rural health disparities in the past several years. Although current interest is high, the topic is not new, and some of the earliest public health literature includes reports on infectious disease and sanitation in rural places. Continuing through the first third of the 20th century, dozens of articles documented rural disparities in infant and maternal mortality, sanitation…
Contraceptive Method Use by Rural–Urban Residence among Women and Men in the United States, 2006 to 2017
Use of electronic health records to manage tobacco screening and treatment in rural primary care
PURPOSE: Electronic health records (EHRs) can facilitate primary care providers' (PCPs) use of best practices in addressing tobacco dependence. It is unknown whether rural PCPs reap the same benefits as their urban counterparts when employing EHRs for this purpose. Our study examines this issue. METHODS: This cross-sectional investigation based on the 2012-2015 National Ambulatory Medical Care Survey used chi-square tests and adjusted logistic re…
Excess deaths associated with Covid‐19 by rurality and demographic factors in the United States
PURPOSE: To estimate percent excess deaths during the COVID-19 pandemic by rural-urban residence in the United States and to describe rural-urban disparities by age, sex, and race/ethnicity. METHODS: Using US mortality data, we used overdispersed Poisson regression models to estimate monthly expected death counts by rurality of residence, age group, sex, and race/ethnicity, and compared expected death counts with observed deaths. We then summariz…
Rural‐urban disparities in the prevalence of chronic pain in adults
PURPOSE: To explore rural-urban differences in chronic pain prevalence among adults in the United States. METHODS: This cross-sectional study analyzed pooled data from the 2019-2021 and 2023 National Health Interview Survey. We used chi-square tests and logistic regression to determine how rurality of residence was associated with chronic pain prevalence among adults aged 18 and older before and after adjustment for demographic and socioeconomic …
Medicine (13 works) · Rural area (12 works) · Environmental health (8 works) · Demography (7 works) · Rurality (7 works) · Economic growth (6 works) · Health care (6 works) · Residence (6 works) · Economics (5 works) · Population (5 works)