Peiyin Hung
Dados Biográficos
| ID | 95168 |
|---|---|
| NOME | Peiyin Hung |
| PRENOMES | Peiyin |
| SOBRENOME | Hung |
| ASSINATURA | HUNG P |
| AFILIAÇÕES | University of South Carolina |
| ORCID | 0000-0002-1529-0819 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 42 |
| TOTAL DE CITAÇÕES | 12 |
| TOTAL COMO AUTOR | 42 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2014 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
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…
Measuring maternal healthcare accessibility in Florida by a data-driven extension of V2SFCA
Telehealth Uptake and Rural-Urban and Racial/Ethnic Disparities in Postpartum Care Access Among Medicaid Beneficiaries in South Carolina, 2018–2022
BACKGROUND: Although telehealth is increasingly being used for providing postpartum care, its role in ensuring timely postpartum care initiation in racial/ethnic minorities and rural residents is unknown. OBJECTIVES: To compare attendance and timeliness of postpartum care initiation by pandemic exposure and telehealth uptake across race/ethnicity and rural-urban residences. RESEARCH DESIGN: Retrospective cohort study. SUBJECTS: Medicaid-insured i…
Residential Social Determinants of Health and Severe Maternal Morbidity in the United States, 2020–2022
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…
The roles of Covid‐19 pandemic exposure and telehealth in prenatal care access for rural and racial minority communities in the United States
PURPOSE: To examine how COVID-19 public health emergency (PHE) exposure during pregnancy and telehealth use were associated with rural-urban and racial/ethnic differences in prenatal care initiation timing and frequency. METHODS: This retrospective cohort study of 349,682 pregnancies to birthing individuals who received both prenatal and intrapartum care at the 75 health systems in the United States contributing to the National Clinical Cohort Co…
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…
An Investigation of Travel Distance and Timeliness of Breast Cancer Treatment Among a Diverse Cohort in the United States
Travel to and from distant cancer treatment facilities can place a significant burden on cancer patients, particularly rural and minority survivors. Thus, the purpose of our investigation was to examine the association between patient travel distance and delays in types of treatment for breast cancer (surgery, radiation, chemotherapy, and hormonal therapy) and treatment delays. Using a novel linkage between the state cancer registry and administr…
Does travel time matter
In South Carolina-a rural southern state with a disproportionate burden of HIV-long travel time (> 30 min) to HIV care is associated with care disruptions, including more missed visits. Transportation interventions, as well as other efforts to expand rural access to HIV care, are urgently needed to ensure that all PLHIV are able to engage in consistent HIV care in order to reach and maintain viral suppression
Benefits and Challenges of Providing Telemental Health Services for Children in Foster Care in a Southeastern State
Foster caregiver perceptions of facilitators and barriers of telemental health services for children in foster care
Examining Racial Discrimination Index and Black-Years of Potential Life Lost (YPLL) in South Carolina
Digital racial discrimination was highly associated with Black YPLL rates, confirming the importance of racial discrimination in health disparity, especially premature deaths. Addressing explicit and implicit racism in highly affected counties is crucial for reducing persistent health inequities and promoting equity in communities
Racial and Ethnic Community Composition and Geographic Distance to Substance Use Disorder Treatment Across the Rural and Urban Divide
SUD treatment facilities, which have historically faced heavy stigmatization, are more likely to be placed in communities with a high concentration of Black and Hispanic residents. Consequently, White ZCTAs were less likely to have a SUD treatment facility nearby than other communities. This is important evidence to explore in determining whether stigmatization may play a role in treatment availability
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…
Trends in patient perceptions of care toward rural and urban hospitals in the United States
PURPOSE: Understanding rural-urban disparities in patient satisfaction is critical to identify gaps for improvement in patient-centered care and tailor interventions to specific patient needs, especially those in the Frontier and Remote areas (FAR). This study aimed to examine disparities in patient perceptions of care between urban, rural non-FAR, and FAR hospitals between 2014 and 2019. METHODS: This is a retrospective longitudinal study using …
Travel Burden and Timely Linkage to Care Among People Newly Diagnosed with HIV Infection in South Carolina from 2005 to 2020
This retrospective study explored the association between travel burden and timely linkage to care (LTC) among people with HIV (PWH) in South Carolina. HIV care data were derived from statewide all-payer electronic health records, and timely LTC was defined as having at least one viral load or CD4 count record within 90 days after HIV diagnosis before the year 2015 and 30 days after 2015. Travel burden was measured by average driving time (in min…
Mental Health Care Disparities Among US Pregnant Individuals in 2020-2021
Purpose To examine maternal characteristics associated with perceived unmet mental health needs and mental health care settings, focusing on residential rurality and race/ethnicity. Methods This cross-sectional study analyzed self-reported unmet mental health needs and mental health care settings among 1097 pregnant respondents in the 2020-2021 National Survey on Drug Use and Health, incorporating the complex sampling weights for national represe…
Rural-Urban Disparities in Hospital Admissions and Mortality Among Patients with Covid-19
Broadband access within Medically Underserved Areas and its implication for telehealth utilization
PURPOSE: There is little information as to how America's broadband infrastructure might impact recent efforts to expand access to virtual care for underserved communities. OBJECTIVE: To examine potential and realized access to broadband internet services within Medically Underserved Areas (MUAs) that rely on community health care service providers for primary care. METHODS: This cross-sectional study included 214,946 US Census Block Group estimat…
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
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 …
Perceptions of parents of youth with disabilities toward school-based parent engagement
The Individuals with Disabilities Education Improvement Act (2004) mandated schools engage parents in their child’s educational planning. Despite schools’ adoption of various strategies to promote parent engagement, parents’ perceptions about these strategies, especially among those whose children are at the secondary transition age, are often overlooked. To examine parents’ perceptions of 23 previously documented parent engagement strategies, we…
Birth Volume and the Quality of Obstetric Care in Rural Hospitals
BACKGROUND: Childbirth is the most common reason for hospitalization in the United States. Assessing obstetric care quality is critically important for patients, clinicians, and hospitals in rural areas. METHODS: The study used hospital discharge data from the Statewide Inpatient Databases, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality, for 9 states (Colorado, Iowa, Kentucky, New York, North Carolina, Oregon,…
Rural-Urban Differences in Obstetric Care, 2002–2010, and Implications for the Future
BACKGROUND: Approximately 15% of the 4 million annual US births occur in rural hospitals. OBJECTIVE: To (1) measure differences in obstetric care in rural and urban hospitals, and to (2) examine whether trends over time differ by rural-urban hospital location. RESEARCH DESIGN AND SUBJECTS: This was a retrospective analysis of hospital discharge records for all births in the 2002-2010 Nationwide Inpatient Sample, which constitutes 20% sample of US…
The Rural Obstetric Workforce in US Hospitals
PURPOSE: The purpose of this study was to describe the types and combinations of clinicians who are delivering babies in rural hospitals, their employment status, the relationship between hospital birth volume and staffing models, and the staffing challenges faced by rural hospitals. METHODS: We conducted a telephone survey of 306 rural hospitals in 9 states: Colorado, Iowa, Kentucky, New York, North Carolina, Oregon, Vermont, Washington, and Wis…
Ensuring Access to High-Quality Maternity Care in Rural America
Access To Obstetric Services In Rural Counties Still Declining, With 9 Percent Losing Services, 2004–14
Recent closures of rural obstetric units and entire hospitals have exacerbated concerns about access to care for more than twenty-eight million women of reproductive age living in rural America. Yet the extent of recent obstetric unit closures has not yet been measured. Using national data, we found that 9 percent of rural counties experienced the loss of all hospital obstetric services in the period 2004-14. In addition, another 45 percent of ru…
Association Between Loss of Hospital-Based Obstetric Services and Birth Outcomes in Rural Counties in the United States
Importance: Hospital-based obstetric services have decreased in rural US counties, but whether this has been associated with changes in birth location and outcomes is unknown. Objective: To examine the relationship between loss of hospital-based obstetric services and location of childbirth and birth outcomes in rural counties. Design, Setting, and Participants: A retrospective cohort study, using county-level regression models in an annual inter…
Rural Hospital Employment of Physicians and Use of Cesareans and Nonindicated Labor Induction
OBJECTIVE: Workforce issues constrain obstetric care services in rural US hospitals, and one strategy hospitals use is to employ physicians to provide obstetric care. However, little is known about the relationship between hospital employment of maternity care physicians and use of obstetric care procedures in rural hospitals. We examined the association between obstetric physician employment and use of cesareans and nonindicated labor induction.…
Exploring the association between parenting stress and a child's exposure to adverse childhood experiences (ACEs)
Factors Associated With Hospices’ Nonparticipation in Medicare’s Hospice Compare Public Reporting Program
BACKGROUND: To enhance the quality of hospice care and to facilitate consumers' choices, the Centers for Medicare and Medicaid Services (CMS) began the Hospice Quality Reporting Program, in which CMS posted the quality measures of participating hospices on its reporting website, Hospice Compare. Little is known about the participation rate and the types of nonparticipating hospices. OBJECTIVE: To examine the factors associated with hospices' nonp…
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 …
Associations Among Health Literacy, End‐of‐Life Care Expenditures, and Rurality
PURPOSE: To examine differential associations between health literacy (HL) and end-of-life (EOL) care expenditures by rurality. METHODS: This cross-sectional study included all urban and rural counties in the United States. County-level HL data were estimated using 2010 US Census and 2011 American Community Surveys data; EOL expenditures in 2010 were derived from the Dartmouth Atlas of Health Care database. Hierarchical generalized linear regress…
Positive Childhood Experiences Promote School Success
Going the distance
PURPOSE: Distances to obstetric care providers are a persistent concern, especially for rural pregnant adolescents. Births to adolescents are disproportionately affected by adverse birth outcomes (ABOs), yet little is known regarding how driving distances may impact ABOs. This study examines the association between driving distances to obstetric providers and ABOs among adolescent mothers in South Carolina. METHODS: This retrospective cross-secti…
Rural and racial disparities in colorectal cancer incidence and mortality in South Carolina, 1996 – 2016
PURPOSE: Colorectal cancer (CRC) is the third leading cause of cancer mortality among men and women in the United States and South Carolina (SC). Since SC has one of the highest proportions of Black (27.9%) and rural residents (33.7%), the purpose of this investigation was to describe the burden of CRC on racial disparities in rural populations. METHODS: Count data from 2012 to 2016 were obtained from the state central cancer registry using an on…
Can a high-powered financial incentive programme reduce resignation rates among healthcare providers in rural areas? Evidence from Thailand’s 2008 Hardship Allowance programme
Geographic disparities in the availability of healthcare providers remain a global health challenge. Financial incentives have been widely implemented to attract rural healthcare workers with limited scientific evidence in developing economies. In this study, we investigate the relationship between financial incentives and rural resignations in a middle-income country using Thailand’s Hardship Allowance programme that first doubled or tripled but…
Perceptions of parents of youth with disabilities toward school-based parent engagement
The Individuals with Disabilities Education Improvement Act (2004) mandated schools engage parents in their child’s educational planning. Despite schools’ adoption of various strategies to promote parent engagement, parents’ perceptions about these strategies, especially among those whose children are at the secondary transition age, are often overlooked. To examine parents’ perceptions of 23 previously documented parent engagement strategies, we…
Rural-Urban Disparities in Hospital Admissions and Mortality Among Patients with Covid-19
Broadband access within Medically Underserved Areas and its implication for telehealth utilization
PURPOSE: There is little information as to how America's broadband infrastructure might impact recent efforts to expand access to virtual care for underserved communities. OBJECTIVE: To examine potential and realized access to broadband internet services within Medically Underserved Areas (MUAs) that rely on community health care service providers for primary care. METHODS: This cross-sectional study included 214,946 US Census Block Group estimat…
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
Association of rurality, type of primary caregiver and place of death with end-of-life medical expenditures among the oldest-old population in China
Over the past two decades, the increases in informal caregiver utilization and home deaths were unequal, leading to substantially higher EOL medical expenditures among urban decedents and deceased individuals who died at hospitals than among their counterparts who lived in rural areas and died at home
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…
Trends in patient perceptions of care toward rural and urban hospitals in the United States
PURPOSE: Understanding rural-urban disparities in patient satisfaction is critical to identify gaps for improvement in patient-centered care and tailor interventions to specific patient needs, especially those in the Frontier and Remote areas (FAR). This study aimed to examine disparities in patient perceptions of care between urban, rural non-FAR, and FAR hospitals between 2014 and 2019. METHODS: This is a retrospective longitudinal study using …
Medicine (34 obras) · Health care (20 obras) · Environmental health (18 obras) · Demography (16 obras) · Family medicine (14 obras) · Logistic regression (14 obras) · Nursing (14 obras) · Public health (13 obras) · Rural area (13 obras) · Odds (12 obras)