Jeralynn Sittig Cossman

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We explored how place shapes mortality by examining 35 consecutive years of US mortality data. Mapping age-adjusted county mortality rates showed both persistent temporal and spatial clustering of high and low mortality rates. Counties with high mortality rates and counties with low mortality rates both experienced younger population out-migration, had(More)
The nonmetropolitan mortality penalty results in an estimated 40 201 excessive US deaths per year, deaths that would not occur if nonmetropolitan and metropolitan residents died at the same rate. We explored the underlying causes of the nonmetropolitan mortality penalty by examining variation in cause of death. Declines in heart disease and cancer death(More)
BACKGROUND Technology has been incorporated into the classrooms of future healthcare professionals for decades and vast research has investigated its effectiveness. Much less attention, however, has examined how medical schools are actually using technology and telemedicine to aid teaching. AIMS It is unclear how medical schools use technology as(More)
The literature review indicates that changes in Medicaid/Medicare reimbursement, large numbers of uninsured patients, the legal climate, and largely rural and chronically ill populations create a challenging environment for physicians practicing in Mississippi. As a largely rural state, many Mississippians find medical care to be physically distant, with(More)
Heart disease is the leading cause of death in the U.S. Yet, prevalence rates are not reported at the county level. Not knowing how many have the disease, and where they are, may be a knowledge barrier to effective health care interventions. We use heart disease drug prescriptions-filled as a proxy measure for prevalence of heart disease. We test the(More)
We discovered an emerging non-metropolitan mortality penalty by contrasting 37 years of age-adjusted mortality rates for metropolitan versus nonmetropolitan US counties. During the 1980s, annual metropolitan-nonmetropolitan differences averaged 6.2 excess deaths per 100,000 nonmetropolitan population, or approximately 3600 excess deaths; however, by 2000 to(More)
OBJECTIVE Assisting Hispanic immigrants in making culturally acceptable food choices may affect their health for generations. As a relatively new enclave of Hispanics, Scott County, Mississippi, was chosen to study dietary acculturation and health concerns of immigrants. MATERIAL AND METHODS The research method consisted of interviews with community(More)
This research note reports progress in visualizing and analyzing United States mortality data at the county level. The data visualization technique employed here may be applicable to other research situations. We dichotomized the range of mortality rates into high or low mortality counties, mapped them, and explored the clustering of high or low mortality(More)
PURPOSE An evolving primary care environment underscores the importance of physician and nurse practitioner (NP) interactions. We analyze how physician characteristics and close working relationships (presence of NPs in practice) influence physicians' attitudes toward NPs. DATA SOURCES Bivariate analyses of 2007-2008 Mississippi Physician Workforce Study(More)
Research suggests that practice conditions can predict burnout, which is an important factor in physician performance and career choices. Understanding the personal characteristics and practice contexts that heighten burnout risk is a first step toward interventions that could minimize burnout. This study describes how burnout differs, across(More)