Rural Health
Resources by State: Ohio

Strategies to Prevent Adverse Childhood Experiences (ACEs) in Ohio: Promoting Positive Social Norms and Intervening to Lessen Harm
A policy brief focused on preventing adverse childhood experiences (ACEs) through trauma-informed care and strengthening the behavioral healthcare workforce. Discusses strategies to prevent ACEs while providing related data, such as county-level maps showing location of family treatment courts and ratio of population to mental health providers, with discussion specific to rural areas.
Date: 01/2024
Sponsoring organization: Health Policy Institute of Ohio
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Data in the North Central Region: The Nebraska Rural Poll, the Ohio Farm Poll, and the NCR-Stat
A recorded webinar that provides an overview of data derived from three polls covering the North Central Region (NCR): Nebraska Rural Poll, Ohio Farm Poll, and NCR-Stat. The polls provide NCR-focused information on community well-being and economic development, employment, policy, agriculture and farm households, population health status, and migration. Transcript available below description.
Author(s): L.J. McElravy, Douglas Jackson-Smith, Zuzana Bednarik
Date: 01/2024
Sponsoring organization: North Central Regional Center for Rural Development
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The Age-Dependency Ratio in the North Central Region: Implications for Regional and Community Development Research Brief
Examines the North Central region age-dependency ratio, or the number of dependent individuals (ages 0 to 14 years and 65 or older) compared to the working population (ages 15 to 64 years), and how this impacts workforce and economic development. Provides 2000-2022 population data broken down by metro, suburban, and rural as well as by selected states and counties. Allows user to search within tables and scroll through counties.
Author(s): Roberto Gallardo
Date: 01/2024
Sponsoring organization: North Central Regional Center for Rural Development
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The Impact of Fentanyl on State- and County-Level Psychostimulant and Cocaine Overdose Death Rates by Race in Ohio from 2010 to 2020: A Time Series and Spatiotemporal Analysis
Analyzes the role of fentanyl in overdose deaths in Ohio. Examines 2010-2020 state- and county-level overdose mortality rates with data further broken down by drug type and race/ethnicity. Discusses related geographical factors such as rurality and Appalachian region.
Author(s): Angela T. Estadt, Brian N. White, JaNelle M. Ricks, et al.
Citation: Harm Reduction Journal, 21, 13
Date: 01/2024
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Mental Health in Rural America
Fact sheet on USDA Rural Development funding for mental health and substance use disorder treatment in rural communities in fiscal year 2024. Highlights USDA investments in programs serving rural Ohio and Pennsylvania.
Date: 2024
Sponsoring organization: USDA Rural Development
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Primary Care Professionals' Perspectives on Tailoring Buprenorphine Training for Rural Practice
Interviewed 23 rural Ohio primary care professionals to identify barriers to prescribing buprenorphine for opioid use disorder treatment. Discusses the need for training addressing rural-specific barriers, limited patient access to required social supports, workforce, and stigma. Offers recommendations based on findings.
Author(s): Cheyenne Fenstemaker, Elizabeth A. Abrams, Benjamin Obringer, et al.
Citation: Journal of Rural Health, 40(4), 671-680
Date: 2024
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Differences in Buprenorphine Prescribing Readiness Among Primary Care Professionals With and Without X-Waiver Training in the US
Examines readiness of primary care providers (PCPs) to prescribe buprenorphine to patients with opioid use disorder (OUD). Analyzes PCP knowledge of and confidence in buprenorphine, attitudes toward patients with OUD, and stress and/or empathy toward patients with OUD. Utilizes survey data from 403 PCPs in Ohio and discusses the challenges of addressing OUD in rural contexts.
Author(s): Berkeley Franz, Lindsay Y. Dhanani, O. Trent Hall, et al.
Citation: Harm Reduction Journal, 20, 180
Date: 12/2023
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Leading State Approaches and Communication Strategies to Support Health Equity
Describes how state and territory leaders have created effective health equity practices and communication strategies. Outlines three themes that emerged through research and roundtable discussions as top health equity priorities for states. Profiles initiatives and policies from nine states and Guam to address health equity and reflect these themes.
Date: 12/2023
Sponsoring organization: National Governors Association
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Recent Incarceration, Substance Use, Overdose, and Service Use Among People Who Use Drugs in Rural Communities
Compares 2,935 people who use drugs (PWUD) in rural areas of 10 states to evaluate the impact of time since last incarceration on access to treatment and overdose rates. Discusses policy measures that could increase access to and successful completion of treatment for substance use disorders.
Author(s): Daniel B. Hoover, Todd Korthuis, Elizabeth Needham Waddell, et al.
Citation: JAMA Network Open, 6(11), 2342222
Date: 11/2023
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Telemedicine Buprenorphine Initiation and Retention in Opioid Use Disorder Treatment for Medicaid Enrollees
Evaluated buprenorphine treatment via telemedicine and overdose outcomes for 91,914 people in Kentucky and Ohio on Medicaid in 2020 to determine the impact of telemedicine on treatment retention and opioid-related nonfatal overdose. Includes discussion on the implications for rural residents.
Author(s): Lindsey R. Hammerslag, Aimee Mack, Redonna K. Chandler, et al.
Citation: JAMA Network Open, 6(10), e2336914
Date: 10/2023
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