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Rural Health
Resources by Topic: Illicit drug use

Hospital Inpatient Stays Related to Opioid Use Disorder and Endocarditis, 2016
Examines inpatient stays for adults 18 years and older related to opioid use disorder (OUD) and endocarditis, stays related to OUD but not endocarditis, and stays related to endocarditis but not OUD. Includes data by patient location for metropolitan, rural adjacent to metro, and rural remote areas.
Author(s): Audrey J. Weiss, Kevin C. Heslin, Carol Stocks, Pamela L. Owens
Date: 04/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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The Opioid Crisis and Community-Level Spillovers onto Children's Education
Presents a study on the link between the opioid epidemic and children's educational outcomes. Evaluates community-level resources for handling the opioid crisis and how that correlates with educational outcomes, specifically in rural and underserved areas.
Author(s): Rajeev Darolia, John Tyler
Date: 04/2020
Type: Document
Sponsoring organizations: Brookings Institution, Brown Center on Education Policy
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Nonfatal Drug Overdoses Treated in Emergency Departments — United States, 2016–2017
Examines nonfatal overdoses for all drugs, all opioids, nonheroin opioids, heroin, benzodiazepines, and cocaine. Looks at changes from 2016 to 2017, with data by drug type, patient, facility, and visit characteristics. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Alana M. Vivolo-Kantor, Brooke E. Hoots, Lawrence Scholl, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(13), 371-376
Date: 04/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Motivation to Change and Treatment Participation Among Syringe Service Program Utilizers in Rural Kentucky
Details a study on the efficacy of syringe services programs (SSPs) in connecting people who inject drugs to treatment programs in rural Kentucky. Breaks down data by age, gender, and substances used of SSP users, among other measures. Highlights rates of SSP users who sought treatment for substance use disorder.
Author(s): Hilary L. Surratt, Janet K. Otachi, Timothy Williams, et al.
Citation: Journal of Rural Health, 36(2), 224-233
Date: 03/2020
Type: Document
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Prevalence and Severity of Alcohol and Cannabis Use Across the Urban-Rural Continuum in the Michigan National Guard
Highlights a study on rural and urban differences in alcohol and cannabis use among National Guard members in Michigan. Breaks down data by demographic information, mental health issues, and service characteristics, as well as rural versus urban location.
Author(s): Lara N. Coughlin, Maureen A. Walton, Richard McCormick, Frederic C. Blow
Citation: Journal of Rural Health, 36(2), 234-239
Date: 03/2020
Type: Document
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Drug and Opioid-Involved Overdose Deaths — United States, 2017–2018
Examines drug overdose deaths involving all opioids, prescription opioids, heroin, and synthetic opioids other than methadone. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Nana Wilson, Mbabazi Kariisa, Puja Seth, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(11), 290-297
Date: 03/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Prevalence of Tobacco Use Among Rural-Dwelling Individuals Who Inject Drugs
Research letter describing a study assessing the prevalence of smoking through a multi-site survey of people who inject drugs, conducted during 2018-2019 in rural Wisconsin. Features statistics on participant characteristics.
Author(s): Wajiha Z. Akhtar, Marlon P. Mundt, Ruth Koepke, et al.
Citation: JAMA Network Open, 3(3)
Date: 03/2020
Type: Document
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Polysubstance Use in Rural West Virginia: Associations between Latent Classes of Drug Use, Overdose, and Take-Home Naloxone
Examines the relationship between overdose experiences and polysubstance use by rural people who inject drugs (PWID) based on surveys of 420 individuals in West Virginia. Classifies substance use involving stimulants and opioids and discusses implications for take-home naloxone interventions.
Author(s): Kristin E. Schneider, Allison O'Rourke, Rebecca Hamilton White, et al.
Citation: International Journal of Drug Policy, 76, 102642
Date: 02/2020
Type: Document
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Medications for Opioid Use Disorder: The Treatment Improvement Protocol (TIP) 63
Details guidelines for implementing medication assisted treatment (MAT) of opioid use disorder (OUD) for healthcare professionals, policymakers, patients, and families. Discusses the different medications available to treat OUD, how and when to administer them, as well as what to watch for when using MAT for OUD.
Date: 02/2020
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural-Urban Differences in Hospitalizations for Opioid Use-Associated Infective Endocarditis in the United States, 2003-2016
Using 2003-2016 National Inpatient Sample data compares trends between rural and urban populations in hospitalization for opioid use-associated infective endocarditis, a serious heart infection that can result from injection drug use.
Author(s): E. Katherine Nenninger, Jenny L. Carwile, Katherine A. Ahrens, Brett Armstrong, Kinna Thakarar
Citation: Open Forum Infectious Diseases, 7(2)
Date: 02/2020
Type: Document
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