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Rural Health
Resources by Topic: Illicit drug use

Rates of Substance Use of American Indian Students in 8th, 10th, and 12th Grades Living on or Near Reservations: Update, 2009-2012
Analyzes data from a large sample of American Indian students, showing lifetime, annual, and last-month use by grade. Includes breakdowns by type of drug and comparisons with substance abuse rates in a nationally representative group of secondary school students.
Author(s): Linda R. Stanley, Susan D. Harness, Randall C. Swaim, Fred Beauvais
Citation: Public Health Reports, 129(2)
Date: 03/2014
Type: Document
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Religiosity and Sexual Risk Behaviors Among African American Cocaine Users in the Rural South
Reports on a study investigating the association between religious behavior and sexual behavior among African Americans in rural Arkansas who use cocaine.
Author(s): Brooke E.E. Montgomery, Katharine E. Stewart, Karen H.K. Yeary, et al.
Citation: Journal of Rural Health, 30(3), 284-291
Date: 2014
Type: Document
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Trends and Geographic Patterns in Drug-Poisoning Death Rates in the U.S., 1999–2009
Utilizes small-area estimation techniques to approximate county-level age-adjusted death rates (AADR) associated with drug poisoning in the U.S. to explore geographic and temporal variations. Includes AADR data by annual change, rural versus urban location, and region of the U.S.
Author(s): Lauren M. Rossen, Diba Khan, Margaret Warner
Citation: American Journal of Preventive Medicine, 45(6), e19-e25
Date: 12/2013
Type: Document
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Performance Improvement Prescribing Guideline Reduces Opioid Prescriptions for Emergency Department Dental Pain Patients
Measures the effect of a departmental guideline on the rate of opioid prescriptions written for patients aged 16 and older presenting with dental pain in two rural emergency departments. Analysis was done by performing a controlled chart review for the period before and after the guideline was implemented.
Author(s): Timothy R. Fox, James Li, Sandra Stevens, Tracy Tippie
Citation: Annals of Emergency Medicine, 62(3)
Date: 09/2013
Type: Document
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Individual and Network Factors Associated With Prevalent Hepatitis C Infection Among Rural Appalachian Injection Drug Users
Examines the connection between injection drug users and Hepatitis C infections in rural Kentucky. Features statistics with breakdowns including sex, age, race, ethnicity, and various risk behaviors.
Author(s): Jennifer R. Havens, Michelle R. Lofwall, Simon D. W. Frost, et al.
Citation: American Journal of Public Health, 103(1), 44-52
Date: 01/2013
Type: Document
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Stimulant Use Trajectories and the Longitudinal Risk of Heavy Drinking: Findings From a Rural Population-Based Study
Examines the longitudinal relationships between heavy drinking days and dormant sequences of powder cocaine, crack cocaine, and methamphetamine use among rural residents. Study participants were located in rural communities in Ohio, Arkansas, and Kentucky.
Author(s): Tyrone F. Borders, Brenda M. Booth
Citation: Addictive Behaviors, 37(3), 269-272
Date: 03/2012
Type: Document
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Project Lazarus: Community-Based Overdose Prevention in Rural North Carolina
Describes a community-based overdose prevention model in an Appalachian county of Western North Carolina to combat the high unintentional poisoning mortality rate due to prescription opioids. The main components of this model include community involvement, coalition building, monitoring and surveillance data, overdose prevention, use of medication for reversing overdoses, and the education of primary care providers in managing chronic pain and safe opioid prescribing.
Author(s): Su Albert, Fred W. Brason, Catherine K. Sanford, et al.
Citation: Pain Medicine, 12, (suppl 2), S77-S85
Date: 06/2011
Type: Document
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Individual and Network Factors Associated with Non-fatal Overdose among Rural Appalachian Drug Users
Presents a study on the prevalence of non-fatal prescription drug overdoses in rural Appalachian Kentucky. Breaks down data by whether the overdose was experienced or witnessed, injection drug use, and lifetime drug use, among other factors.
Author(s): Jennifer R. Havens, Carrie B. Oser, Hannah K. Knudsen, et al.
Citation: Drug and Alcohol Dependence, 115(1-2), 107-112
Date: 05/2011
Type: Document
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Nonmedical Prescription Drug Use in a Nationally Representative Sample of Adolescents: Evidence of Greater Use Among Rural Adolescents
Analyzes a sample of adolescents aged 12 to 17 to determine if rural residence is linked with nonmedical prescription drug use and the factors related to nonmedical prescription drug use.
Author(s): Jennifer R. Havens, April M. Young, Christopher E. Havens
Citation: JAMA Pediatrics, 165(3), 250-255
Date: 03/2011
Type: Document
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Distance Traveled and Cross-state Commuting to Opioid Treatment Programs in the United States
Presents a study on commuting distance of patients in opioid treatment programs (OTP). Analyzes data collected from 23,141 methadone patients enrolled in 84 OTP centers across the U.S. from 2005-2009.
Author(s): Andrew Rosenblum, Charles M. Cleland, Chunki Fong, et al.
Citation: Journal of Environmental and Public Health, 2011, 948789
Date: 2011
Type: Document
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