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Rural Health
Resources by Topic: Prescription drug misuse

Pain in the Nation Update: Alcohol, Drug, and Suicide Deaths in 2018
Report details updated rates of deaths related to drugs, alcohol, and suicide for 2018. Breaks down data by race, age, and regionally, including rural versus metro areas.
Date: 05/2020
Type: Document
Sponsoring organization: Trust for America's Health
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Beyond Opioids: Rapid Increase in Drug Deaths Involving Stimulants
Presents a breakdown of drug related deaths involving stimulants. Features a number of charts highlighting the data, including rural and urban, regional, and national comparisons.
Date: 05/2020
Type: Document
Sponsoring organization: National Institute for Health Care Management Foundation
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Improving Access to Evidence-Based Medical Treatment for Opioid Use Disorder: Strategies to Address Key Barriers Within the Treatment System
Presents a study on the barriers to evidence-based treatment for opioid use disorder (OUD). Identifies nine common barriers to evidence-based care for people with OUD, including stigma, workforce training, and financial barriers, among others. Includes rural references throughout.
Author(s): Bertha K. Madras, N. Jia Ahmad, Jenny Wen, et al.
Citation: NAM Perspectives
Date: 04/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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Tackling the Trifecta: State Approaches to Addressing Co-Occurring Substance Use Disorders, HIV, and Hepatitis C
Highlights the approaches to addressing co-occurring substance use disorder, HIV, and HCV in New York, West Virginia, and Louisiana. Breaks down data in each state by gender and details considerations for rural areas.
Author(s): Eliza Mette, Jodi Manz, Kristina Long
Date: 04/2020
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Rural and Urban Differences in Primary Care Pain Treatment by Clinician Type
Explores the differences in opioid prescribing patterns of nurse practitioners and primary care physicians in both rural and urban areas. Also compares physical therapy referrals by location and clinician type.
Author(s): Hannah Neprash, Laura Barrie Smith, Shailendra Prasad, Bethany Sheridan, Katy Kozhimannil
Date: 04/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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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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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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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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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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