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Rural Health
Resources by Topic: Stigma

Effects of the Communities that Heal (CTH) Intervention on Perceived Opioid-Related Community Stigma in the HEALing Communities Study: Results of a Multi-Site, Community-Level, Cluster-Randomized Trial
Examines levels of community stigma toward naloxone use, medication for opioid use disorder (MOUD), and people treated for opioid use disorder (OUD), as related to different periods during the Communities that Heal (CTH) intervention. Analyzes survey data from 66 communities across 4 states by rural-urban status regarding their perceptions of OUD. Discusses implications of the intervention for rural communities addressing OUD and stigma.
Author(s): Alissa Davis, Hannah K. Knudsen, Daniel M. Walker, et al.
Citation: The Lancet Regional Health - Americas, 32
Date: 04/2024
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Strategies to Eliminate Inequity in PrEP Services in the US South and Rural Communities
Examines novel and promising programs and interventions to potentially improve HIV pre-exposure prophylaxis (PrEP) access in the U.S. South and rural communities. Describes ways to normalize, digitalize, and simplify PrEP care.
Author(s): Emiko Kamitani, Yuko Mizuno, Linda J. Koenig
Citation: Journal of the Association of Nurses in AIDS Care, 35(2), 153-160
Date: 03/2024
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Home Cooked: A 50-Year History of Meth in America
Podcast series presents a discussion on the history of the use, production, and proliferation of methamphetamine in the U.S. The 5-episode series explores how the social perception of meth in America compares with the reality of its use throughout the 20th and 21st centuries and how this has affected rural communities.
Date: 03/2024
Sponsoring organizations: Rural Assembly, The Daily Yonder
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Home Cooked: A 50-Year History of Meth in America - Ep. 3: Lab School
Podcast series presents a discussion on the history of the use, production, and proliferation of methamphetamine in the U.S. Episode 3 discusses the home meth lab surge in the rural Midwest and how this changed the distribution and policing of the illicit meth market.
Date: 03/2024
Sponsoring organizations: Rural Assembly, The Daily Yonder
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Home Cooked: A 50-Year History of Meth in America - Ep. 1: Old Meth, New Meth
Podcast series presents a discussion on the history of the use, production, and proliferation of methamphetamine in the U.S. Episode 1 discusses the perception of meth as a "hillbilly drug" and how that socially constructed perception differs from the realities of meth use and production.
Date: 03/2024
Sponsoring organizations: Rural Assembly, The Daily Yonder
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Behavioral Health Services Outcomes That Matter Most to Caregivers of Children, Youth, and Young Adults with Mental Health Needs
Used focus groups that included rural caregivers of children with behavioral health needs to identify behavioral health service outcomes valued by caregivers. Discusses access to care, service delivery, provider communication, caregiver training, stigma, caregiver wellness, and more. Discusses rural issues throughout.
Author(s): Genevieve Graaf, Katherine Kitchens, Millie Sweeney, Kathleen C. Thomas
Citation: International Journal of Environmental Research and Public Health, 21(2), 172
Date: 02/2024
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The Suicide Epidemic in Rural Minnesota: How We Got Here and How We Move Forward
Provides information on the yearly increase of suicides and deaths of despair in Minnesota, with data broken down by sex, region, and rurality. Discusses factors that impact suicide rates in rural areas, with a focus on tribal communities, farming, stigma, firearm access, and more.
Author(s): Marnie Werner, Tracie Rutherford Self
Date: 02/2024
Sponsoring organizations: Center for Rural Behavioral Health, Center for Rural Policy and Development
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Factors Associated with Gaps in Naloxone Knowledge: Evidence from a 2022 Great Plains Survey
Examines naloxone knowledge in Nebraska, such as familiarity with, access to, and competency administering naloxone. Analyzes 2022 Nebraska Annual Social Indicators Survey data with breakdowns according to respondent substance use, social and demographic data, and metro versus nonmetro location. Discusses issues such as naloxone access, education, and stigma related to opioid-related overdose deaths.
Author(s): Spencer Cooper-Ohm, Patrick Habecker, Ryan Humeniuk, Rick A. Bevins
Citation: Harm Reduction Journal, 21, 37
Date: 02/2024
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Stakeholder Perspectives on a Telemedicine Referral and Coordination Model To Expand Medication Treatment for Opioid Use Disorder in Rural Primary Care Clinics
Examines acceptability of utilizing an external telemedicine (TM) vendor to improve access to medications for opioid use disorder (MOUD) in rural areas. Analyzes interview data from 7 rural primary care clinics and a TM-MOUD vendor to explore themes such as logistical barriers, stigma, privacy, and access. Includes demographic data on survey respondents as well as acceptability ratings.
Author(s): Allison J. Ober, Alex R. Dopp, Sarah E. Clingan, et al.
Citation: Journal of Substance Use and Addiction Treatment, 156, 209194
Date: 01/2024
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El Dorado Community Health Centers: Addressing the Opioid Epidemic in Rural California through Community Partnerships
Case study describing how El Dorado Community Health Centers, a Federally Qualified Health Center (FQHC) in California, works with a community coalition to address the opioid epidemic and implement a medication for opioid use disorder (MOUD) program. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
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