Rural Health
Resources by Topic: Substance use and misuse
Alcohol Use Disorder and Marijuana Use Disorder Among Adolescents and Young Adults Aged 12 to 24 in the Rural and Urban U.S., 2021
Describes the past-year prevalence of alcohol use disorder and marijuana use disorder among adolescents and young adults in rural and urban counties and across census divisions, in 2021. Features statistics with breakdowns by 7 levels of population density.
Author(s): Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the past-year prevalence of alcohol use disorder and marijuana use disorder among adolescents and young adults in rural and urban counties and across census divisions, in 2021. Features statistics with breakdowns by 7 levels of population density.
Author(s): Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Post-Hospital Access to Preferred and High-Quality Skilled Nursing Facilities for Patients With Opioid Use Disorder
Examines access to preferred and high-quality skilled nursing facilities (SNFs) among Medicare beneficiaries with opioid use disorder (OUD). Utilizes 2017-2021 Medicare inpatient claims data to analyze 6,490,593 patients with OUD and their likelihood to enter preferred and high-quality SNFs according to patient demographics and urbanicity of metro, micro, small town, or rural.
Author(s): Talia S. Benheim, Momotazur Rahman, Andrew R. Zullo, et al.
Citation: Health Services Research, 61(2), e70110
Date: 04/2026
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Examines access to preferred and high-quality skilled nursing facilities (SNFs) among Medicare beneficiaries with opioid use disorder (OUD). Utilizes 2017-2021 Medicare inpatient claims data to analyze 6,490,593 patients with OUD and their likelihood to enter preferred and high-quality SNFs according to patient demographics and urbanicity of metro, micro, small town, or rural.
Author(s): Talia S. Benheim, Momotazur Rahman, Andrew R. Zullo, et al.
Citation: Health Services Research, 61(2), e70110
Date: 04/2026
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Can a Participant-Referred "Study Buddy" Increase Retention of Rural People Who Use Drugs in Research? A Multi-Site, Randomized Trial
Presents a study exploring the efficacy of an intervention aiming to increase retention of rural people who use drugs (PWUD) participating in randomized trials. Highlights an intervention involving participant recruitment of a support person, or "study buddy", to aid in the their continued participation in the study. Compares the efficacy of this intervention with standard retention practices.
Author(s): April M. Young, Kathryn E. Lancaster, Miriam R. Elman, et al.
Citation: Addiction, 121(4), 894-907
Date: 04/2026
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Presents a study exploring the efficacy of an intervention aiming to increase retention of rural people who use drugs (PWUD) participating in randomized trials. Highlights an intervention involving participant recruitment of a support person, or "study buddy", to aid in the their continued participation in the study. Compares the efficacy of this intervention with standard retention practices.
Author(s): April M. Young, Kathryn E. Lancaster, Miriam R. Elman, et al.
Citation: Addiction, 121(4), 894-907
Date: 04/2026
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NSDUH Short Report: Substance Use Disorder and Major Depressive Episode among Females
Report explores rates of substance use disorder (SUD) and major depressive episode (MDE) among women from 2022-2024. Breaks down data by a number of factors, such as demographic factors, adolescents versus adults, SUD/MDE severity, and rurality, among other measures.
Date: 03/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report explores rates of substance use disorder (SUD) and major depressive episode (MDE) among women from 2022-2024. Breaks down data by a number of factors, such as demographic factors, adolescents versus adults, SUD/MDE severity, and rurality, among other measures.
Date: 03/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Expanding Access to Low-Barrier Opioid Use Disorder Treatment in Non-Traditional Settings: Washington's Opioid Treatment Network
Presents a study exploring use of opioid treatment networks to provide low-barrier access to medications to treat opioid use disorder (MOUD) in Washington State. Compares rates of buprenorohine utilization of individuals within and outside of the network and by rural-urban residence.
Author(s): Shay M. Daily, Sharon Reif, Elizabeth Speaker, et al.
Citation: Journal of Rural Health, 42(2), e70139
Date: 03/2026
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Presents a study exploring use of opioid treatment networks to provide low-barrier access to medications to treat opioid use disorder (MOUD) in Washington State. Compares rates of buprenorohine utilization of individuals within and outside of the network and by rural-urban residence.
Author(s): Shay M. Daily, Sharon Reif, Elizabeth Speaker, et al.
Citation: Journal of Rural Health, 42(2), e70139
Date: 03/2026
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Vermont Cancer Surveillance: Data Pages
Presents data related to cancer, cancer prevention, and risk factors that can elevate the risk of cancer among Vermonters. Features statistics with breakdowns by urban and rural areas.
Date: 03/2026
Sponsoring organization: Vermont Department of Health
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Presents data related to cancer, cancer prevention, and risk factors that can elevate the risk of cancer among Vermonters. Features statistics with breakdowns by urban and rural areas.
Date: 03/2026
Sponsoring organization: Vermont Department of Health
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Cigarette and Electronic Cigarette Use Among Adults by Urbanization Level: United States, 2024
Offers 2024 data showing the percentage of adults who use cigarettes and electronic cigarettes by 4 levels of urbanization. Includes a break down by age ranges.
Date: 03/2026
Sponsoring organization: National Center for Health Statistics
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Offers 2024 data showing the percentage of adults who use cigarettes and electronic cigarettes by 4 levels of urbanization. Includes a break down by age ranges.
Date: 03/2026
Sponsoring organization: National Center for Health Statistics
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Brief Prescribing Support and Buprenorphine Adoption in Rural Primary Care: A Cluster Randomized Clinical Trial
Explores the efficacy of a brief support program on rural primary care providers willingness to prescribe buprenorphine for opioid use disorder (OUD). Breaks down the support program modules aimed at educating providers about buprenorphine-based treatment and prescribing practices. Highlights post-intervention changes in prescribing and treatment outcomes.
Author(s): Berkeley Franz, Lindsay Y. Dhanani, Daniel Brook, et al.
Citation: JAMA Network Open, 9(3), e263050
Date: 03/2026
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Explores the efficacy of a brief support program on rural primary care providers willingness to prescribe buprenorphine for opioid use disorder (OUD). Breaks down the support program modules aimed at educating providers about buprenorphine-based treatment and prescribing practices. Highlights post-intervention changes in prescribing and treatment outcomes.
Author(s): Berkeley Franz, Lindsay Y. Dhanani, Daniel Brook, et al.
Citation: JAMA Network Open, 9(3), e263050
Date: 03/2026
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Resilience to Stigma in Medical, Social, and Employment Contexts among People Who Inject Drugs in Rural Ohio: Adapting the 10-Item Connor-Davidson Resilience Scale
Explores the role stigma related to drug use and HIV plays in the lives of people who inject drugs (PWID) and aims to build resilience in medical, social, and employment contexts for PWID in rural Appalachian Ohio. Presents results from a series of interviews and a qualitative survey placing participants on the Connor-Davidson Resilience Scale.
Author(s): Madison N. Enderle, Rebecca H. Neiberg, Stacy M. Endres-Dighe, et al.
Citation: AIDS and Behavior, 30, 894-906
Date: 03/2026
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Explores the role stigma related to drug use and HIV plays in the lives of people who inject drugs (PWID) and aims to build resilience in medical, social, and employment contexts for PWID in rural Appalachian Ohio. Presents results from a series of interviews and a qualitative survey placing participants on the Connor-Davidson Resilience Scale.
Author(s): Madison N. Enderle, Rebecca H. Neiberg, Stacy M. Endres-Dighe, et al.
Citation: AIDS and Behavior, 30, 894-906
Date: 03/2026
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Comparing the Care and Distance Traveled by Rural and Urban Medicaid Beneficiaries With Opioid Use Disorder
Results of a study describing the treatment for rural and urban Medicaid beneficiaries with opioid use disorder in 2019. Features demographics and statistics on number of visits and travel time and distance, with breakdowns by 5 levels of population density.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Results of a study describing the treatment for rural and urban Medicaid beneficiaries with opioid use disorder in 2019. Features demographics and statistics on number of visits and travel time and distance, with breakdowns by 5 levels of population density.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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