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Rural Health
Resources by Topic: Substance use and misuse

Non-Medical Opioid Use among Rural and Urban Pregnant Women, 2007-2014
Examines data from the National Survey on Drug Use and Health (NSDUH) from 2007 to 2014 to determine differences in non-medical opioid use among rural and urban pregnant women. Covers policy and practice implications to inform program and clinical efforts to address the crisis.
Author(s): Katy Kozhimannil, Carrie Henning-Smith, Tongtan Chantarat, Tongtan Chantarat, Cresta Jones
Date: 08/2018
Sponsoring organization: University of Minnesota Rural Health Research Center
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Entertainment-Education Videos as a Persuasive Tool in the Substance Use Prevention Intervention "keepin' it REAL"
Examines the effects of engagement by adolescents receiving a substance use prevention curriculum offering entertainment-education videos on alcohol use by youth and communication skills to refuse drug offers. Seventh grade students from two rural public schools were assigned to two versions of the keepin' it REAL prevention curriculum – one rural based and one urban based. Discusses the pre/post surveys taken by students at the beginning and the end of 7th grade.
Author(s): YoungJu Shin, Michelle Miller-Day, Michael L. Hecht, Janice L. Krieger
Citation: Health Communication, 33(7) 896-906
Date: 07/2018
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Beliefs About Behavioral Determinants of Obesity in Appalachia, 2011-2014
Examines responses from the Health Information National Trends Survey (2011-2014) to compare Appalachian and non-Appalachian individuals on body mass index, beliefs about obesity, and health behaviors. Provides survey respondents' sociodemographic information, including age, sex, race/ethnicity, education, annual household income, and rurality.
Author(s): Elise L. Rice, Minal Patel, Katrina J. Serrano, et al.
Citation: Public Health Reports, 133(4), 379-384
Date: 07/2018
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Perceptions of Driving after Marijuana Use Compared to Alcohol Use among Rural American Young Adults
Examines the perceptions of young adults aged 18-25 regarding the acceptability and danger associated with driving after marijuana use as opposed to alcohol use in rural and frontier areas of Montana.
Author(s): Kaylin M. Greene
Citation: Drug and Alcohol Review, 37(5), 637-644
Date: 07/2018
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The Intersection of Hepatitis, HIV, and the Opioid Crisis: The Need for a Comprehensive Response
Brief discusses the infectious diseases co-occurring with the opioid crisis and the need for comprehensive treatment. Details the relationship between opioid use disorder and HIV and hepatitis infection. Looks at barriers to care and presents suggestions to overcome them, such as increasing access to healthcare for low-income populations, among others.
Date: 07/2018
Sponsoring organization: National Alliance of State and Territorial AIDS Directors
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Comparing Rural and Urban Drug Use and Violence in the Pennsylvania Youth Survey
Highlights a study on urban and rural differences in substance use and violent behavior among youth in Pennsylvania. Looks at substance use and instances of violence, both as perpetrators and as victims, for 6th, 8th, 10th, and 12th grade students in rural and urban areas.
Additional links: Executive Summary
Author(s): Jennifer Murphy
Date: 07/2018
Sponsoring organization: Center for Rural Pennsylvania
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Integrating Responses at the Intersection of Opioid Use Disorder and Infectious Disease Epidemics: Proceedings of a Workshop
Features the proceedings of a public workshop on the relationship between the opioid epidemic and the spread of infectious diseases. Presents research and policy options, such as integrating infectious disease treatment into opioid treatment and prevention efforts, as well as exploring the role of law enforcement. Discusses barriers to treatment and prevention in rural areas.
Additional links: Read Online
Date: 07/2018
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Challenges Facing a Rural Opioid Epidemic: Treatment and Prevention of HIV and Hepatitis C
Presents a study on the current trends of HIV and hepatitis C virus (HCV) infection coinciding with the opioid epidemic and the strategies for treatment and prevention in rural areas. Highlights the barriers to HIV and HCV testing and treatment for rural people who inject drugs.
Author(s): Asher J. Schranz, Jessica Barrett, Christopher B. Hurt, et al.
Citation: Current HIV/AIDS Reports, 15(3), 245-254
Date: 06/2018
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Medicaid Expansion and Community Health Centers: Care Quality and Service Use Increased for Rural Patients
Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
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It's an Addiction Crisis: Across Minnesota, the "Opioid Crisis" Is So Much More Than Just Opioids
Details the opioid crisis in the state of Minnesota. Includes statistics on overdose deaths and treatment admissions for alcohol, heroin, methamphetamine, and other opiates. Covers hospital addition costs and workforce issues posing a barrier to access in rural areas. Reviews 3 rural community models working to address substance abuse.
Author(s): Marnie Werner
Date: 06/2018
Sponsoring organization: Center for Rural Policy and Development
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