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Rural Health
Resources by Topic: Substance use and misuse

Rural Opioid Prevention and Treatment Strategies: The Experience in Four States
Study examining strategies for dealing with the rural opioid crisis, including prevention, treatment, and recovery services. Uses data from interviews with key stakeholders in Indiana, North Carolina, Vermont, and Washington.
Additional links: Research and Policy Brief
Author(s): John A. Gale, Anush Y. Hansen, Martha Elbaum Williamson
Date: 04/2017
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Multilevel Prevention Trial of Alcohol Use Among American Indian and White High School Students in the Cherokee Nation
Evaluates a multilevel intervention program developed to prevent alcohol use among rural White and Native American youth in the Cherokee Nation. Studies 6 communities by comparing a control program with two intervention programs targeting access to alcohol and screening paired with targeted intervention through the school system. Evaluates survey data, reporting the outcomes of these intervention methods on heavy episodic drinking and 30-day alcohol use.
Author(s): Kelli Komro, Melvin Livingston, Alexander Wagenaar, et al.
Citation: American Journal of Public Health, 107(3), 453-459
Date: 03/2017
Type: Document
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2017 County Health Rankings Key Findings Report
Provides information on county-level health disparities by analyzing health factors and outcomes throughout the U.S. Covers risk factors for premature death, including drug overdose and other injury fatalities, and discusses opportunities for youth and young adults. Includes data breakdowns by rurality and race/ethnicity.
Date: 03/2017
Type: Document
Sponsoring organization: County Health Rankings & Roadmaps
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The Effects of Perceived Racial/Ethnic Discrimination on Substance Use Among Youths Living in the Cherokee Nation
Study examining the association of racial discrimination and substance misuse from a sample of American Indian, American Indian and White, and White adolescents living in small rural communities of northeast Oklahoma within the Cherokee Nation Tribal Jurisdictional Service Area (CNTJSA).
Author(s): Brady A. Garrett, Bethany J. Livingston, Melvin D. Livingston, Kelli A. Komroc
Citation: Journal of Child & Adolescent Substance Abuse, 26(3), 242–249
Date: 03/2017
Type: Document
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Sleep Quality in an Adult American Indian Community Sample
Highlights a study on the sleep quality of American Indians and Alaska Natives and the factors contributing negatively to sleep. Analyzes data by age, academic attainment, and substance use among other factors.
Author(s): Cindy L. Ehlers, Derek N. Wills, Philip Lau, David A. Gilder
Citation: Journal of Clinical Sleep Medicine, 13(3), 385-391
Date: 03/2017
Type: Document
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Health Insurance Coverage, Health Care Utilization, and Health Outcomes within the Context of Marcellus Shale Development
A discussion of the public health impacts of the Marcellus Shale natural gas well development in four Pennsylvania counties. Includes comparisons of health insurance coverage rates and availability; the burden of increased utilization of healthcare facilities and services; and health outcomes as they relate to the environmental effects of natural gas extraction.
Date: 03/2017
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Areas
Discusses the role and potential benefits of engaging rural communities in the treatment and prevention of substance use disorders. Includes a discussion of substance use problems in the rural context, and provides examples of useful tools and evidence-based strategies. Provides a list of additional resources, and a self-assessment tool designed to help identify needs, capacities, and strategies in your community.
Date: 03/2017
Type: Document
Sponsoring organization: United Nations Office on Drugs and Crime
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Combatting the Opioid Epidemic with Provider and Public Education
Highlights from a conversation with Fred Wells Brason II, discussing community-based efforts to reduce opioid misuse and abuse in rural communities. Brason helped found Project Lazarus in Wilkes County, North Carolina, which reduced the overdose rate in Wilkes County by 72 percent over three years. The Project Lazarus model has since spread to more than 20 states and focuses on cross-sector collaboration, public and provider education, and increasing access to treatment.
Citation: Transforming Care: Reporting on Health System Improvement
Date: 03/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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A National Strategy for the Elimination of Hepatitis B and C: Phase Two Report
Report that considers strategies to eliminate Hepatitis B and C as a public health problem in the U.S. and potential barriers that could stand in the way of this goal. Includes recommendations for coordination and funding, as well as rural focused segments regarding injectable drugs such as opioids and other narcotics.
Additional links: Read Online
Date: 03/2017
Type: Document
Sponsoring organizations: Committee on a National Strategy for the Elimination of Hepatitis B and C, Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Use of Cell Phones and Computers for Health Promotion and Tobacco Cessation by American Indian College Students in Montana
Results of a survey given to 153 American Indian students at two rural tribal colleges, designed to inform development and implementation of a text messaging smoking cessation intervention. Features statistics including age, sex, health status, degree of tobacco use, access to computer and cell phone, and frequency of phone and internet use.
Author(s): Jo Ann Walsh Dotson, Lonnie A. Nelson, Sara L. Young, Dedra Buchwald, John Roll
Citation: Rural and Remote Health, 17(1), 4014
Date: 03/2017
Type: Document
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