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Rural Health
Resources by Topic: Substance use and misuse

County-level Vulnerability Assessment for Rapid Dissemination of HIV or HCV Infections among Persons Who Inject Drugs, United States
Explores a study on the prevalence of HIV and hepatitis C virus (HCV) due to illicit injection drug use in rural areas. Identifies counties across the U.S. that are potentially vulnerable to HIV/HCV infections among people who inject drugs.
Author(s): Michelle M Van Handel, Charles E Rose, Elaine J Hallisey, et al.
Citation: Journal of Acquired Immune Deficiency Syndromes, 73(3), 323-331
Date: 11/2016
Type: Document
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Availability of Buprenorphine Treatment in Kentucky
Describes availability of opioid addiction treatment in Kentucky, with breakdowns by metropolitan, micropolitan, and other non-metropolitan areas, and distribution of various medical specialists authorized to prescribe buprenorphine in these areas.
Author(s): Elijah T. Myers, Tyrone F. Borders
Date: 11/2016
Type: Document
Sponsoring organization: University of Kentucky Institute for Rural Health Policy
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Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health
Highlights ways substance use disorder treatment in rural and urban areas can be aligned with primary care, and provides recommendations and examples of how individuals, organizations, and communities can work together to reduce and prevent substance misuse.
Date: 11/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Pennsylvania Mobile Team Addresses Substance Use Disorders
Features the Addiction Recovery Mobile Outreach Team (ARMOT) program, which supports patients in the recovery process and educates medical staff on addiction and recovery. ARMOT is a collaboration of three hospitals, two substance abuse providers, and the Armstrong-Indiana-Clarion Drug and Alcohol Commission.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Vital Signs: Disparities in Tobacco-Related Cancer Incidence and Mortality — United States, 2004–2013
Reports on trends and disparities in incidence and death rates for cancers related to cigarette smoking during 2004–2013. Includes data for urban and rural counties.
Author(s): S. Jane Henley, Cheryll C. Thomas, Saida R. Sharapova, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(44),1212-1218
Date: 11/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Symptom Profiles and Illness Course among Anabaptist and Non-Anabaptist Adults with Major Mood Disorders
Study of major mood disorder symptom profiles for Amish and Mennonite clinical patients in Pennsylvania, Indiana, and Ohio. Compares 155 patient profiles to 155 non-Anabaptist study participants who were matched by sex, age, and diagnosis. Discusses rates of alcohol use disorder (AUD) and head injury in relation to major depressive episodes for both population groups.
Author(s): Kelly E. Gill, Stephanie A. Cardenas, Layla Kassem, Thomas G. Schulze, Francis J. McMahon
Citation: International Journal of Bipolar Disorders, 4, 21
Date: 10/2016
Type: Document
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The Criminal Justice Experience of African American Cocaine Users in Arkansas
Examines associations between the involvement in the criminal justice system and drug use in urban and rural African American cocaine users in Arkansas between 2010 and 2012. Includes demographic statistics by gender, age, rurality, and route of administration.
Author(s): Nickolas Zaller, Ann M. Cheney, Geoffrey M. Curran, Brenda M. Booth, Tyrone F. Borders
Citation: Substance Use & Misuse, 51(12), 1566-1576
Date: 10/2016
Type: Document
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Rural Opioid Use Disorder Treatment Depends on Family Physicians
Brief description of a study examining distribution of physicians approved to prescribe buprenorphine for opioid use disorder, by specialty and rurality. Features breakdowns by family medicine, emergency medicine, internal medicine, psychiatry, and all other specialties, and by urban or rural location.
Author(s): Peter Wingrove, Brian Park, Andrew Bazemore
Citation: American Family Physician, 94(7), 546
Date: 10/2016
Type: Document
Sponsoring organization: Robert Graham Center
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Abstinence Reinforcement Therapy (ART) for Rural Veterans: Methodology for an mHealth Smoking Cessation Intervention
Determines the effectiveness of Abstinence Reinforcement Therapy (ART), a smoking cessation intervention, among rural veterans. ART combines evidenced-based cognitive-behavioral telephone counseling (TC), a telemedicine clinic for access to nicotine replacement (NRT), and mobile contingency management (mCM) compared to TC and NRT alone.
Author(s): Sarah M. Wilson, Lauren P. Hair, Jeffery S. Hertzberg, et al.
Citation: Contemporary Clinical Trials, 50, 157-165
Date: 09/2016
Type: Document
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Opioid Addiction: Laws, Regulations, and Other Factors Can Affect Medication-Assisted Treatment Access
Examines current federal laws and regulations related to the medication-assisted treatment (MAT) of opioid dependency, and discusses how these laws affect access to treatment, including in rural areas. Also explores other factors that affect access to treatment such as cost, insurance coverage, practitioner availability, and perceived value. Provides detailed descriptions about the uses and concerns of the three medications currently approved by the FDA for use in opioid MAT - methadone, buprenorphine, and naltrexone.
Additional links: Full Report
Date: 09/2016
Type: Document
Sponsoring organization: Government Accountability Office
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