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Rural Health
Resources by Topic: Substance use and misuse

Syringe Service Programs for Persons Who Inject Drugs in Urban, Suburban, and Rural Areas - United States, 2013
Describes characteristics of syringe service programs in urban, suburban, and rural areas. Includes information on program size, number of syringes exchanged, total funding, and whether public funding supports the program. Discusses the increase in opiate overdoses and prescription opiate use in rural areas and concerns related to the availability of syringe exchange programs in these areas.
Author(s): Don C. Des Jarlais, Ann Nugent, Alisa Solberg, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 64(48), 1337-41
Date: 12/2015
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Caring for Pregnant Opioid Abusers in Vermont: A Potential Model for Non-Urban Areas
Provides an overview of the challenges managed and the approach used for the development of a comprehensive program for the treatment of opioid dependence during pregnancy in rural Vermont.
Author(s): Marjorie Meyer, Julie Phillips
Citation: Preventive Medicine, 80, 18-22
Date: 11/2015
Type: Document
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Mortality and Life Expectancy in Rural America: Connecting the Health and Human Service Safety Nets to Improve Health Outcomes over the Life Course
Policy brief describing the driving forces behind rural health disparities in Appalachian Kentucky. Offers nationally relevant recommendations for addressing these challenges. Discusses rural and urban differences in life expectancy and mortality rates, and other significant factors including behavioral health, substance abuse, population health, trauma care, and transportation.
Date: 10/2015
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Perceived Ease of Access to Alcohol, Tobacco and Other Substances in Rural and Urban US Students
Examines differences in perceived ease of access to both legal and illegal substances for adolescents in rural and urban areas of Georgia. Provides statistics with breakdowns by substance, rural/urban, and middle versus high school students.
Author(s): Jacob Warren, K. Bryant Smalley, K. Nikki Barefoot
Citation: Rural and Remote Health, 15(4), 3397
Date: 10/2015
Type: Document
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Mental Health and Substance Use Disorders in America: Priorities, Challenges, and Opportunities
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on mental health and substance abuse challenges in the U.S. Includes testimonies from the Substance Abuse and Mental Health Services Administration, Health Resources and Services Administration, and National Institute of Mental Health regarding the federal government's role, how well their programs are working, obstacles, and recommendations. Additional link to HRSA administrator's testimony highlights efforts focused on rural areas.
Additional links: Jim Macrae Testimony
Date: 10/2015
Type: Document
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Implications of Rural Residence and Single Mother Status for Maternal Smoking Behaviors
Reports on a study using survey data to analyze and compare smoking behaviors of rural and urban mothers, both single and married, to determine if there is a relationship between prevalence of smoking, rurality, and single mother status.
Author(s): Jean A. Talbot, Donald Szlosek, Erika C. Ziller
Date: 10/2015
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Rural Adolescents Are More Likely Than Their Urban Peers to Abuse Prescription Painkillers
Provides an overview of the growing epidemic of prescription drug abuse by adolescents in small towns and in rural areas of the U.S., and emphasizes the urgency with which this epidemic should be addressed.
Author(s): Shannon M. Monnat, Khary K. Rigg
Date: 10/2015
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Delay Discounting and Self-Reported Impulsivity in Adolescent Smokers and Nonsmokers Living in Rural Appalachia
Examines whether impulsivity is associated with adolescent smoking status in rural Appalachian regions of Ohio and Kentucky. Impulsivity data was collected for two measures, delay discounting and the Barratt Impulsiveness Scale 11, through self-reported assessments. Includes demographic data on adolescent smokers and nonsmokers by number of cigarettes per day, number of friends who smoke, whether their closest friend smokes, and if at least one parent smokes.
Author(s): Russell Lewis, Millie Harris, Stacey A. Slone, Brent J. Shelton, Brady Reynolds
Citation: The American Journal on Addictions, 24(6), 492-494
Date: 09/2015
Type: Document
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Individual and Neighborhood Predictors of Mortality among HIV-Positive Latinos with History of Injection Drug Use, Florida, 2000–2011
Examines disparities as well as individual and neighborhood predictors of mortality in HIV-positive Latinos with a history of injection drug use (IDU) in Florida. Provides demographic and other information on individuals age 13 and older diagnosed with HIV, with data for those with and without a history of IDU. Offers zip code-level characteristics, including rural/urban location. Includes implications for targeting prevention strategies in rural areas.
Author(s): Diana M. Sheehan, Mary Jo Trepka, Kristopher P. Fennie, et al.
Citation: Drug and Alcohol Dependence, 154, 243-250
Date: 09/2015
Type: Document
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Where Is Buprenorphine Dispensed to Treat Opioid Use Disorders? The Role of Private Offices, Opioid Treatment Programs, and Substance Abuse Treatment Facilities in Urban and Rural Counties
Examines the impact of 2006 federal legislation allowing waivered physicians to prescribe and expand FDA approved buprenorphine as a treatment for opioid use disorder to a maximum of 100 patients. Discusses buprenorphine distribution by both urban and rural waivered physicians, opioid treatment programs, and treatment facilities for substance abuse.
Author(s): Bradley D. Stein, Rosalie Liccardo Pacula, Adam J. Gordon, et al.
Citation: The Milbank Quarterly, 93(3), 561-583
Date: 09/2015
Type: Document
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