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Rural Health
Resources by Topic: Substance use and misuse

Scaling up Overdose Education and Naloxone Distribution in Kentucky: Adoption and Reach Achieved Through a "Hub with Many Spokes" Model
Examines a hub-and-spoke model for overdose education and naloxone distribution (OEND) in Kentucky. Discusses the efficacy of a university-based naloxone dispensing unit and the related adopting organizations to provide technical assistance, education, and no-cost naloxone. Analyzes rural versus urban OEND and the impact of rurality on OEND.
Author(s): Hannah K. Knudsen, Patricia R. Freeman, Douglas R. Oyler, Carrie B. Oser, Sharon L. Walsh
Citation: Addiction Science & Clinical Practice, 18(72)
Date: 11/2023
Type: Document
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2023 Rural-Urban Disparities in Health Care in Medicare
Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2022, with breakdowns by race and ethnicity. Focuses on patient experience and clinical care measures, including screening for and management of health conditions, medication-related issues, and access to and availability of care.
Date: 11/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Cumulative Environmental Quality Is Associated with Breast Cancer Incidence Differentially by Summary Stage and Urbanicity
Identifies associations between environmental factors and breast cancer stages in North Carolina using the Environmental Quality Index (EQI). EQI factors include air, water, land, sociodemographic, and built environments. Includes analysis of urbanicity, race, screenings, and tobacco use.
Author(s): Larisa M. Gearhart-Serna, Brittany A. Mills, Hillary Hsu, et al.
Citation: Scientific Reports, 13, 20301
Date: 11/2023
Type: Document
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Methadone Prescribing by Addiction Specialists Likely to Leave Communities Without Available Methadone Treatment
Examines two policy proposals for expanding access to methadone treatment for opioid use disorder. Highlights the impact on availability in rural areas. Discusses the role of mental health professional shortage areas and Federally Qualified Health Centers in each proposal.
Author(s): Paul J. Joudrey, Dylan Halpern, Qinyun Lin, et al
Citation: Health Affairs Scholar, 1(5)
Date: 11/2023
Type: Document
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Engaging Students in Advancing Campus Tobacco-Free Policies: A Qualitative Study of California Community Colleges' Efforts
Examines student engagement with tobacco-free campus policies in California community colleges. Analyzes 33 semi-structured interviews from stakeholders across 12 community colleges with a focus on themes such as engaging students, ways students are involved in tobacco-free policies, and the benefits of student engagement, according to rural versus urban campus location.
Author(s): Setareh Harsamizadeh Tehrani, Sang Leng Trieu, Lien Dao, Carissa Samuel, Camillia K. Lui
Citation: Preventing Chronic Disease, 20
Date: 11/2023
Type: Document
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RCORP: Helping Meet Rural Needs
Video series featuring the Federal Office of Rural Health Policy's Rural Communities Opioid Response Program (RCORP), a multi-year initiative that funds a range of grant programs to help rural communities treat and prevent opioid use disorder. RCORP grantees share how they have used this funding to address the needs of their communities.
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Filling the Gaps: Program Builds Referral and Recovery Services in Western Massachusetts
Features a rural Massachusetts coalition's work to address substance misuse and build sustainable recovery services, with support from the Rural Communities Opioid Response Program (RCORP). Discusses youth outreach and engagement, stigma reduction activities, facilitating access to services, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Substance Use Among Rural Adolescents With Incarcerated Parents: Evidence From a State-Wide Sample
Presents a study on the potential correlation between parental incarceration and rural adolescent substance use. Draws data from the 2019 Minnesota Student Survey and breaks down findings by age, household substance use, and poverty, among other factors.
Author(s): Luke Muentner, Katie K. McLaughlin, Rebecca Shlafer
Citation: Journal of Rural Health, 40(2), 338-347
Date: 11/2023
Type: Document
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NSDUH (National Survey on Drug Use and Health) Detailed Tables - 2022
Explores 2022 survey data, including revisions, on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status. Includes information on substance use and mental health during the COVID-19 pandemic.
Date: 11/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Recent Incarceration, Substance Use, Overdose, and Service Use Among People Who Use Drugs in Rural Communities
Compares 2,935 people who use drugs (PWUD) in rural areas of 10 states to evaluate the impact of time since last incarceration on access to treatment and overdose rates. Discusses policy measures that could increase access to and successful completion of treatment for substance use disorders.
Author(s): Daniel B. Hoover, Todd Korthuis, Elizabeth Needham Waddell, et al.
Citation: JAMA Network Open, 6(11), 2342222
Date: 11/2023
Type: Document
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