Rural Health
Resources by Topic: Substance use and misuse
Opioid Overdose Surveillance Preliminary District Report: Georgia, 2023
Describes district-level fatal and nonfatal opioid-involved overdoses in Georgia from 2021-2023. Covers prescription opioids and illicit opioids, and features statistics on demographics, overdose deaths, and emergency department (ED) visits, with breakdowns by district, drug type, and year. Includes county-level maps with shadings showing ranges of opioid-involved deaths and ED visits per 100,000.
Date: 01/2025
Sponsoring organization: Georgia Department of Public Health
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Describes district-level fatal and nonfatal opioid-involved overdoses in Georgia from 2021-2023. Covers prescription opioids and illicit opioids, and features statistics on demographics, overdose deaths, and emergency department (ED) visits, with breakdowns by district, drug type, and year. Includes county-level maps with shadings showing ranges of opioid-involved deaths and ED visits per 100,000.
Date: 01/2025
Sponsoring organization: Georgia Department of Public Health
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Access to Firearms and Opioids Among Veterans at Risk for Suicide
Analyzes rates of access to firearms and opioids, gun safety practices, and being provided or declining naloxone or firearm locks among 38,454 veterans at risk for suicide, utilizing 2021-2023 Veterans Health Administration electronic health record data. Includes demographic breakdowns, including rural versus urban dwelling.
Author(s): Gabriela Kattan Khazanov, Matthew Wilson, Tom Cidav, et al.
Citation: JAMA Network Open, 8(1), e2456906
Date: 01/2025
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Analyzes rates of access to firearms and opioids, gun safety practices, and being provided or declining naloxone or firearm locks among 38,454 veterans at risk for suicide, utilizing 2021-2023 Veterans Health Administration electronic health record data. Includes demographic breakdowns, including rural versus urban dwelling.
Author(s): Gabriela Kattan Khazanov, Matthew Wilson, Tom Cidav, et al.
Citation: JAMA Network Open, 8(1), e2456906
Date: 01/2025
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Impaired Driving Among Rural Appalachian Women in the Year Following Incarceration
Results of a study examining impaired driving following incarceration and predictors of impaired driving in sample of rural Appalachian women with a history of drug use and risky sex. Features demographics and statistics with breakdown by risk factor.
Author(s): J. Matthew Webster, Megan F. Dickson, Shawn M. Jamison, Michele Staton
Citation: Journal of Appalachian Health, 6(4), 105-114
Date: 01/2025
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Results of a study examining impaired driving following incarceration and predictors of impaired driving in sample of rural Appalachian women with a history of drug use and risky sex. Features demographics and statistics with breakdown by risk factor.
Author(s): J. Matthew Webster, Megan F. Dickson, Shawn M. Jamison, Michele Staton
Citation: Journal of Appalachian Health, 6(4), 105-114
Date: 01/2025
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Comparative Outcomes Following Randomization to a Pilot Facebook-Based HIV Prevention Intervention Among Appalachian Women Involved in the Criminal Legal System
Results of a study to determine whether enhancing an HIV prevention intervention with additional modules improves service access for Appalachian women following release from jail. Uses data from surveys conducted between 2019-2022.
Author(s): Megan F. Dickson, Erika Pike, Michele Staton
Citation: Journal of Appalachian Health, 6(4), 81-96
Date: 01/2025
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Results of a study to determine whether enhancing an HIV prevention intervention with additional modules improves service access for Appalachian women following release from jail. Uses data from surveys conducted between 2019-2022.
Author(s): Megan F. Dickson, Erika Pike, Michele Staton
Citation: Journal of Appalachian Health, 6(4), 81-96
Date: 01/2025
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Enhancing Rural Access to Medications for Opioid Use Disorder: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to opioid use disorder (OUD) in rural areas. Discusses access to medication for opioid use disorder (MOUD), MOUD workforce, telehealth to support access to MOUD, and Medicaid 1115 demonstrations that address OUD. Offers policy recommendations related to regulatory barriers, reimbursement flexibility, workforce, and service site expansion to increase access to MOUD in rural areas.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of issues related to opioid use disorder (OUD) in rural areas. Discusses access to medication for opioid use disorder (MOUD), MOUD workforce, telehealth to support access to MOUD, and Medicaid 1115 demonstrations that address OUD. Offers policy recommendations related to regulatory barriers, reimbursement flexibility, workforce, and service site expansion to increase access to MOUD in rural areas.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Assessing the Needs of Rural Families Affected by the Opioid Crisis: Issue Brief and Recommendations to the Secretary
Explores the considerations for addressing social determinants of health that influence opioid use disorder (OUD) and the role of community efforts in prevention, treatment, and recovery in rural areas, with a focus on prevention efforts in Las Vegas, New Mexico. Discusses youth and family prevention and well-being; stigma; adverse childhood experience; school-based health centers and youth and family resource centers; access to stable housing, food, and other social supports; the importance of trusted community resources for support; and workforce. Offers recommendations related to reducing stigma and promoting the enhanced utilization of the Community Services Block Grant (CSBG) to help rural communities address OUD and substance use disorders.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Explores the considerations for addressing social determinants of health that influence opioid use disorder (OUD) and the role of community efforts in prevention, treatment, and recovery in rural areas, with a focus on prevention efforts in Las Vegas, New Mexico. Discusses youth and family prevention and well-being; stigma; adverse childhood experience; school-based health centers and youth and family resource centers; access to stable housing, food, and other social supports; the importance of trusted community resources for support; and workforce. Offers recommendations related to reducing stigma and promoting the enhanced utilization of the Community Services Block Grant (CSBG) to help rural communities address OUD and substance use disorders.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Opioid Use among Rural Medicare Beneficiaries
Examines trends in prescription opioid use among Medicare beneficiaries in rural areas, utilizing 2010-2017 Medicare Current Beneficiary Survey (MCBS) data. Provides data on receipt of opioid prescriptions among community-dwelling and facility-dwelling beneficiaries, associations between prescribing and chronic overlapping pain conditions (COPCs), and prescriptions exceeding CDC guidelines. Includes rural-urban comparisons.
Author(s): Yvonne Jonk, Heidi O'Connor, Karen Pearson, et al.
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Examines trends in prescription opioid use among Medicare beneficiaries in rural areas, utilizing 2010-2017 Medicare Current Beneficiary Survey (MCBS) data. Provides data on receipt of opioid prescriptions among community-dwelling and facility-dwelling beneficiaries, associations between prescribing and chronic overlapping pain conditions (COPCs), and prescriptions exceeding CDC guidelines. Includes rural-urban comparisons.
Author(s): Yvonne Jonk, Heidi O'Connor, Karen Pearson, et al.
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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A Perinatal Psychiatry Access Program to Address Rural and Medically Underserved Populations Using Telemedicine
Examines the Moms IMPACTT (Improving Access to Perinatal Mental Health and Substance Use Disorder Care Through Telehealth and Tele-mentoring) program in South Carolina, which aims to address perinatal mental health and substance use issues through healthcare partnerships and telemedicine. Provides details and impact of the program, including outreach and engagement with rural and underserved communities.
Author(s): Courtney King, Marie Hayes, Lizmarie Maldonado, et al.
Citation: BMC Women's Health, 25, 30
Date: 01/2025
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Examines the Moms IMPACTT (Improving Access to Perinatal Mental Health and Substance Use Disorder Care Through Telehealth and Tele-mentoring) program in South Carolina, which aims to address perinatal mental health and substance use issues through healthcare partnerships and telemedicine. Provides details and impact of the program, including outreach and engagement with rural and underserved communities.
Author(s): Courtney King, Marie Hayes, Lizmarie Maldonado, et al.
Citation: BMC Women's Health, 25, 30
Date: 01/2025
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Behavioral Health Diagnosis, Service Utilization, and Spending Among Older Adult Medicare Beneficiaries: A Chartbook
Examines the prevalence of behavioral health (BH) conditions among older adults. Utilizes 2017-2019 Medicare claims and administrative data to examine BH diagnoses, BH service utilization, cost of services, and more. Includes data breakdowns according to diagnosis, substance use, rates of diagnoses and service utilization, service type, rurality, and additional demographic factors.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the prevalence of behavioral health (BH) conditions among older adults. Utilizes 2017-2019 Medicare claims and administrative data to examine BH diagnoses, BH service utilization, cost of services, and more. Includes data breakdowns according to diagnosis, substance use, rates of diagnoses and service utilization, service type, rurality, and additional demographic factors.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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A Rural-Urban Analysis of Buprenorphine Therapy During and after Pregnancy among the Commercially Insured
Explores the use of evidence-based buprenorphine treatment and adherence during the peri-pregnancy period among commercially insured individuals by rurality. Analyzes data on 1,331,040 people between 15 and 44 years-old with diagnosis codes for pregnancy and labor/delivery from January 1, 2015, to December 31, 2019.
Author(s): KariLynn Dowling-McClay, Bill Brooks, Daniel Krauss, et al.
Date: 01/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Explores the use of evidence-based buprenorphine treatment and adherence during the peri-pregnancy period among commercially insured individuals by rurality. Analyzes data on 1,331,040 people between 15 and 44 years-old with diagnosis codes for pregnancy and labor/delivery from January 1, 2015, to December 31, 2019.
Author(s): KariLynn Dowling-McClay, Bill Brooks, Daniel Krauss, et al.
Date: 01/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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