Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Substance use and misuse

Facilitators and Barriers to Adopting or Expanding Medications for Opioid Use Disorder Provision in Rural Colorado Jails: a Qualitative Analysis
Reports findings of interviews with representatives of 7 rural Colorado jails on facilitators and barriers of medication for opioid use disorder (MOUD) adoption and expansion. Discusses factors including attitudes toward MOUD, collaborative partnerships, physical space, distance to services, provider availability, staff, and more.
Author(s): Heidi L. McNeely, Terri L. Schreiber, William L. Swann, Claudia R. Amura
Citation: Health and Justice, 12, 26
Date: 06/2024
Type: Document
view details
Rural and Urban Differences in Disparities in Substance Use and Substance Use Disorders Affecting Sexual Minority Populations
Examines substance use (SU), substance use disorders (SUD), and SUD treatment in heterosexual and sexual minority populations. Analyzes 2015 to 2019 National Survey on Drug Use and Health data with information broken down by demographics, SU, and large metro, small metro, or nonmetro location.
Author(s): Christina Dyar, Ethan Morgan
Citation: Journal of Rural Health, 40(3), 542-556
Date: 06/2024
Type: Document
view details
Evaluation of the Maternal Opioid Misuse (MOM) Model: Third Annual Report (Implementation Year 2)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
view details
Health Disparities in Tennessee
Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, gender, and urban or rural location.
Date: 05/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
view details
Providing Employment Services to Individuals in Recovery: Lessons from Addiction Recovery Care
Explores a substance use disorder (SUD) recovery program in rural Appalachian Kentucky that pairs the residential clinic with employment services. Details the phases and strategies of the recovery program: stabilization, recovery and life skills, taking action, and job skills and education. Discusses the demographic profile of those in recovery and the impact of providing occupational training during treatment.
Author(s): Robin Koralek, Hannah Engle, Chelsea Jackson, Hannah Pico
Date: 05/2024
Type: Document
Sponsoring organization: Administration for Children and Families
view details
Evaluation of Using Telehealth for Opioid Use Disorders in a Correctional Setting
Report evaluates a telehealth intervention in a rural county jail to provide medications for opioid use disorder (MOUD) and therapy to inmates with opioid use disorder (OUD) during the COVID-19 pandemic. Highlights program goals and details data from participant surveys on the intervention's perceived quality and efficacy.
Author(s): Marina Duane, Jennifer Yahner, Malore Dusenbery, Erica Henderson
Date: 05/2024
Type: Document
Sponsoring organizations: National Criminal Justice Reference Service, Office of Justice Programs
view details
Association Between Sociodemographics and Change in Alcohol or Tobacco Use Behaviors During the COVID-19 Pandemic
Presents a study exploring the changes in alcohol and tobacco use during the COVID-19 pandemic and aims to identify correlating sociodemographic factors. Breaks down survey data by sociodemographic markers, such as age, race, gender, and rural versus urban location, among other factors.
Author(s): Selam Habtemariam, Chloe M. Hery, Xiaochen Zhang, et al.
Citation: PLoS ONE, 19(5), e0304111
Date: 05/2024
Type: Document
view details
Facilitators and Barriers to Passing Local Policies That Prohibit the Sale of Flavored Tobacco Products: Qualitative Analysis of Strategies Implemented by 36 Communities in California, 2017–2021
Examines the success rate of implementing local polices that prohibit flavored tobacco sales in California. Analyzes both rural and urban communities and discusses barriers and facilitators to policy adoption.
Author(s): Sarah Hellesen, Sue Haun, Melanie S. Dove
Citation: Preventing Chronic Disease, 21
Date: 05/2024
Type: Document
view details
Overdose Responses among Rural People Who Use Drugs: A Multi-Regional Qualitative Study
Analyzes qualitative data from 7 Rural Opioid Initiative studies on peer responses to overdose. Identifies themes related to naloxone administration, overdose reversal strategies, willingness to call 911, perceptions of first responders, and access to medical intervention. Discusses public health approaches to increasing access to care and effectiveness of overdose response in rural areas.
Author(s): Robin Baker, Rob J Fredericksen, Abby E Rudolph, et al.
Citation: Harm Reduction Journal, 21, 107
Date: 05/2024
Type: Document
view details
Tribally-Led Mobile Outreach: Improving Access to Harm Reduction Services in One Rural Reservation Community
Presents a study on the efficacy of a tribally-run mobile outreach service to deliver opioid harm reduction information and services. Breaks down type of services offered, the organizational reach, and population served.
Author(s): Allyson Kelley, Kellie Webb, Katherine Hirchak, et al.
Citation: Frontiers in Public Health, 12, 1383729
Date: 05/2024
Type: Document
view details