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Rural Health Information Hub

Rural Health
Resources by Topic: Substance use and misuse

Factors Associated with Gaps in Naloxone Knowledge: Evidence from a 2022 Great Plains Survey
Examines naloxone knowledge in Nebraska, such as familiarity with, access to, and competency administering naloxone. Analyzes 2022 Nebraska Annual Social Indicators Survey data with breakdowns according to respondent substance use, social and demographic data, and metro versus nonmetro location. Discusses issues such as naloxone access, education, and stigma related to opioid-related overdose deaths.
Author(s): Spencer Cooper-Ohm, Patrick Habecker, Ryan Humeniuk, Rick A. Bevins
Citation: Harm Reduction Journal, 21, 37
Date: 02/2024
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Recent Trends in Mental Health and Substance Use Concerns Among Adolescents
Report highlights the state of adolescent mental health and substance use across the country. Breaks down rates of suicides, drug use, drug-related deaths, and other behavioral health issues by race, sex, and sexual orientation, as well as by rurality.
Author(s): Nirmita Panchal, Robin Rudowitz, Cynthia Cox
Date: 02/2024
Sponsoring organization: KFF
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Community-Engaged Transdisciplinary Approaches to Cervical Cancer Prevention in Appalachia
Provides an overview of the Take CARE (Clinical Avenues to Reach Health Equity) program to reduce cervical cancer incidence and mortality in Appalachian Kentucky, Ohio, Virginia, and West Virginia. Describes implementation of Take CARE's human papillomavirus (HPV) vaccination, smoking cessation, and cervical cancer screening initiatives.
Author(s): Electra D. Paskett
Date: 01/2024
Sponsoring organization: St. Jude Children's Research Hospital
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Stakeholder Perspectives on a Telemedicine Referral and Coordination Model To Expand Medication Treatment for Opioid Use Disorder in Rural Primary Care Clinics
Examines acceptability of utilizing an external telemedicine (TM) vendor to improve access to medications for opioid use disorder (MOUD) in rural areas. Analyzes interview data from 7 rural primary care clinics and a TM-MOUD vendor to explore themes such as logistical barriers, stigma, privacy, and access. Includes demographic data on survey respondents as well as acceptability ratings.
Author(s): Allison J. Ober, Alex R. Dopp, Sarah E. Clingan, et al.
Citation: Journal of Substance Use and Addiction Treatment, 156, 209194
Date: 01/2024
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The Association of Alcohol Use and Heavy Drinking With Subsequent Handgun Carrying Among Youth From Rural Areas
Presents a study on the correlation between alcohol use and handgun carrying among rural youth. Examines past alcohol use by rural youth and young adults aged 12-26 on a scale of never used, used but not heavily, or used heavily. Breaks down data by participant characteristics, such as rebelliousness, family conflict, and education, among other factors.
Author(s): Alice M. Ellyson, Julia P. Schleimer, Kimberly Dalve, et al.
Citation: Journal of Rural Health, 40(1), 181–191
Date: 01/2024
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Medicaid Coverage of Medications to Reverse Opioid Overdose and Treat Alcohol and Opioid Use Disorders
Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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A Federally Qualified Health Center and Certified Community Behavioral Health Clinic Partnership in Rural Missouri
Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
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El Dorado Community Health Centers: Addressing the Opioid Epidemic in Rural California through Community Partnerships
Case study describing how El Dorado Community Health Centers, a Federally Qualified Health Center (FQHC) in California, works with a community coalition to address the opioid epidemic and implement a medication for opioid use disorder (MOUD) program. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
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Association of Spatial Proximity to Fixed-Site Syringe Services Programs with HCV Serostatus and Injection Equipment Sharing Practices Among People Who Inject Drugs in Rural New England, United States
Examines the correlation of proximity to a syringe services program (SSP) and Hepatitis C virus (HCV) infection in rural areas of the northeastern United States. Utilizes 2018-2019 data to analyze people who inject drugs (PWID) and their demographic characteristics, drug usage, and distance to the nearest fixed-site SSP.
Author(s): Eric Romo, Thomas J. Stopka, Bill M. Jesdale, et al.
Citation: Harm Reduction Journal, 21, 23
Date: 01/2024
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Overdose Prevention Policy Considerations: A Policy Playbook for State and Territorial Health Officials and Agencies
Provides an overview of policy considerations related to overdose prevention, with a focus on health equity and stigma reduction, community distribution, drug checking equipment, syringe service programs, and substance use support peer programs. Includes case examples, strategies for overdose prevention interventions, and considerations for rural and frontier areas.
Author(s): Victoria Pless, Kaela Hurd, Kayley Humm, Arieana Love
Date: 01/2024
Sponsoring organization: Association of State and Territorial Health Officials
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