Rural Health
Resources by Topic: Substance use and misuse
Houselessness and Syringe Service Program Utilization among People Who Inject Drugs in Eight Rural Areas Across the USA: A Cross-sectional Analysis
Examines the relationship between houselessness and syringe service program (SSP) use among people who inject drugs (PWID) in rural areas. Analyzes survey data from self-identified PWID across 10 states and explores data on PWID demographic profile, related drug use, proximity to SSPs, and more. Discusses housing instability in rural areas and potential barriers to SSP use.
Author(s): April M. Ballard, Dylan Falk, Harris Greenwood, et al.
Citation: Harm Reduction Journal, 20, 157
Date: 10/2023
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Examines the relationship between houselessness and syringe service program (SSP) use among people who inject drugs (PWID) in rural areas. Analyzes survey data from self-identified PWID across 10 states and explores data on PWID demographic profile, related drug use, proximity to SSPs, and more. Discusses housing instability in rural areas and potential barriers to SSP use.
Author(s): April M. Ballard, Dylan Falk, Harris Greenwood, et al.
Citation: Harm Reduction Journal, 20, 157
Date: 10/2023
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Telemedicine Buprenorphine Initiation and Retention in Opioid Use Disorder Treatment for Medicaid Enrollees
Evaluated buprenorphine treatment via telemedicine and overdose outcomes for 91,914 people in Kentucky and Ohio on Medicaid in 2020 to determine the impact of telemedicine on treatment retention and opioid-related nonfatal overdose. Includes discussion on the implications for rural residents.
Author(s): Lindsey R. Hammerslag, Aimee Mack, Redonna K. Chandler, et al.
Citation: JAMA Network Open, 6(10), e2336914
Date: 10/2023
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Evaluated buprenorphine treatment via telemedicine and overdose outcomes for 91,914 people in Kentucky and Ohio on Medicaid in 2020 to determine the impact of telemedicine on treatment retention and opioid-related nonfatal overdose. Includes discussion on the implications for rural residents.
Author(s): Lindsey R. Hammerslag, Aimee Mack, Redonna K. Chandler, et al.
Citation: JAMA Network Open, 6(10), e2336914
Date: 10/2023
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The Costs and Benefits of Recreational Cannabis Legalization in Illinois: County Level Analysis
Provides an analysis of costs and benefits of recreational marijuana in metro versus nonmetro counties in Illinois. Includes data on cannabis sales by month as well as tax estimates, healthcare costs, and average usage by county and metro versus nonmetro location.
Author(s): Adee Athiyaman
Date: 10/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Provides an analysis of costs and benefits of recreational marijuana in metro versus nonmetro counties in Illinois. Includes data on cannabis sales by month as well as tax estimates, healthcare costs, and average usage by county and metro versus nonmetro location.
Author(s): Adee Athiyaman
Date: 10/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Adolescent Advertising Exposure to Cannabis Products in Rural Oklahoma via Medical Dispensaries
Examines exposure to cannabis advertising among adolescents in rural Oklahoma, utilizing observations of medical dispensaries which were within a 15-minute drive from high schools in 20 rural, largely American Indian, Oklahoma communities. Includes data on the display of product advertisements and price promotions, number of dispensaries available within 15 minutes of high schools, and other dispensary characteristics.
Author(s): Melvin Livingston, Caroline Barry, Andrew Walker, et al.
Citation: Journal of Studies on Alcohol and Drugs, 84(5), 693-699
Date: 09/2023
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Examines exposure to cannabis advertising among adolescents in rural Oklahoma, utilizing observations of medical dispensaries which were within a 15-minute drive from high schools in 20 rural, largely American Indian, Oklahoma communities. Includes data on the display of product advertisements and price promotions, number of dispensaries available within 15 minutes of high schools, and other dispensary characteristics.
Author(s): Melvin Livingston, Caroline Barry, Andrew Walker, et al.
Citation: Journal of Studies on Alcohol and Drugs, 84(5), 693-699
Date: 09/2023
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Types of Offers of Combustible Cigarettes, E-Cigarettes, and Betel Nut Experienced by Guam Youths
Presents a study on the scenarios where youths in Guam are presented with the opportunity to use cigarettes, e-cigarettes, and betel nut. Bases findings on focus group discussions and breaks down data by type of offer, location, and group context, among other measures.
Author(s): Francis Dalisay, Scott K. Okamoto, Jane Teneza, et al.
Citation: International Journal of Environmental Research and Public Health, 20(19), 6832
Date: 09/2023
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Presents a study on the scenarios where youths in Guam are presented with the opportunity to use cigarettes, e-cigarettes, and betel nut. Bases findings on focus group discussions and breaks down data by type of offer, location, and group context, among other measures.
Author(s): Francis Dalisay, Scott K. Okamoto, Jane Teneza, et al.
Citation: International Journal of Environmental Research and Public Health, 20(19), 6832
Date: 09/2023
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Will Availability of Over-the-Counter Narcan Increase Access?
Highlights state policies and recent research related to over-the-counter naloxone access. Includes information on the impact of rurality on access. Also discusses insurance coverage and impact of cost.
Author(s): Heather Saunders, Robin Rudowitz
Date: 09/2023
Sponsoring organization: KFF
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Highlights state policies and recent research related to over-the-counter naloxone access. Includes information on the impact of rurality on access. Also discusses insurance coverage and impact of cost.
Author(s): Heather Saunders, Robin Rudowitz
Date: 09/2023
Sponsoring organization: KFF
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Implementation of Substance Use Screening in Rural Federally-Qualified Health Center Clinics Identified High Rates of Unhealthy Alcohol and Cannabis Use among Adult Primary Care Patients
Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
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Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
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State Principles for Financing Substance Use Care, Treatment, and Support Services
Provides an overview of strategies to strengthen and finance evidence-based substance use disorder (SUD) treatment and support services. Focuses on the role of public health to address SUD, the need for appropriate policy, and plans to reduce access issues and health disparities. Includes considerations and examples from rural areas.
Additional links: Executive Summary, Webinar
Author(s): Hadley Fitzgerald, Disha Williams
Date: 09/2023
Sponsoring organization: Center for Health Care Strategies
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Provides an overview of strategies to strengthen and finance evidence-based substance use disorder (SUD) treatment and support services. Focuses on the role of public health to address SUD, the need for appropriate policy, and plans to reduce access issues and health disparities. Includes considerations and examples from rural areas.
Additional links: Executive Summary, Webinar
Author(s): Hadley Fitzgerald, Disha Williams
Date: 09/2023
Sponsoring organization: Center for Health Care Strategies
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Indexed Age-Adjusted Mortality Rates by Geography for Oklahomans Age 25 to 64 (2016-2020)
Chart depicting mortality rates in Oklahoma for adults between 25 and 64. Compares rates between metropolitan and non-metropolitan tiers, all of Oklahoma, and the national rate for all causes of mortality, multiple chronic illnesses, cancer, stroke, suicide, opioids, and accidents. Click the full screen icon in the chart viewer to see the entire chart.
Date: 09/2023
Sponsoring organization: Oklahoma State University Center for Rural Health
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Chart depicting mortality rates in Oklahoma for adults between 25 and 64. Compares rates between metropolitan and non-metropolitan tiers, all of Oklahoma, and the national rate for all causes of mortality, multiple chronic illnesses, cancer, stroke, suicide, opioids, and accidents. Click the full screen icon in the chart viewer to see the entire chart.
Date: 09/2023
Sponsoring organization: Oklahoma State University Center for Rural Health
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This Team from HHS Has Spent Five Years Taking on the Rural Crisis of Opioid Use
Podcast episode interviewing Heath Resource and Services Administration (HRSA) officials running the Rural Communities Opioid Response Program (RCORP). Describes starting the program, types of projects funded, program impacts, and how to apply.
Author(s): Tom Temin
Date: 09/2023
Sponsoring organization: Federal News Network
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Podcast episode interviewing Heath Resource and Services Administration (HRSA) officials running the Rural Communities Opioid Response Program (RCORP). Describes starting the program, types of projects funded, program impacts, and how to apply.
Author(s): Tom Temin
Date: 09/2023
Sponsoring organization: Federal News Network
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