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Rural Health
Resources by Topic: Substance use and misuse

Assessment of Community-Level Vulnerability and Access to Medications for Opioid Use Disorder
Study examining access to medication for opioid use disorder (MOUD) in relation to social vulnerability to disasters based on zip code tabulation data (ZCTA) for 32,434 counties in the continental U.S. Discusses differences in geographic access to MOUD for rural and urban areas and the potential impacts of disasters on that access, highlighting potential interventions to bolster access to treatment.
Author(s): Paul J. Joudrey, Marynia Kolak, Qinyun Lin, et al.
Citation: JAMA Network Open, 5(4), e227028
Date: 04/2022
Type: Document
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Oversight: The Opioid Crisis in Tribal Communities
Recording of a U.S. House Natural Resources Committee, Subcommittee on Oversight and Investigations, hearing focused on the opioid crisis in tribal communities. Includes testimonies from representatives of the Cherokee Nation, the National Council of Urban Indian Health, the Border Patrol Council, and the Riverside-San Bernardino Indian Health.
Additional links: Art Del Cueto Testimony, Chuck Hoskin, Jr. Testimony, Maureen Rosette Testimony, Wayne Cortez Testimony, YouTube Recording
Date: 04/2022
Type: Video/Multimedia
Sponsoring organization: U.S. House of Representatives
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Impact of Telemedicine on Retention in Medications for Opioid Use Disorder (MOUD) Treatment with Buprenorphine in the Times of COVID-19 Pandemic: A Retrospective Chart Review
Study examining treatment retention for medication for opioid use disorder (MOUD) patients via telehealth during the COVID-19 pandemic, based on electronic health records of patients at a rural Federally Qualified Health Center (FQHC) in Pennsylvania. Discusses the impacts of telemedicine on retention rates, COVID-19-related challenges to treatment delivery systems, and policy measures to support telehealth and MOUD interventions.
Author(s): Jagdeep Kaur, Irakli Mania, Raghavendra Tirupathi, Lakshmi Polavarapu
Citation: Journal of Rural Mental Health, 46(2), 75-81
Date: 04/2022
Type: Document
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Rural Disparities in Adolescent Smoking Prevalence
Analyzes surveys of 299,435 12th grade students between 1998 and 2018 to compare smoking prevalence among urban and rural youth. Discusses potential reasons for disparate rates and gaps in the literature regarding e-cigarette use.
Author(s): Sooyong Kim, Arielle Selya
Citation: Journal of Rural Health, 38(2), 360-363
Date: 03/2022
Type: Document
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2020 Alabama State Health Assessment
Reports on the health of Alabama residents, providing demographic data and comparing rural and urban areas throughout. Presents county-level data and discussion of 14 selected health indicators, including mental health and substance abuse, access to care, pregnancy outcomes, social determinants of health, and environmental health, among others.
Date: 03/2022
Type: Document
Sponsoring organization: Alabama Department of Public Health
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Tailoring Opioid Overdose Prevention Efforts for Diverse Groups within Tribal and Urban Indian Settings - A Toolkit for Providers and Community Organizations Serving American Indian/Alaska Native Communities
Toolkit features resources and strategies for preventing opioid overdoses in American Indian and Alaska Native (AI/AN) communities. Features information for AI/AN elders, youth, veterans, and LGBTQ2S+, as well as urban and tribal communities.
Author(s): Danielle Eakins, Maya Magarati, Katie Hess, et al.
Date: 03/2022
Type: Document
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
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Use of Medication for Opioid Use Disorder Among US Adolescents and Adults With Need for Opioid Treatment, 2019
Results of a study to estimate use rates of medication for opioid use disorder (MOUD) and to identify associations between MOUD and characteristics of people who may have needed treatment for opioid use disorder (OUD). Features statistics including characteristics of adolescents and adults with past-year OUD treatment need and likelihood of MOUD among adults who may have needed OUD treatment, with breakdowns by large metropolitan, small metropolitan, or nonmetropolitan location.
Author(s): Pia M. Mauro, Sarah Gutkind, Erin M. Annunziato, Hillary Samples
Citation: JAMA Network Open, 5(3)
Date: 03/2022
Type: Document
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Strengthening Federal Mental Health and Substance Use Disorder Programs: Opportunities, Challenges, and Emerging Issues
Presents a full committee hearing of the U.S. Senate Committee on Health, Education, Labor, and Pensions discussing the current state of federal mental health and substance use disorder programs. Features testimonies from representatives of the Heath Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the National Institute of Mental Health, and the National Institute on Drug Abuse.
Additional links: Carole Johnson Testimony, Joshua A. Gordon Testimony, Miriam E. Delphin-Rittmon Testimony, Nora D. Volkow Testimony
Date: 03/2022
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Parent Partners Provide Mentoring and Support in Rural Iowa
Features a statewide program in Iowa that pairs families whose children have been removed from the home with mentors with shared experience who have successfully navigated the state's Department of Human Services system. Describes the services that mentors provide: coaching, advocating, and connecting clients with community resources.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Grantee Sourcebook: Rural Health Opioid Program, 2018-2021
Describes the work of 26 2018-2021 Rural Health Opioid Program (RHOP) grantees in addressing the opioid epidemic through community-based consortiums. Highlights each project's achievements and identifies common themes of program impact.
Date: 03/2022
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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