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Rural Health
Resources by Topic: Substance use and misuse

Menthol Smoking and Nicotine Dependence among Black/African American Women Smokers Living in Low-Resource, Rural Communities
Reports the results of a study examining associations between menthol smoking with nicotine dependence and quitting behaviors for 146 Black women that smoke who are 18 to 50 years old and living in a low-resource, rural community in 2 Arkansas counties. Includes analysis on socioeconomic deprivation and nicotine dependence for the study population.
Author(s): Dina M. Jones, Margarete C. Kulik, Lourdes Baezconde-Garbanati, Sandilyn Bullock, Mignonne C. Guy, Pebbles Fagan
Citation: International Journal of Environmental Research and Public Health, 18(20), 10877
Date: 10/2021
Type: Document
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Improving Outcomes for American Indian/Alaska Native People Returning to the Community from Incarceration: A Resource Guide for Service Providers
Seeks to improve outcomes for American Indian and Alaska Native populations returning to their communities and families after incarceration by sharing information, research, program examples, and other resources addressing various topics including culturally responsive programs, violence, housing, substance use, mental health, education, employment, and more. Also shares special considerations for service providers working with children and families, youth, and women.
Date: 10/2021
Type: Document
Sponsoring organizations: Administration for Native Americans, HHS Office of the Assistant Secretary for Planning and Evaluation
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New Hampshire Baseline Needs Assessment: Barriers to Substance Use Disorder Treatment
Reports on barriers and challenges healthcare providers and community stakeholders experience when providing treatment for opioid use disorder (OUD) in rural New Hampshire.
Date: 10/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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2021 Report to Congress on the State Opioid Response Grants (SOR)
Report details the outcomes of state opioid response (SOR) grants to Congress. Highlights demographic breakdown of people served by SOR programs and discusses key accomplishments by state/territory. Includes rural references throughout.
Date: 10/2021
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Trends in and Characteristics of Buprenorphine Misuse Among Adults in the US
Results of a study to identify prescription opioids that are most frequently misused, examine differences in motivations for misuse between buprenorphine and nonbuprenorphine prescription opioids, and explore trends in and factors associated with buprenorphine misuse among people with or without opioid use disorder. Features statistics on sociodemographic characteristics, health conditions, and behavioral health status among adults with past-year buprenorphine use, with breakdowns by large metropolitan, small metropolitan, and nonmetropolitan areas.
Author(s): Beth Han, Christopher M. Jones, Emily B. Einstein, Wilson M. Compton
Citation: JAMA Network Open, 4(10)
Date: 10/2021
Type: Document
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Binge Drinking Among Adults, by Select Characteristics and State — United States, 2018
Examines binge drinking frequency and intensity among adults ages 18 and over. Features statistics including age, sex, race or ethnicity, income, education levels, and breakdowns by 6 levels of county population density.
Author(s): Michele K. Bohm, Yong Liu, Marissa B. Esser, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(41), 1441–1446
Date: 10/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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PrEP Care Continuum Engagement Among Persons Who Inject Drugs: Rural and Urban Differences in Stigma and Social Infrastructure
Study examining stigma related to drug use and human immunodeficiency virus (HIV), as well as awareness of Pre-exposure prophylaxis (PrEP) treatment in New York City and rural southern Illinois. Highlights barriers and facilitators to willingness to take PrEP based on interviews with 57 people who inject drugs (PWID) who participate in syringe service programs, comparing rural and urban responses.
Author(s): Suzan M. Walters, David Frank, Brent Van Ham, et al.
Citation: AIDS and Behavior
Date: 10/2021
Type: Document
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Doulas Provide Support for Maternal and Infant Health in Rural Communities
Features a New Mexico doula program that reaches American Indian, Hispanic, and other populations who lack nearby labor/delivery units, a Minnesota program helping moms experiencing incarceration, and a North Dakota program training postpartum doulas to care for families impacted by opioid use disorder and other substance use.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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New Hampshire Baseline Needs Assessment: Practitioner Comfort Treating Substance Use Disorder
Shares the results of a needs assessment survey of healthcare providers working in rural New Hampshire regarding their level of comfort treating patients with opioid use disorder (OUD) and other substance use disorders (SUDs).
Date: 10/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Services to Conduct a Needs Assessment For Substance Use Prevention and Treatment Services Among Special Youth Populations Using Qualitative Methods, Protocol 2: In-Depth Interviews with Youth Regarding the System of Care
Reports on a needs assessment related to social determinants of health (SDOH) for special youth populations in Hawaii, including those who identify as Native Hawaiian, Compacts of Free Association (COFA) Nation/Micronesian, sexual and gender minorities, and rural populations. Discusses health disparities, substance use, adverse childhood experiences, cultural responsiveness, mental health and trauma, stigma issues, and data on school facilities and enrollment by county.
Additional links: Executive Summary, Interim Report
Author(s): Susana Helm, Tai-An Miao, Jane Onoye, et al.
Date: 09/2021
Type: Document
Sponsoring organizations: State of Hawai`i, Department of Health, Alcohol and Drug Abuse Division, University of Hawai`i at Mānoa, Department of Psychiatry, Research Division
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