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Rural Health
Resources by Topic: Substance use and misuse

Postmortem Screening of Opioids, Benzodiazepines, and Alcohol Among Rural and Urban Suicide Decedents
Presents a study comparing the co-use of opioids and other substances in opioid-related overdose suicides in rural and urban areas. Breaks down 2012-2015 data from the National Violent Death Reporting System (NVDRS) by toxicology reports, gender, race, and mental health history, among other factors.
Author(s): KM Bensley, William C Kerr, Sarah Beth Barnett, Nina Mulia
Citation: Journal of Rural Health, 38(1), 77-86
Date: 01/2022
Type: Document
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A Profile of Migrant Health: 2020 Uniform Data System Analysis
Analyzes the demographic, socioeconomic, and health characteristics of migrants from community and migrant health centers that receive funding through the U.S. Public Health Service Act, Section 330. Discusses common conditions faced by migrants, including COVID-19.
Date: 01/2022
Type: Document
Sponsoring organization: National Center for Farmworker Health
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A Pilot Study Examining Access to and Satisfaction with Maternal Mental Health and Substance Use Disorder Treatment via Telemedicine
Highlights a study on the role telemedicine plays in increasing access to mental health and substance use treatment for women who are pregnant or have recently given birth. The study received a high percentage of participants from rural areas and breaks down the demographic data by rural, as well as several other factors such as age, race, and diagnosis, to name a few.
Author(s): Constance Guille, Emily Johnson, Edie Douglas, et al.
Citation: Telemedicine Reports, 3(1), 24-29
Date: 01/2022
Type: Document
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Increasing Capacity for Treatment of Opioid Use Disorder in Rural Primary Care Practices
Examines strategies to improve the treatment of opioid use disorder (OUD) in primary care practices (PCPs) through the program Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs). Reports on 42 PCPs who participated in IT MATTTRs over 20 months beginning in September 2017. Discusses program efficacy and potential impacts on OUD in rural areas.
Author(s): Linda Zittleman, Kristen Curcija, Donald E. Nease Jr, et al.
Citation: Annals of Family Medicine, 20(1), 18-23
Date: 01/2022
Type: Document
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Applications of Research Evidence During Processes to Acquire Approvals for Syringe Services Program Implementation in Rural Counties in Kentucky
Presents a study on the research used to implement syringe services programs (SSPs) for people who inject drugs (PWID) in rural counties in Kentucky. Discusses the methods used for applying SSP research to the program approval and implementation processes.
Author(s): Sean T. Allen, Suzanne M. Grieb, Jennifer L. Glick, et al.
Citation: Annals of Medicine, 54(1), 404–412
Date: 01/2022
Type: Document
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Integrating SUD and OB/GYN Care: Policy Challenges and Opportunities Final Report
Describes opportunities to integrate obstetrics and gynecology (OB/GYN) and substance use disorder (SUD) care to address treatment opportunities and reduce the impacts of SUD on mothers, children, and healthcare spending. Provides a review of literature on the effectiveness of integrated OB/GYN and SUD models, a scan of integrated models. Summarizes selected findings from subject matter experts on incentives for integrated OB/GYN and SUD models, as well as state and federal policy options to encourage the expansion of integrated OB/GYN and SUD care. Includes rural references throughout.
Author(s): Julie Seibert, Erin Dobbins, Elysha Theis, et al.
Date: 01/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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A Qualitative Study on Pharmacy Policies Toward Over-the-Counter Syringe Sales in a Rural Epicenter of US Drug-Related Epidemics
Examines pharmacy over-the-counter (OTC) policies and pharmacists' rationale for, and barriers and facilitators to, OTC syringe sales in a rural Appalachian Kentucky area hard hit by drug-related epidemics. Uses data collected from interviews with 14 pharmacists between February 2018 and January 2019.
Author(s): Monica Fadanelli, Hannah L. F. Cooper, Patricia R. Freeman, et al.
Citation: Harm Reduction Journal, 19(1)
Date: 01/2022
Type: Document
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Rural and Urban Differences in Undersupply of Buprenorphine Provider Availability in the United States, 2018
Presents a study comparing county-level rates of providers with buprenorphine waivers with rates of opioid-overdose deaths and compares rural and urban areas. Details rural and urban comparisons for 38 states.
Author(s): Kevin P. Conway, Dalia Khoury, Rainer Hilscher, et al.
Citation: Addiction Science and Clinical Practice, 17, 5
Date: 01/2022
Type: Document
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Health-Related Behavioral Risk Factors and Obesity Among American Indians and Alaska Natives of the United States: Assessing Variations by Indian Health Service Region
Study examining behavioral risk factors and obesity in American Indian and Alaska Natives (AI/AN) based on 2017 Behavioral Risk Factor Surveillance System data. Investigates rates of current cigarette smoking, heavy drinking, binge drinking, and physical activity, analyzing disparities in AI/AN and non-Hispanic White populations.
Author(s): Guixiang Zhao, Jason Hsia, Alexander Vigo-Valentín, William S. Garvin, Machell Town
Citation: Preventing Chronic Disease, 19, 210298
Date: 01/2022
Type: Document
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Changes in Access to Medication Treatment during COVID-19 Telehealth Expansion and Disparities in Telehealth Use for Medicare Beneficiaries with Opioid Use Disorder
Discusses policies that allow access to medication for opioid use disorder (MOUD) via telehealth before and during the COVID-19 pandemic. Examines outpatient telehealth use and MOUD treatment among Medicare beneficiaries by dual eligibility status, rurality, and presence of comorbid health conditions between April-December 2020.
Date: 01/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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