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Rural Health
Resources by Topic: Substance use and misuse

Use of Electronic Health Records to Manage Tobacco Screening and Treatment in Rural Primary Care
Study examining the benefits of using electronic health records (EHR) in addressing tobacco dependence by primary care providers, comparing rural and urban data from the 2012-2015 National Ambulatory Medical Care Survey. Discusses the utility of EHR and barriers to EHR adoption in rural practices, and offers data tables covering patient characteristics and statistics related to primary care visits and smoking cessation.
Author(s): Jean A. Talbot, Erika C. Ziller, Carly M. Milkowski
Citation: Journal of Rural Health
Date: 09/2021
Type: Document
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Secondhand Smoke Exposure at Home and/ or in a Vehicle: Differences Between Urban and Non-Urban Adolescents in the United States, From 2015 to 2018
Explores geographic disparities in secondhand smoke exposure for urban and non-urban youth. Analyzes 69,249 middle and high school students from the 2015-2018 National Youth Tobacco Survey and breaks down the sample by sex, grade level, race/ethnicity, type of tobacco, status related to living with a tobacco user, year studied, and urban versus non-urban location.
Author(s): Dale S. Mantey, Onyinye Omega-Njemnobi, Cristina S. Barroso
Citation: Nicotine & Tobacco Research, 23(8), 1327-1333
Date: 08/2021
Type: Document
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Police Chiefs Serving Small and Rural Municipalities: Profiles and Concerns
Presents a profile of police chiefs and departments in small and rural Pennsylvania municipalities and compares rural and urban departments. Analyzes concerns of rural Pennsylvania police chiefs, including domestic violence, illicit drug use, human trafficking, school safety, and mental health needs for themselves and for the citizens with whom they interact. Includes statistics with breakdowns by urban and rural areas.
Author(s): Jennifer C. Gibbs
Date: 08/2021
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Whole-Person Care for People Experiencing Homelessness and Opioid Use Disorder: A Toolkit
Provides information on whole-person care for housing stability and opioid use disorder (OUD), offering an overview of factors impacting homelessness and OUD, recovery models, and best practices to reduce stigma and develop trauma-informed care.
Additional links: Webinar: Whole-Person Care for People Experiencing Homelessness and Opioid Use Disorder
Date: 08/2021
Type: Document
Sponsoring organizations: Homeless and Housing Resource Center, Substance Abuse and Mental Health Services Administration
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Barriers for Implementing the Hub and Spoke Model to Expand Medication for Opioid Use Disorder: A Case Study of Montana
Highlights a study of the barriers to the implementation of hub and spoke programs to provide treatment for opioid use disorder in rural Montana. Features data based on interviews with 65 programs that provide medication for opioid use disorder in Montana and discusses the barriers to their efforts.
Author(s): Brandn Green, Danielle Christine Rhubart, Matthew R Filteau
Citation: Substance Abuse: Research and Treatment, 15
Date: 08/2021
Type: Document
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Marijuana Use Among American Indian Youth in New Mexico 2019
Fact sheet covering marijuana use data for American Indian students in grades 6-12 based on the 2019 New Mexico Youth Risk and Resilience Survey (NM YRRS). Addresses trends in marijuana use, perception of risk, and factors associated with marijuana use broken down by middle and high school age groups.
Date: 08/2021
Type: Document
Sponsoring organization: Albuquerque Area Southwest Tribal Epidemiology Center
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Prevention, Treatment, and Recovery Innovations in Native American Communities
Report highlights the efforts of tribal programs to address opioid use disorder in their communities. Presents success stories of programs providing culturally competent treatment, prevention, and recovery for American Indian and Alaska Native communities in several states.
Date: 08/2021
Type: Document
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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Mobile Telemedicine for Buprenorphine Treatment in Rural Populations With Opioid Use Disorder
Results of a study conducted from June-October 2020 in Caroline County, Maryland, to evaluate the implementation of an initiative to extend access to telemedicine (TM) medications for opioid use disorder to rural communities, by bringing care via a TM mobile treatment unit (TM-MTU). Features demographics and statistics on opioid use during TM-MTU treatment.
Author(s): Eric Weintraub, Chamindi Seneviratne, Jessica Anane, et al.
Citation: JAMA Network Open, 4(8)
Date: 08/2021
Type: Document
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Mental Health and Substance Use Among Adults with Disabilities During the COVID-19 Pandemic — United States, February–March 2021
Examines symptoms of anxiety or depression, new or increased substance use, and suicidal ideation among adults with disabilities during the COVID-19 pandemic. Includes data for urban and rural locations.
Author(s): Mark É. Czeisler, Amy Board, JoAnn M. Thierry, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(34), 1142–1149
Date: 08/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Prescription Opioid Use Among Adults With Chronic Pain: United States, 2019
Study examining prescription opioid use to treat chronic pain in adults, breaking down data from the 2019 National Health Interview Survey by pain measures and demographics, including race/ethnicity, sex, veteran status, rurality, and more. Discusses trends in the data to identify population characteristics among users of prescription opioids, and addresses risk of prescription opioid misuse.
Author(s): James M. Dahlhamer, Eric M. Connor, Jonaki Bose, Jacqueline W. Lucas, Carla E. Zelaya
Citation: National Health Statistics Reports, 162, 1-8
Date: 08/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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