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Rural Health
Resources by Topic: Substance use and misuse

A Cross-Sectional Survey of Potential Factors, Motivations, and Barriers Influencing Research Participation and Retention Among People Who Use Drugs in the Rural USA
Study examining research participation and retention among rural people who use drugs (PWUD) based on surveys of 255 research cohort members from Oregon, Kentucky, and Ohio. Examines participant demographics, drug use history, factors influencing research participation, and barriers and motivators related to research retention.
Author(s): Angela T. Hetrick, April M. Young, Miriam R. Elman, et al.
Citation: Trials, 22, 948
Date: 12/2021
Type: Document
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Rural Opioid Treatment Program Patient Perspectives on Take-Home Methadone Policy Changes During COVID-19: A Qualitative Thematic Analysis
Study examining patient perspectives following policy changes in take-home methadone treatment for opioid use disorder (OUD), based on qualitative interviews with 46 patients from 3 rural opioid treatment programs in Oregon. Highlights main themes related to adapting to the changing policies during the COVID-19 pandemic, the challenges and benefits of at-home dosing, and future policy and procedural changes.
Author(s): Ximena A. Levander, Kim A. Hoffman, John W. McIlveen, et al.
Citation: Addiction Science & Clinical Practice, 16, 72
Date: 12/2021
Type: Document
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Practical Tools for Prescribing and Promoting Buprenorphine in Primary Care Settings
Offers evidence-based information to support primary care providers in prescribing buprenorphine to treat opioid use disorder (OUD). Addresses strategies and considerations for primary care providers and practices looking to implement the treatment, including the phases of care, training and education, and payment and pharmacy considerations. Chapter 2.7 covers buprenorphine prescribing in rural settings.
Date: 12/2021
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Where There's a Will, There's a Way? Strategies to Reduce or Abstain from Alcohol Use Developed by Northern Plains American Indian Women Participating in a Brief Alcohol-Exposed Pregnancy Preconceptual Intervention
Analyzes strategies to reduce or abstain from alcohol use by American Indian and Alaska Native women for the purpose of reducing alcohol-exposed pregnancy rates. Identifies themes related to goal achievement, overcoming barriers, and cultural strengths.
Author(s): Arielle R. Deutsch, Rebecca Lustfield, Jessica D. Hanson
Citation: Alcohol Clinical & Experimental Research, 45(11), 2383-2395
Date: 11/2021
Type: Document
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Robustness of Estimated Access to Opioid Use Disorder Treatment Providers in Rural Vs. Urban Areas of the United States
Estimates level of access to opioid use disorder treatment at 31,053 locations in July 2020 for rural and urban opioid users by comparing drive time and availability of treatment. Discusses treatment disparities between rural and urban opioid users with particular focus on infrastructure such as transportation and broadband, hospital closures, and health insurance status.
Author(s): Matthew V. Kiang, Michael L. Barnett, Sarah E. Wakeman, Keith Humphreys, Alexander C. Tsai
Citation: Drug and Alcohol Dependence, 228, 109081
Date: 11/2021
Type: Document
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Missouri Health Assessment
Describes the Missouri state health status assessment, community themes and strengths, state health system assessment, and forces of change. Mentions rural throughout and includes statistics showing disparities between urban and rural areas for various health issues.
Date: 11/2021
Type: Document
Sponsoring organization: Missouri Department of Health and Senior Services
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Challenges of Addressing Opioid Use Disorder in Rural Settings: A State Perspective
Highlights a study on evidence-based approaches to addressing rural opioid/substance use disorder (OUD/SUD) treatment, prevention, and recovery that can be applied at the state level. Presents 5 different considerations for addressing rural OUD/SUD and uses Maine as an example.
Author(s): Lisa M.Letourneau
Citation: Preventive Medicine, 152(2)
Date: 11/2021
Type: Document
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Peer-Based Recovery Support Services Delivered at Recovery Community Organizations
Discusses the efficacy of peer-based recovery support programs in rural communities. Features a study on peer-based recovery support services are used in conjunction with clinical treatment for substance use disorder.
Date: 11/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US
Examines tobacco use and medical opioid use for rural populations based on 2019 National Health Interview Survey data. Describes the association between cigarette use and odds of medical opioid use, noting the potential impacts of tobacco cessation interventions on reducing opioid use.
Author(s): Mariaelena Gonzalez, Ashley Sanders-Jackson
Citation: International Journal of Environmental Research and Public Health, 18(22), 11864
Date: 11/2021
Type: Document
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QuickStats: Percentage of Births to Mothers Who Reported Smoking Cigarettes at Any Time During Pregnancy, by Urbanization Level of County of Residence — United States, 2020
Bar chart showing the percentage of women who reported smoking cigarettes at any time during pregnancy for metropolitan, micropolitan, and noncore (rural) areas.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(47), 1652
Date: 11/2021
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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