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Rural Health
Resources by Topic: Substance use and misuse

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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2021 Maryland Primary Care Needs Assessment
Identifies areas of focus for primary, dental, and mental healthcare and services in Maryland. Includes sections on Health Professional Shortage Areas, Medically Underserved Areas and Populations, Federally Qualified Health Centers, the J-1 Visa Waiver program, and the State Loan Repayment Program.
Date: 09/2021
Type: Document
Sponsoring organization: Maryland Department of Health
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Tribal Opioid Response: Strategic Plan 2020-2022
Reports on the findings of the Rocky Mountain Tribal Leaders Council Tribal Opioid Response project – a two-year project focused on developing a program to reduce opioid overdose, opioid use disorder, and stimulant use disorder among American Indian populations residing in Montana, Wyoming, Idaho, and the Piikani Nation. A review of available data and survey results, and a SWOT analysis were conducted to assist in project development. Common themes included: increase prevention through cultural activities and education; reduce barriers to medication assisted treatment; promote harm reduction strategies; offer safe syringe services; and establish partnerships for improved access to opioid data.
Date: 09/2021
Type: Document
Sponsoring organizations: Rocky Mountain Tribal Leaders Council, Substance Abuse and Mental Health Services Administration
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Wisconsin PDO Grant Final Report: Prescription Drug/Opioid Overdose-Related Deaths Prevention Project
Reports on the outcomes of the Wisconsin Prescription Drug/Opioid Overdose-Related Death Prevention (PDO) project grant award from the Substance Abuse and Mental Health Services Administration (SAMHSA). Includes statistics on the rural and urban counties selected to receive the project services such as estimated population with opioid use disorder (OUD), poverty, and more. Describes project activities and strategies focused on reducing the number of opioid-related deaths and adverse events, developing and implementing secondary prevention programs, and providing overdose survivors and their families with services and support within 72 hours of overdose.
Author(s): Kylie Lafayette, Elizabeth Feder, Tom Bently
Date: 09/2021
Type: Document
Sponsoring organization: University of Wisconsin Population Health Institute
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Wisconsin Final Report: Strategic Prevention Framework for Prescription Drugs (SPF Rx)
Reports the outcomes of the Strategic Prevention Framework for Prescription Drugs (SPF Rx) project grant award from the Substance Abuse and Mental Health Services Administration (SAMHSA) for the state of Wisconsin. Describes activities and strategies focused in rural Dodge and Sauk counties to reduce prescription opioid drug misuse, build local coalitions to address prevention needs, and establish a statewide surveillance system to monitor prescription opioid misuse.
Author(s): Elizabeth Feder, Kylie Lafayette
Date: 09/2021
Type: Document
Sponsoring organization: University of Wisconsin Population Health Institute
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