Rural Health
Resources by Topic: Substance use and misuse
Trends in Drug Overdose Mortality Rates in Kentucky, 2019-2020
Evaluates the changes in drug overdose mortality rates for Kentucky residents, using provisional 2020 death certificate data from the Kentucky Office of Vital Statistics. Features statistics on Kentucky drug overdose deaths by month from 2011-2020, and Kentucky drug overdose mortality rates and rate ratios by demographic group from 2019-2020, with breakdowns by metropolitan and nonmetropolitan residence.
Author(s): Svetla Slavova, Dana Quesinberry, Sarah Hargrove, et al.
Citation: JAMA Network Open, 4(7)
Date: 07/2021
Type: Document
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Evaluates the changes in drug overdose mortality rates for Kentucky residents, using provisional 2020 death certificate data from the Kentucky Office of Vital Statistics. Features statistics on Kentucky drug overdose deaths by month from 2011-2020, and Kentucky drug overdose mortality rates and rate ratios by demographic group from 2019-2020, with breakdowns by metropolitan and nonmetropolitan residence.
Author(s): Svetla Slavova, Dana Quesinberry, Sarah Hargrove, et al.
Citation: JAMA Network Open, 4(7)
Date: 07/2021
Type: Document
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Opioid Treatment Programs: A Key Treatment System Component
Issue brief examining state and federal-level policies related to opioid treatment programs (OTPs). Offers policy recommendations to increase access to opioid treatment in rural communities and other hard-to-reach settings.
Date: 07/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Issue brief examining state and federal-level policies related to opioid treatment programs (OTPs). Offers policy recommendations to increase access to opioid treatment in rural communities and other hard-to-reach settings.
Date: 07/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Clinical Knowledge and Trends in Physicians' Prescribing of Opioids for New Onset Back Pain, 2009-2017
Results of a study of 10,246 physicians to compare the association of clinical knowledge with opioid prescribing from the years 2009-2011 with 2015-2017, when guidelines shifted away from opioid prescribing. Features demographic statistics with breakdowns by rural location.
Author(s): Bradley M. Gray, Jonathan L. Vandergrift, Weifeng Weng, Rebecca S. Lipner, Michael L. Barnett
Citation: JAMA Network Open, 4(7)
Date: 07/2021
Type: Document
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Results of a study of 10,246 physicians to compare the association of clinical knowledge with opioid prescribing from the years 2009-2011 with 2015-2017, when guidelines shifted away from opioid prescribing. Features demographic statistics with breakdowns by rural location.
Author(s): Bradley M. Gray, Jonathan L. Vandergrift, Weifeng Weng, Rebecca S. Lipner, Michael L. Barnett
Citation: JAMA Network Open, 4(7)
Date: 07/2021
Type: Document
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The Arizona Behavioral Health Workforce Report
Reports on the distribution of the behavioral health workforce in Arizona and access to behavioral healthcare, comparing rural and urban areas. Discusses prevalence of mental health disorders and substance misuse disorder and compares workforce data to behavioral health needs for the state. Offers county-level data on total providers by type, ratio of providers per 100,000 residents, and provider percentages by Rural Urban Commuting Area (RUCA) codes.
Author(s): B. Koch, S. Coates, B. Brady, J. Peters, D. Derksen
Date: 07/2021
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Reports on the distribution of the behavioral health workforce in Arizona and access to behavioral healthcare, comparing rural and urban areas. Discusses prevalence of mental health disorders and substance misuse disorder and compares workforce data to behavioral health needs for the state. Offers county-level data on total providers by type, ratio of providers per 100,000 residents, and provider percentages by Rural Urban Commuting Area (RUCA) codes.
Author(s): B. Koch, S. Coates, B. Brady, J. Peters, D. Derksen
Date: 07/2021
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Vermont Baseline Needs Assessment: Rural and Non-Rural Practitioners
Report details a needs assessment of Vermont's practitioners' capacity to treat substance use disorder (SUD) and compares rural and urban counties. Breaks down workforce distribution by county, by rural versus urban, and by the type of SUD treatment they are able to provide, as well as their MAT waiver status, among other measures.
Date: 06/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Report details a needs assessment of Vermont's practitioners' capacity to treat substance use disorder (SUD) and compares rural and urban counties. Breaks down workforce distribution by county, by rural versus urban, and by the type of SUD treatment they are able to provide, as well as their MAT waiver status, among other measures.
Date: 06/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Intimate Partner Violence and Structural Violence in the Lives of Incarcerated Women: A Mixed-Method Study in Rural New Mexico
Presents a study of incarcerated women's experiences with intimate partner violence (IPV) and other structural issues disproportionately affecting rural women in New Mexico who are victims of IPV. Draws data from surveys of 99 women, discussing the correlation of IPV with mental health issues, substance use, and socioeconomic conditions.
Author(s): Shilo St. Cyr, Elise Trott Jaramillo, Laura Garrison, et al.
Citation: International Journal of Environmental Research and Public Health, 18(12), 6185
Date: 06/2021
Type: Document
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Presents a study of incarcerated women's experiences with intimate partner violence (IPV) and other structural issues disproportionately affecting rural women in New Mexico who are victims of IPV. Draws data from surveys of 99 women, discussing the correlation of IPV with mental health issues, substance use, and socioeconomic conditions.
Author(s): Shilo St. Cyr, Elise Trott Jaramillo, Laura Garrison, et al.
Citation: International Journal of Environmental Research and Public Health, 18(12), 6185
Date: 06/2021
Type: Document
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Multilevel Modeling of County-level Excessive Alcohol Use, Rurality, and COVID-19 Case Fatality Rates in the US
Presents a study on the relationship between COVID-19 outcomes and elevated alcohol use in rural counties. Looks at levels of alcohol use and misuse in rural counties prior to the pandemic and compares it with COVID-19 mortality data. Breaks down data by rurality and alcohol use while controlling for other comorbidities such as obesity, smoking, and being over the age of 65.
Author(s): George Pro, Paul A. Gilbert, Julie A. Baldwin, et al.
Citation: PLOS ONE, 16(6), e0253466
Date: 06/2021
Type: Document
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Presents a study on the relationship between COVID-19 outcomes and elevated alcohol use in rural counties. Looks at levels of alcohol use and misuse in rural counties prior to the pandemic and compares it with COVID-19 mortality data. Breaks down data by rurality and alcohol use while controlling for other comorbidities such as obesity, smoking, and being over the age of 65.
Author(s): George Pro, Paul A. Gilbert, Julie A. Baldwin, et al.
Citation: PLOS ONE, 16(6), e0253466
Date: 06/2021
Type: Document
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The Co-Occurrence of HIV and Opioid Mortality in Rural and Urban America from 1999-2018
Policy brief evaluating trends in mortality from Human Immunodeficiency Virus (HIV) and opioid use in rural and urban areas, using data from the Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiology Research (WONDER) mortality database. Features statistics on mortality by sex, race or ethnicity, and census region, with breakdowns by 6 levels of population density.
Author(s): Timothy Callaghan, Kristen Primm, Marvellous Akinlotan, et al.
Date: 06/2021
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Policy brief evaluating trends in mortality from Human Immunodeficiency Virus (HIV) and opioid use in rural and urban areas, using data from the Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiology Research (WONDER) mortality database. Features statistics on mortality by sex, race or ethnicity, and census region, with breakdowns by 6 levels of population density.
Author(s): Timothy Callaghan, Kristen Primm, Marvellous Akinlotan, et al.
Date: 06/2021
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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In New Mexico, Pathways Care Coordination Supports People With Opioid Use Disorder
Describes the efforts of the rural New Mexico-based Rio Arriba Health and Human Services to treat individuals with Opioid Use Disorder (OUD) through an outcomes-based chronic disease care coordination model. Discusses challenges of treating OUD in a rural frontier county, including limited transportation, housing concerns, and involvement in the criminal justice system.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Describes the efforts of the rural New Mexico-based Rio Arriba Health and Human Services to treat individuals with Opioid Use Disorder (OUD) through an outcomes-based chronic disease care coordination model. Discusses challenges of treating OUD in a rural frontier county, including limited transportation, housing concerns, and involvement in the criminal justice system.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Midwest Initiative Seeks to Reduce Opioid Use in Rural and Tribal Communities
Profile of the Midwest Tribal Opioid Meta-Evaluation (MTOM) and the American Indian Resource and Resiliency Team (AIRRT), an Opioid Use Disorder treatment partnership serving American Indian communities in Minnesota and the Northern Plains. Describes the process of conducting a meta-evaluation and the program's activities.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Profile of the Midwest Tribal Opioid Meta-Evaluation (MTOM) and the American Indian Resource and Resiliency Team (AIRRT), an Opioid Use Disorder treatment partnership serving American Indian communities in Minnesota and the Northern Plains. Describes the process of conducting a meta-evaluation and the program's activities.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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