Rural Health
Resources by Topic: Substance use and misuse
Risk Factors for Persistent Fatal Opioid-Involved Overdose Clusters in Massachusetts 2011–2021: A Spatial Statistical Analysis with Socio-Economic, Accessibility, and Prescription Factors
Examines locations with high opioid-involved overdose deaths in Massachusetts as well as factors contributing to mortality, such as social infrastructure and opioid prescribing practices. Provides state maps showing opioid overdose rates according to ZIP Code Tabulation Area (ZCTA). Includes data on social infrastructure access, opioid prescriptions, and ZCTA clusters, with breakdowns by poverty and race.
Author(s): Sumeeta Srinivasan, Jennifer Pustz, Elizabeth Marsh, Leonard D. Young, Thomas J. Stopka
Citation: BMC Public Health, 24, 1893
Date: 07/2024
Type: Document
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Examines locations with high opioid-involved overdose deaths in Massachusetts as well as factors contributing to mortality, such as social infrastructure and opioid prescribing practices. Provides state maps showing opioid overdose rates according to ZIP Code Tabulation Area (ZCTA). Includes data on social infrastructure access, opioid prescriptions, and ZCTA clusters, with breakdowns by poverty and race.
Author(s): Sumeeta Srinivasan, Jennifer Pustz, Elizabeth Marsh, Leonard D. Young, Thomas J. Stopka
Citation: BMC Public Health, 24, 1893
Date: 07/2024
Type: Document
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Prescription Opioid Tapering Practices and Outcomes at a Rural VA Health Care System
Presents a study on the clinical characteristics of rural veterans using opioids for chronic pain and undergoing opioid tapering. Breaks down data on outcomes from tapering for rural veterans who were taking 90 Morphine Equivalent Daily Dose (MEDD) or more. Highlights common tapering outcomes, such as increased pain, suicidal ideation, and other withdrawal symptoms.
Author(s): Rena Elizabeth Courtney, Emily Halsey, Tanvi Patil, et al.
Citation: Pain Medicine, 25(7), 480-482
Date: 07/2024
Type: Document
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Presents a study on the clinical characteristics of rural veterans using opioids for chronic pain and undergoing opioid tapering. Breaks down data on outcomes from tapering for rural veterans who were taking 90 Morphine Equivalent Daily Dose (MEDD) or more. Highlights common tapering outcomes, such as increased pain, suicidal ideation, and other withdrawal symptoms.
Author(s): Rena Elizabeth Courtney, Emily Halsey, Tanvi Patil, et al.
Citation: Pain Medicine, 25(7), 480-482
Date: 07/2024
Type: Document
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FY24-FY26 New Mexico State Health Improvement Plan (SHIP) Summary
Outlines New Mexico's disease prevention and health promotion plan for fiscal years 2024-2026. Identifies health priorities and strategies to increase access to primary care, reduce the incidence of substance misuse and mental health conditions, improve environmental health, and increase prevention and support for those affected by adverse childhood experiences. Includes discussion of tribal and rural health needs.
Date: 06/2024
Type: Document
Sponsoring organization: New Mexico Department of Health
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Outlines New Mexico's disease prevention and health promotion plan for fiscal years 2024-2026. Identifies health priorities and strategies to increase access to primary care, reduce the incidence of substance misuse and mental health conditions, improve environmental health, and increase prevention and support for those affected by adverse childhood experiences. Includes discussion of tribal and rural health needs.
Date: 06/2024
Type: Document
Sponsoring organization: New Mexico Department of Health
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Stress, Mental Health, and Risk-Taking: Associations among a Sample of Agricultural Adolescents
Reports on a survey of 298 adolescents living on farms about mental health, anxiety, and risk-taking behaviors related to weapons, violence, and substance use. Discusses the implications of study findings with regard to access to mental healthcare.
Author(s): Josie M. Rudolphi, Richard L. Berg
Citation: International Journal of Research and Public Health, 21(7), 830
Date: 06/2024
Type: Document
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Reports on a survey of 298 adolescents living on farms about mental health, anxiety, and risk-taking behaviors related to weapons, violence, and substance use. Discusses the implications of study findings with regard to access to mental healthcare.
Author(s): Josie M. Rudolphi, Richard L. Berg
Citation: International Journal of Research and Public Health, 21(7), 830
Date: 06/2024
Type: Document
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New Mexico Substance Use Epidemiology Profile, 2024
Provides county-level data on substance use in New Mexico for youth and adults, with breakdowns by race/ethnicity. Covers alcohol, illicit drugs, tobacco, and mental health. Addresses deaths due to drug overdoses, smoking, alcohol, suicide, alcohol-related chronic disease, and motor vehicle crashes. Includes emergency room visits related to opioid overdoses, and chronic liver disease hospital discharges.
Date: 06/2024
Type: Document
Sponsoring organization: New Mexico Department of Health
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Provides county-level data on substance use in New Mexico for youth and adults, with breakdowns by race/ethnicity. Covers alcohol, illicit drugs, tobacco, and mental health. Addresses deaths due to drug overdoses, smoking, alcohol, suicide, alcohol-related chronic disease, and motor vehicle crashes. Includes emergency room visits related to opioid overdoses, and chronic liver disease hospital discharges.
Date: 06/2024
Type: Document
Sponsoring organization: New Mexico Department of Health
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Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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Assessing How Alcohol Use Patterns Relate to Obesity among American Adolescents from Rural and Urban Areas: Five Years of Pooled Data
Analyzes the association between alcohol use and obesity among rural and urban adolescents aged 12-17. Utilizes 2015-2019 National Survey on Drug Use and Health data.
Author(s): Christian E. Vazquez, Fawn A. Brown, Faheem Ohri, Philip Baiden
Citation: PLoS ONE, 19(6), e0305638
Date: 06/2024
Type: Document
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Analyzes the association between alcohol use and obesity among rural and urban adolescents aged 12-17. Utilizes 2015-2019 National Survey on Drug Use and Health data.
Author(s): Christian E. Vazquez, Fawn A. Brown, Faheem Ohri, Philip Baiden
Citation: PLoS ONE, 19(6), e0305638
Date: 06/2024
Type: Document
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Community Buprenorphine Continuation Post-Release Following Extended Release Vs. Sublingual Buprenorphine During Incarceration: A Pilot Project in Maine
Compares post-release outcomes among incarcerated people who received extended-release buprenorphine (XRB) versus sublingual buprenorphine (SLB) for opioid use disorder (OUD) in rural Maine jails. Includes data from two jails, one of which had implemented an XRB pilot program, on rates of post-release community buprenorphine treatment continuation, diversion, safety concerns, XRB side effects, and post-release mortality.
Author(s): Alane B. O'Connor, Catherine Gelsinger, Sadie M. Donovan, Jessica Marshall, Katherine A. Ahrens
Citation: Health & Justice, 12, 28
Date: 06/2024
Type: Document
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Compares post-release outcomes among incarcerated people who received extended-release buprenorphine (XRB) versus sublingual buprenorphine (SLB) for opioid use disorder (OUD) in rural Maine jails. Includes data from two jails, one of which had implemented an XRB pilot program, on rates of post-release community buprenorphine treatment continuation, diversion, safety concerns, XRB side effects, and post-release mortality.
Author(s): Alane B. O'Connor, Catherine Gelsinger, Sadie M. Donovan, Jessica Marshall, Katherine A. Ahrens
Citation: Health & Justice, 12, 28
Date: 06/2024
Type: Document
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: 2018-2022 - Fourth Evaluation Report
Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Treatment for Opioid Use Disorder: Population Estimates — United States, 2022
Describes the U.S. adult populations who need opioid use disorder (OUD) treatment, receive any OUD treatment, and receive medication for OUD. Includes data for metropolitan compared to micropolitan and noncore locations.
Author(s): Deborah Dowell, Samantha Brown, Shiromani Gyawali, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(25), 567-574
Date: 06/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Describes the U.S. adult populations who need opioid use disorder (OUD) treatment, receive any OUD treatment, and receive medication for OUD. Includes data for metropolitan compared to micropolitan and noncore locations.
Author(s): Deborah Dowell, Samantha Brown, Shiromani Gyawali, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(25), 567-574
Date: 06/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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