Rural Health
Resources by Topic: Substance use and misuse
Risky Substance Use Behaviors Among Adolescents Residing in Non-Metropolitan and Metropolitan Counties in the United States, 2017-2018
Compares the prevalence of risky substance use among people ages 12-17 who are living in rural and urban counties. Features statistics with breakdowns by use within the past year and within the past 30 days, for alcohol, tobacco, and 10 types of illicit drugs.
Author(s): Tyrone F. Borders, Michael D. Singleton, Katherine Youngen
Date: 11/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Compares the prevalence of risky substance use among people ages 12-17 who are living in rural and urban counties. Features statistics with breakdowns by use within the past year and within the past 30 days, for alcohol, tobacco, and 10 types of illicit drugs.
Author(s): Tyrone F. Borders, Michael D. Singleton, Katherine Youngen
Date: 11/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Comment Letter on HHS Report to Congress on Telehealth for Pediatric SUD
Reviews the U.S. Department of Health and Human Services (HHS) report, Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations Under Medicaid: Final Report. Covers the role of telehealth in mitigating the shortage of behavioral health providers and expanding behavioral health services to children covered by Medicaid. Discusses the need for additional research on telehealth in Medicaid, information sharing between states, and addressing barriers to technology.
Date: 11/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reviews the U.S. Department of Health and Human Services (HHS) report, Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations Under Medicaid: Final Report. Covers the role of telehealth in mitigating the shortage of behavioral health providers and expanding behavioral health services to children covered by Medicaid. Discusses the need for additional research on telehealth in Medicaid, information sharing between states, and addressing barriers to technology.
Date: 11/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Urban–Rural Disparities in Access to Low-Dose Computed Tomography Lung Cancer Screening in Missouri and Illinois
Investigates the relationship between rurality and access to low-dose computed tomography (LDCT) lung cancer screening. Includes county-level maps for Missouri and Illinois, with data on LDCT access, lung cancer deaths per 100,000 people, and prevalence of adult smoking.
Author(s): Karthik Rohatgi, Christine Marx, Marquita Lewis-Thames, et al.
Citation: Preventing Chronic Disease, 17
Date: 11/2020
Type: Document
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Investigates the relationship between rurality and access to low-dose computed tomography (LDCT) lung cancer screening. Includes county-level maps for Missouri and Illinois, with data on LDCT access, lung cancer deaths per 100,000 people, and prevalence of adult smoking.
Author(s): Karthik Rohatgi, Christine Marx, Marquita Lewis-Thames, et al.
Citation: Preventing Chronic Disease, 17
Date: 11/2020
Type: Document
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COVID-19 Behavior Changes and Recommendations for COVID-19 Messaging Among People Who Use Drugs in Rural Oregon
Presentation slides that provide an overview of rapid qualitative interviews during the COVID-19 pandemic to assess COVID-19 messaging geared toward people who use drugs (PWUD) in rural Oregon counties. Provides demographic information of and qualitative responses from respondents.
Author(s): Justine Pope, Jessica Larsen
Date: 10/2020
Type: Presentation Slides
Sponsoring organization: Comagine Health
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Presentation slides that provide an overview of rapid qualitative interviews during the COVID-19 pandemic to assess COVID-19 messaging geared toward people who use drugs (PWUD) in rural Oregon counties. Provides demographic information of and qualitative responses from respondents.
Author(s): Justine Pope, Jessica Larsen
Date: 10/2020
Type: Presentation Slides
Sponsoring organization: Comagine Health
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Addressing Opioid Use Disorder among Rural Pregnant and Postpartum Women: A Study Protocol
Explores a study examining the rates of prenatal opioid use disorder and neonatal opioid withdrawal syndrome in rural areas. Study includes provider-level measurements such as patient retention, adoption of evidence-based practices, and attitude towards substance misuse, among others, and patient-level measurements such as substances used, co-occurring conditions, and birth outcomes, among others.
Author(s): M. Aryana Bryan, Marcela C. Smid, Melissa Cheng, et al.
Citation: Addiction Science and Clinical Practice, 15, 33
Date: 10/2020
Type: Document
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Explores a study examining the rates of prenatal opioid use disorder and neonatal opioid withdrawal syndrome in rural areas. Study includes provider-level measurements such as patient retention, adoption of evidence-based practices, and attitude towards substance misuse, among others, and patient-level measurements such as substances used, co-occurring conditions, and birth outcomes, among others.
Author(s): M. Aryana Bryan, Marcela C. Smid, Melissa Cheng, et al.
Citation: Addiction Science and Clinical Practice, 15, 33
Date: 10/2020
Type: Document
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A Non-Randomized Pilot Study to Test the Feasibility of Treating Chronic Pain and Opioid Prescription Use in Rural Areas with Acceptance and Commitment Therapy (T-PACT)
Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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21st Century Cures Mobile Crisis Teams
Findings brief evaluating mobile crisis teams dedicated to addressing opioid and other substance use, especially in rural communities of Indiana. Discusses barriers and facilitators to implementing and operating mobile crisis teams, and offers recommendations.
Author(s): Beca Stockman, Staci Rising, Karla Camacho-Reyes
Date: 10/2020
Type: Document
Sponsoring organization: Indiana University Public Policy Institute
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Findings brief evaluating mobile crisis teams dedicated to addressing opioid and other substance use, especially in rural communities of Indiana. Discusses barriers and facilitators to implementing and operating mobile crisis teams, and offers recommendations.
Author(s): Beca Stockman, Staci Rising, Karla Camacho-Reyes
Date: 10/2020
Type: Document
Sponsoring organization: Indiana University Public Policy Institute
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The American Opioid Epidemic in Special Populations: Five Examples
Report on the disproportionate impacts of the opioid crisis on populations, in the criminal justice system, rural residents, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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Report on the disproportionate impacts of the opioid crisis on populations, in the criminal justice system, rural residents, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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Health Equity Report 2019-2020: Special Feature on Housing and Health Inequalities
Provides an overview of the Health Resources and Services Administration's (HRSA) program efforts in reducing health disparities and promoting health equity for various populations at the national, state, and local levels. Chapter 10 addresses rural-urban health disparities, with a focus on rural housing inequities and the opioid epidemic, and describes Federal Office of Rural Health Policy programs.
Date: 10/2020
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Provides an overview of the Health Resources and Services Administration's (HRSA) program efforts in reducing health disparities and promoting health equity for various populations at the national, state, and local levels. Chapter 10 addresses rural-urban health disparities, with a focus on rural housing inequities and the opioid epidemic, and describes Federal Office of Rural Health Policy programs.
Date: 10/2020
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Increase in Drug Overdose Deaths Involving Cocaine: United States, 2009–2018
Reports on trends in drug overdose deaths involving cocaine, with data by sex, age group, race and Hispanic origin, and concurrent involvement of opioids. Includes cocaine overdose death rate data for 2018 for urban and rural areas by Census region.
Author(s): Holly Hedegaard, Merianne Rose Spencer, Matthew F. Garnett
Date: 10/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Reports on trends in drug overdose deaths involving cocaine, with data by sex, age group, race and Hispanic origin, and concurrent involvement of opioids. Includes cocaine overdose death rate data for 2018 for urban and rural areas by Census region.
Author(s): Holly Hedegaard, Merianne Rose Spencer, Matthew F. Garnett
Date: 10/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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