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Rural Health
Resources by Topic: Substance use and misuse

Supporting Direct Acting Antiviral Medication Adherence and Treatment Completion in a Sample of Predominantly Rural Veterans with Hepatitis C and Substance Use Disorders
Explores strategies to improve direct acting antiviral (DAA) treatment among rural veterans with chronic hepatitis C virus (HCV) infection and substance use disorder (SUD). Analyzes a clinic-based intervention that utilizes motivational interviewing (MI) to improve medication adherence among 20 enrolled participants in a 12-week course.
Author(s): Mary Jane Burton, Andrew C. Voluse, Amee B. Patel
Citation: Addiction Science & Clinical Practice, 19, 51
Date: 06/2024
Type: Document
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Is Peer Support a Tipping Point for the Opioid Use Disorder Crisis in Appalachia? Research Holds the Answer
Investigates how the relationship among cultural, socioeconomic, medical, and geographic factors in Central Appalachia create additional burdens for opioid use recovery. Analyzes the effectiveness of medications for opioid use disorder and peer recovery support services, providing recommendations to address opioid use disorder in Appalachia.
Author(s): Kimberly Horn, Stephanie M. Mathis, Lara Nagle, et al.
Citation: Harm Reduction, 21, 122
Date: 06/2024
Type: Document
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Attitudes Toward and Training in Medications for Opioid Use Disorders: A Descriptive Analysis among Employees in the Youth Legal System and Community Mental Health Centers
Results of a survey of 181 medications for opioid use disorder uptake (MOUD) professionals who work with youth legal system (YLS) and community mental health center (CMHC) settings in eight counties of a Midwestern state. Compares attitudes toward MOUD treatment, training, and workplace culture in rural versus urban areas, among CMHC versus YLS respondents, and more.
Author(s): Lauren M. O'Reilly, Katherine Schwartz, Steven A. Brown, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 19, 32
Date: 06/2024
Type: Document
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Community Health Needs and Opportunities in Rural Central New York
Reports on community health in central New York's Cayuga, Cortland, Madison, and Oswego counties. Discusses issues related to rural access to care, funding, and health workforce supply. Highlights health disparities affecting rural Black, Hispanic, multiracial, LGBTQ+, and disabled people. Includes sections dedicated to perinatal health, oral health, mental health and substance use, and medical and nonmedical home care.
Date: 06/2024
Type: Document
Sponsoring organization: Health Foundation for Western & Central New York
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"I Don't Think That a Medication Is Going to Help Someone Long-Term Stay off Opioids": Treatment and Recovery Beliefs of Rural Vermont Family Members of People with Opioid Use Disorder
Examines beliefs related to opioid use disorder (OUD) treatment and recovery from the perspective of the family members of people with OUD. Analyzes interview data from 20 rural Vermont family members and discusses themes such as medication for OUD (MOUD), OUD treatment and mental health services, patient readiness for OUD treatment, and stigma.
Author(s): Catherine E. Peasley-Miklus, Julia G. Shaw, Katie Rosingana, et al.
Citation: Journal of Rural Health
Date: 06/2024
Type: Document
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Facilitators and Barriers to Adopting or Expanding Medications for Opioid Use Disorder Provision in Rural Colorado Jails: a Qualitative Analysis
Reports findings of interviews with representatives of 7 rural Colorado jails on facilitators and barriers of medication for opioid use disorder (MOUD) adoption and expansion. Discusses factors including attitudes toward MOUD, collaborative partnerships, physical space, distance to services, provider availability, staff, and more.
Author(s): Heidi L. McNeely, Terri L. Schreiber, William L. Swann, Claudia R. Amura
Citation: Health and Justice, 12, 26
Date: 06/2024
Type: Document
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Rural and Urban Differences in Disparities in Substance Use and Substance Use Disorders Affecting Sexual Minority Populations
Examines substance use (SU), substance use disorders (SUD), and SUD treatment in heterosexual and sexual minority populations. Analyzes 2015 to 2019 National Survey on Drug Use and Health data with information broken down by demographics, SU, and large metro, small metro, or nonmetro location.
Author(s): Christina Dyar, Ethan Morgan
Citation: Journal of Rural Health, 40(3), 542-556
Date: 06/2024
Type: Document
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Health of Women of U3 Populations Data Book 2024
Reports on the health of women in understudied, underrepresented, and underreported (U3) populations. Discusses social determinants of health, mortality, various health conditions, mental health, substance use, violence, and more. Discusses rural throughout including a review of rural data sources in Chapter 3.
Date: 05/2024
Type: Document
Sponsoring organization: National Institutes of Health
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Evaluation of the Maternal Opioid Misuse (MOM) Model: Third Annual Report (Implementation Year 2)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Health Disparities in Tennessee
Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, gender, and urban or rural location.
Date: 05/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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