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Rural Health
Resources by Topic: Substance use and misuse

The Prevalence of Mental Illness and Substance Abuse Among Rural Latino Adults with Multiple Adverse Childhood Experiences in California
Presents a study on the role of adverse childhood experiences (ACEs) in adult mental health and substance use issues among rural Latinos in California. Breaks down participants by age, sex, income, and education, among other measures.
Author(s): Irán Barrera, Vrinda Sharma, Yumiko Aratani
Citation: Journal of Immigrant and Minority Health, 21, 971-976
Date: 08/2019
Type: Document
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Scaling Up Hepatitis C Prevention and Treatment Interventions for Achieving Elimination in the United States: A Rural and Urban Comparison
Details a study on hepatitis C treatment and prevention interventions for people who use drugs in rural and urban areas. Compares the results of medication-assisted treatment (MAT) and syringe service program (SSP) interventions in rural Perry County, Kentucky and urban San Fransisco, California.
Author(s): Hannah Fraser, Claudia Vellozzi, Thomas J Hoerger, et al.
Citation: American Journal of Epidemiology, 188(8), 1539-1551
Date: 08/2019
Type: Document
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Disparities in Rural Tobacco Use, Smoke-Free Policies, and Tobacco Taxes
Highlights tobacco-related disparities in rural communities such as the prevalence of second-hand smoke, smoke free policies, and taxes on tobacco products. Discusses cigarettes and smokeless tobacco, e-cigarettes, tobacco industry influence, and best practices for rural communities.
Author(s): Kelly Buettner-Schmidt, Donald R. Miller, Brody Maack
Citation: Western Journal of Nursing Research, 41(8), 1184-1202
Date: 08/2019
Type: Document
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Acceptability of Safe Drug Consumption Spaces among People Who Inject Drugs in Rural West Virginia
Presents a study on the acceptability of safe consumption spaces among people who inject drugs in rural West Virginia. Breaks down data by demographic data, overdoses, and drugs used, among other characteristics.
Author(s): Allison O'Rourke, Rebecca Hamilton White, Ju Nyeong Park, et al.
Citation: Harm Reduction Journal, 16, 51
Date: 08/2019
Type: Document
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Doctor Hopping and Doctor Shopping for Prescription Opioids Associated with Increased Odds of High‐Risk Use
Presents a study on doctor hopping by people with opioid use disorder. Defines doctor hopping, a variant of doctor shopping, and uses data from the Arkansas Prescription Drug Monitoring Program to illustrate the behavior and its outcomes. Compares doctor hopping and doctor shopping in both rural and urban areas.
Author(s): Sean G. Young, Corey J. Hayes, Jonathan Aram, Mark A. Tait
Citation: Pharmacoepidemiology and Drug Safety, 28(8), 1117–1124
Date: 08/2019
Type: Document
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Factors that Influence Access to Medication-Assisted Treatment
Results of a study examining factors that influence access to medication-assisted treatment and substance use disorder treatment, including rural location, stigma, shortage of providers, and insurance coverage. Uses data from an electronic survey distributed to 59 State Opioid Treatment Authorities or Single State Authorities in the spring of 2019.
Additional links: Policy Brief
Author(s): Dana Foney, Shannon Mace
Date: 08/2019
Type: Document
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Urban-Rural Differences in Injury and Drug Overdose Death Rates: Data from the National Vital Statistics System
Webinar recording discusses two reports from the National Center for Health Statistics detailing mortality from injuries and opioids in rural versus urban areas. Features presentations by representatives from the National Center for Health Statistics.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 08/2019
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Report of Recommendations: Appalachian Regional Commission's Substance Abuse Advisory Council
Report outlines the recommendations of the ARC's Substance Abuse Advisory Council on designing and implementing a substance abuse recovery system in rural Appalachia. Details the need for workforce training and employment via support services post-treatment.
Date: 08/2019
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Evidence Brief: Barriers and Facilitators to Use of Medications for Opioid Use Disorder
Report details an analysis of barriers and facilitators to administering medication-assisted treatment (MAT) for opioid use disorder (OUD) that are applicable to the Veterans Health Administration. Highlights a synthesis of data extracted from a number of selected studies from 2014-2019, as well as VA data from 2006-2019. Includes data focusing on rural areas.
Date: 08/2019
Type: Document
Sponsoring organization: Veterans Health Administration
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Rural Health Research Recap: Healthcare Access and Status Among Rural Children
Provides summaries of research on rural children's health status and outcomes. Features statistics from 2011-2012 on children's health status by geography and insurance type, proportion of children with excellent or very good condition of teeth, and maternal smoking behavior, with breakdowns by urban, large rural, or small rural location.
Author(s): Shawnda Schroeder
Date: 08/2019
Type: Document
Sponsoring organization: Rural Health Research Gateway
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