Rural Health
Resources by Topic: Substance use and misuse
Opportunities to Improve Opioid Use Disorder and Infectious Disease Services: Integrating Responses to a Dual Epidemic
Examines opioid use and drug-related infectious diseases. Identifies the barriers to integration of opioid use disorder (OUD) and infectious disease services, including barriers faced in rural areas such as workforce shortages. Offers strategies to overcome those barriers. Offers case studies of programs that have successfully integrated services, including programs serving rural areas. Includes policy recommendations.
Additional links: Read Online, Report Highlights
Author(s): Board on Population Health and Public Health Practice
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Examines opioid use and drug-related infectious diseases. Identifies the barriers to integration of opioid use disorder (OUD) and infectious disease services, including barriers faced in rural areas such as workforce shortages. Offers strategies to overcome those barriers. Offers case studies of programs that have successfully integrated services, including programs serving rural areas. Includes policy recommendations.
Additional links: Read Online, Report Highlights
Author(s): Board on Population Health and Public Health Practice
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Engagement With Project ECHO to Increase Medication-Assisted Treatment in Rural Primary Care
Examines a study on the barriers and facilitators to implementing medication-assisted treatment (MAT) for opioid use disorder between Project ECHO and rural primary care providers in New Mexico. Bases conclusions on post-ECHO intervention interviews with rural primary care providers and discusses external factors that could factor into the implementation of MAT.
Author(s): Julie Salvador, Snehal Bhatt, Rebecca Fowler, et al.
Citation: Psychiatric Services, 70(12), 1157-1160
Date: 12/2019
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Examines a study on the barriers and facilitators to implementing medication-assisted treatment (MAT) for opioid use disorder between Project ECHO and rural primary care providers in New Mexico. Bases conclusions on post-ECHO intervention interviews with rural primary care providers and discusses external factors that could factor into the implementation of MAT.
Author(s): Julie Salvador, Snehal Bhatt, Rebecca Fowler, et al.
Citation: Psychiatric Services, 70(12), 1157-1160
Date: 12/2019
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Migration to the US among Rural Puerto Ricans Who Inject Drugs: Influential Factors, Sources of Support, and Challenges for Harm Reduction Interventions
Details a study of the migration patterns of rural people who inject drugs (PWID) from Puerto Rico to the United States. Breaks down data by age, sex, and HIV and HCV status among other measures.
Author(s): R. Abadie, P. Habecker, C. Gelpi-Acosta, K. Dombrowski
Citation: BMC Public Health, 19, 1710
Date: 12/2019
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Details a study of the migration patterns of rural people who inject drugs (PWID) from Puerto Rico to the United States. Breaks down data by age, sex, and HIV and HCV status among other measures.
Author(s): R. Abadie, P. Habecker, C. Gelpi-Acosta, K. Dombrowski
Citation: BMC Public Health, 19, 1710
Date: 12/2019
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A Systematic Review of Rural-specific Barriers to Medication Treatment for Opioid Use Disorder in the United States
Analyzes a number of studies looking at medication-assisted treatment (MAT) for opioid use disorder in rural areas. Explores barriers to accessing MAT in rural areas and makes rural and urban comparisons.
Author(s): Jamey J. Lister, Addie Weaver, Jennifer D. Ellis, Joseph A. Himle, David M. Ledgerwood
Citation: The American Journal of Drug and Alcohol Abuse
Date: 12/2019
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Analyzes a number of studies looking at medication-assisted treatment (MAT) for opioid use disorder in rural areas. Explores barriers to accessing MAT in rural areas and makes rural and urban comparisons.
Author(s): Jamey J. Lister, Addie Weaver, Jennifer D. Ellis, Joseph A. Himle, David M. Ledgerwood
Citation: The American Journal of Drug and Alcohol Abuse
Date: 12/2019
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Newborns with Withdrawal Symptoms Caused by Maternal Exposure to Select Substances
Reports on the use of International Classification of Diseases (ICD) diagnosis codes describing withdrawal symptoms of newborns impacted by maternal exposure to certain substances, and identifies the number of newborns impacted by exposure using data from Oklahoma's Medicaid and birth certificate records. Lists clinical symptoms and conditions present among affected newborns, and offers data on the demographic distribution by county, select maternal characteristics, and birth outcomes of newborns with withdrawal symptoms.
Date: 12/2019
Sponsoring organization: Oklahoma State Department of Health
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Reports on the use of International Classification of Diseases (ICD) diagnosis codes describing withdrawal symptoms of newborns impacted by maternal exposure to certain substances, and identifies the number of newborns impacted by exposure using data from Oklahoma's Medicaid and birth certificate records. Lists clinical symptoms and conditions present among affected newborns, and offers data on the demographic distribution by county, select maternal characteristics, and birth outcomes of newborns with withdrawal symptoms.
Date: 12/2019
Sponsoring organization: Oklahoma State Department of Health
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The Strong African American Families Program Improves Lives of Rural African American Youth
Video with transcript, describing a program developed by the Center for Family Research at the University of Georgia, designed to foster wellbeing and improve outcomes for rural African American young people ages 10-14. Describes challenges they face, and explores ways in which the program strengthens parenting, promotes youth protective factors, and decreases the likelihood that participants will engage in high-risk behaviors, including substance abuse.
Date: 12/2019
Sponsoring organization: National Institute on Drug Abuse
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Video with transcript, describing a program developed by the Center for Family Research at the University of Georgia, designed to foster wellbeing and improve outcomes for rural African American young people ages 10-14. Describes challenges they face, and explores ways in which the program strengthens parenting, promotes youth protective factors, and decreases the likelihood that participants will engage in high-risk behaviors, including substance abuse.
Date: 12/2019
Sponsoring organization: National Institute on Drug Abuse
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Opioid Prescribing Among Adults With Disabilities in the United States After the 2014 Federal Hydrocodone Rescheduling Regulation
Examines the impact of the 2014 federal rescheduling regulation regarding hydrocodone-combination products on Medicare beneficiaries with disabilities. Provides maps of prolonged opioid use by Medicare beneficiaries with disabilities by state before and after the regulation was implemented. Includes data analysis of beneficiaries in metropolitan, urban, and rural areas.
Author(s): Victor Law, Yong-Fang Kuo, Mukaila A. Raji, Jacques Baillargeon
Citation: Public Health Reports, 135(1), 114-123
Date: 12/2019
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Examines the impact of the 2014 federal rescheduling regulation regarding hydrocodone-combination products on Medicare beneficiaries with disabilities. Provides maps of prolonged opioid use by Medicare beneficiaries with disabilities by state before and after the regulation was implemented. Includes data analysis of beneficiaries in metropolitan, urban, and rural areas.
Author(s): Victor Law, Yong-Fang Kuo, Mukaila A. Raji, Jacques Baillargeon
Citation: Public Health Reports, 135(1), 114-123
Date: 12/2019
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Comparison of Rural vs Urban Direct-to-Physician Commercial Promotion of Medications for Treating Opioid Use Disorder
Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
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Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
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The Impact of the Opioid Epidemic on the Aging Services Network and the Older Adults They Serve
Report highlights the results of a survey of National Council on Aging (NCOA) grantees and partners on the effect of the opioid epidemic on older adults. Details the percentage of respondents from rural areas and offers recommendations and resources to address the epidemic among the aging population.
Date: 12/2019
Sponsoring organization: National Council on Aging
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Report highlights the results of a survey of National Council on Aging (NCOA) grantees and partners on the effect of the opioid epidemic on older adults. Details the percentage of respondents from rural areas and offers recommendations and resources to address the epidemic among the aging population.
Date: 12/2019
Sponsoring organization: National Council on Aging
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Veterans Health Care: Services for Substance Use Disorders, and Efforts to Address Access Issues in Rural Areas
Identifies and compares the differences in the number of veterans, and the expenditures for veterans receiving substance use disorder (SUD) services, and specialty SUD services in rural and urban areas. Veterans Health Administration (VHA) policies were reviewed, interviews were conducted with agency officials, and Department of Veterans Affairs (VA) data from 2014 to 2018 was analyzed to develop the report.
Additional links: Full Report
Date: 12/2019
Sponsoring organization: Government Accountability Office
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Identifies and compares the differences in the number of veterans, and the expenditures for veterans receiving substance use disorder (SUD) services, and specialty SUD services in rural and urban areas. Veterans Health Administration (VHA) policies were reviewed, interviews were conducted with agency officials, and Department of Veterans Affairs (VA) data from 2014 to 2018 was analyzed to develop the report.
Additional links: Full Report
Date: 12/2019
Sponsoring organization: Government Accountability Office
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