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Rural Health
Resources by Topic: Substance use and misuse

Health Disparities Related to Opioid Misuse in Appalachia: Practical Strategies and Recommendations for Communities
Offers statistics on opioid misuse and overdose deaths in rural Appalachian communities. Highlights strategies and resources to address opioid issues. Covers recommendations to assist policymakers, funders, and leaders working to reduce opioid related health disparities.
Author(s): Kate Beatty, Nathan Hale, Michael Meit, et al.
Date: 04/2019
Type: Document
Sponsoring organization: Appalachian Regional Commission
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The Opioid Prescribing Rate and Grandparents Raising Grandchildren: State and County Level Analysis
Study highlights the relationship between grandparents raising children and the opioid crisis. Compares American Community Survey data from 2012-2016 with CDC 2016 Opioid Prescribing data. The State and County Level Analysis Poster presents a summary of the study, as well as state and county-level data and maps.
Additional links: State and County Level Analysis Poster
Author(s): Lydia Anderson
Date: 04/2019
Type: Document
Sponsoring organization: U.S. Census Bureau
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Wild . . . But Not So Wonderful - Responding to Injection Drug Use in West Virginia
Discusses the progress of the opioid crisis, including co-occurring diseases, in West Virginia. Explores barriers and limitations to treatment, stigma, and harm reduction programs. Highlights considerations for policymakers.
Author(s): Robin A. Pollini
Citation: American Journal of Public Health, 109(3), 354–355
Date: 03/2019
Type: Document
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Indiana Primary Care Needs Assessment, 2019
Summarizes 2015-2018 efforts to identify gaps in healthcare access and allocate resources to communities in greatest need. Lists Primary Care, Mental, and Dental Health Professional Shortage Area (HPSA) designations obtained between 2015 and 2018. Identifies population health priorities related to infant mortality, obesity, smoking, and substance misuse in Indiana.
Author(s): Chipo Chavanduka, Sierra Vaughn, Hannah Maxey
Date: 03/2019
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Cigarette Smoking Rates among Veterans: Association with Rurality and Psychiatric Disorders
Details a study on rates of smoking among Iraq and Afghanistan era veterans in rural and urban areas. Looks at co-occurring mental health disorders and presents data by demographic factors, such as sex, ethnicity, and employment, among others.
Author(s): Lara N. Coughlin, Sarah M. Wilson, Meredith C. Erwin, et al.
Citation: Addictive Behaviors, 90, 119-123
Date: 03/2019
Type: Document
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Controlled Substance Use Among Psychiatric Patients in a Rural North Carolina Emergency Department
Features a study on common substances used by patients entering rural emergency departments (EDs) seeking mental health treatment. Focuses on a single ED in North Carolina and presents data by race, gender, and substance used.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Gregory Capece, et al.
Citation: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 20(2), 419-425
Date: 03/2019
Type: Document
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Rural Pulse 2019: Rural/Urban Findings - March 2019
Results of a survey of 1,560 Minnesota residents, exploring their views on issues including access to healthcare, behavioral health services, public transportation, and elder care, and how well these issues are being addressed at the state and local levels. Features statistics including demographics with breakdowns by urban and rural residence, and survey responses with breakdowns by 6 Minnesota regions.
Date: 03/2019
Type: Document
Sponsoring organization: Blandin Foundation
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Identifying Areas with Disproportionate Local Health Department Services Relative to Opioid Overdose, HIV and Hepatitis C Diagnosis Rates: A Study of Rural Illinois
Highlights a study on access to opioid use disorder treatment services provided by local health departments in rural Illinois. Looks at services available, as well as county rates of opioid overdoses, HIV, and hepatitis C diagnosis rates.
Author(s): Colleen McLuckie, Mai T. Pho, Kaitlin Ellis, et al.
Citation: International Journal of Environmental Research and Public Health, 16(6), 989
Date: 03/2019
Type: Document
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Substance Use Disorder Treatment Policy Recommendations for the State of Louisiana: Final Report - March 2019
Assessment to inform recommendations for the state of Louisiana on timely, comprehensive, evidence-based, and sustainable treatment for opioid use disorder. Includes 8 recommendations, and discusses challenges in rural areas, such as high overdose rates, provider shortages, and lack of access to buprenorphine.
Date: 03/2019
Type: Document
Sponsoring organization: Pew Charitable Trusts
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The Availability of Medication-Assisted Treatment for Opioid Addiction in Pennsylvania
Report details the availability of medication-assisted treatment (MAT) for opioid addiction throughout the state of Pennsylvania. Compares rural and urban counties and highlights MAT delivery methods to rural areas.
Additional links: Executive Summary
Author(s): Harry D. Holt, Matin Katirai, Whitney Katirai
Date: 03/2019
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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