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Rural Health
Resources by Topic: Substance use and misuse

Addressing the Rural Opioid Addiction and Overdose Crisis Through Cross-Sector Collaboration: Little Falls, Minnesota
Explores a cross-sector community-based care coordination effort to reduce the use of opioids in Little Falls, MN. Discusses the collaboration between a rural hospital and clinic with the Morrison County Accountable Communities for Health (ACH) program and highlights changes to opioid prescribing practices and community awareness of treatment options.
Author(s): Caroline Au-Yeung, Lynn A. Blewett, Kathy Lange
Citation: American Journal of Public Health, 109(2), 260-262
Date: 02/2019
Type: Document
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Using Network and Spatial Data to Better Target Overdose Prevention Strategies in Rural Appalachia
Highlights a study aiming to target individuals most likely to need overdose interventions in rural Appalachia. Examines survey data for spatial and networking patterns in rural eastern Kentucky to identify individuals at risk of a drug overdose.
Author(s): Abby E. Rudolph, April M. Young, Jennifer R. Havens
Citation: Journal of Urban Health, 96(1), 27-37
Date: 02/2019
Type: Document
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Premature Mortality from All Causes and Drug Poisonings in the USA According to Socioeconomic Status and Rurality: An Analysis of Death Certificate Data by County from 2000–15
Examines premature deaths from drug poisoning versus all causes by county for White, Black, and Latino people. Addresses differences by rural/urban location, socioeconomic status, education level, gender, and race/ethnicity. See additional link for detailed tables.
Additional links: Supplementary Appendix
Author(s): Meredith S. Shiels, Amy Berrington de Gonzalez, Ana F. Best, et al.
Citation: The Lancet, 4(2), e97-e106
Date: 02/2019
Type: Document
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Opioid Use Disorder: Challenges and Opportunities in Rural Communities
Discusses challenges rural communities face in providing access to evidence-based treatment for opioid use disorder (OUD). Identifies federal and state strategies to address treatment capacity, including expanding the workforce authorized to prescribe buprenorphine and using technology to provide treatment. Highlights how Scott County, Indiana responded to an HIV outbreak related to OUD by addressing the barriers to care faced by people with OUD and HIV.
Date: 02/2019
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Exposures to the Tobacco Retail Environment among Adolescent Boys in Urban and Rural Environments
Presents a study on the exposure of rural and urban adolescents to tobacco retailers. Looks at the number of self-reported visits to tobacco stores by adolescent males in urban and Appalachian regions of Ohio.
Author(s): Montgomry L. Burgoon, Thomas Albani, Brittney Keller-Hamilton, et al.
Citation: The American Journal of Drug and Alcohol Abuse, 45(2), 217-226
Date: 01/2019
Type: Document
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Predictors of Smokeless Tobacco Susceptibility, Initiation, and Progression Over Time Among Adolescents in a Rural Cohort
Examines the factors associated with adolescent male athletes' use of smokeless tobacco including chewing tobacco over time. Questionnaires assessed socio-demographic characteristics, environmental influences, and tobacco-related perceptions and behaviors among 9-12th grade baseball players in 36 rural California schools.
Author(s): Benjamin W. Chaffee, Elizabeth T. Couch, Janelle Urata, et al.
Citation: Substance Use & Misuse (54),7, 1154-1166
Date: 01/2019
Type: Document
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Oklahoma Drug Induced Causes of Death Due to Opioid Poisoning, 1999 to 2017
County-level map of Oklahoma, using data from the Centers for Disease Control and Prevention/National Center for Health Statistics, to show drug induced age-adjusted mortality rate due to opioid poisoning from 1999 to 2017.
Date: 01/2019
Type: Map/Mapping System
Sponsoring organization: Oklahoma State University Center for Rural Health
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Association Among County-Level Economic Factors, Clinician Supply, Metropolitan or Rural Location, and Neonatal Abstinence Syndrome
Highlights a study on demographic factors that correlate with neonatal abstinence syndrome (NAS). Looks at a county's economic factors, rural status, and clinician supply in 8 different states.
Author(s): Stephen W. Patrick, Laura J. Faherty, Andrew W. Dick, et al.
Citation: JAMA, 321(4), 385-393
Date: 01/2019
Type: Document
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HHS and HRSA Rural Summit
Summary of a January 28, 2019, discussion among rural healthcare stakeholders concerning challenges rural communities face in providing and accessing healthcare. Also explores opportunities for the Department of Health and Human Services Administration and the Health Resources and Services Administration to address these issues through program and policy development. Topics include access to care, workforce challenges, rural health system transformation, telehealth, and response to the opioid crisis.
Date: 01/2019
Type: Document
Sponsoring organization: Health Resources and Services Administration
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California Improvement Network Toolkit: Three Strategies to Help Primary Care Teams Treat Substance Use Disorders
Provides a toolkit to help primary care organizations and teams integrate substance use disorder (SUD) treatment services, including medication-assisted treatment (MAT), based on feedback from California healthcare organizations. Covers barriers to SUD services, as well as strategies and tactics to overcome them. Addresses how small and/or rural practices can access addiction specialists through contracts and telehealth.
Author(s): Crystal Eubanks
Date: 01/2019
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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