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Rural Health
Resources by Topic: Substance use and misuse

Talking about Hepatitis C: FAQs from Young Adults who Inject Drugs
Highlights some common questions posed by rural young adults at high risk of hepatitis C (HCV) infection due to injectable drug use. Breaks down demographic data by sex, race, and education among other measures.
Author(s): Lauren L. Knight, Katherine Wagner, Yuridia Leyva, et al.
Citation: Health Promotion Practice, 19(6), 815-822
Date: 11/2018
Type: Document
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Designed Cultural Adaptation and Delivery Quality in Rural Substance Use Prevention: An Effectiveness Trial for the Keepin' it REAL Curriculum
Examines the effectiveness of two versions – one urban and one rural - of a culturally adapted evidence-based middle school substance use prevention curriculum on adolescents. Data collected included adolescent self-reported substance use, and ratings of quality in delivery analyzed from video recordings of lessons presented.
Author(s): Michael L. Hecht, YoungJu Shin, Jonathan Pettigrew, Michelle Miller-Day, Janice L. Krieger
Citation: Prevention Science 19(8), 1008-1018
Date: 11/2018
Type: Document
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Variations in Support for Secondhand Smoke Restrictions Across Diverse Rural Regions of the United States
Surveys the support of secondhand smoke restrictions among rural and urban people across all of the HHS regions. Explores the attitudes of people pertaining to smoking regulations in various locations, such as in homes, bars, and playgrounds, among others.
Author(s): Frances A. Stillman, Erin Tanenbaum, Mary Ellen Wewers, et al.
Citation: Preventive Medicine, 116, 157-165
Date: 11/2018
Type: Document
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A Large HCV Transmission Network Enabled a Fast-growing HIV Outbreak in Rural Indiana, 2015
Highlights a study of the co-infection of hepatitis C among HIV patients who inject opioids in rural Indiana. Details the age, race, and county of residence, as well as several risk factors of the patients.
Author(s): Sumathi Ramachandran, Hong Thai, Joseph C. Forbi, et al.
Citation: EBioMedicine, 37, 374-381
Date: 11/2018
Type: Document
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Using Telehealth to Support Opioid Use Disorder Treatment
Provides an issue brief on how telehealth can increase access to medication-assisted treatment (MAT) for opioid use disorder (OUD). Addresses how telehealth is used, implemented, and reimbursed, highlighting the implications for MAT.
Date: 11/2018
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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House Select Committee on Opioids and Substance Abuse: Interim Report to the 86th Texas Legislature
Provides a comprehensive report on substance abuse and opioid misuse in Texas, summarizing the current issues and what Texas programs, policies, and agencies are doing to address them. Reviews implementation of the state prescription monitoring program; state Good Samaritan laws; and the impact of substance abuse on various stakeholders and population groups, such as pregnant women and first responders. Addresses rural throughout and includes a map showing opioid-related deaths by county.
Date: 11/2018
Type: Document
Sponsoring organization: Texas House Select Committee on Opioids and Substance Abuse
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Medication-Assisted Treatment for Opioid Use Disorder in the Child Welfare Context: Challenges and Opportunities
Discusses challenges and opportunities related to medication-assisted treatment (MAT) for parents with opioid use disorder, focusing on child welfare. Highlights the importance of counseling to address mental health and parenting issues as part of the treatment. Covers difficulties faced with accessing counseling services, particularly in rural areas. Based on a qualitative mixed methods study that included rural and urban counties experiencing a high level of drug overdoses and emergency room visits.
Author(s): Laura Radel, Melinda Baldwin, Gilbert Crouse, Robin Ghertner, Annette Waters
Date: 11/2018
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Responding to the HIV Crisis in Scott County, Indiana: Q&A with Dr. William Cooke
An interview with Dr. William Cooke, the only physician in Austin, Indiana at the time of the country's largest rural HIV outbreak. Highlights the work of Dr. Cooke and his staff to help address HIV, hepatitis C, and opioid/substance use disorder in the community.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Ohio Addiction Policy Inventory and Scorecard: Overdose Reversal and Other Forms of Harm Reduction
Describes changes in Ohio addiction policies related to overdose reversal and harm reduction. Examines the evidence supporting the policy changes and how they will address the needs of Ohio residents. Identifies existing gaps in policy and potential opportunities for improvement. Discusses barriers rural counties face, such as limited access to harm reduction services or healthcare specialists for treatment.
Additional links: Detailed Inventory Tables, Recorded Webinar, Slides
Author(s): Amy Bush Stevens, Hailey Akah
Date: 11/2018
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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American Indians and Alaska Natives Must Be Included in Research on Adverse Childhood Experiences
Highlights a report on adverse childhood experiences (ACEs) in tribal populations. Presents data on poverty, substance abuse, and age, among other factors, of American Indian and Alaska Native populations across the nation.
Author(s): Deana Around Him, Alex DeMand
Date: 11/2018
Type: Document
Sponsoring organization: Child Trends
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