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Rural Health
Resources by Topic: Substance use and misuse

Injection Drug Use and Overdose among Young Adults Who Use Prescription Opioids Non-Medically
Examines the injection drug use of non-medical prescription opioids by young adults, age 18-29, in Rhode Island. Correlates certain characteristics including race, rural residency, homelessness, previous arrests, childhood physical, sexual and emotional abuse, and experiences with accidental overdose to a high prevalence of lifetime injection drug misuse.
Author(s): Elliott J. Liebling, Traci C. Green, Scott E. Hadland, Brandon D.L. Marshall
Citation: Addictive Behaviors, 76, 20-26
Date: 01/2018
Type: Document
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Scaling up HCV Prevention and Treatment Interventions in Rural USA – Model Projections for Tackling an Increasing Epidemic
Highlights a study on the rise in hepatitis C virus (HCV) infections in rural people who inject drugs (PWID) and the necessary interventions to reduce HCV outbreaks in rural communities. Focuses on a rural county in Indiana and evaluates the medication-assisted treatment (MAT) efficacy, syringe-services program (SSP) efficacy, and the PWID population size of the intervention, among other factors.
Author(s): Hannah Fraser, Jon Zibbell, Thomas Hoerger, et al.
Citation: Addiction, 113(1), 173-182
Date: 01/2018
Type: Document
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Rapid Review of Rural Health Research: Resources for the Five Leading Causes of Death
Prepared to accompany the December 12-13, 2017 workshop What Works for Rural: From Research to Reality. Compiles research and resources gathered online from October 2013 to December 2017 on the topics of cancer, chronic lower respiratory disease, heart disease, stroke, and unintentional injury, which includes a subsection on drug overdoses and opioids.
Date: 01/2018
Type: Document
Sponsoring organizations: Centers for Disease Control and Prevention, Federal Office of Rural Health Policy, Georgia Health Policy Center, National Network of Public Health Institutes
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Rural Health Research Recap: Opioid Use and Treatment Availability
Summarizes key findings from the Rural Health Research Centers' most recent research on opioid use and treatment. Focuses on research related to opioid use in rural communities, treatment for opioid use disorder, perceived need and use of treatment, and rural community response. Provides links to each of the referenced source documents.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Health Research Gateway
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The Opioid Crisis: An Examination of How We Got Here and How We Move Forward
Presents the full U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the opioid crisis, featuring a testimony from Sam Quinones, journalist and author of Dreamland: The True Tale of America's Opioid Epidemic.
Additional links: Written Testimony
Date: 01/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Perceived Treatment Need and Utilization for Illicit Drug and Opioid Use Disorders in Non-Metropolitan Areas
Gives estimates of perceived need and use of treatment for illicit drug and prescription pain reliever use disorders in 2008-2010, 2011-2013, and 2014-2015 among people ages 18-64. Includes statistics with breakdowns by urban or rural locations and by opioid, heroin, prescription drug, or any drug use disorder.
Author(s): Tyrone F. Borders, Hefei Wen
Date: 01/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Illicit Drug and Opioid Use Disorders among Non-Metropolitan Residents
Provides estimates of metropolitan and non-metropolitan past year drug use disorder rates among people ages 18-64 and temporal changes in past year drug use disorder prevalence rates. Includes statistics with metropolitan and non-metropolitan breakdowns for any drug, opioid, heroin, and prescription pain reliever use disorder.
Author(s): Tyrone F. Borders, Hefei Wen
Date: 01/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Community Response Planning for Outbreaks of Hepatitis and HIV among People who Inject Drugs: A Case Study from Lenowisco Health District, A Rural Community in Virginia
Provides guidance to rural health departments when developing a comprehensive community response plan for hepatitis and HIV outbreaks among persons who inject drugs (PWIDs). Integrates key components of controlling and preventing communicable disease with emergency management strategies and community resource utilization. Offers lessons learned from the experiences of the LENOWISCO Health District located in the Appalachian region of Virginia. .
Date: 2018
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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Impact of Presence of Children on Indoor Tobacco Restrictions in Households of Urban and Rural Adult Tobacco Users
Highlights a study on indoor tobacco use around children among rural and urban tobacco users in Ohio. Breaks down data by the tobacco users age, race, and gender, as well as number of children in the household, among other factors.
Author(s): Benjamin T. Kopp, Alice Hinton, Rong Lu, et al.
Citation: Academic Pediatrics, 18(8), 920-927
Date: 2018
Type: Document
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Evidence-Based Strategies for Preventing Opioid Overdose: What's Working in the United States
Guide for community leaders, public health, law enforcement, and others working to address the opioid crisis in their community. Identifies evidence-based practices that have been successfully implemented in the U.S. and are effective in reducing rates of opioid overdose. Includes strategies focused on naloxone distribution, medication-assisted treatment (MAT), addressing opioid use in criminal justice settings, syringe services, and more.
Author(s): Jennifer J. Carroll, Traci C. Green, Rita K. Noonan
Date: 2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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