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Rural Health
Resources by Topic: Substance use and misuse

Suicide and Firearm Injury in Utah: Linking Data to Save Lives
Report highlights data pertaining to suicides, homicides, and injuries from firearms in Utah. Compares data between rural and metro areas on a number of measures, such as suicides among youth, firearm ownership and storage, and suicide completion rates, among others.
Date: 10/2018
Sponsoring organization: Harvard T. H. Chan School of Public Health
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Allergy, Asthma, and Respiratory Disease Surveillance among American Indians in Arizona, Nevada, and Utah
Examines the prevalence of asthma, allergies, and respiratory disease among Native Americans in Arizona, Utah, and Nevada, including related hospital admissions and mortality rates. Addresses risk factors such as tobacco use and wildfire smoke, along with prevention and treatment efforts. Identifies action items for tribes, public health professionals, and individuals.
Date: 10/2018
Sponsoring organization: Inter Tribal Council of Arizona, American Indian Research Center for Health
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Qualitative Case Study of Needle Exchange Programs in the Central Appalachian Region of the United States
Reports on a qualitative study in West Virginia to address barriers and identify supports that may impact the development of needle exchange programs (NEPs) in rural areas of the U.S. Interviews were conducted in West Virginia with program directors, police chiefs, law enforcement members, and people who inject drugs to obtain information on program implementation and operations, and future growth of NEPs.
Author(s): Stephen M. Davis, Danielle Davidov, Alfgeir L. Kristjansson, Keith Zullig, Adam Baus, et al.
Citation: PLoS One, 13(10)
Date: 10/2018
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Rising Rates of Injection Drug Use Associated Infective Endocarditis in Virginia with Missed Opportunities for Addiction Treatment Referral: A Retrospective Cohort Study
Describes the geographic, clinical trends and characteristics of infective endocarditis related to injection drug use (IDU-IE). Study site serves a large rural area in West Virginia and Virginia. Counties of residence for patient admissions with IDU-IE were identified as rural or urban. Discusses opportunities for improved quality of care for people who inject drugs.
Author(s): Megan E. Gray, Elizabeth T. Rogawski McQuade, W. Michael Scheld, Rebecca A. Dillingham
Citation: BMC Infectious Disease, 18, 532
Date: 10/2018
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State Options for Promoting Recovery among Pregnant and Parenting Women with Opioid or Substance Use Disorder
Reports on interviews with health officials in Texas, Colorado, and Pennsylvania regarding how their states help pregnant women and young mothers with substance use disorders, focusing on opioids. Discusses Medicaid's role, funding sources of state initiatives, medication-assisted treatment, and issues for incarcerated women. Includes considerations and examples related to rural health throughout.
Author(s): Becky Normile, Carrie Hanlon, Hannah Eichner
Date: 10/2018
Sponsoring organization: National Academy for State Health Policy
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HRSA's Home Visiting Program: Supporting Families Impacted by Opioid Use and Neonatal Abstinence Syndrome: A Resource for MIECHV Awardees
Details a report for HRSA's Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program grantees on providing support to families impacted opioid use disorder (OUD) and neonatal abstinence syndrome (NAS). Discusses methods of treatments for newborns with NAS and Medication-Assisted Treatment (MAT) for pregnant women with OUD.
Date: 10/2018
Sponsoring organization: Health Resources and Services Administration
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Life in Rural America
Summarizes the results of a survey of rural adults living in the U.S. Includes survey response data and statistics on a variety of topics such as: drug addiction, drug use, and opioids; the economy; health conditions; suicide; and more.
Additional links: Full Report
Date: 10/2018
Sponsoring organizations: Harvard T.H. Chan School of Public Health, NPR, Robert Wood Johnson Foundation
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Federal Legislation to Address the Opioid Crisis: Medicaid Provisions in the SUPPORT Act
Brief details the Medicaid provisions in the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act. Discusses provisions aimed at treating substance use disorder(SUD) in rural areas.
Author(s): MaryBeth Musumeci, Jennifer Tolbert
Date: 10/2018
Sponsoring organization: KFF
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Characteristics of Prescription Opioid-Impaired and Other Substance-Impaired Drivers in Rural Appalachian Kentucky
Study examining characteristics and behaviors of prescription opioid-impaired drivers in the rural Appalachian region of Kentucky, Makes comparisons with other substance-impaired drivers using data from research interviews with 118 study participants who had been convicted of a DUI in the same county where they lived. Discusses prevalence of substance use, frequency of impaired driving, criminal activity, and mental health for prescription opioid-impaired, other drug-impaired, and alcohol only-impaired drivers.
Author(s): J. Matthew Webster, Megan F. Dickson, Faiyad Mannan, Michele Staton
Citation: Journal of Psychoactive Drugs, 59(5), 373-381
Date: 09/2018
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Opioid Prescribing Rates by Congressional Districts, United States, 2016
Details a study on opioid prescribing rates by U.S. congressional districts. Compares congressional district rates with state-level rates and highlights rates among in rural areas, specific regions, and by other variables.
Author(s): Lyndsey A. Rolheiser, Jack Cordes, S.V. Subramanian
Citation: American Journal of Public Health, 108(9), 1214–1219
Date: 09/2018
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