Substance Use and Misuse in Rural Areas – Resources

Vital Signs: Pharmacy-Based Naloxone Dispensing — United States, 2012–2018
Reports on trends and characteristics of naloxone dispensing from retail pharmacies. Includes data for metropolitan, micropolitan, and rural counties on high-dose opioid and naloxone prescriptions. Also includes county-level maps of naloxone prescriptions per 100,000 people and naloxone prescriptions per 100 high-dose opioid prescriptions.
Author(s): Gery P. Guy Jr., Tamara M. Haegerich, Mary E. Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(31), 679-686
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details

Urban-Rural Differences in Drug Overdose Death Rates, by Sex, Age, and Type of Drugs Involved, 2017
Data brief examining differences in urban and rural areas, using the most recent data from the National Vital Statistics System. Features statistics including age-adjusted rates of overdose rates from 1999-2017 by urban and rural residence, and rates of overdose death in 2017 by sex, age group, and type of drug, with breakdowns by urban and rural areas.
Author(s): Holly Hedegaard, Arialdi M. Minino, Margaret Warner
Citation: NCHS Data Brief, No. 345
Date: 08/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
view details

Effectiveness of Peer-Delivered Trauma Treatment in a Rural Community: A Randomized Non-inferiority Trial
Discusses a study on the effectiveness of a peer-provided treatment of PTSD and substance use disorder compared to clinician-provided treatment in a rural county in a Southwestern state. Breaks down data by age, race, and diagnosis, among other factors.
Author(s): Annette S. Crisanti, Cristina Murray-Krezan, Jessica Reno, Cynthia Killough
Citation: Community Mental Health Journal, 55(7), 1125–1134
Date: 07/2019
Type: Document
view details

Provider‐Level Variation in Smoking Cessation Assistance Provided in the Cardiology Clinics: Insights from the NCDR PINNACLE Registry
Presents a study on the variation in smoking cessation assistance programs across the U.S. Highlights the prevalence of these programs in primary care settings and details the data by patient characteristics, census region, and urbanity.
Author(s): Mayank Sardana, Yuanyuan Tang, Jared W. Magnani, et al.
Citation: Journal of the American Heart Association, 8(13)
Date: 07/2019
Type: Document
view details

E-Cigarette Minimum Legal Sale Age Laws and Traditional Cigarette Use among Rural Pregnant Teenagers
Uses 2010-2016 data from 32 states to explore how minimum legal sale age laws for e-cigarettes affects cigarette use among pregnant teenagers in rural areas. Provides data and statistics on smoking before and during pregnancy, underage teen births, and birth outcomes. Includes rural/urban comparisons.
Author(s): Michael Pesko, Janet Currie
Citation: Journal of Health Economics, 66, 71-90
Date: 07/2019
Type: Document
view details

Local Health Department Approaches to Opioid Use Prevention and Response: An Environmental Scan
Summarizes the results of an environmental scan of 198 local health departments (LHDs) regarding their local opioid overdose prevention and response activities. Reports and compares statistics by governance and the size of the population the LHD serves. Discusses efforts and activities related to workforce, clinical and programmatic services, policy, communication, partnership, and data collection. Includes LHD stories from the field.
Author(s): Kamya Raja, Francis Higgins
Date: 07/2019
Type: Document
Sponsoring organization: National Association of County and City Health Officials
view details

Team-Based Clinic Redesign of Opioid Medication Management in Primary Care: Effect on Opioid Prescribing
Study examines an opioid medication management redesign in 20 rural primary care clinics. Looks at daily opioid usage rates of long-term opioid therapy patients before and after the redesign.
Author(s): Michael L. Parchman, Robert B. Penfold, Brooke Ike, et al.
Citation: Annals of Family Medicine, 17(4), 319-325
Date: 07/2019
Type: Document
view details

Guidance to States and School Systems on Addressing Mental Health and Substance Use Issues in Schools
Report provides guidance to school systems and state governments about mental health and substance use in schools. Highlights examples of methods to identify and address mental health issues and substance use in schools. Discusses state-level Medicaid funding for behavioral health.
Author(s): Elinore McCance-Katz, Calder Lynch
Date: 07/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Substance Abuse and Mental Health Services Administration
view details

The Role of Primary Care in Improving Access to Medication-Assisted Treatment for Rural Medicaid Enrollees with Opioid Use Disorder
Examines the utilization of primary care among rural Medicaid enrollees in rural Pennsylvania diagnosed with an opioid use disorder (OUD). Describes the relationship between primary care utilization, distance to a medication-assisted treatment (MAT) prescriber, and MAT utilization.
Author(s): Evan S. Cole, Ellen DiDomenico, Gerald Cochran, et al.
Citation: Journal of General Internal Medicine, 34(6), 936-943
Date: 06/2019
Type: Document
view details

Determining Spatial Access to Opioid Use Disorder Treatment and Emergency Medical Services in New Hampshire
Highlights a study on the effect of geospatial determinants on access to opioid use disorder treatment and emergency medical services in New Hampshire. Breaks down data by metropolitan, micropolitan, small town, and rural communities.
Author(s): Yanjia Cao, Kathleen Stewart, Eric Wish, et al.
Citation: Journal of Substance Abuse Treatment, 101, 55-66
Date: 06/2019
Type: Document
view details