Substance Use and Misuse in Rural Areas – Resources

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
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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
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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
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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
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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
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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
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Tailoring Crisis Response and Pre-arrest Diversion Models for Rural Communities
Outlines a guide for rural communities to develop crisis response and pre-arrest diversion programs for people with mental health or substance use disorders. Discusses the use of technology to connect law enforcement with behavioral health programs, as well as building off of current programs to address the specific needs of the community.
Date: 06/2019
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Characteristics of US Counties With High Opioid Overdose Mortality and Low Capacity to Deliver Medications for Opioid Use Disorder
Highlights a study on opioid overdose mortality in U.S. counties that lack the capacity to treat opioid use disorder. Breaks down counties by patient demographic and geographic region, as well as by rural, metropolitan, and micropolitan status.
Author(s): Rebecca L. Haffajee, Lewei Allison Lin, Amy S. B. Bohnert, Jason E. Goldstick
Citation: JAMA Network Open, 2(6)
Date: 06/2019
Type: Document
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Assessment of Mortality and Smoking Rates Before and After Reduction in Community-wide Prevention Programs in Rural Maine
Results of a study comparing smoking and mortality rates in Franklin County, Maine with other Maine counties, by 5-year intervals between 1970-2015. Features statistics including demographics, mortality rates, and income data.
Author(s): Daniel K. Onion, Roderick E. Prior, N. Burgess Record
Citation: JAMA Network Open 2(6)
Date: 06/2019
Type: Document
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Binge Drinking and Prescription Opioid Misuse in the U.S., 2012-2014
Explores the relationship between binge drinking and opioid misuse. Analyzes data from the 2012-2014 National Survey on Drug Use and Health and presents data by age, race, and rural versus urban status, among other measures.
Author(s): Marissa B. Esser, Gery P. Guy Jr., Kun Zhang, et al.
Citation: American Journal of Preventive Medicine
Date: 06/2019
Type: Document
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