Substance Use and Misuse in Rural Areas – Resources

Rural Health Opioid Program Funds Care Coordination Efforts for Recovery
Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Trajectory Classes of Cannabis Use and Heavy Drinking among Rural African American Adolescents: Multilevel Predictors of Class Membership
Presents a study on cannabis and alcohol use among African American youth in rural Georgia. Features data assessments over nine years beginning when the participants are 16 and ending when they are 25 and looks a perceived stress and other psychological risk factors.
Author(s): Allen W. Barton, Gene. H. Brody, Tamika C. B. Zapolski, et al.
Citation: Addiction, 113(8), 1439-1449
Date: 08/2018
Type: Document
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Non-Medical Opioid Use among Rural and Urban Pregnant Women, 2007-2014
Examines data from the National Survey on Drug Use and Health (NSDUH) from 2007 to 2014 to determine differences in non-medical opioid use among rural and urban pregnant women. Covers policy and practice implications to inform program and clinical efforts to address the crisis.
Author(s): Katy Kozhimannil, Carrie Henning-Smith, Tongtan Chantarat, Tongtan Chantarat, Cresta Jones
Date: 08/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Entertainment-Education Videos as a Persuasive Tool in the Substance Use Prevention Intervention "keepin' it REAL"
Examines the effects of engagement by adolescents receiving a substance use prevention curriculum offering entertainment-education videos on alcohol use by youth and communication skills to refuse drug offers. Seventh grade students from two rural public schools were assigned to two versions of the keepin' it REAL prevention curriculum – one rural based and one urban based. Discusses the pre/post surveys taken by students at the beginning and the end of 7th grade.
Author(s): YoungJu Shin, Michelle Miller-Day, Michael L. Hecht, Janice L. Krieger
Citation: Health Communication, 33(7) 896-906
Date: 07/2018
Type: Document
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The Intersection of Hepatitis, HIV, and the Opioid Crisis: The Need for a Comprehensive Response
Brief discusses the infectious diseases co-occurring with the opioid crisis and the need for comprehensive treatment. Details the relationship between opioid use disorder and HIV and hepatitis infection. Looks at barriers to care and presents suggestions to overcome them, such as increasing access to healthcare for low-income populations, among others.
Date: 07/2018
Type: Document
Sponsoring organization: National Alliance of State and Territorial AIDS Directors
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Integrating Responses at the Intersection of Opioid Use Disorder and Infectious Disease Epidemics: Proceedings of a Workshop
Features the proceedings of a public workshop on the relationship between the opioid epidemic and the spread of infectious diseases. Presents research and policy options, such as integrating infectious disease treatment into opioid treatment and prevention efforts, as well as exploring the role of law enforcement. Discusses barriers to treatment and prevention in rural areas.
Additional links: Read Online
Date: 07/2018
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Geographic Variation in the Supply of Selected Behavioral Health Providers
Analyzes the geographic distribution of behavioral healthcare providers across the country. Breaks down data by metropolitan, micropolitan, and non-core counties and by psychiatrists, psychologists, and psychiatric nurse practitioners.
Author(s): C. Holly A. Andrilla, Davis G. Patterson, Lisa A. Garberson, et al.
Citation: American Journal of Preventive Medicine, 54(6), Supp 3, S199-S207
Date: 06/2018
Type: Document
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Challenges Facing a Rural Opioid Epidemic: Treatment and Prevention of HIV and Hepatitis C
Presents a study on the current trends of HIV and hepatitis C virus (HCV) infection coinciding with the opioid epidemic and the strategies for treatment and prevention in rural areas. Highlights the barriers to HIV and HCV testing and treatment for rural people who inject drugs.
Author(s): Asher J. Schranz, Jessica Barrett, Christopher B. Hurt, et al.
Citation: Current HIV/AIDS Reports, 15(3), 245-254
Date: 06/2018
Type: Document
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The Opioid Epidemic: National Trends in Opioid-Related Overdose Deaths from 2000 to 2016
Details the rates of death caused by opioid overdoses throughout the U.S. from 2000-2016. Compares deaths caused by heroin and non-heroin opioids, as well as death rates in nonmetro, small/medium metro, and large metro areas. Companion Brief details overdose rates by state.
Additional links: The Opioid Epidemic: State Trends in Opioid-Related Overdose Deaths from 2000 to 2016
Author(s): Colin Planalp, Megan Lahr
Date: 06/2018
Type: Document
Sponsoring organization: State Health Access Data Assistance Center
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It's an Addiction Crisis: Across Minnesota, the "Opioid Crisis" Is So Much More Than Just Opioids
Details the opioid crisis in the state of Minnesota. Includes statistics on overdose deaths and treatment admissions for alcohol, heroin, methamphetamine, and other opiates. Covers hospital addition costs and workforce issues posing a barrier to access in rural areas. Reviews 3 rural community models working to address substance abuse.
Author(s): Marnie Werner
Date: 06/2018
Type: Document
Sponsoring organization: Center for Rural Policy and Development
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