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Rural Health
Resources by State: Ohio

Understanding Declining Rates of Drug Overdose Mortality in Eastern Kentucky
Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
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Expanding Access to Methadone Treatment in Ohio Through Federally Qualified Health Centers and a Chain Pharmacy: A Geospatial Modeling Analysis
Examines the provision of methadone at opioid treatment programs (OTP) in Ohio. Compares how well existing OTPs meet the need for opioid use disorder treatment by urban-rural classification. Explores how expanding methadone administration to Federally Qualified Health Centers (FQHCs) could expand access to OUD treatment in urban and rural areas.
Author(s): Suzan Iloglu, Paul J. Joudrey, Emily A. Wong, Thomas A. Thornhill, Gregg Gonsalves
Citation: Drug and Alcohol Dependence, 220, 108534
Date: 03/2021
Type: Document
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Traffic Safety in Appalachia: Final Report
Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Community of Practice: Preventing and Reducing the Stigma of Substance Use Disorders in Rural Communities - Implementation and Lessons Learned
Report discusses strategies for reducing stigma around substance use disorders (SUDs) and SUD treatment in rural communities. Details the implementation of Communities of Practice sessions with participants and breaks down participant data and session timeline.
Date: 2021
Type: Document
Sponsoring organizations: Great Lakes PTTC, Prevention Technology Transfer Center Network
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Opioids in Medicaid: Concerns About Opioid Use Among Beneficiaries in Six Appalachian States in 2018
Examines the rates of opioid use of Medicaid beneficiaries in 6 Appalachian states in 2018. Discusses the amount of the prescriptions issued, the amounts of opioids received, and the amount of providers with questionable prescribing practices, among other opioid-related measures.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Substance Use Disorder: Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant Program
Reviews what is known about the number of substance use disorder (SUD) treatment facilities and services, overall treatment capacity, and barriers to expanding capacity. Describes the Substance Abuse Prevention and Treatment Block Grant (SABG), State Targeted Response to the Opioid Crisis (STR) and State Opioid Response (SOR) programs, and examines how seven states utilized these programs. Evaluates the data used to assess the effectiveness of these programs, and offers recommendations to improve the reliability of data collected on individuals served by the SABG program.
Additional links: Full Report
Date: 12/2020
Type: Document
Sponsoring organization: Government Accountability Office
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The Complex Geographies of Telelactation and Access to Community Breastfeeding Support in the State of Ohio
Study examining face-to-face and virtual breastfeeding support options in Ohio, comparing access in urban and rural areas. Explores potential for telelactation services to increase access for rural mothers, noting the barrier of broadband service access. Offers maps that represent spatial data on breastfeeding support access and that identify locations where breastfeeding support interventions would have the most impact.
Author(s): Tony H. Grubesic, Kelly M. Durbin
Citation: PLoS One, 15(11), e0242457
Date: 11/2020
Type: Document
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COVID-19 Outbreak in an Amish Community — Ohio, May 2020
Reports on a COVID-19 outbreak in a rural Ohio Amish community. Discusses access to testing, provision of culturally responsive health education messages, and collaboration among health department staff and community leaders to help overcome cultural barriers.
Author(s): Hammad Ali, Karthik Kondapally, Paran Pordell, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(45), 1671-1674
Date: 11/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Ohio's COVID-19 Populations Needs Assessment
Describes a statewide evaluation of the unique needs of communities in Ohio at increased risk of disease and death due to COVID-19, as well as barriers these communities face in following COVID-19 protective behaviors. Focuses on 6 population groups, including rural communities. Offers 8 recommendations that would mitigate the impacts of COVID-19 across multiple populations.
Additional links: Executive Summary, Findings & Recommendations for Rural Communities
Author(s): Julianna M. Nemeth, Tasleem J. Padamsee
Date: 10/2020
Type: Document
Sponsoring organization: The Ohio State University College of Public Health
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Implementation of Flex EMS Supplemental Funding Projects: Year One Activities
Provides an overview of the first-year implementation efforts of the eight Emergency Medical Services (EMS) Supplemental funding grant recipients. Describes each grant project, the impact of COVID-19 and other challenges on project implementation, and factors that facilitated implementation. Includes recommendations for grantees.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster
Date: 10/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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