Rural Health
Resources by Topic: Alcohol use
Unmasking the Rural Substance Use Burden: The Need to Move Beyond Macro-Level Data in Substance Use Policy and Planning
Brief examines health-related differences and service gaps of rural, non-rural, and national communities to better understand substance use trends in order to inform policies and interventions in rural communities. Bases findings on data from the National Survey on Drug Use and Health (NSDUH) and details rates of opioid, stimulant, vape, and alcohol use in rural and urban areas in 2023 and 2024.
Date: 09/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Brief examines health-related differences and service gaps of rural, non-rural, and national communities to better understand substance use trends in order to inform policies and interventions in rural communities. Bases findings on data from the National Survey on Drug Use and Health (NSDUH) and details rates of opioid, stimulant, vape, and alcohol use in rural and urban areas in 2023 and 2024.
Date: 09/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Non-Metropolitan vs. Metropolitan Variations in Alcohol, Illicit Drug, and Prescription Therapeutic Drug Misuse
Reports on how alcohol use, illicit drug use, and the use of opioid and non-opioid prescription drugs vary by rural or urban area using 2023-2024 National Survey on Drug Use and Health (NSDUH) data.
Author(s): Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Reports on how alcohol use, illicit drug use, and the use of opioid and non-opioid prescription drugs vary by rural or urban area using 2023-2024 National Survey on Drug Use and Health (NSDUH) data.
Author(s): Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Substance Use in Nonmetropolitan Counties
Spotlight highlights selected substance use in nonmetropolitan counties by urbanization. Breaks down rates of alcohol use, marijuana use, and illicit drug use, among others, by urbanized, less urbanized, and rural nonmetro areas.
Citation: NSDUH Data Spotlight, 3(4)
Date: 08/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Spotlight highlights selected substance use in nonmetropolitan counties by urbanization. Breaks down rates of alcohol use, marijuana use, and illicit drug use, among others, by urbanized, less urbanized, and rural nonmetro areas.
Citation: NSDUH Data Spotlight, 3(4)
Date: 08/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural–Urban Differences in Excessive Alcohol Use and Select Mental Health Conditions
Explores the differences in alcohol use by people with self-reported mental health conditions in rural and urban areas using 2021-2022 National Survey on Drug Use and Health (NSDUH) data. Breaks down data by demographic markers, such as education level, employment, and health insurance status, among others. Compares alcohol use and mental health data by large urban, small urban, and rural areas.
Author(s): Taryn Farrell, Cassie Odahowski, Emma Boswell, et al.
Citation: Journal of Rural Health, 42(3), e70209
Date: 08/2026
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Explores the differences in alcohol use by people with self-reported mental health conditions in rural and urban areas using 2021-2022 National Survey on Drug Use and Health (NSDUH) data. Breaks down data by demographic markers, such as education level, employment, and health insurance status, among others. Compares alcohol use and mental health data by large urban, small urban, and rural areas.
Author(s): Taryn Farrell, Cassie Odahowski, Emma Boswell, et al.
Citation: Journal of Rural Health, 42(3), e70209
Date: 08/2026
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Traffic Safety Facts, 2024 Data: Alcohol-Impaired Driving
National data on traffic crashes from 2015-2024 involving alcohol-impaired drivers. Features statistics with breakdowns including road conditions, month, time of day, state, and rural or urban location.
Date: 06/2026
Sponsoring organization: National Highway Traffic Safety Administration
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National data on traffic crashes from 2015-2024 involving alcohol-impaired drivers. Features statistics with breakdowns including road conditions, month, time of day, state, and rural or urban location.
Date: 06/2026
Sponsoring organization: National Highway Traffic Safety Administration
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Pain in the Nation 2026: The Epidemics of Alcohol, Drug, and Suicide Deaths
Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on suicide and well-being in the United States. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Author(s): Molly Warren, Lauren Battle
Date: 06/2026
Sponsoring organization: Trust for America's Health
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Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on suicide and well-being in the United States. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Author(s): Molly Warren, Lauren Battle
Date: 06/2026
Sponsoring organization: Trust for America's Health
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A Pilot Evaluation of a Telemedicine Pharmacist-Physician Management Model to Increase Access to Medication for Alcohol and Opioid Use Disorders for Rural Veterans
Explores the efficacy of a pilot project connecting rural veterans with alcohol and opioid use disorder to evidence-based treatment via a telehealth-based pharmacist-physician management model (PPMM). Program was administered by six Veterans Health Administration (VHA) primary care community-based outpatient clinics (CBOCs). Breaks down data by participant age, sex, substances used, and mental health disorders, among other measures.
Author(s): Amy J. Kennedy, Madeline C. Frost, Carol A. Malte, et al.
Citation: Journal of Rural Health, 42(2), e70158
Date: 05/2026
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Explores the efficacy of a pilot project connecting rural veterans with alcohol and opioid use disorder to evidence-based treatment via a telehealth-based pharmacist-physician management model (PPMM). Program was administered by six Veterans Health Administration (VHA) primary care community-based outpatient clinics (CBOCs). Breaks down data by participant age, sex, substances used, and mental health disorders, among other measures.
Author(s): Amy J. Kennedy, Madeline C. Frost, Carol A. Malte, et al.
Citation: Journal of Rural Health, 42(2), e70158
Date: 05/2026
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Access to and Provision of Child and Youth Behavioral Health Services in the Rural and Urban U.S.
Compiles findings from 9 reports on youth behavioral health in the rural U.S. Describes prevalence of behavioral health conditions, the youth behavioral health workforce, behavioral health licensure and reimbursement policy, and provision of youth behavioral health services. Features statistics with breakdowns by 7 levels of population density.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Compiles findings from 9 reports on youth behavioral health in the rural U.S. Describes prevalence of behavioral health conditions, the youth behavioral health workforce, behavioral health licensure and reimbursement policy, and provision of youth behavioral health services. Features statistics with breakdowns by 7 levels of population density.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Alcohol Use Disorder and Marijuana Use Disorder Among Adolescents and Young Adults Aged 12 to 24 in the Rural and Urban U.S., 2021
Describes the past-year prevalence of alcohol use disorder and marijuana use disorder among adolescents and young adults in rural and urban counties and across census divisions, in 2021. Features statistics with breakdowns by 7 levels of population density.
Author(s): Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the past-year prevalence of alcohol use disorder and marijuana use disorder among adolescents and young adults in rural and urban counties and across census divisions, in 2021. Features statistics with breakdowns by 7 levels of population density.
Author(s): Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Vermont Cancer Surveillance: Data Pages
Presents data related to cancer, cancer prevention, and risk factors that can elevate the risk of cancer among Vermonters. Features statistics with breakdowns by urban and rural areas.
Date: 03/2026
Sponsoring organization: Vermont Department of Health
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Presents data related to cancer, cancer prevention, and risk factors that can elevate the risk of cancer among Vermonters. Features statistics with breakdowns by urban and rural areas.
Date: 03/2026
Sponsoring organization: Vermont Department of Health
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