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Rural Health
Resources by Topic: Alcohol use

Traffic Safety Facts, 2019 Data: Alcohol-Impaired Driving
National data on traffic crashes involving alcohol-impaired drivers. Features statistics with breakdowns including road conditions, month, time of day, state, and rural or urban location.
Date: 07/2021
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Multilevel Modeling of County-level Excessive Alcohol Use, Rurality, and COVID-19 Case Fatality Rates in the US
Presents a study on the relationship between COVID-19 outcomes and elevated alcohol use in rural counties. Looks at levels of alcohol use and misuse in rural counties prior to the pandemic and compares it with COVID-19 mortality data. Breaks down data by rurality and alcohol use while controlling for other comorbidities such as obesity, smoking, and being over the age of 65.
Author(s): George Pro, Paul A. Gilbert, Julie A. Baldwin, et al.
Citation: PLOS ONE, 16(6), e0253466
Date: 06/2021
Type: Document
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Pain in the Nation: Alcohol, Drug, and Suicide Epidemics - Special Feature: COVID-19 and Trauma
Explores the effect the COVID-19 pandemic and the subsequent trauma it has had on rates of suicide and alcohol- and drug-induced deaths across the nation. Breaks down data by a number of indicators, such as by age, race, and rural versus urban location.
Date: 05/2021
Type: Document
Sponsoring organization: Trust for America's Health
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Escalating Alcohol-Involved Death Rates: Trends and Variation across the Nation and in the States from 2006 to 2019
Examines alcohol-involved deaths by state and at the national level, discussing Centers for Disease Control and Prevention vital statistics data. Explores death rate changes, trends, and variation, comparing state rates to U.S. rates and comparing rates across demographic and age groups, by sex, and by urban/rural location. Offers a map with links to infographics for each state.
Additional links: Issue Brief
Date: 04/2021
Type: Document
Sponsoring organization: State Health Access Data Assistance Center
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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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Socioenvironmental Risk Factors for Adolescent Marijuana Use in a United States-Mexico Border Community
Reports on a study of predominantly Hispanic high school students in a rural border community, examining community and immigration-related stress, normalized drug trafficking, and negative perceptions of their neighborhood. Discusses the link between these socioenvironmental risk factors and tobacco, alcohol, and marijuana use, as well as implications for health promotion and public health practitioners.
Author(s): Elizabeth Salerno Valdez, Luis Valdez, Josephine Korchmaros, et al.
Citation: American Journal of Health Promotion, 35(1), 20-27
Date: 01/2021
Type: Document
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Risky Substance Use Behaviors Among Adults Residing in Non-Metropolitan and Metropolitan Counties in the United States, 2017-2018
Compares the prevalence of risky substance use among adults living in rural and urban counties. Features statistics with breakdowns by use within the past year and within the past 30 days, for alcohol, tobacco, and 10 types of illicit drugs.
Author(s): Tyrone F. Borders, Michael D. Singleton, Katherine Youngen
Date: 11/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Substance Use among Rural and Urban Youth and Young Adults
Details substance use of youth aged 12-17 and young adults aged 18-25 in rural and urban areas. Looks specifically on use of alcohol, marijuana, illicit drugs, and the misuse of prescription pain relievers and compares usage trends in rural areas to those in urban areas.
Author(s): Jennifer Lenardson, Nathan Paluso, Erika Ziller
Date: 11/2020
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Risky Substance Use Behaviors Among Adolescents Residing in Non-Metropolitan and Metropolitan Counties in the United States, 2017-2018
Compares the prevalence of risky substance use among people ages 12-17 who are living in rural and urban counties. Features statistics with breakdowns by use within the past year and within the past 30 days, for alcohol, tobacco, and 10 types of illicit drugs.
Author(s): Tyrone F. Borders, Michael D. Singleton, Katherine Youngen
Date: 11/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Appalachian Diseases of Despair
Uses data from the 2018 Multiple Cause of Death database to provide information on mortality from overdose, suicide, and alcoholic liver disease/cirrhosis among people ages 15-64. Includes data and statistics, with information broken down by Appalachian state, region, gender, and metropolitan or nonmetropolitan status.
Author(s): Michael Meit, Megan Heffernan, Erin Tanenbaum, Maggie Cherney, Victoria Hallman
Date: 10/2020
Type: Document
Sponsoring organizations: Appalachian Regional Commission, NORC Walsh Center for Rural Health Analysis
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