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Rural Health
Resources by Topic: Alcohol use

Appalachian Diseases of Despair
Provides information on Appalachian mortality disparities due to overdose, suicide, and alcoholic liver disease/cirrhosis among people ages 15-64. Utilizes data from the 2021 Multiple Cause of Death database broken down by Appalachian state, region, gender, and metropolitan or nonmetropolitan status.
Date: 07/2023
Type: Document
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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Traffic Safety Facts, 2021 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: 06/2023
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Pain in the Nation: The Epidemics of Alcohol, Drug, and Suicide Deaths - Special Feature: Youth Mental Health and Well-Being
Presents the rates of drug, alcohol, and suicide deaths in the U.S. in 2021 and from 1999 to 2021. Discusses the effect of the COVID-19 pandemic on deaths of despair and the state of the ongoing opioid crisis. Includes a special feature focusing on youth mental health and well being. Highlights data on rural and urban communities.
Date: 05/2023
Type: Document
Sponsoring organization: Trust for America's Health
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Location, Age, and Race Matter: A Path Model of Emotional Distress in the U.S. During COVID-19
Examines factors that contributed to emotional distress during COVID-19 such as rurality, race, demographics, substance use, and more. Provides 2020 survey results from 947 U.S. adults and discusses mental health in vulnerable populations.
Author(s): Viktor Clark, Hannah Ming, Sunny Jung Kim
Citation: BMC Public Health, 23, 762
Date: 04/2023
Type: Document
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The Mental Health, Substance Use, Physical Health, and Mental Health Treatment Need of Community Individuals Experiencing Homelessness in Hawai'i
Results of a study detailing the health-related needs of Hawai'i's unhoused people, most of whom live in rural areas. Features statistics on self-reported rates of depression and anxiety, illicit substance use, alcohol use, smoking, obesity, and overall physical health.
Author(s): Andrew M. Subica, Daryl S. Sampaga, Jana Ortiz-Misiaszek, Tammy K. K. Martin, Scott K. Okamoto
Citation: Community Mental Health Journal, 59, 1021–1026
Date: 03/2023
Type: Document
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Urban–Rural Disparities in Deaths of Despair: A County-Level Analysis 2004–2016 in the U.S.
Presents a study exploring the rural-urban differences in drug, alcohol, and suicide mortality rates across the country from 2004 to 2016. Breaks down data by demographic factors, such as gender, employment, and health insurance, among other measures.
Author(s): Jong Hyung Lee, David C. Wheeler, Emily B. Zimmerman, et al.
Citation: American Journal of Preventive Medicine, 64(2), 149-156
Date: 02/2023
Type: Document
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How One New Mexico County is Taking a Community-Wide Approach to Treating Alcohol and Substance Use Disorders
Features a McKinley County, New Mexico community consortium that takes a holistic approach to recovery. Discusses the need for cultural understanding of Native culture in providing treatment services. Describes the growth of the collaboration over time and the range of local organizations involved.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 02/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Geography, Rurality, and Community Distress: Deaths Due to Suicide, Alcohol-Use, and Drug-Use among Colorado Veterans
Explores the connection between distressed communities and mortality disparities in the Colorado veteran population. Utilizes 2009-2020 Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiologic Research (WONDER) to examine suicide, alcohol, and drug related mortalities, with demographic data broken down by sex, age, race/ethnicity, marital status, distressed community index (DCI), and frontier, rural, or urban location. Includes county-level maps showing DCI and rurality.
Author(s): Talia L. Spark, Colleen E. Reid, Rachel Sayko Adams, et al.
Citation: Injury Epidemiology, 10, 8
Date: 02/2023
Type: Document
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The State of Health in Tennessee: 2023 Annual Report to the 113th Tennessee General Assembly
Provides a comprehensive overview of health in Tennessee, including health outcomes of individuals and information on the health of the state's healthcare system. Includes statistics on rural hospitals that have closed in recent years, and those at risk of closure as of 2022. Features county-level maps showing Health Professional Shortage Areas.
Date: 01/2023
Type: Document
Sponsoring organization: Tennessee Department of Health
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Mental Health in Rural New York: Findings and Implications of a Listening Tour with Residents and Professionals
Findings from the Rural Mental Health Listening Tour of New York State, conducted between March 2020 and September 2021 to elicit input and experiences of community members living and working in rural areas. Presents strengths and assets of rural communities, and highlights model programs and success stories. Includes recommendations in categories including access to transportation and broadband, access to mental health programs, availability of services, improving and sustaining workforce capacity, and offers state- and county-specific recommendations.
Author(s): Brett Harris, Katie Gallant, Abby Mariani
Date: 01/2023
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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