Rural Health
Resources by Topic: Alcohol use

Where There's a Will, There's a Way? Strategies to Reduce or Abstain from Alcohol Use Developed by Northern Plains American Indian Women Participating in a Brief Alcohol-Exposed Pregnancy Preconceptual Intervention
Analyzes strategies to reduce or abstain from alcohol use by American Indian and Alaska Native women for the purpose of reducing alcohol-exposed pregnancy rates. Identifies themes related to goal achievement, overcoming barriers, and cultural strengths.
Author(s): Arielle R. Deutsch, Rebecca Lustfield, Jessica D. Hanson
Citation: Alcohol Clinical & Experimental Research, 45(11), 2383-2395
Date: 11/2021
Type: Document
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Behavioral Health Equity Report 2021
Provides a breakdown and discussion of data drawn from the National Survey on Drug Use and Health from 2015 to 2019. Details youth and adult mental health and substance use indicators by race and ethnicity, income level, and metro or nonmetro county, among others.
Date: 10/2021
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Binge Drinking Among Adults, by Select Characteristics and State — United States, 2018
Examines binge drinking frequency and intensity among adults ages 18 and over. Features statistics including age, sex, race or ethnicity, income, education levels, and breakdowns by 6 levels of county population density.
Author(s): Michele K. Bohm, Yong Liu, Marissa B. Esser, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(41), 1441–1446
Date: 10/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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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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Washington State Injury and Violence Prevention Guide
Examines the burden of seven of the most common types of unintentional and intentional injuries in rural and urban areas of the state of Washington. Includes injury data, risk and protective factors, and evidence-based or promising prevention strategies for each of the seven types.
Date: 05/2021
Type: Document
Sponsoring organization: Washington State Department of Health
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Alaska Native Mortality Report 1980-2018
Provides an overview of Alaskan Native mortality, including leading causes of death, age-specific mortality rates, years of life potentially lost, mortality rate trends, excess death, life expectancy, and alcohol-related mortality. Includes data breakdowns by region and health condition.
Date: 05/2021
Type: Document
Sponsoring organization: Alaska Native Tribal Health Consortium
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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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Alcohol- and Drug-Related Consequences Across Latent Classes of Substance Use Among American Indian Adolescents
Examines differences across four classes of substance use behaviors by American Indian (AI) adolescents. Classes include: no substance use in the past month; marijuana and cigarette use only; alcohol, marijuana, and cigarette use only; and other substance use in addition to alcohol, marijuana, and cigarettes. Goal of study is to determine the extent of substance-related mortality and morbidity, tendency toward developing a substance-use disorder, and other related health disparities.
Author(s): Schick, M.R., Goldstein, S.C., Nalven, T., Spillane, N.S.
Citation: Addictive Behaviors, 113
Date: 02/2021
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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