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Rural Health
Resources by Topic: Healthcare needs and services

Best Practices and Barriers to Engaging People with Substance Use Disorders in Treatment
Reports on a study of how health plans are successfully engaging people in substance use disorder treatment for alcohol, opioids, and other substances. Discusses how initiation and engagement can be improved for commercial and Medicaid health insurance plans. Addresses rural factors throughout.
Author(s): Peggy O'Brien, Erika Crable, Catherine Fullerton, Lauren Hughey
Date: 03/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Pain in the Nation Update: While Deaths from Alcohol, Drugs, and Suicide Slowed Slightly in 2017, Rates Are Still at Historic Highs
Issue brief details updated rates of deaths related to drugs, alcohol, and suicide from 2016-2017. Breaks down data by age, and regionally, including rural versus metro areas.
Date: 03/2019
Sponsoring organization: Trust for America's Health
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Estimating the Number of People Who Inject Drugs in A Rural County in Appalachia
Demonstrates how a group of researchers conducted data collection in Cabell County, West Virginia in June and July 2018, to estimate the number of people who inject drugs such as heroin, methamphetamine, and fentanyl. Features statistics including demographics and breakdowns by type of drug injected.
Author(s): Sean T. Allen, Allison O'Rourke, Rebecca Hamilton White, et al.
Citation: American Journal of Public Health, 109(3), 445-450
Date: 03/2019
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Addressing the Rural Opioid Addiction and Overdose Crisis Through Cross-Sector Collaboration: Little Falls, Minnesota
Explores a cross-sector community-based care coordination effort to reduce the use of opioids in Little Falls, MN. Discusses the collaboration between a rural hospital and clinic with the Morrison County Accountable Communities for Health (ACH) program and highlights changes to opioid prescribing practices and community awareness of treatment options.
Author(s): Caroline Au-Yeung, Lynn A. Blewett, Kathy Lange
Citation: American Journal of Public Health, 109(2), 260-262
Date: 02/2019
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Rural-Urban Residence and Stage at Breast Cancer Diagnosis Among Postmenopausal Women: The Women's Health Initiative
Study examining breast cancer diagnosis among postmenopausal women, comparing rural and urban residence in relation to stage of cancer diagnosis. Discusses social support and social strain as factors affecting cancer screening. Provides data drawn from the Women's Health Initiative (WHI) on clinical and sociodemographic characteristics of 7,120 women diagnosed with breast cancer using Rural-Urban Commuting Area (RUCA) codes to identify rural and urban residence.
Author(s): Shawnita Sealy-Jefferson, Molly E. Roseland, Michele L. Cote, et al.
Citation: Journal of Women's Health, 28(2), 276-283
Date: 02/2019
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Insights from the Geographic Spread of the Lyme Disease Epidemic
Study examining the spread of pediatric lime disease in western Pennsylvania, comparing symptoms and provider types between rural and urban areas. Compiles interview data from 773 patients at the Children's Hospital of Pittsburgh, discussing implications for public health responses to epidemics in rural and urban settings. Figure 1 illustrates symptoms by type and case rates by age, month, and year of diagnosis.
Author(s): Taylor Eddens, Daniel J. Kaplan, Alyce J. M. Anderson, et al.
Citation: Clinical Infectious Diseases, 68(3), 426-434
Date: 02/2019
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Geographic Access to International Board-Certified Lactation Consultants in Pennsylvania
Study exploring access to International Board-Certified Lactation Consultants in rural and urban counties in Pennsylvania. Compiles county-level data that represents breastfeeding rates, geographic access to certified lactation consultants, and demographic characteristics. Compares proportions of urban and rural young children who have ready access, presenting that information in relation to nationwide disparities in breastfeeding support.
Author(s): Kristin N. Ray, Jill R. Demirci, Lori Uscher-Pines, Debra L. Bogen
Citation: Journal of Human Lactation, 35(1), 90-99
Date: 02/2019
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Using Network and Spatial Data to Better Target Overdose Prevention Strategies in Rural Appalachia
Highlights a study aiming to target individuals most likely to need overdose interventions in rural Appalachia. Examines survey data for spatial and networking patterns in rural eastern Kentucky to identify individuals at risk of a drug overdose.
Author(s): Abby E. Rudolph, April M. Young, Jennifer R. Havens
Citation: Journal of Urban Health, 96(1), 27-37
Date: 02/2019
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Perspectives From the Frontline of Two North American Community Paramedicine Programs: An Observational, Ethnographic Study
Discusses the motivations, job satisfaction, and challenges from the viewpoints of community paramedics and their managers in two independent programs in rural Ontario, Canada and Colorado, USA. Presents qualitative data derived through interviews, informal discussions, focus groups, and direct observation of practice.
Author(s): Angela C Martin, Peter O'Meara
Citation: Rural and Remote Health, 19(1), 4888
Date: 02/2019
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Strengthening Rural States' Capacity to Prepare for and Respond to Emerging Infectious Diseases, 2013-2015
Provides information for clinicians working in rural areas to effectively identify and respond to infectious disease. Highlights how state and local public health agencies from states having a high percentage of populations in rural areas, with support from the Centers for Disease Control and Prevention (CDC), have successfully strengthened their ability to respond to the growing threat of infectious diseases.
Author(s): Scott SantibaƱez, Kimberly Spencer Bellis, Allison Bay, et al.
Citation: Southern Medical Journal, 112(2), 101-105
Date: 02/2019
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