Rural Health
Resources by Topic: Illicit drug use
2025 Kentucky Drug Overdose Fatality Report
Offers statistics on drug overdose deaths in Kentucky in 2025, based on autopsy and toxicology reports. Features demographics and statistics with breakdowns by type of drug and age-adjusted mortality rates by county. Includes county-level maps with shadings indicating numbers of deaths involving methamphetamine and fentanyl, and markings to show Appalachian counties.
Author(s): Meghan Steel, Mira Mirzaian, Lara Daniels
Date: 04/2026
Sponsoring organizations: Kentucky Injury Prevention and Research Center, Kentucky Public Health Association, Team Kentucky Justice and Public Safety Cabinet, University of Kentucky College of Public Health
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Offers statistics on drug overdose deaths in Kentucky in 2025, based on autopsy and toxicology reports. Features demographics and statistics with breakdowns by type of drug and age-adjusted mortality rates by county. Includes county-level maps with shadings indicating numbers of deaths involving methamphetamine and fentanyl, and markings to show Appalachian counties.
Author(s): Meghan Steel, Mira Mirzaian, Lara Daniels
Date: 04/2026
Sponsoring organizations: Kentucky Injury Prevention and Research Center, Kentucky Public Health Association, Team Kentucky Justice and Public Safety Cabinet, University of Kentucky College of Public Health
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Exploring the Geographic Variation of Hepatitis C Screening and Treatment in Ohio
Examines geographic differences in hepatitis C virus (HCV) screening and treatment across Ohio. Utilizes State of Ohio Integrated Behavioral Health Dashboard data to provide a county-level map showing number of HCV screening exams and people treated for HCV per 100,000 people as well as location of health center testing sites.
Author(s): Michael Topmiller, Aaron T. Vissman, Peter J. Mallow, Adam Visconti
Citation: Ohio Journal of Public Health, 8(1)
Date: 04/2026
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Examines geographic differences in hepatitis C virus (HCV) screening and treatment across Ohio. Utilizes State of Ohio Integrated Behavioral Health Dashboard data to provide a county-level map showing number of HCV screening exams and people treated for HCV per 100,000 people as well as location of health center testing sites.
Author(s): Michael Topmiller, Aaron T. Vissman, Peter J. Mallow, Adam Visconti
Citation: Ohio Journal of Public Health, 8(1)
Date: 04/2026
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Comparing the Care, Distance Traveled, and Health Workforce Clinician Mix for Rural and Urban Commercially Insured Enrollees With Opioid Use Disorder
Examines characteristics of opioid treatment in rural and urban communities across the United States. Utilizes 2019 commercial claims data from the Health Care Cost Institute (HCCI) to analyze rural versus urban differences in opioid use disorder and overdose diagnoses, healthcare utilization, healthcare visits by clinician type, average distance traveled to utilize healthcare, and location of received care.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Examines characteristics of opioid treatment in rural and urban communities across the United States. Utilizes 2019 commercial claims data from the Health Care Cost Institute (HCCI) to analyze rural versus urban differences in opioid use disorder and overdose diagnoses, healthcare utilization, healthcare visits by clinician type, average distance traveled to utilize healthcare, and location of received care.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Comparing the Care and Distance Traveled by Rural and Urban Children and Adolescents with Medicaid Insurance and Opioid Use Disorder
Presents a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and enrolled in Medicaid in 2019. Discusses the effects of rurality, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Presents a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and enrolled in Medicaid in 2019. Discusses the effects of rurality, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Rural-Urban Variation in Opioid Use Disorder Treatment Access among Commercially Insured Children and Adolescents
Details a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and covered by commercial insurance in 2019. Discusses the effects of rurality, provider type, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): C. Holly A. Andrilla, Lisa A. Garberson, Sara C. Woolcock, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Details a study on the geographic factors that affect access to treatment for youth and adolescents, aged 0-17, with an opioid use disorder (OUD) and covered by commercial insurance in 2019. Discusses the effects of rurality, provider type, travel burden, and residing in a county without a clinician with a DEA waiver, among other measures.
Author(s): C. Holly A. Andrilla, Lisa A. Garberson, Sara C. Woolcock, Janessa M. Graves
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Hepatitis C Virus Transmission among People Who Inject Drugs in Rural United States: Mathematical Modeling Study Using Stochastic Agent-Based Network Simulation
Presents a study exploring a network simulation model of hepatitis C virus (HCV) transmission among rural people who inject drugs (PWID). Breaks down data by participant characteristics, such as age, sex, and HCV antibody positivity, among others, and network characteristics, such as size and percentage of PWID who are HCV positive, among others.
Author(s): Lin Zhu, Jennifer R Havens, Abby E Rudolph, et al.
Citation: American Journal of Epidemiology, 195(4), 937-947
Date: 04/2026
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Presents a study exploring a network simulation model of hepatitis C virus (HCV) transmission among rural people who inject drugs (PWID). Breaks down data by participant characteristics, such as age, sex, and HCV antibody positivity, among others, and network characteristics, such as size and percentage of PWID who are HCV positive, among others.
Author(s): Lin Zhu, Jennifer R Havens, Abby E Rudolph, et al.
Citation: American Journal of Epidemiology, 195(4), 937-947
Date: 04/2026
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Virginia's Plan for Well-Being: 2025-2029
Offers a data and community-driven roadmap to improve health outcomes and ensure that all Virginians live in conditions that allow them to thrive. Includes statistics on social determinants of health, infant mortality, firearm-related deaths and injury, obesity, mental health, substance use disorder, and housing. Features a county-level map showing rates of drug overdose deaths as of 2021. Mentions rural throughout.
Date: 04/2026
Sponsoring organization: Virginia Department of Health
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Offers a data and community-driven roadmap to improve health outcomes and ensure that all Virginians live in conditions that allow them to thrive. Includes statistics on social determinants of health, infant mortality, firearm-related deaths and injury, obesity, mental health, substance use disorder, and housing. Features a county-level map showing rates of drug overdose deaths as of 2021. Mentions rural throughout.
Date: 04/2026
Sponsoring organization: Virginia Department of Health
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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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Post-Hospital Access to Preferred and High-Quality Skilled Nursing Facilities for Patients With Opioid Use Disorder
Examines access to preferred and high-quality skilled nursing facilities (SNFs) among Medicare beneficiaries with opioid use disorder (OUD). Utilizes 2017-2021 Medicare inpatient claims data to analyze 6,490,593 patients with OUD and their likelihood to enter preferred and high-quality SNFs according to patient demographics and urbanicity of metro, micro, small town, or rural.
Author(s): Talia S. Benheim, Momotazur Rahman, Andrew R. Zullo, et al.
Citation: Health Services Research, 61(2), e70110
Date: 04/2026
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Examines access to preferred and high-quality skilled nursing facilities (SNFs) among Medicare beneficiaries with opioid use disorder (OUD). Utilizes 2017-2021 Medicare inpatient claims data to analyze 6,490,593 patients with OUD and their likelihood to enter preferred and high-quality SNFs according to patient demographics and urbanicity of metro, micro, small town, or rural.
Author(s): Talia S. Benheim, Momotazur Rahman, Andrew R. Zullo, et al.
Citation: Health Services Research, 61(2), e70110
Date: 04/2026
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Expanding Access to Low-Barrier Opioid Use Disorder Treatment in Non-Traditional Settings: Washington's Opioid Treatment Network
Presents a study exploring use of opioid treatment networks to provide low-barrier access to medications to treat opioid use disorder (MOUD) in Washington State. Compares rates of buprenorohine utilization of individuals within and outside of the network and by rural-urban residence.
Author(s): Shay M. Daily, Sharon Reif, Elizabeth Speaker, et al.
Citation: Journal of Rural Health, 42(2), e70139
Date: 03/2026
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Presents a study exploring use of opioid treatment networks to provide low-barrier access to medications to treat opioid use disorder (MOUD) in Washington State. Compares rates of buprenorohine utilization of individuals within and outside of the network and by rural-urban residence.
Author(s): Shay M. Daily, Sharon Reif, Elizabeth Speaker, et al.
Citation: Journal of Rural Health, 42(2), e70139
Date: 03/2026
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