Rural Health
Resources by Topic: Illicit drug use
Evaluating Fentanyl Test Strips as a Harm Reduction Strategy in Rural and Urban Counties: Study Protocol for a Randomized Controlled Trial
Protocol for a study examining a harm reduction intervention which will provide education and distribute fentanyl test strips to people with recent use of illicit or street-purchased drugs in rural and urban Ohio communities. Describes study design, including selection and comparison of rural versus urban subgroups.
Author(s): Ashley Short Mejia, Gary A. Smith, Soledad A. Fernandez, et al.
Citation: Trials, 25, 587
Date: 09/2024
Type: Document
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Protocol for a study examining a harm reduction intervention which will provide education and distribute fentanyl test strips to people with recent use of illicit or street-purchased drugs in rural and urban Ohio communities. Describes study design, including selection and comparison of rural versus urban subgroups.
Author(s): Ashley Short Mejia, Gary A. Smith, Soledad A. Fernandez, et al.
Citation: Trials, 25, 587
Date: 09/2024
Type: Document
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Implementation of a Rural Emergency Department-initiated Buprenorphine Program in the Mountain West: A Study Protocol
Protocol for a study of emergency department (ED) initiation of buprenorphine treatment for opioid use disorder (OUD) in the rural Mountain West. Discusses study design, implementation strategies, and barriers to OUD treatment access and provision in rural areas.
Author(s): Natasha Seliski, Troy Madsen, Savannah Eley, et al.
Citation: Addiction Science & Clinical Practice, 19, 63
Date: 09/2024
Type: Document
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Protocol for a study of emergency department (ED) initiation of buprenorphine treatment for opioid use disorder (OUD) in the rural Mountain West. Discusses study design, implementation strategies, and barriers to OUD treatment access and provision in rural areas.
Author(s): Natasha Seliski, Troy Madsen, Savannah Eley, et al.
Citation: Addiction Science & Clinical Practice, 19, 63
Date: 09/2024
Type: Document
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Rural and Urban Differences in Marijuana Use Following Passages of Medical Marijuana Laws
Presents a study on differences in marijuana use in rural and urban areas after the legalization of medical marijuana. Compares marijuana usage in rural and urban areas and breaks down data by race, gender, sexual identity, and marijuana use, among other factors.
Author(s): E. Morgan, C. Dyar
Citation: Public Health, 234, 64-70
Date: 09/2024
Type: Document
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Presents a study on differences in marijuana use in rural and urban areas after the legalization of medical marijuana. Compares marijuana usage in rural and urban areas and breaks down data by race, gender, sexual identity, and marijuana use, among other factors.
Author(s): E. Morgan, C. Dyar
Citation: Public Health, 234, 64-70
Date: 09/2024
Type: Document
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Changes in Substance Use Diagnoses in the Great Plains during the COVID-19 Pandemic
Analyzed 109,671 patient visits for alcohol use disorder, opioid use disorder, or stimulant use disorder in 7 Great Plains states between March 2019 and March 2021 to report on demographic and geographic pattern disruptions in healthcare during the COVID-19 pandemic. Includes discussion of metropolitan and nonmetropolitan residency on data and policy implications regarding access to care.
Author(s): Ahmed Nahian, Lisa M. McFadden
Citation: Healthcare, 12(16)
Date: 08/2024
Type: Document
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Analyzed 109,671 patient visits for alcohol use disorder, opioid use disorder, or stimulant use disorder in 7 Great Plains states between March 2019 and March 2021 to report on demographic and geographic pattern disruptions in healthcare during the COVID-19 pandemic. Includes discussion of metropolitan and nonmetropolitan residency on data and policy implications regarding access to care.
Author(s): Ahmed Nahian, Lisa M. McFadden
Citation: Healthcare, 12(16)
Date: 08/2024
Type: Document
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Hawai'i Strategic Framework Partnerships for Success: Community Health Assessment
Examines substance use in Hawai'i, including discussion of trends, risks, and protective factors. Utilizes 2021 Hawai'i State Epidemiologic Report and County Profiles data. Identifies use and treatment disparities experienced by Native Hawaiians, rural populations, and other underserved groups.
Date: 08/2024
Type: Document
Sponsoring organization: State of Hawaii Department of Health (DOH) Alcohol and Drug Abuse Division (ADAD)
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Examines substance use in Hawai'i, including discussion of trends, risks, and protective factors. Utilizes 2021 Hawai'i State Epidemiologic Report and County Profiles data. Identifies use and treatment disparities experienced by Native Hawaiians, rural populations, and other underserved groups.
Date: 08/2024
Type: Document
Sponsoring organization: State of Hawaii Department of Health (DOH) Alcohol and Drug Abuse Division (ADAD)
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Strategies Used to Reduce Harms Associated with Fentanyl Exposure among Rural People Who Use Drugs: Multi-Site Qualitative Findings from the Rural Opioid Initiative
Explores strategies utilized by rural people who use drugs to reduce fentanyl-related harm. Analyzes interviews with 349 people who recently used opioids or injection drugs in 10 states. Discusses awareness of fentanyl contamination, highlights perspectives on common harm reduction strategies, and describes public health applications. Includes state-by-state comparisons of participant demographic data.
Author(s): Suzan M. Walters, Robin Baker, David Frank, et al.
Citation: Harm Reduction Journal, 21, 154
Date: 08/2024
Type: Document
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Explores strategies utilized by rural people who use drugs to reduce fentanyl-related harm. Analyzes interviews with 349 people who recently used opioids or injection drugs in 10 states. Discusses awareness of fentanyl contamination, highlights perspectives on common harm reduction strategies, and describes public health applications. Includes state-by-state comparisons of participant demographic data.
Author(s): Suzan M. Walters, Robin Baker, David Frank, et al.
Citation: Harm Reduction Journal, 21, 154
Date: 08/2024
Type: Document
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Pain in the Nation 2024: The Epidemics of Alcohol, Drug, and Suicide Deaths
Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on polysubstance use and drug overdose issues. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to race and metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Author(s): Molly Warren, Brandon Reavis
Date: 07/2024
Type: Document
Sponsoring organization: Trust for America's Health
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Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on polysubstance use and drug overdose issues. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to race and metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Author(s): Molly Warren, Brandon Reavis
Date: 07/2024
Type: Document
Sponsoring organization: Trust for America's Health
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Community-Level Factors and their Associations with Changing Opioid Overdose Fatality Rates in Kentucky, 2019–2021
Identifies associations between community-level factors and opioid overdose fatality rates in Appalachian and non-Appalachian Kentucky counties, and examines how these associations have changed from 2019 to 2021. Discusses societal changes that occurred due to COVID-19, including social isolation, and which may be linked to an increase in overdose deaths. Features statistics with breakdowns by metropolitan, adjacent-to-metropolitan, and nonmetropolitan areas.
Author(s): Shawn R. Nigam, Philip M. Westgate, Svetla Slavova, Rachel Vickers-Smith, Katherine L. Thompson
Citation: Journal of Appalachian Health, 6(1), 90-115
Date: 07/2024
Type: Document
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Identifies associations between community-level factors and opioid overdose fatality rates in Appalachian and non-Appalachian Kentucky counties, and examines how these associations have changed from 2019 to 2021. Discusses societal changes that occurred due to COVID-19, including social isolation, and which may be linked to an increase in overdose deaths. Features statistics with breakdowns by metropolitan, adjacent-to-metropolitan, and nonmetropolitan areas.
Author(s): Shawn R. Nigam, Philip M. Westgate, Svetla Slavova, Rachel Vickers-Smith, Katherine L. Thompson
Citation: Journal of Appalachian Health, 6(1), 90-115
Date: 07/2024
Type: Document
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Expanding the Opioid Use Disorder Medication Treatment Workforce in Rural Communities Through the RCORP Initiative
Examines the impact of the Rural Communities Opioid Response Program (RCORP) on the workforce supply of Drug Enforcement Administration (DEA)-waivered clinicians in rural areas, who are able to prescribe buprenorphine. Analyzes 2017–2022 DEA lists of waivered clinicians to report on counties with a waivered clinician, clinician-to-population ratios, and treatment slot-to-population ratios. Discusses the impact of RCORP funding on Opioid Use Disorder (OUD) recovery services in rural communities.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Kathleen Meyers, Davis G. Patterson
Citation: Journal of Rural Health
Date: 07/2024
Type: Document
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Examines the impact of the Rural Communities Opioid Response Program (RCORP) on the workforce supply of Drug Enforcement Administration (DEA)-waivered clinicians in rural areas, who are able to prescribe buprenorphine. Analyzes 2017–2022 DEA lists of waivered clinicians to report on counties with a waivered clinician, clinician-to-population ratios, and treatment slot-to-population ratios. Discusses the impact of RCORP funding on Opioid Use Disorder (OUD) recovery services in rural communities.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Kathleen Meyers, Davis G. Patterson
Citation: Journal of Rural Health
Date: 07/2024
Type: Document
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Addressing Opioid Misuse through Community-Engaged Strategy Development: Study Protocol of a Randomized Controlled Trial
Describes the design of a research study to evaluate the effectiveness of the SEED Method and a modified Delphi method for the recruitment of participants to a community-based participatory research project. Study participants will develop strategies to respond to the opioid epidemic in three rural Virginia communities.
Author(s): Emily B. Zimmerman, Carlin Rafie, Sophie G. Wenzel, et al.
Citation: Research Involvement and Engagement, 10, 74
Date: 07/2024
Type: Document
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Describes the design of a research study to evaluate the effectiveness of the SEED Method and a modified Delphi method for the recruitment of participants to a community-based participatory research project. Study participants will develop strategies to respond to the opioid epidemic in three rural Virginia communities.
Author(s): Emily B. Zimmerman, Carlin Rafie, Sophie G. Wenzel, et al.
Citation: Research Involvement and Engagement, 10, 74
Date: 07/2024
Type: Document
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