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Rural Health
Resources by Topic: Illicit drug use

Overdose Responses among Rural People Who Use Drugs: A Multi-Regional Qualitative Study
Analyzes qualitative data from 7 Rural Opioid Initiative studies on peer responses to overdose. Identifies themes related to naloxone administration, overdose reversal strategies, willingness to call 911, perceptions of first responders, and access to medical intervention. Discusses public health approaches to increasing access to care and effectiveness of overdose response in rural areas.
Author(s): Robin Baker, Rob J Fredericksen, Abby E Rudolph, et al.
Citation: Harm Reduction Journal, 21, 107
Date: 05/2024
Type: Document
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Tribally-Led Mobile Outreach: Improving Access to Harm Reduction Services in One Rural Reservation Community
Presents a study on the efficacy of a tribally-run mobile outreach service to deliver opioid harm reduction information and services. Breaks down type of services offered, the organizational reach, and population served.
Author(s): Allyson Kelley, Kellie Webb, Katherine Hirchak, et al.
Citation: Frontiers in Public Health, 12, 1383729
Date: 05/2024
Type: Document
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How Ohio Public Library Systems Respond to Opioid-Related Substance Use: A Descriptive Analysis of Survey Results
Reports on measures to deter substance use and prevent overdose in 56 Ohio public library systems, with comparisons of rural, town, suburban, and city library systems. Includes data on evidence of opioid use, response measures, and capacity to respond to opioid use.
Author(s): Patrick M. Schnell, Ruochen Zhao, Sydney Schoenbeck, et al.
Citation: BMC Public Health, 24, 1336
Date: 05/2024
Type: Document
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Housing for Rural Residents Recovering from Substance Use Disorders
Presents a study featuring a number of programs providing housing for substance use disorder (SUD) recovery in rural communities. Discusses three different case studies on programs in MN, OR, and WV. Highlights the community need, organizational structure, and key features of each program.
Author(s): Katie Rydberg, Ingrid Jacobson, Mariana Tuttle, et al.
Date: 05/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural-Urban Disparities in the Availability of Hospital-Based Screening, Medications for Opioid Use Disorder, and Addiction Consult Services
Compares availability of opioid use disorder screening, medication, and addiction consult services in hospitals by level of rurality. Utilizes data from the 2021 American Hospital Association (AHA) Annual Survey of Hospitals. Discusses access barriers to opioid use disorder services in rural areas.
Author(s): Berkeley Franz, Cory E. Cronin, Zoe Lindenfield, et al.
Citation: Journal of Substance Use and Addiction Treatment, 160, 209280
Date: 05/2024
Type: Document
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Primary Care Providers' Experiences Treating Opioid Use Disorder Using Telehealth in the Height of the COVID-19 Pandemic
Presents a study of the experiences of primary care providers who used telehealth for opioid use disorder treatment during the COVID-19 pandemic. Draws on the insights of participants from rural and urban counties in Kentucky and Arkansas and compares the experiences of rural and urban providers.
Author(s): Sarah Alexandra Marshall, Lachan E. Siebenmorgen, Nickolas Zaller, et al.
Citation: Journal of Primary Care and Community Health, 15
Date: 04/2024
Type: Document
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Implementing Harm Reduction Initiatives in Rural Communities
Webinar recording discusses substance use harm reduction, such as safe syringe services. Features a discussion of Project Hope in Menominee, WI and highlights it's successes and challenges in establishing community buy-in and financial sustainability, among other topics.
Additional links: Webinar Slides
Author(s): Eric Atkinson
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: Mountain Plains Addiction Technology Transfer Center (Mountain Plains ATTC)
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NCHS Rapid Surveys System: Illegal Drugs and Naloxone (Narcan) Awareness
Interactive data showing awareness of and perspectives on access to prescription medication, illegal drugs, and naloxone. Includes data breakdown by urbanicity and other demographic and geographic characteristics. Data gathered by the National Center for Health Statistics between October and November 2023.
Date: 04/2024
Type: Chart/Graph
Sponsoring organization: National Center for Health Statistics
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Changes in Buprenorphine Prescribing in Community Health Centers
Analyzes changes from 2016 to 2021 in prescriptions of buprenorphine in Community Health Centers (CHCs) to treat opioid addiction. Utilizes data from the OCHIN Inc network of CHCs to analyze patient and clinic/clinician characteristics, including rural versus urban location.
Author(s): Daniel M. Hartung, Robert W. Voss, Steffani R. Bailey, Nathalie Huguet, John Muench
Citation: JAMA Health Forum, 5(4)
Date: 04/2024
Type: Document
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Evaluation of Respondent-Driven Sampling in Seven Studies of People Who Use Drugs from Rural Populations: Findings from the Rural Opioid Initiative
Examines the efficacy of respondent-driven sampling (RDS) to recruit people who use drugs (PWUD) in rural populations. Analyzes 7 Rural Opioid Initiative studies that occurred between 2018-2020 and performs statistical analyses to observe RDS-generated validity in population-level prevalence estimates.
Author(s): Abby E. Rudolph, Robin M. Nance, Georgiy Bobashev, et al.
Citation: BMC Medical Research Methodology, 24, 94
Date: 04/2024
Type: Document
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