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Rural Health
Resources by Topic: Illicit drug use

COVID-19 During the Opioid Epidemic – Exacerbation of Stigma and Vulnerabilities
Explores how the lack of healthcare infrastructure in rural areas and the COVID-19 pandemic create particular challenges for people who use drugs (PWUDs). Discusses the stigma of seeking care during a pandemic and the difficulty of accessing living resources, among other issues affecting PWUDs in rural areas.
Author(s): Wiley D. Jenkins, Rebecca Bolinski, John Bresett, et al.
Citation: Journal of Rural Health
Date: 04/2020
Type: Document
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A Primary Care Response to COVID‐19 for Patients with an Opioid Use Disorder
Discusses the challenges of treating patients with opioid use disorder (OUD) during the COVID-19 pandemic. Highlights decisions made by primary care physicians regarding harm reduction related to COVID-19 that may have detrimental effects for OUD patient.
Author(s): Courtenay Gilmore Wilson, Melinda Ramage, E. Blake Fagan
Citation: Journal of Rural Health
Date: 04/2020
Type: Document
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Nonfatal Drug Overdoses Treated in Emergency Departments — United States, 2016–2017
Examines nonfatal overdoses for all drugs, all opioids, nonheroin opioids, heroin, benzodiazepines, and cocaine. Looks at changes from 2016 to 2017, with data by drug type, patient, facility, and visit characteristics. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Alana M. Vivolo-Kantor, Brooke E. Hoots, Lawrence Scholl, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(13), 371-376
Date: 04/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Federal SUD/OUD Resources and Funding Opportunities in Support of Rural Communities
Highlights the slides of several breakout sessions from the 2020 RCORP conference discussing funding and resources pertaining to opioid use disorder in rural communities. Features presentations from representatives of the Department of Labor, Bureau of Justice Assistance, Appalachian Regional Commission, Bureau of Health Workforce, and the Federal Transit Administration.
Additional links: Agenda, Session 2 Presentations
Date: 03/2020
Type: Document
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Drug and Opioid-Involved Overdose Deaths — United States, 2017–2018
Examines drug overdose deaths involving all opioids, prescription opioids, heroin, and synthetic opioids other than methadone. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Nana Wilson, Mbabazi Kariisa, Puja Seth, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(11), 290-297
Date: 03/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Prevalence of Tobacco Use Among Rural-Dwelling Individuals Who Inject Drugs
Research letter describing a study assessing the prevalence of smoking through a multi-site survey of people who inject drugs, conducted during 2018-2019 in rural Wisconsin. Features statistics on participant characteristics.
Author(s): Wajiha Z. Akhtar, Marlon P. Mundt, Ruth Koepke, et al.
Citation: JAMA Network Open, 3(3)
Date: 03/2020
Type: Document
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Medications for Opioid Use Disorder: The Treatment Improvement Protocol (TIP) 63
Details guidelines for implementing medication assisted treatment (MAT) of opioid use disorder (OUD) for healthcare professionals, policymakers, patients, and families. Discusses the different medications available to treat OUD, how and when to administer them, as well as what to watch for when using MAT for OUD.
Date: 02/2020
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural-Urban Differences in Hospitalizations for Opioid Use-Associated Infective Endocarditis in the United States, 2003-2016
Using 2003-2016 National Inpatient Sample data compares trends between rural and urban populations in hospitalization for opioid use-associated infective endocarditis, a serious heart infection that can result from injection drug use.
Author(s): E Katherine Nenninger, Jenny L Carwile, Katherine A Ahrens, Brett Armstrong, Kinna Thakarar
Citation: Open Forum Infectious Diseases, 7(2)
Date: 02/2020
Type: Document
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Availability of Naloxone at Rural Georgia Pharmacies, 2019
Research letter describing a study of 374 rural Georgia pharmacies. Examines pharmacists' awareness of the Georgia law allowing purchase of naloxone without a prescription, and availability and cost of the medicine.
Author(s): Jennifer L. Nguyen, Lauren R. Gilbert, Lauren Beasley, et al.
Citation: JAMA Network Open, 3(2)
Date: 02/2020
Type: Document
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National Drug Control Strategy
Report highlights the White House's overall strategy for controlling drug use across the country. Addresses prevention, education, and prescribing practices, as well as increasing access to treatment in rural, tribal, and underserved areas.
Date: 02/2020
Type: Document
Sponsoring organization: The White House Office of National Drug Control Policy
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