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Rural Health
Resources by Topic: Illicit drug use

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
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
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Polysubstance Use in Rural West Virginia: Associations between Latent Classes of Drug Use, Overdose, and Take-Home Naloxone
Examines the relationship between overdose experiences and polysubstance use by rural people who inject drugs (PWID) based on surveys of 420 individuals in West Virginia. Classifies substance use involving stimulants and opioids and discusses implications for take-home naloxone interventions.
Author(s): Kristin E. Schneider, Allison O'Rourke, Rebecca Hamilton White, et al.
Citation: International Journal of Drug Policy, 76, 102642
Date: 02/2020
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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
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
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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
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Syringe Service Program Use Among People Who Inject Drugs in Appalachian Kentucky
Explores implementation of a harm reduction program for people who inject drugs (PWIDs) in rural Kentucky. Evaluates the efficacy of a syringe service program at reducing the transmission rates of HIV and HCV among PWIDs in Appalachian Kentucky.
Author(s): Hilary L. Surratt, Amy M. Cowley, Jennifer Gulley, et al.
Citation: American Journal of Public Health, 110(1), 34-36
Date: 01/2020
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Preventing Opioid Overdose with Peer-Administered Naloxone: Findings from a Rural State
Highlights a study on the efficacy of peer-administered naloxone to prevent opioid overdose deaths. Bases conclusions on interviews with individuals who have received the training and the naloxone kits from a program in rural Alaska.
Author(s): Bridget L. Hanson, Rebecca R. Porter, Amanda L. Zöld, Heather Terhorst-Miller
Citation: Harm Reduction Journal, 17(1), 4
Date: 01/2020
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Assessing the Needs of Front-Line Providers in Addressing the Opioid Crisis in South Carolina
Study of treatment needs for opioid use disorder (OUD) patients and staff capacity in South Carolina. Data reflects a needs assessment from 33 rural and urban agencies covering buprenorphine-waivered provider staffing, access to medication-assisted treatment (MAT), prevalence of OUD, referrals to other facilities, and barriers to providing MAT. Discusses policy and provider solutions to these issues.
Author(s): Angela Moreland, Jenna McCauley, Kelly Barth, et al.
Citation: Journal of Substance Abuse Treatment, 108, 4-8
Date: 01/2020
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Socioeconomic Risk Factors for Fatal Opioid Overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)
Highlights a study that correlates demographic and socioeconomic status with opioid overdose fatalities. Draws data from the Mortality Disparities in American Community Study (MDAC) and compares results by rural/nonrural residence, race, employment, and educational attainment, among other measures.
Author(s): Sean F. Altekruse, Candace M. Cosgrove, William C. Altekruse, Richard A. Jenkins, Carlos Blanco
Citation: PLoS One, 15(1)
Date: 01/2020
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