Rural Health
Resources by Topic: Illicit drug use
Epidemiology of 911 Calls for Opioid Overdose in Nogales, Arizona
Presents a study reviewing the 911 calls pertaining to opioid overdose in the Nogales, AZ area. Details the prehospital care received in the rural, borderland community and evaluates EMS's adherence to naloxone distribution protocol.
Author(s): Melody Glenn, Darien Stratton, Keith Primeau, Amber Rice
Citation: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 26(3)
Date: 03/2025
view details
Presents a study reviewing the 911 calls pertaining to opioid overdose in the Nogales, AZ area. Details the prehospital care received in the rural, borderland community and evaluates EMS's adherence to naloxone distribution protocol.
Author(s): Melody Glenn, Darien Stratton, Keith Primeau, Amber Rice
Citation: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 26(3)
Date: 03/2025
view details
Comparative Effectiveness of Buprenorphine Adherence with Telemedicine Versus In-Person for Rural and Urban Patients
Compares adherence to buprenorphine for opioid use disorder in telemedicine versus in-person healthcare in rural and urban populations. Utilizes 2017–2022 data from 511 adults and compares 3,302 in-person and 519 telemedicine visits, with breakdowns according to patient characteristics, adherence, gaps in treatment, and rural versus urban location. Discusses changing legislative requirements related to buprenorphine treatment and the potential impact on rural populations.
Author(s): Thomas J. Reese, Nana Addo Padi-Adjirackor, Kevin N. Griffith, et al.
Citation: Journal of the American Pharmacists Association, 65(2), 102318
Date: 03/2025
view details
Compares adherence to buprenorphine for opioid use disorder in telemedicine versus in-person healthcare in rural and urban populations. Utilizes 2017–2022 data from 511 adults and compares 3,302 in-person and 519 telemedicine visits, with breakdowns according to patient characteristics, adherence, gaps in treatment, and rural versus urban location. Discusses changing legislative requirements related to buprenorphine treatment and the potential impact on rural populations.
Author(s): Thomas J. Reese, Nana Addo Padi-Adjirackor, Kevin N. Griffith, et al.
Citation: Journal of the American Pharmacists Association, 65(2), 102318
Date: 03/2025
view details
Drug Overdose Deaths: South Carolina, 2023
Reports drug overdose deaths for South Carolina in 2023 using state vital statistics data. Includes statistics on the demographics of drug-related mortality, unintentional and intentional deaths, drug categories, and selected drugs. Includes county-by-county tables and maps showing totals, rates, and change over time.
Date: 03/2025
Sponsoring organization: South Carolina Department of Public Health
view details
Reports drug overdose deaths for South Carolina in 2023 using state vital statistics data. Includes statistics on the demographics of drug-related mortality, unintentional and intentional deaths, drug categories, and selected drugs. Includes county-by-county tables and maps showing totals, rates, and change over time.
Date: 03/2025
Sponsoring organization: South Carolina Department of Public Health
view details
The Importance of Contextually Specific Support Relationships in Implementing Programs to Link People to Medication for Opioid Use Disorder (MOUD) Treatment During Reentry from County Jails
A case study that examines an intervention that links people in county jails to medication for opioid use disorder (MOUD) programs. Analyzes 3 rural and 2 urban county jails in Kentucky and the related program implementation, reach, and sustainability.
Author(s): Margaret McGladrey, Marisa Booty, Susannah Stitzer, et al.
Citation: Health & Justice volume 13, 20
Date: 03/2025
view details
A case study that examines an intervention that links people in county jails to medication for opioid use disorder (MOUD) programs. Analyzes 3 rural and 2 urban county jails in Kentucky and the related program implementation, reach, and sustainability.
Author(s): Margaret McGladrey, Marisa Booty, Susannah Stitzer, et al.
Citation: Health & Justice volume 13, 20
Date: 03/2025
view details
Synthetic Opioid and Stimulant Co-Involved Overdose Deaths by Occupation and Industry — United States, 2022
Examines occupations and industries with higher percentages of psychostimulant involvement in synthetic opioid overdose deaths. Includes information on occupations such as mining and farming, fishing, and forestry that are more common in rural areas.
Author(s): Eric W. Lundstrom, Alexandria Macmadu, Andrea L. Steege, Matthew Groenewold
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(10), 173–178
Date: 03/2025
Sponsoring organization: Centers for Disease Control and Prevention
view details
Examines occupations and industries with higher percentages of psychostimulant involvement in synthetic opioid overdose deaths. Includes information on occupations such as mining and farming, fishing, and forestry that are more common in rural areas.
Author(s): Eric W. Lundstrom, Alexandria Macmadu, Andrea L. Steege, Matthew Groenewold
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(10), 173–178
Date: 03/2025
Sponsoring organization: Centers for Disease Control and Prevention
view details
Rural–Urban Differences in Substance Use During Pregnancy
Examines perinatal substance use in rural and urban populations. Utilizes 2015-2019 National Survey on Drug Use and Health (NSDUH) data to analyze 3,499 pregnant women according to rural, small urban, and large urban location, as well as by demographic variables, health status, and type of substance use.
Author(s): Emma Kathryn Boswell, Olivia M. Hinds, Cassie Odahowski, et al.
Citation: Journal of Rural Health, 41(2)
Date: 03/2025
view details
Examines perinatal substance use in rural and urban populations. Utilizes 2015-2019 National Survey on Drug Use and Health (NSDUH) data to analyze 3,499 pregnant women according to rural, small urban, and large urban location, as well as by demographic variables, health status, and type of substance use.
Author(s): Emma Kathryn Boswell, Olivia M. Hinds, Cassie Odahowski, et al.
Citation: Journal of Rural Health, 41(2)
Date: 03/2025
view details
Pharmacy-Related Syringe Access Barriers: An Audit of Oregon Community Pharmacies
Examines barriers to purchasing over-the-counter (OTC) syringes in Oregon pharmacies. Utilizes a telephone audit (secret shopper) methodology to examine 425 pharmacies' willingness to sell OTC syringes by pharmacy type, syringe services program (SSP) availability, overdose rates, and rural versus urban county type.
Author(s): Victor Abreu, Marissa McGinnis, Savannah Justen, et al.
Citation: Harm Reduction Journal, 22, 37
Date: 03/2025
view details
Examines barriers to purchasing over-the-counter (OTC) syringes in Oregon pharmacies. Utilizes a telephone audit (secret shopper) methodology to examine 425 pharmacies' willingness to sell OTC syringes by pharmacy type, syringe services program (SSP) availability, overdose rates, and rural versus urban county type.
Author(s): Victor Abreu, Marissa McGinnis, Savannah Justen, et al.
Citation: Harm Reduction Journal, 22, 37
Date: 03/2025
view details
Beliefs of US Chiefs of Police about Substance Use Disorder, Fentanyl Exposure, Overdose Response, and Use of Discretion: Results from a National Survey
Examines police chief perceptions regarding substance use. Focuses on issues such as discretion when making arrests, overdose response, risks of fentanyl exposure, de-escalation practices, harmful drugs in their communities, and buprenorphine obtained via illicit means. Analyzes survey data from 276 police chiefs regarding their knowledge and attitudes on addiction and policing, with breakdowns according to their region, urbanicity, and experience.
Author(s): Amelia Bailey, Barbara Andraka-Christou, Saba Rouhani, et al.
Citation: Health & Justice, 13, 13
Date: 03/2025
view details
Examines police chief perceptions regarding substance use. Focuses on issues such as discretion when making arrests, overdose response, risks of fentanyl exposure, de-escalation practices, harmful drugs in their communities, and buprenorphine obtained via illicit means. Analyzes survey data from 276 police chiefs regarding their knowledge and attitudes on addiction and policing, with breakdowns according to their region, urbanicity, and experience.
Author(s): Amelia Bailey, Barbara Andraka-Christou, Saba Rouhani, et al.
Citation: Health & Justice, 13, 13
Date: 03/2025
view details
Mechanisms of Resilience and Coping to Intersectional HIV Prevention and Drug-Use Stigma among People who Inject Drugs in Rural Appalachian Ohio
Analyzes perspectives on resilience and coping strategies and behaviors related to stigma reduction and HIV prevention among people who inject drugs (PWID) in rural Appalachian Ohio, utilizing interview data of 35 PWID. Discusses the role of supports for PWID in improving public health outcomes in rural areas.
Author(s): Stacy Endres-Dighe, Ana D. Sucaldito, Renee McDowell, et al.
Citation: Harm Reduction Journal, 22, 18
Date: 02/2025
view details
Analyzes perspectives on resilience and coping strategies and behaviors related to stigma reduction and HIV prevention among people who inject drugs (PWID) in rural Appalachian Ohio, utilizing interview data of 35 PWID. Discusses the role of supports for PWID in improving public health outcomes in rural areas.
Author(s): Stacy Endres-Dighe, Ana D. Sucaldito, Renee McDowell, et al.
Citation: Harm Reduction Journal, 22, 18
Date: 02/2025
view details
Enhancing Rural Access to Medications for Opioid Use Disorder: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to opioid use disorder (OUD) in rural areas. Discusses access to medication for opioid use disorder (MOUD), MOUD workforce, telehealth to support access to MOUD, and Medicaid 1115 demonstrations that address OUD. Offers policy recommendations related to regulatory barriers, reimbursement flexibility, workforce, and service site expansion to increase access to MOUD in rural areas.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
view details
Provides an overview of issues related to opioid use disorder (OUD) in rural areas. Discusses access to medication for opioid use disorder (MOUD), MOUD workforce, telehealth to support access to MOUD, and Medicaid 1115 demonstrations that address OUD. Offers policy recommendations related to regulatory barriers, reimbursement flexibility, workforce, and service site expansion to increase access to MOUD in rural areas.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
view details