Rural Health
Resources by Topic: Illicit drug use
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
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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
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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, sex, sexual orientation, and level of marijuana use, among other factors.
Author(s): E. Morgan, C. Dyar
Citation: Public Health, 234, 64-70
Date: 09/2024
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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, sex, sexual orientation, and level of marijuana use, among other factors.
Author(s): E. Morgan, C. Dyar
Citation: Public Health, 234, 64-70
Date: 09/2024
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Syringe Access, Syringe Sharing, and Perceptions of HCV: A Qualitative Study Exploring the HCV Risk Environment in Rural Northern New England, United States
Highlights a study on syringe access for people who inject drugs (PWID), rates of syringe sharing, and perceived hepatitis C (HCV) risk in rural Northern New England. Bases findings on semi-structured interviews and breaks down data by state of residence, age, and drug of choice, among other measures.
Author(s): Eric Romo, Elyse Bianchet, Patrick Dowd, et al.
Citation: Viruses, 16(9), 1364
Date: 08/2024
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Highlights a study on syringe access for people who inject drugs (PWID), rates of syringe sharing, and perceived hepatitis C (HCV) risk in rural Northern New England. Bases findings on semi-structured interviews and breaks down data by state of residence, age, and drug of choice, among other measures.
Author(s): Eric Romo, Elyse Bianchet, Patrick Dowd, et al.
Citation: Viruses, 16(9), 1364
Date: 08/2024
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Somebody to Lean on: Understanding Self-Stigma and Willingness to Disclose in the Context of Addiction
Presents a study on self-stigma, or the unwillingness to disclose opioid use, and aims to identify factors that predict lower levels of self-stigma. Breaks down data by race, sex, age, and rural/urban location, among other measures. Discusses strategies for overcoming self-stigma.
Author(s): Qing Ma, Christopher R. Whipple, Övgü Kaynak, et al.
Citation: International Journal of Environmental Research and Public Health, 21(8), 1044
Date: 08/2024
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Presents a study on self-stigma, or the unwillingness to disclose opioid use, and aims to identify factors that predict lower levels of self-stigma. Breaks down data by race, sex, age, and rural/urban location, among other measures. Discusses strategies for overcoming self-stigma.
Author(s): Qing Ma, Christopher R. Whipple, Övgü Kaynak, et al.
Citation: International Journal of Environmental Research and Public Health, 21(8), 1044
Date: 08/2024
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Appalachian Diseases of Despair
Provides information on Appalachian mortality disparities due to overdose, suicide, and alcoholic liver disease/cirrhosis among people ages 15-64. Utilizes data from the 2022 Multiple Cause of Death database broken down by Appalachian state, region, sex, and metropolitan or nonmetropolitan status.
Date: 08/2024
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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Provides information on Appalachian mortality disparities due to overdose, suicide, and alcoholic liver disease/cirrhosis among people ages 15-64. Utilizes data from the 2022 Multiple Cause of Death database broken down by Appalachian state, region, sex, and metropolitan or nonmetropolitan status.
Date: 08/2024
Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis
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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
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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
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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
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
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
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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
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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
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
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
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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
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