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Rural Health
Resources by Topic: Illicit drug use

Performance Improvement Prescribing Guideline Reduces Opioid Prescriptions for Emergency Department Dental Pain Patients
Measures the effect of a departmental guideline on the rate of opioid prescriptions written for patients aged 16 and older presenting with dental pain in two rural emergency departments. Analysis was done by performing a controlled chart review for the period before and after the guideline was implemented.
Author(s): Timothy R. Fox, James Li, Sandra Stevens, Tracy Tippie
Citation: Annals of Emergency Medicine, 62(3)
Date: 09/2013
Type: Document
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Individual and Network Factors Associated With Prevalent Hepatitis C Infection Among Rural Appalachian Injection Drug Users
Examines the connection between injection drug users and Hepatitis C infections in rural Kentucky. Features statistics with breakdowns including sex, age, race, ethnicity, and various risk behaviors.
Author(s): Jennifer R. Havens, Michelle R. Lofwall, Simon D. W. Frost, et al.
Citation: American Journal of Public Health, 103(1), 44-52
Date: 01/2013
Type: Document
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Stimulant Use Trajectories and the Longitudinal Risk of Heavy Drinking: Findings From a Rural Population-Based Study
Examines the longitudinal relationships between heavy drinking days and dormant sequences of powder cocaine, crack cocaine, and methamphetamine use among rural residents. Study participants were located in rural communities in Ohio, Arkansas, and Kentucky.
Author(s): Tyrone F. Borders, Brenda M. Booth
Citation: Addictive Behaviors, 37(3), 269-272
Date: 03/2012
Type: Document
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Project Lazarus: Community-Based Overdose Prevention in Rural North Carolina
Describes a community-based overdose prevention model in an Appalachian county of Western North Carolina to combat the high unintentional poisoning mortality rate due to prescription opioids. The main components of this model include community involvement, coalition building, monitoring and surveillance data, overdose prevention, use of medication for reversing overdoses, and the education of primary care providers in managing chronic pain and safe opioid prescribing.
Author(s): Su Albert, Fred W. Brason, Catherine K. Sanford, et al.
Citation: Pain Medicine, 12, (suppl 2), S77-S85
Date: 06/2011
Type: Document
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Individual and Network Factors Associated with Non-fatal Overdose among Rural Appalachian Drug Users
Presents a study on the prevalence of non-fatal prescription drug overdoses in rural Appalachian Kentucky. Breaks down data by whether the overdose was experienced or witnessed, injection drug use, and lifetime drug use, among other factors.
Author(s): Jennifer R. Havens, Carrie B. Oser, Hannah K. Knudsen, et al.
Citation: Drug and Alcohol Dependence, 115(1-2), 107-112
Date: 05/2011
Type: Document
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Nonmedical Prescription Drug Use in a Nationally Representative Sample of Adolescents: Evidence of Greater Use Among Rural Adolescents
Analyzes a sample of adolescents aged 12 to 17 to determine if rural residence is linked with nonmedical prescription drug use and the factors related to nonmedical prescription drug use.
Author(s): Jennifer R. Havens, April M. Young, Christopher E. Havens
Citation: JAMA Pediatrics, 165(3), 250-255
Date: 03/2011
Type: Document
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Distance Traveled and Cross-state Commuting to Opioid Treatment Programs in the United States
Presents a study on commuting distance of patients in opioid treatment programs (OTP). Analyzes data collected from 23,141 methadone patients enrolled in 84 OTP centers across the U.S. from 2005-2009.
Author(s): Andrew Rosenblum, Charles M. Cleland, Chunki Fong, et al.
Citation: Journal of Environmental and Public Health, 2011, 948789
Date: 2011
Type: Document
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Viral Hepatitis and Injection Drug Use in Appalachian Kentucky: A Survey of Rural Health Department Clients
Analysis of demographic, socioeconomic, and behavioral data from patients screened for hepatitis B and hepatitis C at four health departments in rural Kentucky in 2006-2007. Includes statistical breakdowns by sex, age group, education, employment, marital status, government assistance, insurance, and various risk factors linked to drug use and sexual activity.
Author(s): W. Jay Christian, Claudia Hopenhayn, Amy Christian, Deana McIntosh, Alvaro Koch
Citation: Public Health Reports, 125(1)
Date: 01/2010
Type: Document
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Substance Abuse Among Rural Youth: A Little Meth and a Lot of Booze
Examines substance abuse among rural youth, with rural-urban comparisons for methamphetamine, Oxycontin, and alcohol abuse.
Date: 06/2007
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Recovery Ecosystem Index
Interactive mapping tool that provides access to county-level data on the substance use recovery ecosystem, including scores that help understand access to treatment and support, as well as infrastructure and social factors. Also Includes overdose mortality, socio-demographic, and economic data.
Type: Map/Mapping System
Sponsoring organizations: East Tennessee State University, Fletcher Group Rural Center of Excellence (RCOE), NORC at the University of Chicago
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