Rural Health
Resources by Topic: Illicit drug use
Medicare Beneficiary Receipt of Methadone by Drive Time to Opioid Treatment Programs
Examines availability of methadone at opioid treatment programs for Medicare beneficiaries who have been diagnosed with an opioid use disorder. Utilizes data from 640,706 Medicare beneficiaries and analyzes their respective drive time to a treatment facility as well as receipt of methadone treatment. Includes U.S. map showing locations of opioid treatment programs and rural versus urban comparisons of patient drive times.
Author(s): Jonathan Cantor, Helin G. Hernandez, Aaron Kofner, et al.
Citation: JAMA Network Open, 8(4)
Date: 04/2025
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Examines availability of methadone at opioid treatment programs for Medicare beneficiaries who have been diagnosed with an opioid use disorder. Utilizes data from 640,706 Medicare beneficiaries and analyzes their respective drive time to a treatment facility as well as receipt of methadone treatment. Includes U.S. map showing locations of opioid treatment programs and rural versus urban comparisons of patient drive times.
Author(s): Jonathan Cantor, Helin G. Hernandez, Aaron Kofner, et al.
Citation: JAMA Network Open, 8(4)
Date: 04/2025
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Opioid Stewardship Programs in Rural Arizona
Provides an overview of Opioid Stewardship Programs (OSPs), and discusses OSP implementation and knowledge in Arizona from a survey of 39 Arizona rural hospital leaders and professionals. Includes an infographic on the results of the OSP survey and links to OSP training resources.
Author(s): Bridget S. Murphy
Date: 04/2025
Sponsoring organization: Arizona Center for Rural Health
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Provides an overview of Opioid Stewardship Programs (OSPs), and discusses OSP implementation and knowledge in Arizona from a survey of 39 Arizona rural hospital leaders and professionals. Includes an infographic on the results of the OSP survey and links to OSP training resources.
Author(s): Bridget S. Murphy
Date: 04/2025
Sponsoring organization: Arizona Center for Rural Health
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Controlled Substance Prescribing Patterns Among Fatal Overdose Decedents with an Opioid, Stimulant, or Both Contributing to Death — Pennsylvania, 2017–2022
Reports on deaths involving opioids without stimulants, deaths involving stimulants without opioids, and deaths involving both opioids and stimulants in Pennsylvania between 2017 and 2022. Includes data for rural and urban areas. Discusses the role of opioid prescribing on overdose deaths.
Author(s): Stephanie Hayden, Stanley M. Murzynski, Ashley Bolton, Carrie Thomas Goetz
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(12), 205-209
Date: 04/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on deaths involving opioids without stimulants, deaths involving stimulants without opioids, and deaths involving both opioids and stimulants in Pennsylvania between 2017 and 2022. Includes data for rural and urban areas. Discusses the role of opioid prescribing on overdose deaths.
Author(s): Stephanie Hayden, Stanley M. Murzynski, Ashley Bolton, Carrie Thomas Goetz
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(12), 205-209
Date: 04/2025
Sponsoring organization: Centers for Disease Control and Prevention
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The Rural and Urban Supply of Clinicians With a DEA Waiver to Prescribe Buprenorphine in 2022 Prior to the Elimination of the Waiver Requirement
Report explores the differences in rates of clinicians with DEA waivers to prescribe buprenorphine in 2022 in rural versus urban counties. Highlights the rural gaps in access to buprenorphine to treat opioid use disorder prior to the elimination of the DEA waiver requirement in 2023. Provides rural, urban, and regional comparisons.
Date: 04/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Report explores the differences in rates of clinicians with DEA waivers to prescribe buprenorphine in 2022 in rural versus urban counties. Highlights the rural gaps in access to buprenorphine to treat opioid use disorder prior to the elimination of the DEA waiver requirement in 2023. Provides rural, urban, and regional comparisons.
Date: 04/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Delivering Medications for Opioid Use Disorder in Primary Care: Environmental Scan
Report provides a literature review and interviews with key informants to outline the opioid use disorder (OUD) treatment environment and make policy recommendations. Discusses how changes to regulations have affected access to medications for opioid use disorder (MOUD), how the opioid use environment has changed, and what models and evidence-based tools exist to facilitate OUD treatment, among other issues.
Author(s): Collette Sosnowy, Danielle Durant, Garrett Moran, et al.
Date: 03/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Report provides a literature review and interviews with key informants to outline the opioid use disorder (OUD) treatment environment and make policy recommendations. Discusses how changes to regulations have affected access to medications for opioid use disorder (MOUD), how the opioid use environment has changed, and what models and evidence-based tools exist to facilitate OUD treatment, among other issues.
Author(s): Collette Sosnowy, Danielle Durant, Garrett Moran, et al.
Date: 03/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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