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Rural Health
Resources by Topic: Illicit drug use

Migration to the US among Rural Puerto Ricans Who Inject Drugs: Influential Factors, Sources of Support, and Challenges for Harm Reduction Interventions
Details a study of the migration patterns of rural people who inject drugs (PWID) from Puerto Rico to the United States. Breaks down data by age, gender, and HIV and HCV status among other measures.
Author(s): R. Abadie, P. Habecker, C. Gelpi-Acosta, K. Dombrowski
Citation: BMC Public Health, 19, 1710
Date: 12/2019
Type: Document
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A Systematic Review of Rural-specific Barriers to Medication Treatment for Opioid Use Disorder in the United States
Analyzes a number of studies looking at medication-assisted treatment (MAT) for opioid use disorder in rural areas. Explores barriers to accessing MAT in rural areas and makes rural and urban comparisons.
Author(s): Jamey J. Lister, Addie Weaver, Jennifer D. Ellis, Joseph A. Himle, David M. Ledgerwood
Citation: The American Journal of Drug and Alcohol Abuse
Date: 12/2019
Type: Document
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Comparison of Rural vs Urban Direct-to-Physician Commercial Promotion of Medications for Treating Opioid Use Disorder
Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
Type: Document
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The Impact of the Opioid Epidemic on the Aging Services Network and the Older Adults They Serve
Report highlights the results of a survey of National Council on Aging (NCOA) grantees and partners on the effect of the opioid epidemic on older adults. Details the percentage of respondents from rural areas and offers recommendations and resources to address the epidemic among the aging population.
Date: 12/2019
Type: Document
Sponsoring organization: National Council on Aging
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Finalized CY 2020 Physician Fee Schedule
Fact sheet describing calendar year 2020 changes to Medicare's telehealth reimbursement policy as a part of the Physician Fee Schedule (PFS) final rule. Includes sections on opioid use disorder treatment services, care management services, chronic care remote physiologic monitoring services, and online digital evaluation service (E-visit).
Date: 11/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Creating a Consortium to Combat the Opioid Epidemic in Ohio
Highlights a program formed to address the opioid crisis in five counties in Ohio. Discusses the use of the Federal Office of Rural Health Policy's Rural Communities Opioid Response Program (RCORP) to form a hub-and-spoke consortium of state, county, and community partners.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Characterizing the Rural Opioid Use Environment in Kentucky Using Google Earth: Virtual Audit
Presents a study on the reliability of using Google Earth to track physical environment data correlating with rural opioid use. Examines data drawn from 5 rural counties in Kentucky using Google Earth between 2017 and 2018.
Author(s): Natalie Danielle Crawford, Regine Haardöerfer, Hannah Cooper, et al.
Citation: Journal of Medical Internet Research, 21(10), e14923
Date: 10/2019
Type: Document
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The Intersection of Substance Use Disorder and Infectious Diseases
Webinar presented on October 23, 2019, exploring Hepatitis C and HIV outbreaks in southern West Virginia, describing strategies to reduce harm associated with injection drug use in outpatient HIV care clinics, and identifying challenges in implementing public health syringe programs in rural areas. Available with free registration.
Additional links: Presentation slides
Author(s): Christine Teague
Date: 10/2019
Type: Video/Multimedia
Sponsoring organization: AIDS Education & Training Center Southeast
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The Opioid Hydra: Understanding Overdose Mortality Epidemics and Syndemics Across the Rural-Urban Continuum
Documents the trends in drug overdose mortality by opioid type along the rural‐urban continuum. Identifies the opioid overdose mortality epidemics and opioid syndemic mortality rates by core-based statistical area (metropolitan and non-metropolitan county). Discusses the socioeconomic indicators including demographic, drug risk, and economic characteristics of communities affected by the different classes of opioid overdose epidemics.
Author(s): David J. Peters, Shannon M. Monnat, Andrew L. Hochstetler, et al.
Citation: Rural Sociology, 2019, 1-3
Date: 10/2019
Type: Document
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Analysis of Buprenorphine Prescribing Patterns Among Advanced Practitioners in Medicaid
Presentation slides from an October/November 2019 public meeting, describing the effects of the Comprehensive Addiction and Recovery Act of 2016 on access to opioid use disorder treatment for Medicaid beneficiaries. Includes information on urban and rural trends in prescribing.
Author(s): John Wedeles
Date: 10/2019
Type: Presentation Slides
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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