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Rural Health
Resources by Topic: Illicit drug use

Heroin: Combating This Growing Epidemic in PA
A report of public hearings on the epidemic of heroin and opioid abuse and overdose deaths in Pennsylvania. Includes recommendations to the state for treatment and recovery services, as well as maps and statistics by county.
Date: 12/2015
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Syringe Service Programs for Persons Who Inject Drugs in Urban, Suburban, and Rural Areas - United States, 2013
Describes characteristics of syringe service programs in urban, suburban, and rural areas. Includes information on program size, number of syringes exchanged, total funding, and whether public funding supports the program. Discusses the increase in opiate overdoses and prescription opiate use in rural areas and concerns related to the availability of syringe exchange programs in these areas.
Author(s): Don C. Des Jarlais, Ann Nugent, Alisa Solberg, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 64(48), 1337-41
Date: 12/2015
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Caring for Pregnant Opioid Abusers in Vermont: A Potential Model for Non-Urban Areas
Provides an overview of the challenges managed and the approach used for the development of a comprehensive program for the treatment of opioid dependence during pregnancy in rural Vermont.
Author(s): Marjorie Meyer, Julie Phillips
Citation: Preventive Medicine, 80, 18-22
Date: 11/2015
Type: Document
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Individual and Neighborhood Predictors of Mortality among HIV-positive Latinos with History of Injection Drug Use, Florida, 2000–2011
Examines disparities as well as individual and neighborhood predictors of mortality in HIV-positive Latinos with a history of injection drug use (IDU) in Florida. Provides demographic and other information on individuals age 13 and older diagnosed with HIV, with data for those with and without a history of IDU. Offers zip code-level characteristics, including rural/urban location. Includes implications for targeting prevention strategies in rural areas.
Author(s): Diana M. Sheehan, Mary Jo Trepka, Kristopher P. Fennie, et al.
Citation: Drug and Alcohol Dependence, 154, 243-250
Date: 09/2015
Type: Document
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Where Is Buprenorphine Dispensed to Treat Opioid Use Disorders? The Role of Private Offices, Opioid Treatment Programs, and Substance Abuse Treatment Facilities in Urban and Rural Counties
Examines the impact of 2006 federal legislation allowing waivered physicians to prescribe and expand FDA approved buprenorphine as a treatment for opioid use disorder to a maximum of 100 patients. Discusses buprenorphine distribution by both urban and rural waivered physicians, opioid treatment programs, and treatment facilities for substance abuse.
Author(s): Bradley D. Stein, Rosalie Liccardo Pacula, Adam J. Gordon, et al.
Citation: The Milbank Quarterly, 93(3), 561-583
Date: 09/2015
Type: Document
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Results from the 2014 National Survey on Drug Use and Health: Detailed Tables
Provides data on illicit drug, alcohol, and tobacco use and attitudes, as well as access to substance abuse treatment. Rural-specific information is available in the detailed tables that list "geographic characteristics."
Date: 09/2015
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Drug Use, Hepatitis C, and Service Availability: Perspectives of Incarcerated Rural Women
Examines drug use and the health consequences of drug use, hepatitis C, and health service availability among a high-risk sample of women serving time in jail for drug use. Data was collected from a sample of 22 female offenders incarcerated in 3 jail facilities located in rural Appalachia.
Author(s): Michele Staton-Tindall, J. Matthew Webster, Carrie B. Oser, Jennifer R. Havens, Carl G. Leukefeld
Citation: Social Work in Public Health, 30(4) 385–396
Date: 07/2015
Type: Document
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Disparity in Naloxone Administration by Emergency Medical Service Providers and the Burden of Drug Overdose in US Rural Communities
Examines the factors that influence the administration of naloxone by emergency medical technicians (EMTs) in drug overdoses occurring in rural, suburban, and urban areas, using data from the National Emergency Medical Services Information System.
Author(s): Mark Faul, Michael W. Dailey, David E. Sugerman, et al.
Citation: American Journal of Public Health, 105(Suppl), e26-e32
Date: 07/2015
Type: Document
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Increases in Hepatitis C Virus Infection Related to Injection Drug Use Among Persons Aged ≤30 Years - Kentucky, Tennessee, Virginia, and West Virginia, 2006-2012
Discusses opioid abuse, drug injecting, and hepatitis C virus (HCV) infection in central Appalachia, with data on HCV infection rates for four states. Includes data for rural and urban areas by gender and race/ethnicity.
Author(s): Jon E. Zibbell, Kashif Iqbal, Rajiv C. Patel, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 64(17), 453-458
Date: 05/2015
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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An Exploratory Study of Mental Health and HIV Risk Behavior among Drug-Using Rural Women in Jail
Examines HIV risk behaviors and mental health conditions through face-to-face interviews with 136 women incarcerated in three rural Kentucky county jails within Appalachia. Includes data and statistics on substance use and HIV risk behaviors for women with anxiety, depression, or post-traumatic stress disorder (PTSD).
Author(s): Michele Staton-Tindall, Kathi L.H. Harp, Alexandra Minieri, et al.
Citation: Psychiatric Rehabilitation Journal, 38(1), 45-54
Date: 03/2015
Type: Document
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