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Rural Health
Resources by Topic: Prescription drug misuse

Association Among County-Level Economic Factors, Clinician Supply, Metropolitan or Rural Location, and Neonatal Abstinence Syndrome
Highlights a study on demographic factors that correlate with neonatal abstinence syndrome (NAS). Looks at a county's economic factors, rural status, and clinician supply in 8 different states.
Author(s): Stephen W. Patrick, Laura J. Faherty, Andrew W. Dick, et al.
Citation: JAMA, 321(4), 385-393
Date: 01/2019
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The Contributions of Socioeconomic and Opioid Supply Factors to Geographic Variation in U.S. Drug Mortality Rates
Features a study on the geographic variation in opioid overdose mortality. Compares rates of drug mortality from 2000-2002 with 2014-2016 and looks at socioeconomic factors, as well as rural versus urban location.
Author(s): Shannon M. Monnat
Date: 01/2019
Sponsoring organization: Institute for New Economic Thinking
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Understanding the Opioid Crisis in Rural and Urban Iowa
Highlights findings from an analysis of the opioid epidemic in Iowa. Covers data and statistics comparing opioid death rates in Iowa to surrounding states; opioid-use deaths in metropolitan, micropolitan, and rural Iowa and to the U.S. population; and opioid deaths by cause, such as prescription or synthetic opioids, and rurality. Analyzes other factors related to opioid-use deaths such as demographics, employment, income, and civic participation.
Author(s): David J. Peters, Peter Miller, Andrew Hochstetler
Date: 01/2019
Sponsoring organization: Iowa State University Extension and Outreach
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340B Hospitals on the Front Lines of Addressing the U.S. Opioid Epidemic: Case Examples from the Field
Highlights how six hospitals participating in the 340B drug pricing program are helping address the opioid epidemic. Includes case studies from rural Critical Access Hospitals in Minnesota.
Date: 01/2019
Sponsoring organization: 340B Health
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Opioid-Related Hospital Stays Among Women in the United States, 2016
Examines opioid-related hospitalizations among women 15 years of age and older. Provides data by location of patient residence for large metropolitan, small/medium metro, and micropolitan/noncore (rural) areas addressing: opioid-related compared to non-opioid stays; co-occurring mental disorder or pregnancy/childbirth; stays related to opioid abuse/dependence, opioid adverse events, and opioid poisoning/self-harm; and patient race/ethnicity by location of residence.
Author(s): Audrey J. Weiss, Kimberly W. McDermott, Kevin C. Heslin
Date: 01/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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Association of Pharmaceutical Industry Marketing of Opioid Products With Mortality From Opioid-Related Overdoses
Highlights a study on the correlation between the marketing of opioids and opioid overdose mortality at a county-level. Breaks down data by participants' age, census region, and metro versus nonmetro location, among other factors.
Author(s): Scott E. Hadland, Ariadne Rivera-Aguirre, Brandon D. L. Marshall, Magdalena Cerdá
Citation: JAMA Network Open, 2(1)
Date: 01/2019
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The SUPPORT for Patients and Communities Act (P.L.115-271): Medicare Provisions
Provides a section-by-section description of Medicare provisions in the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act). Addresses rural in two sections: Section 6083 seeks to expand access to addiction treatment in Federally Qualified Health Centers and Rural Health Clinics by paying for training costs to obtain a DATA waiver to furnish OUD treatment; Section 6042 authorizes a demonstration project testing expanded access to MAT drugs through teams with a primary care provider.
Date: 01/2019
Sponsoring organization: Congressional Research Service
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Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017
Reports on the annual number and age-adjusted rate of drug overdose deaths, analyzing data between both 2013 and 2017 and also between 2016 and 2017. Includes all opioids and prescription opioids, and heroin and synthetic opioids other than methadone. Includes statistics with breakdowns by metropolitan, micropolitan, and noncore areas in addition to 34 states.
Author(s): Lawrence Scholl, Puja Seth, Mbabazi Kariisa, Nana Wilson, Grant Baldwin
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(5152), 1419-1427
Date: 01/2019
Sponsoring organization: Centers for Disease Control and Prevention
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SOAR Impact Report 2019
Annual report from Shaping Our Appalachian Region, a nonprofit organization dedicated to expanding job creation, improving quality of life, and enhancing opportunity, innovation, and identity in Appalachian Kentucky. Includes a section on the UNITE Rural Health Opioid Program, a Kentucky River Region initiative begun in January 2019 with the goal of reducing morbidity and mortality related to opioid use disorders.
Date: 2019
Sponsoring organization: Shaping Our Appalachian Region
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Tribal Opioid Response: Healing Our Nations Together - National Strategic Agenda
Addresses the tribal opioid epidemic, with recommendations based on input from tribal policymakers, service providers, and community members. Offers insights from experts, feedback from people with opioid use disorder, and tips for creating a plan to collect and analyze opioid data from local communities.
Date: 2019
Sponsoring organizations: National Indian Health Board, Northwest Portland Area Indian Health Board
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