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Rural Health
Resources by Topic: Prescription drug misuse

Can We Build an Efficient Response to the Prescription Drug Abuse Epidemic? Assessing the Cost Effectiveness of Universal Prevention in the PROSPER Trial
Reports on a study evaluating the effectiveness and the cost-effectiveness of 4 universal evidence-based-preventive-interventions (EBPIs) in reducing nonmedical prescription opioid use. Sample population included 6th grade school children from 28 rural public school districts, evenly divided between Iowa and Pennsylvania. Families were offered a single family-based intervention program in 6th grade, and 1 of 3 school-based intervention programs in 7th grade.
Author(s): D. Max Crowley, Damon E. Jones, et al.
Citation: Preventive Medicine, 62, 71-77
Date: 05/2014
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Barriers to Primary Care Physicians Prescribing Buprenorphine
Reports on a study of physicians in the State of Washington who participated in a Rural Opioid Addiction Management Project on the use of buprenorphine-naloxone in the treatment of opioid use disorders. Study determined the percentage of physicians who prescribed this treatment, the characteristics associated with the prescribing physicians, the number of patients treated, and the barriers found when integrating this treatment into their outreach practice.
Author(s): Eliza Hutchinson, Mary Catlin, C. Holly A. Andrilla, et al.
Citation: Annals of Family Medicine, 12(2), 128-133
Date: 03/2014
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Understanding the Rural–Urban Differences in Nonmedical Prescription Opioid Use and Abuse in the United States
This report analyzes the risk factors, including availability and access, that drive nonmedical prescription opioid drug misuse and abuse in U.S. states with large rural populations.
Author(s): Katherine M. Keyes, Magdalena Cerdá, Joanne E. Brady, Jennifer R. Havens, Sandro Galea
Citation: American Journal of Public Health, 104(2)
Date: 02/2014
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Trends and Geographic Patterns in Drug-Poisoning Death Rates in the U.S., 1999–2009
Utilizes small-area estimation techniques to approximate county-level age-adjusted death rates (AADR) associated with drug poisoning in the U.S. to explore geographic and temporal variations. Includes AADR data by annual change, rural versus urban location, and region of the U.S.
Author(s): Lauren M. Rossen, Diba Khan, Margaret Warner
Citation: American Journal of Preventive Medicine, 45(6), e19-e25
Date: 12/2013
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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
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Longitudinal Effects of Universal Preventive Intervention on Prescription Drug Misuse: Three Randomized Controlled Trials With Late Adolescents and Young Adults
Examines the results of 3 randomized controlled trials evaluating prescription drug misuse preventive interventions implemented in middle schools located in rural Pennsylvania and Iowa. The 3 studies included the Iowa Strengthening Families Program (ISFP), a revised ISFP - Strengthening Families Program: For Parents and Youth 10–14 including school-based Life Skills training (SFP 10–14 + LST), and a Strengthening Families Program with school-based interventions (SFP 10–14). Discusses the benefits for public health impact by reducing prescription drug misuse among adolescents and young adults.
Author(s): Richard Spoth, Linda Trudeau, Chungyeol Shin, et al.
Citation: American Journal of Public Health,103(4), 665-672.
Date: 04/2013
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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
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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
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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
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Prescription Opiate Misuse among Rural Stimulant Users in a Multistate Community-based Study
Investigates factors associated with prescription opiate misuse among a stimulant-using (methamphetamine and/or cocaine) population from rural counties in Arkansas, Kentucky, and Ohio. Factors examined include anxiety, chronic pain, other health issues, and other substance use.
Author(s): Jennifer R. Havens, William W. Stoops, Carl G. Leukefeld, et al.
Citation: American Journal of Drug and Alcohol Abuse, 35(1), 18-23
Date: 2009
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