Rural Health
Resources by Topic: Substance use and misuse
Building a Rural, Coalition-Based Approach to Youth Substance Use Prevention: The Drug Free Dickson Coalition Model
Presents a rural coalition-based initiative to address youth substance use in Dickson County, Tennessee. Details a coalition, including local government, schools, healthcare providers, faith-based institutions, and law enforcement, among others, that works to engage youth across the county using evidence-based strategies.
Author(s): Karrie R. Thompson
Citation: Journal of Public Health Management and Practice, 32(6S), S185-S188
Date: 11/2026
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Presents a rural coalition-based initiative to address youth substance use in Dickson County, Tennessee. Details a coalition, including local government, schools, healthcare providers, faith-based institutions, and law enforcement, among others, that works to engage youth across the county using evidence-based strategies.
Author(s): Karrie R. Thompson
Citation: Journal of Public Health Management and Practice, 32(6S), S185-S188
Date: 11/2026
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Developing Community Partnerships and Authentically Engaging Youth to Prevent Substance Use: Successes from the Pyramid Coalition in Hidalgo County, New Mexico
Explores the Pyramid Coalition, a Drug-Free Communities (DFC) Support Program initiative, in rural Hidalgo County, New Mexico. Discusses the coalition's work in preventing youth substance use and highlights best practices for engaging youth in rural and frontier communities.
Author(s): Christina Johnson, Joni Kerr
Citation: Journal of Public Health Management and Practice, 32(6S), S181-S184
Date: 11/2026
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Explores the Pyramid Coalition, a Drug-Free Communities (DFC) Support Program initiative, in rural Hidalgo County, New Mexico. Discusses the coalition's work in preventing youth substance use and highlights best practices for engaging youth in rural and frontier communities.
Author(s): Christina Johnson, Joni Kerr
Citation: Journal of Public Health Management and Practice, 32(6S), S181-S184
Date: 11/2026
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How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Cancer Survival Differences Between Rural and Urban Populations During the Opioid Epidemic: A SEER Analysis
Explores how rural and urban cancer survival changed over time during the U.S. opioid epidemic, and how rural cancer survival disparities were associated with increasing drug mortality during the same period. Utilizes 2000-2016 SEER and CDC WONDER data.
Author(s): Martin G. Bouldo, Daniel J. Becker
Citation: Anticancer Research, 46(9), 4973-4984
Date: 09/2026
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Explores how rural and urban cancer survival changed over time during the U.S. opioid epidemic, and how rural cancer survival disparities were associated with increasing drug mortality during the same period. Utilizes 2000-2016 SEER and CDC WONDER data.
Author(s): Martin G. Bouldo, Daniel J. Becker
Citation: Anticancer Research, 46(9), 4973-4984
Date: 09/2026
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Unmasking the Rural Substance Use Burden: The Need to Move Beyond Macro-Level Data in Substance Use Policy and Planning
Brief examines health-related differences and service gaps of rural, non-rural, and national communities to better understand substance use trends in order to inform policies and interventions in rural communities. Bases findings on data from the National Survey on Drug Use and Health (NSDUH) and details rates of opioid, stimulant, vape, and alcohol use in rural and urban areas in 2023 and 2024.
Date: 09/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Brief examines health-related differences and service gaps of rural, non-rural, and national communities to better understand substance use trends in order to inform policies and interventions in rural communities. Bases findings on data from the National Survey on Drug Use and Health (NSDUH) and details rates of opioid, stimulant, vape, and alcohol use in rural and urban areas in 2023 and 2024.
Date: 09/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Exploring Potential Predictors and Mediators of Marijuana Use Among US Women: A Structural Equation Modeling Approach
Examines variables related to marijuana use among U.S. adult women who reported marijuana use in the last year. Utilizes 2023 National Survey on Drug Use and Health data to analyze marijuana use with breakdowns according to sociodemographic variables, criminal history, binge drinking, and nonmetropolitan, small metropolitan, or large metropolitan county location.
Author(s): Elfreda Samman, Wah Wah Myint, Gabrielle Torres-Coley, Aishatu Yusuf
Citation: Preventing Chronic Disease, 23
Date: 09/2026
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Examines variables related to marijuana use among U.S. adult women who reported marijuana use in the last year. Utilizes 2023 National Survey on Drug Use and Health data to analyze marijuana use with breakdowns according to sociodemographic variables, criminal history, binge drinking, and nonmetropolitan, small metropolitan, or large metropolitan county location.
Author(s): Elfreda Samman, Wah Wah Myint, Gabrielle Torres-Coley, Aishatu Yusuf
Citation: Preventing Chronic Disease, 23
Date: 09/2026
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Urban-Rural and Racial/Ethnic Disparities in Modes of Preconception Cannabis Use among Insured Patients Receiving Prenatal Care at an Integrated Healthcare System in Northern California from 2020 to 2023
Analyzes joint interactions in race and ethnicity and level of rurality on cannabis use and mode of use during preconception, using Kaiser Permanente Northern California (KPNC) data of 191,469 pregnancies taking place between February 2020 and September 2023.
Author(s): Qiana L. Brown, Catherine A. Cortez, Joshua R. Nugent, et al.
Citation: Drug and Alcohol Dependence, 286, 113281
Date: 09/2026
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Analyzes joint interactions in race and ethnicity and level of rurality on cannabis use and mode of use during preconception, using Kaiser Permanente Northern California (KPNC) data of 191,469 pregnancies taking place between February 2020 and September 2023.
Author(s): Qiana L. Brown, Catherine A. Cortez, Joshua R. Nugent, et al.
Citation: Drug and Alcohol Dependence, 286, 113281
Date: 09/2026
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Non-Metropolitan vs. Metropolitan Variations in Alcohol, Illicit Drug, and Prescription Therapeutic Drug Misuse
Reports on how alcohol use, illicit drug use, and the use of opioid and non-opioid prescription drugs vary by rural or urban area using 2023-2024 National Survey on Drug Use and Health (NSDUH) data.
Author(s): Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Reports on how alcohol use, illicit drug use, and the use of opioid and non-opioid prescription drugs vary by rural or urban area using 2023-2024 National Survey on Drug Use and Health (NSDUH) data.
Author(s): Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Substance Use in Nonmetropolitan Counties
Spotlight highlights selected substance use in nonmetropolitan counties by urbanization. Breaks down rates of alcohol use, marijuana use, and illicit drug use, among others, by urbanized, less urbanized, and rural nonmetro areas.
Citation: NSDUH Data Spotlight, 3(4)
Date: 08/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Spotlight highlights selected substance use in nonmetropolitan counties by urbanization. Breaks down rates of alcohol use, marijuana use, and illicit drug use, among others, by urbanized, less urbanized, and rural nonmetro areas.
Citation: NSDUH Data Spotlight, 3(4)
Date: 08/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural and Urban Availability of Substance Use Treatment Facilities
Discusses the national availability of and regional variance in substance use disorder treatment facilities for rural and urban residents. Highlights the number of facilities per 100,000 population by rural status and county, as well as the number of facilities offering medication for opioid use disorder (MOUD) services.
Author(s): Aaron P. Smith, Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Discusses the national availability of and regional variance in substance use disorder treatment facilities for rural and urban residents. Highlights the number of facilities per 100,000 population by rural status and county, as well as the number of facilities offering medication for opioid use disorder (MOUD) services.
Author(s): Aaron P. Smith, Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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