Rural Health
Resources by Topic: Substance use and misuse
Examining Rural Community Pharmacists' Knowledge and Practices in Opioid Overdose Prevention and Treatment Services in the Southeastern United States
Highlights a study on the knowledge and practices of rural pharmacists around opioid use disorder-related education and counseling in the Southeastern U.S. Presents data by pharmacist demographic characteristics, knowledge, and experience with medications for opioid use disorder (MOUD).
Author(s): Stefanie P. Ferreri, Paige Q. Ngo, Kaileigh D. Yen, Kevin Wang, et al.
Citation: Harm Reduction Journal, 23(11)
Date: 01/2026
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Highlights a study on the knowledge and practices of rural pharmacists around opioid use disorder-related education and counseling in the Southeastern U.S. Presents data by pharmacist demographic characteristics, knowledge, and experience with medications for opioid use disorder (MOUD).
Author(s): Stefanie P. Ferreri, Paige Q. Ngo, Kaileigh D. Yen, Kevin Wang, et al.
Citation: Harm Reduction Journal, 23(11)
Date: 01/2026
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"It's a Last Straw Situation"; Overdose Response and Preferences for Seeking Support from Emergency Services During Overdose in Rural Ohio
Explores the perceptions and preferences of people in rural Ohio affected by the opioid epidemic about contacting first responders during an overdose. Bases findings on a survey of 43 rural people who have experienced or witnessed an overdose on the factors they considered when deciding whether or not to call 911.
Author(s): David C. Colston, Vivian F. Go, Clare Barrington, et al.
Citation: PLOS One, 21(1), e0338689
Date: 01/2026
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Explores the perceptions and preferences of people in rural Ohio affected by the opioid epidemic about contacting first responders during an overdose. Bases findings on a survey of 43 rural people who have experienced or witnessed an overdose on the factors they considered when deciding whether or not to call 911.
Author(s): David C. Colston, Vivian F. Go, Clare Barrington, et al.
Citation: PLOS One, 21(1), e0338689
Date: 01/2026
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Supporting Rural Primary Care Practices in Delivering Care for Chronic Pain
Provides guidance on chronic pain care in rural primary care practices. Discusses best practices for delivering high-quality care in rural areas, including discussion of substance use disorder treatment and prevention, barriers to care delivery in rural practices, and more.
Date: 01/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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Provides guidance on chronic pain care in rural primary care practices. Discusses best practices for delivering high-quality care in rural areas, including discussion of substance use disorder treatment and prevention, barriers to care delivery in rural practices, and more.
Date: 01/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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Exploring the Use of Telemedicine to Expand Addiction and Recovery Resources in Great Plains Tribal Communities
Explores the use of telemedicine to provide medications for opioid use disorder (MOUD) to patients in tribal communities. Explores the barriers and facilitators to implementing telemedicine-based MOUD services across the Great Plains Area of the Indian Health Service.
Author(s): Michael C. Harding, Anna C. Kihlstrom, Allison Kelliher, et al.
Citation: Journal of Rural Health, 42(1), e70113
Date: 01/2026
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Explores the use of telemedicine to provide medications for opioid use disorder (MOUD) to patients in tribal communities. Explores the barriers and facilitators to implementing telemedicine-based MOUD services across the Great Plains Area of the Indian Health Service.
Author(s): Michael C. Harding, Anna C. Kihlstrom, Allison Kelliher, et al.
Citation: Journal of Rural Health, 42(1), e70113
Date: 01/2026
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America's Health Rankings Annual Report 2025
Provides a national and state-by-state overview of population health by analyzing 99 measures drawn from 31 data sources to describe and rank health outcomes in the U.S. Analyzes and presents data on disparities by geography and demographic characteristics throughout. See the section titled, "Spotlight: Rural Communities," for information on trends in colorectal and breast cancer screening rates and physical inactivity of adults in rural areas between 2022 and 2024.
Additional links: Executive Brief
Date: 01/2026
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of population health by analyzing 99 measures drawn from 31 data sources to describe and rank health outcomes in the U.S. Analyzes and presents data on disparities by geography and demographic characteristics throughout. See the section titled, "Spotlight: Rural Communities," for information on trends in colorectal and breast cancer screening rates and physical inactivity of adults in rural areas between 2022 and 2024.
Additional links: Executive Brief
Date: 01/2026
Sponsoring organization: United Health Foundation
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Report on the Mental Health Program for Veterans for Fiscal Year 2025
Reports on the Texas Health and Human Service Commission (HHSC) and Texas Veterans Commission's (TVC) programs to ensure access to behavioral health services for service members, veterans, and their family members (SMVF) during fiscal year 2025 in Texas. Highlights the needs of rural SMVF throughout, and discusses services provided by the Rural Veteran Counselor (RVC) program.
Date: 12/2025
Sponsoring organization: Texas Health and Human Services
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Reports on the Texas Health and Human Service Commission (HHSC) and Texas Veterans Commission's (TVC) programs to ensure access to behavioral health services for service members, veterans, and their family members (SMVF) during fiscal year 2025 in Texas. Highlights the needs of rural SMVF throughout, and discusses services provided by the Rural Veteran Counselor (RVC) program.
Date: 12/2025
Sponsoring organization: Texas Health and Human Services
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Testing Oral Nicotine Pouches Versus Nicotine Replacement Therapy for Cigarette Harm Reduction in Appalachia: The ARISE Study Protocol
Study protocol for the Appalachian Research to Impact Smoking's Effects (ARISE) study, which will examine the provision of oral nicotine pouches versus nicotine replacement therapy among adult smokers living in rural Appalachian counties across 11 states.
Author(s): Amy Wermert, Theodore M. Brasky, Alison M. Newton, et al.
Citation: PLOS ONE, 20(12), e0338503
Date: 12/2025
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Study protocol for the Appalachian Research to Impact Smoking's Effects (ARISE) study, which will examine the provision of oral nicotine pouches versus nicotine replacement therapy among adult smokers living in rural Appalachian counties across 11 states.
Author(s): Amy Wermert, Theodore M. Brasky, Alison M. Newton, et al.
Citation: PLOS ONE, 20(12), e0338503
Date: 12/2025
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2021-2024 NSDUH Data Brief: Trends in Substance Use among Young Adults
Report details the substance use trends for young adults from 2021 to 2024 based on the findings from the Nation Survey on Drug Use and Health. Identifies substance use patterns and breaks down data by age, substance used, and whether participants resided in a large or small metropolitan or nonmetro county.
Date: 12/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report details the substance use trends for young adults from 2021 to 2024 based on the findings from the Nation Survey on Drug Use and Health. Identifies substance use patterns and breaks down data by age, substance used, and whether participants resided in a large or small metropolitan or nonmetro county.
Date: 12/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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An Exploration of Access to Tobacco Cessation Services Through Pharmacies in a Medically Underserved Area in California: Accuracy of Telephone Information Regarding Pharmacist-Furnished NRT
Examines the reliability of nicotine replacement therapy (NRT) phone consultations with pharmacy staff in rural, underresourced areas of California's San Joaquin Valley (SJV). Discusses discrepancies in NRT information when comparing in-person NRT visits and telephone services.
Author(s): Sara Schneider, Deanna M. Halliday, Arturo Durazo, Anna V. Song, Dorie E. Apollonio
Citation: Journal of Primary Care & Community Health, 16
Date: 12/2025
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Examines the reliability of nicotine replacement therapy (NRT) phone consultations with pharmacy staff in rural, underresourced areas of California's San Joaquin Valley (SJV). Discusses discrepancies in NRT information when comparing in-person NRT visits and telephone services.
Author(s): Sara Schneider, Deanna M. Halliday, Arturo Durazo, Anna V. Song, Dorie E. Apollonio
Citation: Journal of Primary Care & Community Health, 16
Date: 12/2025
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Examining Rural Disparities in Cigarette Smoking among U.S. Women by Chronological Age: 2002–2022
Presents a study on rural disparities in rates of cigarette smoking among women from 2002 to 2022. Draws data from the National Survey on Drug Use and Health and examines correlative factors, such as age, educational attainment, and income, among others.
Author(s): Stephen T. Higgins, Tyler G. Erath, Fang Fang Chen, Michael J. DeSarno
Citation: Preventive Medicine, 201, 108359
Date: 12/2025
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Presents a study on rural disparities in rates of cigarette smoking among women from 2002 to 2022. Draws data from the National Survey on Drug Use and Health and examines correlative factors, such as age, educational attainment, and income, among others.
Author(s): Stephen T. Higgins, Tyler G. Erath, Fang Fang Chen, Michael J. DeSarno
Citation: Preventive Medicine, 201, 108359
Date: 12/2025
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