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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Urban-Rural and Demographic Differences in Substance Use Among High School Students — Youth Risk Behavior Survey, United States, 2025
Reports on substance use behaviors among students at urban and rural schools based on data from the 2025 Youth Risk Behavior Survey. Includes data for city, suburban/town, and rural schools for current and lifetime use of specific substances, including tobacco products, alcohol, prescription opioids, and a range of illicit drugs.
Author(s): Sanjana Pampati, Izraelle I. McKinnon, Joohyun Park, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report) Supplements, 75(1), 54-66
Date: 10/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on substance use behaviors among students at urban and rural schools based on data from the 2025 Youth Risk Behavior Survey. Includes data for city, suburban/town, and rural schools for current and lifetime use of specific substances, including tobacco products, alcohol, prescription opioids, and a range of illicit drugs.
Author(s): Sanjana Pampati, Izraelle I. McKinnon, Joohyun Park, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report) Supplements, 75(1), 54-66
Date: 10/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Cannabis Use and Perceptions among Rural and Urban Cancer Patients and Survivors from a Pennsylvania Cancer Center
Explores how perceptions of cannabis use vary among 186 rural and urban or suburban cancer patients who received treatment from Penn State Cancer Institute between June 2023 and June 2024. Compares openness to use, perceived benefits and risks, and more.
Author(s): Jeremy Ireland, Leah Holben, Cheryl L. Thompson, et al.
Citation: Supportive Care in Cancer, 34, 1074
Date: 10/2026
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Explores how perceptions of cannabis use vary among 186 rural and urban or suburban cancer patients who received treatment from Penn State Cancer Institute between June 2023 and June 2024. Compares openness to use, perceived benefits and risks, and more.
Author(s): Jeremy Ireland, Leah Holben, Cheryl L. Thompson, et al.
Citation: Supportive Care in Cancer, 34, 1074
Date: 10/2026
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America's Health Rankings 2026 Health of Women and Children Report
Provides a national and state-by-state overview of the health of infants, children, and women of reproductive age. Compares rural-urban differences in maternal mortality, severe maternal morbidity, healthcare access, substance use, mental health conditions, and more among reproductive-age women and children at the national level. Includes maps that show concentrated disadvantage by county within each state.
Additional links: Concentrated Disadvantage by County, State Summaries
Date: 10/2026
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of the health of infants, children, and women of reproductive age. Compares rural-urban differences in maternal mortality, severe maternal morbidity, healthcare access, substance use, mental health conditions, and more among reproductive-age women and children at the national level. Includes maps that show concentrated disadvantage by county within each state.
Additional links: Concentrated Disadvantage by County, State Summaries
Date: 10/2026
Sponsoring organization: United Health Foundation
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Cancer Risk Factors, Screening, and Neighborhood Socioeconomic Deprivation Across the U.S. Urban-to-Frontier Continuum
Presents a study on geographic variation in cancer risk behaviors and screening across the metropolitan-to-frontier continuum. Identifies demographic characteristics and cancer-related behaviors and screening access in rural, urban, and frontier areas. Explores rates of alcohol use, tobacco use, and physical activity, among other factors, by geography.
Author(s): Brody Gibson, Laurie Grieshober, Rachel M Ceballos, et al.
Citation: Journal of the National Cancer Institute Monographs, lgag021
Date: 10/2026
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Presents a study on geographic variation in cancer risk behaviors and screening across the metropolitan-to-frontier continuum. Identifies demographic characteristics and cancer-related behaviors and screening access in rural, urban, and frontier areas. Explores rates of alcohol use, tobacco use, and physical activity, among other factors, by geography.
Author(s): Brody Gibson, Laurie Grieshober, Rachel M Ceballos, et al.
Citation: Journal of the National Cancer Institute Monographs, lgag021
Date: 10/2026
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Medicare Payment Basics: Inpatient Psychiatric Facilities Services Payment System
Overview of Medicare's payment system for inpatient psychiatric services provided in freestanding hospitals or specialized hospital-based units. Demonstrates how payments for these services are adjusted to reflect geographic differences in labor costs, and cost of care by facility and patient characteristics.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare's payment system for inpatient psychiatric services provided in freestanding hospitals or specialized hospital-based units. Demonstrates how payments for these services are adjusted to reflect geographic differences in labor costs, and cost of care by facility and patient characteristics.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Wisconsin State Opioid Response 4 Year Two: Statewide Annual Report
Provides information on the State Opioid Response 4 (SOR-4) grant awarded in 2024 and focused on expanding access to treatment and recovery services for opioid and stimulant use disorder in Wisconsin, supporting training of peer support services, increasing the number of providers offering medications for opioid use disorder (MOUD), and raising awareness related to OUD. Utilizes data from clients who completed the State Opioid Response 4 (SOR-4) GPRA Client Outcome Measures tool from 2025 to 2026 and reports on treatment needs, recovery, telehealth, and recovery housing. Compares client experiences in rural versus urban counties.
Date: 09/2026
Sponsoring organization: University of Wisconsin Population Health Institute
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Provides information on the State Opioid Response 4 (SOR-4) grant awarded in 2024 and focused on expanding access to treatment and recovery services for opioid and stimulant use disorder in Wisconsin, supporting training of peer support services, increasing the number of providers offering medications for opioid use disorder (MOUD), and raising awareness related to OUD. Utilizes data from clients who completed the State Opioid Response 4 (SOR-4) GPRA Client Outcome Measures tool from 2025 to 2026 and reports on treatment needs, recovery, telehealth, and recovery housing. Compares client experiences in rural versus urban counties.
Date: 09/2026
Sponsoring organization: University of Wisconsin Population Health Institute
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Cannabis Assessment in Oncology Patients—Evaluation Survey: Understanding Usage Patterns in a Rural Radiation Cohort in Kentucky
Explores the use and perceptions of unprescribed medicinal cannabis among 237 adults receiving radiation therapy in Kentucky between July 2023 and February 2024. Includes comparisons by rural or urban dwelling and treatment location.
Author(s): Evans Amoah, Waleed F. Mourad, Marcus E. Randall, et al.
Citation: The Oncologist, 31(11), oyag370
Date: 09/2026
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Explores the use and perceptions of unprescribed medicinal cannabis among 237 adults receiving radiation therapy in Kentucky between July 2023 and February 2024. Includes comparisons by rural or urban dwelling and treatment location.
Author(s): Evans Amoah, Waleed F. Mourad, Marcus E. Randall, et al.
Citation: The Oncologist, 31(11), oyag370
Date: 09/2026
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