Rural Health
Resources by Topic: Substance use and misuse
A Rural-Urban Analysis of Buprenorphine Therapy During and After Pregnancy Among the Commercially Insured
Explores the use of evidence-based buprenorphine treatment and adherence during the peri-pregnancy period among commercially insured individuals by rurality. Analyzes data on 1,331,040 people between 15 and 44 years-old with diagnosis codes for pregnancy and labor/delivery from January 1, 2015, to December 31, 2019.
Author(s): KariLynn Dowling-McClay, Bill Brooks, Daniel Krauss, et al.
Date: 01/2025
Type: Document
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Explores the use of evidence-based buprenorphine treatment and adherence during the peri-pregnancy period among commercially insured individuals by rurality. Analyzes data on 1,331,040 people between 15 and 44 years-old with diagnosis codes for pregnancy and labor/delivery from January 1, 2015, to December 31, 2019.
Author(s): KariLynn Dowling-McClay, Bill Brooks, Daniel Krauss, et al.
Date: 01/2025
Type: Document
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Patient Centered Medication Treatment for Opioid Use Disorder in Rural Vermont: A Qualitative Study
Examines patient perspectives on medications for opioid use disorder (MOUD) treatment in rural Vermont, utilizing interview data from 15 people who received care at Vermont Hub and Spoke clinics. Highlights patient perspectives on aspects of patient-centered care, and their influences on retention and engagement with treatment.
Author(s): Emily G. Hichborn, Owen B. Murray, Eilis I. Murphy, et al.
Citation: Addiction Science & Clinical Practice, 20, 3
Date: 01/2025
Type: Document
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Examines patient perspectives on medications for opioid use disorder (MOUD) treatment in rural Vermont, utilizing interview data from 15 people who received care at Vermont Hub and Spoke clinics. Highlights patient perspectives on aspects of patient-centered care, and their influences on retention and engagement with treatment.
Author(s): Emily G. Hichborn, Owen B. Murray, Eilis I. Murphy, et al.
Citation: Addiction Science & Clinical Practice, 20, 3
Date: 01/2025
Type: Document
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Cannabis Use Characteristics and Associations with Problematic Use Outcomes, Quitting-Related Factors, and Mental Health among US Young Adults
Examines factors related to cannabis use via latent class analysis of survey data provided by 4,031 young adults. Includes data on frequency of use, problematic use, quitting, and mental health, with data breakdowns by rural, suburban/micropolitan, and urban dwelling.
Author(s): Carla J. Berg, Cassidy R. LoParco, Katelyn F. Romm, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 1
Date: 01/2025
Type: Document
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Examines factors related to cannabis use via latent class analysis of survey data provided by 4,031 young adults. Includes data on frequency of use, problematic use, quitting, and mental health, with data breakdowns by rural, suburban/micropolitan, and urban dwelling.
Author(s): Carla J. Berg, Cassidy R. LoParco, Katelyn F. Romm, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 1
Date: 01/2025
Type: Document
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Implementation of Mobile Medication Units: Findings from a Qualitative Study
Provides a brief overview of the development of policy regarding the approval of mobile medication units (MMUs) operated by opioid treatment programs (OTPs). Presents findings from an environmental scan and key informant interviews regarding MMU implementation. Discusses barriers to establishing, sustaining, and expanding MMU services. Describes opportunities to increase access to methadone in underserved communities. Includes rural references throughout.
Date: 01/2025
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides a brief overview of the development of policy regarding the approval of mobile medication units (MMUs) operated by opioid treatment programs (OTPs). Presents findings from an environmental scan and key informant interviews regarding MMU implementation. Discusses barriers to establishing, sustaining, and expanding MMU services. Describes opportunities to increase access to methadone in underserved communities. Includes rural references throughout.
Date: 01/2025
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Cancer-Related Health Behaviors During the COVID 19 Pandemic in Geographically Diverse Samples Across the US
Examines cancer-related health behaviors during the COVID-19 pandemic via a June 2020-March 2021 survey of 21,911 people conducted through eight cancer centers. Includes demographic data, including rural-urban comparisons, on changes in physical activity, fruit and vegetable intake, smoking and tobacco use, and alcohol consumption.
Author(s): Breanna B. Greteman, Allison Cole, Mary E. Charlton, et al.
Citation: BMC Cancer, 25, 50
Date: 01/2025
Type: Document
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Examines cancer-related health behaviors during the COVID-19 pandemic via a June 2020-March 2021 survey of 21,911 people conducted through eight cancer centers. Includes demographic data, including rural-urban comparisons, on changes in physical activity, fruit and vegetable intake, smoking and tobacco use, and alcohol consumption.
Author(s): Breanna B. Greteman, Allison Cole, Mary E. Charlton, et al.
Citation: BMC Cancer, 25, 50
Date: 01/2025
Type: Document
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Sexualized Drug Use Factors Among Rural Sexual Minority Men
Presents a study identifying factors that correspond to sexualized drug use, or substance use immediately before or during sex, for rural sexual minority men. Highlights risk factors of sexualized drug use, such as HIV infection, and details corresponding demographic and behavioral characteristics.
Author(s): Christopher Owens, Benjamin N. Montemayor
Citation: Journal of Rural Health, 41(1), e12917
Date: 2025
Type: Document
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Presents a study identifying factors that correspond to sexualized drug use, or substance use immediately before or during sex, for rural sexual minority men. Highlights risk factors of sexualized drug use, such as HIV infection, and details corresponding demographic and behavioral characteristics.
Author(s): Christopher Owens, Benjamin N. Montemayor
Citation: Journal of Rural Health, 41(1), e12917
Date: 2025
Type: Document
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Expanding the Opioid Use Disorder Medication Treatment Workforce in Rural Communities Through the RCORP Initiative
Examines the impact of the Rural Communities Opioid Response Program (RCORP) on the workforce supply of Drug Enforcement Administration (DEA)-waivered clinicians in rural areas, who are able to prescribe buprenorphine. Analyzes 2017–2022 DEA lists of waivered clinicians to report on counties with a waivered clinician, clinician-to-population ratios, and treatment slot-to-population ratios. Discusses the impact of RCORP funding on Opioid Use Disorder (OUD) recovery services in rural communities.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Kathleen Meyers, Davis G. Patterson
Citation: Journal of Rural Health, 41(1), e12867
Date: 2025
Type: Document
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Examines the impact of the Rural Communities Opioid Response Program (RCORP) on the workforce supply of Drug Enforcement Administration (DEA)-waivered clinicians in rural areas, who are able to prescribe buprenorphine. Analyzes 2017–2022 DEA lists of waivered clinicians to report on counties with a waivered clinician, clinician-to-population ratios, and treatment slot-to-population ratios. Discusses the impact of RCORP funding on Opioid Use Disorder (OUD) recovery services in rural communities.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Kathleen Meyers, Davis G. Patterson
Citation: Journal of Rural Health, 41(1), e12867
Date: 2025
Type: Document
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Substance Use Prevalence Among Indiana Youth
Provides 2024 information on substance use among youth in Indiana, with data on 30-day use rates, highest use substances, monthly use of electronic vapor products and other substances, and prevalence rates of rural student substance use.
Date: 12/2024
Type: Document
Sponsoring organization: Indiana Youth Institute
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Provides 2024 information on substance use among youth in Indiana, with data on 30-day use rates, highest use substances, monthly use of electronic vapor products and other substances, and prevalence rates of rural student substance use.
Date: 12/2024
Type: Document
Sponsoring organization: Indiana Youth Institute
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Texas Statewide Behavioral Health Strategic Plan: Progress Report, Fiscal Year 2024
Reports on the implementation of evidence-based and promising behavioral health practices in Texas. Includes discussion of practices focused on rural and border populations.
Date: 12/2024
Type: Document
Sponsoring organization: Texas Statewide Behavioral Health Coordinating Council
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Reports on the implementation of evidence-based and promising behavioral health practices in Texas. Includes discussion of practices focused on rural and border populations.
Date: 12/2024
Type: Document
Sponsoring organization: Texas Statewide Behavioral Health Coordinating Council
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Arizona State Health Assessment, 2024
Reports on the health of people in Arizona, including population subgroups, social determinants of health, and priority health issues. Discusses health and access disparities in rural, tribal, and border areas. Includes county-level data.
Date: 12/2024
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Reports on the health of people in Arizona, including population subgroups, social determinants of health, and priority health issues. Discusses health and access disparities in rural, tribal, and border areas. Includes county-level data.
Date: 12/2024
Type: Document
Sponsoring organization: Arizona Department of Health Services
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