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Rural Health
Resources by Topic: Substance use and misuse

Geographic Disparities by Rural-Urban Status and Drive Time to Care in Tobacco Treatment for COPD
Explores the potential relationship between the drive-time to tobacco dependence treatment (TDT) services and the development of COPD among smokers. Details distances of rural smokers to TDT services. Draws from Veterans Affairs data and breaks down data by demographic characteristics, treatment type, and rural versus urban location, among other measures.
Author(s): Arianne K. Baldomero, Anne C. Melzer, Ken M. Kunisaki, et al.
Citation: JAMA Network Open, 8(8), e2528898
Date: 08/2025
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Risk & Protective Factors for Rural Youth Substance Use: A Report for the Rural Network
Examines youth substance use in rural areas and various risk and protective factors. Utilizes data from Washington State's Rural Network members to analyze substance use and discusses school-based, family-based, and community-based preventive factors.
Author(s): Ellie Jackson
Date: 08/2025
Sponsoring organizations: Rural Network, WWAMI Rural Health Research Center
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Opportunities for Employers to Address the Opioid Epidemic: Results from a National Survey
Surveys 1,010 employees to learn their perspective on the Recovery-Ready Workplace (RRW) framework, a federally created opioid intervention for employers. Evaluates the implementation of the 4 areas addressed by RRW, noting areas for improvement related to Narcan access, stigma, and work arrangements that accommodate treatment.
Author(s): Gillian K. SteelFisher, Brian C. Castrucci, Mary G. Findling, et al.
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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Prescribed Medications for Patients with Amphetamine-Type Stimulant Use Disorder Seen in Rural-Serving Pacific Northwest Primary Care Clinics
Examines the frequency in which patients living in the rural Pacific Northwest with amphetamine-type stimulant use disorder (AT-StUD) received medications for AT-StUD in primary care clinics. Utilizes 2017-2021 electronic health record (EHR) data to analyze patients who have received prescriptions according to demographics, mental health status, and health behaviors.
Author(s): Megan J. Yerton, Connor J. McCabe, Matthew D. Iles-Shih, Judith I. Tsui, Kevin A. Hallgren
Citation: Addiction Science & Clinical Practice, 20, 67
Date: 08/2025
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NSDUH (National Survey on Drug Use and Health) Detailed Tables - 2024
Explores 2024 survey data on use of prescription and illicit drugs, alcohol, tobacco and nicotine products, trends in substance use disorder (SUD) and mental illness, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Date: 08/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Examining US Adolescent Cigarette Smoking Prevalence by Rurality and Gender, 2002–2019
Examines rural and urban prevalence of cigarette smoking among adolescents by sex, utilizing 2002-2019 U.S. National Survey on Drug Use and Health data. Analyzes changes over time and discusses rural-specific smoking disparities.
Author(s): Tyler G. Erath, Fang Fang Chen, Michael DeSarno, Stephen T. Higgins
Citation: Preventive Medicine, 108377
Date: 07/2025
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Maternal and Child Health Services Title V Block Grant - Tennessee: FY 2025 Application/FY 2023 Annual Report
Describes Tennessee's maternal and child health programs, including issues related to closures of birthing hospitals, healthcare access in rural areas, family planning, childhood obesity, tobacco use, telehealth access, transportation, and more.
Date: 07/2025
Sponsoring organization: Tennessee Department of Health
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Implementing a Tribally Engaged Lung Cancer Screening Pilot Program in Rural Oklahoma
Presents a study on the efficacy of a lung cancer screening program within a tribally operated health system in the Choctaw Nation of Oklahoma. Bases findings on pre- and post-intervention surveys. Makes recommendation for program expansion and highlights key barriers and facilitators to implementation.
Author(s): Zsolt Nagykaldi, Mark Doescher, Dorothy A. Rhoades, et al.
Citation: Cancer Prevention Research, 18(7), 423-430
Date: 07/2025
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Wisconsin Critical Access Hospitals: Meeting Rural Community Needs!
Provides the top community health priorities for Critical Access Hospitals (CAHs) in Wisconsin, focusing on access to care, chronic disease, mental health, social determinants of health, and substance use. Lists each CAH and their county location.
Date: 07/2025
Sponsoring organization: Wisconsin Office of Rural Health
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Spatial Accessibility of Substance Use Disorder Treatment Programs, Compared with Other Health Care Facilities, in New York State, 2024
Examines spatial accessibility to substance use disorder (SUD) treatment in New York State. Analyzes one-way travel time as well as the difference in travel between the closest and fifth closest facility. Includes maps comparing travel time to SUD treatment to other healthcare facilities in rural and urban areas of New York State.
Author(s): Marcus A. Bachhuber, Chinazo O. Cunningham, Pat Lincourt, Ashly E. Jordan
Citation: Addiction Science & Clinical Practice, 20, 60
Date: 07/2025
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