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Rural Health
Resources by Topic: Substance use and misuse

Addressing Opioid Misuse through Community-Engaged Strategy Development: Study Protocol of a Randomized Controlled Trial
Describes the design of a research study to evaluate the effectiveness of the SEED Method and a modified Delphi method for the recruitment of participants to a community-based participatory research project. Study participants will develop strategies to respond to the opioid epidemic in three rural Virginia communities.
Author(s): Emily B. Zimmerman, Carlin Rafie, Sophie G. Wenzel, et al.
Citation: Research Involvement and Engagement, 10, 74
Date: 07/2024
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Risk Factors for Persistent Fatal Opioid-Involved Overdose Clusters in Massachusetts 2011–2021: A Spatial Statistical Analysis with Socio-Economic, Accessibility, and Prescription Factors
Examines locations with high opioid-involved overdose deaths in Massachusetts as well as factors contributing to mortality, such as social infrastructure and opioid prescribing practices. Provides state maps showing opioid overdose rates according to ZIP Code Tabulation Area (ZCTA). Includes data on social infrastructure access, opioid prescriptions, and ZCTA clusters, with breakdowns by poverty and race.
Author(s): Sumeeta Srinivasan, Jennifer Pustz, Elizabeth Marsh, Leonard D. Young, Thomas J. Stopka
Citation: BMC Public Health, 24, 1893
Date: 07/2024
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Prescription Opioid Tapering Practices and Outcomes at a Rural VA Health Care System
Presents a study on the clinical characteristics of rural veterans using opioids for chronic pain and undergoing opioid tapering. Breaks down data on outcomes from tapering for rural veterans who were taking 90 Morphine Equivalent Daily Dose (MEDD) or more. Highlights common tapering outcomes, such as increased pain, suicidal ideation, and other withdrawal symptoms.
Author(s): Rena Elizabeth Courtney, Emily Halsey, Tanvi Patil, et al.
Citation: Pain Medicine, 25(7), 480-482
Date: 07/2024
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Fetal Death in Tennessee, 2017-2021: 2024 Report
Describes the characteristics and trends of reportable fetal deaths in Tennessee from 2017-2021. Features statistics including fetal mortality rate with breakdowns by 6 levels of population density.
Date: 06/2024
Sponsoring organization: Tennessee Department of Health
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Barriers to Healthcare and Social Service Utilization Among Rural Older Adults Who Use Drugs
Presents a study on the barriers to healthcare and social services access for older adults in rural communities who use drugs. Bases findings on survey results from rural adults over 50 who use drugs on perceived barriers to service utilization. Highlights how barriers such as a lack of transportation, health insurance, and permanent housing correlates with age.
Author(s): Beth Prusaczyk, Sandra Tilmon, Joshua Landman, et al.
Citation: Journal of Applied Gerontology, 43(12), 1977-1984
Date: 06/2024
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FY24-FY26 New Mexico State Health Improvement Plan (SHIP) Summary
Outlines New Mexico's disease prevention and health promotion plan for fiscal years 2024-2026. Identifies health priorities and strategies to increase access to primary care, reduce the incidence of substance misuse and mental health conditions, improve environmental health, and increase prevention and support for those affected by adverse childhood experiences. Includes discussion of tribal and rural health needs.
Date: 06/2024
Sponsoring organization: New Mexico Department of Health
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Stress, Mental Health, and Risk-Taking: Associations among a Sample of Agricultural Adolescents
Reports on a survey of 298 adolescents living on farms about mental health, anxiety, and risk-taking behaviors related to weapons, violence, and substance use. Discusses the implications of study findings with regard to access to mental healthcare.
Author(s): Josie M. Rudolphi, Richard L. Berg
Citation: International Journal of Research and Public Health, 21(7), 830
Date: 06/2024
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New Mexico Substance Use Epidemiology Profile, 2024
Provides county-level data on substance use in New Mexico for youth and adults, with breakdowns by race/ethnicity. Covers alcohol, illicit drugs, tobacco, and mental health. Addresses deaths due to drug overdoses, smoking, alcohol, suicide, alcohol-related chronic disease, and motor vehicle crashes. Includes emergency room visits related to opioid overdoses, and chronic liver disease hospital discharges.
Date: 06/2024
Sponsoring organization: New Mexico Department of Health
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Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Sponsoring organization: The Milken Institute
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Assessing How Alcohol Use Patterns Relate to Obesity among American Adolescents from Rural and Urban Areas: Five Years of Pooled Data
Analyzes the association between alcohol use and obesity among rural and urban adolescents aged 12-17. Utilizes 2015-2019 National Survey on Drug Use and Health data.
Author(s): Christian E. Vazquez, Fawn A. Brown, Faheem Ohri, Philip Baiden
Citation: PLoS ONE, 19(6), e0305638
Date: 06/2024
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