Rural Health
Resources by Topic: Substance use and misuse
A Comparison of Classifications for Geographic Location and Their Associations with Tobacco Use among US Adults
Details a study on the differences in 2 different rural classification in rates of cigarette, e-cigarette, and smokeless tobacco usage. Compares U.S. Census Bureau's definition of urban and rural areas with the National Center for Education Statistics' urban/suburban/town/rural classification.
Author(s): Jenny E. Ozga, Andrea Milstred, Melissa D. Blank, et al.
Citation: Journal of Rural Health, 41(3), e70070
Date: 06/2025
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Details a study on the differences in 2 different rural classification in rates of cigarette, e-cigarette, and smokeless tobacco usage. Compares U.S. Census Bureau's definition of urban and rural areas with the National Center for Education Statistics' urban/suburban/town/rural classification.
Author(s): Jenny E. Ozga, Andrea Milstred, Melissa D. Blank, et al.
Citation: Journal of Rural Health, 41(3), e70070
Date: 06/2025
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Tobacco Treatment Billing and Tobacco Use Disorder Diagnosis in Healthcare Settings in the United States: An Analysis of South Carolina Medicaid Claims
Examines demographic differences in tobacco use disorder diagnosis and receipt of counseling among Medicaid beneficiaries in South Carolina, utilizing 2019-2022 South Carolina Medicaid administrative claims data. Includes data breakdowns by rural or urban dwelling, among other factors.
Author(s): Kinsey Pebley, Joni D. Nelson, Julie L. Marshall, Alana M. Rojewski
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 24
Date: 06/2025
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Examines demographic differences in tobacco use disorder diagnosis and receipt of counseling among Medicaid beneficiaries in South Carolina, utilizing 2019-2022 South Carolina Medicaid administrative claims data. Includes data breakdowns by rural or urban dwelling, among other factors.
Author(s): Kinsey Pebley, Joni D. Nelson, Julie L. Marshall, Alana M. Rojewski
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 24
Date: 06/2025
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Evaluation of the Maternal Opioid Misuse (MOM) Model: Fourth Annual Report (Implementation Year 3)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2023–June 30, 2024, and summarizes qualitative and beneficiary-level process data findings by state awardee. Discusses barriers pregnant and postpartum women with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 06/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Westat
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2023–June 30, 2024, and summarizes qualitative and beneficiary-level process data findings by state awardee. Discusses barriers pregnant and postpartum women with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 06/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Westat
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Report to Congress on Medicaid and CHIP, June 2025
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to transitions from pediatric to adult care for Medicaid-covered children and youth with special health care needs (CYSHCN). Also discusses appropriate access to residential behavioral health treatment services for children, findings from MACPAC's analytic work on access to medications for opioid use disorder (MOUD) in Medicaid, an overview on the Program of All-Inclusive Care for the Elderly, and self-direction for Medicaid home- and community-based services. Includes rural references throughout.
Date: 06/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to transitions from pediatric to adult care for Medicaid-covered children and youth with special health care needs (CYSHCN). Also discusses appropriate access to residential behavioral health treatment services for children, findings from MACPAC's analytic work on access to medications for opioid use disorder (MOUD) in Medicaid, an overview on the Program of All-Inclusive Care for the Elderly, and self-direction for Medicaid home- and community-based services. Includes rural references throughout.
Date: 06/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Pain in the Nation 2025: The Epidemics of Alcohol, Drug, and Suicide Deaths
Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on polysubstance use and drug overdose issues. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Date: 05/2025
Sponsoring organization: Trust for America's Health
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Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on polysubstance use and drug overdose issues. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Date: 05/2025
Sponsoring organization: Trust for America's Health
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America's Health Rankings Senior Report 2025
Provides a national and state-by-state overview of population health for older adults across 55 measures using data from 24 unique data sources. Covers social and economic factors, physical environment, clinical care, behaviors, and health outcomes. Highlights health disparities, including rural-urban disparities, across five categories of health. Includes state-by-state summaries and county-level maps for risk of social isolation by state.
Additional links: Executive Brief, Risk of Social Isolation County-Level Maps, State Summaries
Date: 05/2025
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of population health for older adults across 55 measures using data from 24 unique data sources. Covers social and economic factors, physical environment, clinical care, behaviors, and health outcomes. Highlights health disparities, including rural-urban disparities, across five categories of health. Includes state-by-state summaries and county-level maps for risk of social isolation by state.
Additional links: Executive Brief, Risk of Social Isolation County-Level Maps, State Summaries
Date: 05/2025
Sponsoring organization: United Health Foundation
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Practical Ways to Implement The 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain among American Indian and Alaska Native Patients
Report presents strategies for adapting the Centers for Disease Control and Prevention's 2022 opioid prescribing guidelines for application in American Indian and Alaska Native (AI/AN) communities. Discusses methods for clinicians to speak with AI/AN patients about pain and the options available to them.
Author(s): Myra Parker, Kase Cragg, Jacob Fong-Gurzinsky, et al.
Date: 05/2025
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
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Report presents strategies for adapting the Centers for Disease Control and Prevention's 2022 opioid prescribing guidelines for application in American Indian and Alaska Native (AI/AN) communities. Discusses methods for clinicians to speak with AI/AN patients about pain and the options available to them.
Author(s): Myra Parker, Kase Cragg, Jacob Fong-Gurzinsky, et al.
Date: 05/2025
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
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Exploring Spatial Dynamics of Trauma and Substance use Among Suicide Deaths in the United States (2017–2021)
Examines the spatial relationship among trauma, substance use, and suicide in the United States. Utilizes National Violent Death Reporting System (NVDRS) data to generate county-level U.S. maps showing hot spot analyses of traumatic events, suicides, and substance use. Discusses regionality and rurality related to hot spot trends.
Author(s): Bianca D. Smith, Kechna Cadet, Terrinieka W. Powell
Citation: Injury Epidemiology, 12, 22
Date: 05/2025
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Examines the spatial relationship among trauma, substance use, and suicide in the United States. Utilizes National Violent Death Reporting System (NVDRS) data to generate county-level U.S. maps showing hot spot analyses of traumatic events, suicides, and substance use. Discusses regionality and rurality related to hot spot trends.
Author(s): Bianca D. Smith, Kechna Cadet, Terrinieka W. Powell
Citation: Injury Epidemiology, 12, 22
Date: 05/2025
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National Survey of Lung Cancer Screening Eligibility in United States Veterans
Explores a study evaluating the portion of veterans eligible and screened for lung cancer in rural and urban areas. Discusses the differences in screening and mortality rates between rural and urban areas. Breaks down data by age, family cancer history, and smoking history, among other factors.
Author(s): Jennifer A. Lewis, Allison Stranick, Jacquelyn Pennings, et al.
Citation: American Journal of Preventive Medicine, 68(5), 886-895
Date: 05/2025
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Explores a study evaluating the portion of veterans eligible and screened for lung cancer in rural and urban areas. Discusses the differences in screening and mortality rates between rural and urban areas. Breaks down data by age, family cancer history, and smoking history, among other factors.
Author(s): Jennifer A. Lewis, Allison Stranick, Jacquelyn Pennings, et al.
Citation: American Journal of Preventive Medicine, 68(5), 886-895
Date: 05/2025
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Delaying Screening Until Covered? Changes in Lung Cancer Screening at the Age of Nearly-Universal Medicare Insurance
Examines the impact of first-time screening of lung cancer at age 65, the age of nearly universal Medicare insurance coverage. Utilizes 2015-2020 American College of Radiology's Lung Cancer Screening Registry data to analyze differences in screening rates between ages 60-64 and 65-69. Includes additional data breakdowns such as patient demographics, smoking behaviors, eligibility for screening, and rural versus non-rural patient location.
Author(s): Marcelo C. Perraillon, Adam Warren, Lenka Goldman, Jamie L. Studts, Rebecca M. Myerson
Citation: Health Services Research
Date: 05/2025
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Examines the impact of first-time screening of lung cancer at age 65, the age of nearly universal Medicare insurance coverage. Utilizes 2015-2020 American College of Radiology's Lung Cancer Screening Registry data to analyze differences in screening rates between ages 60-64 and 65-69. Includes additional data breakdowns such as patient demographics, smoking behaviors, eligibility for screening, and rural versus non-rural patient location.
Author(s): Marcelo C. Perraillon, Adam Warren, Lenka Goldman, Jamie L. Studts, Rebecca M. Myerson
Citation: Health Services Research
Date: 05/2025
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