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Rural Health
Resources by Topic: Substance use and misuse

Final Report: Opioid Use, Misuse, and Overdose in Women
Discusses the need for prevention, treatment and recovery programs for women who have opioid use disorders. Focuses on the increase in opioid use among the female population and ways to help manage and respond to the impact of overuse and overdose. Provides a summary of the September 2016 national meeting focus on opioid use in women. Includes information about how rural location affects use and treatment, particularly lack of access to care and overdose remedies.
Additional links: White Paper, December 2016
Date: 07/2017
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services Office on Women's Health
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Correlates of Risky Alcohol Use Among Women from Appalachian Ohio
Examines the prevalence and predictors of heavy episodic alcohol use in women from 18 clinics in the Appalachian region of Ohio, a primarily rural area, as part of the Community Awareness Resources and Education I (CARE I) study. CARE I focused on determining how social, environmental, behavioral, and biological factors contribute to the causes and prevention of cervical cancer.
Author(s): Golfo K. Tzilos, Erinn M. Hade, Mack T. Ruffin, Electra D. Paskett
Citation: Journal of Rural Mental Health, 41(2), 152-161
Date: 06/2017
Type: Document
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Smokeless Tobacco Decision-Making Among Rural Adolescent Males in California
Examines factors impacting decision-making about using smokeless tobacco in rural adolescent males in California. Discusses the implications for public health educators and others seeking to reduce smokeless tobacco use.
Author(s): Elizabeth T. Couch, Ellen Darius, Margaret M. Walsh, Benjamin W. Chaffee
Citation: Journal of Community Health, 42(3), 544-550
Date: 06/2017
Type: Document
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The Use of E-cigarettes among School-going Adolescents in a Predominantly Rural Environment of Central Appalachia
Highlights a study on e-cigarette use among adolescents in rural Northeast Tennessee. Breaks down data by gender, age, and the concurrent use of e-cigarette and other tobacco products, among other factors.
Author(s): Daniel Owusu, Jocelyn Aibangbee, Candice Collins, et al.
Citation: Journal of Community Health, 42(3), 624-631
Date: 06/2017
Type: Document
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Substance Abuse in Indiana: An Urban-Rural Perspective
Analyzes the trends in alcohol use, other drug use, and available treatment options across rural and urban Indiana. Includes data and statistics on demographics and substance use treatment services by urban, rural/mixed, and rural area.
Author(s): Harold E. Kooreman, Marion S. Greene
Date: 06/2017
Type: Document
Sponsoring organization: Center for Health Policy, Richard M. Fairbanks School of Public Health at Indiana University-Purdue University Indianapolis
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Screening for Underage Drinking and DSM-5 Alcohol Use Disorder in Rural Primary Care Practice
Author manuscript describing study of 1,193 patients aged 12-20 who were assessed before their visit to one of 6 rural Pennsylvania clinics. Features statistics with breakdowns by age group, frequency of consumption, and quantity of consumption.
Author(s): Duncan B. Clark, Christopher S. Martin, Tammy Chung, et al.
Date: 06/2017
Type: Document
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Rural and Urban Utilization of the Emergency Department for Mental Health and Substance Abuse
Details a report on the use of emergency services in treating mental health and substance abuse (MH/SA) in both rural and urban settings. Discusses healthcare needs of MH/SA patients, as well as the increasing demands on emergency departments. Breaks down data by urban, large rural, small rural, and isolated rural emergency departments, as well as by age and primary payer of patients.
Author(s): Shawnda Schroeder, Mandi Leigh-Peterson
Date: 06/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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Changes in the Supply of Physicians with a DEA DATA Waiver to Prescribe Buprenorphine for Opioid Use Disorder
Data brief describing changes in access to waivered physicians from 2012 to 2016. Features a county-level map and statistics with breakdowns by urban areas and three levels of rural areas.
Author(s): C. Holly A. Andrilla, Cynthia Coulthard, Eric H. Larson
Date: 05/2017
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Heroin, Methamphetamine Use and Prescription Drug Abuse in Kentucky
Results of the 2016 survey from the Kentucky Health Issues Poll concerning the impact of drug abuse on respondents' family and friends. Includes breakdowns by rural, urban, and suburban counties.
Date: 05/2017
Type: Document
Sponsoring organizations: Foundation for a Healthy Kentucky, Interact for Health
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Promising Practice: Virginia SORH Taking Aim at Opioid Overdose
Illustrates how the Virginia State Office of Rural Health (VA SORH) and its partners are focusing their attention on the opioid epidemic in rural areas of the state by expanding treatment, and training lay rescuers to recognize and respond to an opioid overdose and administer naloxone when necessary.
Author(s): Beth Blevins
Date: 04/2017
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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