Rural Health
Resources by Topic: Substance use and misuse
Lung Cancer Disparities in Rural, Persistent Poverty Counties: A Secondary Data Analysis
Examines lung cancer incidence and mortality according to county-level smoking rates, rurality, and poverty. Analyzes county types, such as urban and non-persistent poverty, urban and persistent poverty, rural and non-persistent poverty, and rural and persistent poverty as correlated with lung cancer disparities.
Author(s): Veronica Bernacchi, Kelly Hirko, Eric Adjei Boakye, et al.
Citation: BMC Public Health, 25, 878
Date: 03/2025
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Examines lung cancer incidence and mortality according to county-level smoking rates, rurality, and poverty. Analyzes county types, such as urban and non-persistent poverty, urban and persistent poverty, rural and non-persistent poverty, and rural and persistent poverty as correlated with lung cancer disparities.
Author(s): Veronica Bernacchi, Kelly Hirko, Eric Adjei Boakye, et al.
Citation: BMC Public Health, 25, 878
Date: 03/2025
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Texas Border Health Data Overview
Presentation slides providing data on population, noncommunicable disease, mental and behavioral health, maternal and child health, and injuries in Texas's border region. Includes data comparisons between border and non-border counties.
Author(s): Rhae Cisneros
Date: 02/2025
Sponsoring organization: Texas Health and Human Services
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Presentation slides providing data on population, noncommunicable disease, mental and behavioral health, maternal and child health, and injuries in Texas's border region. Includes data comparisons between border and non-border counties.
Author(s): Rhae Cisneros
Date: 02/2025
Sponsoring organization: Texas Health and Human Services
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Mechanisms of Resilience and Coping to Intersectional HIV Prevention and Drug-Use Stigma among People who Inject Drugs in Rural Appalachian Ohio
Analyzes perspectives on resilience and coping strategies and behaviors related to stigma reduction and HIV prevention among people who inject drugs (PWID) in rural Appalachian Ohio, utilizing interview data of 35 PWID. Discusses the role of supports for PWID in improving public health outcomes in rural areas.
Author(s): Stacy Endres-Dighe, Ana D. Sucaldito, Renee McDowell, et al.
Citation: Harm Reduction Journal, 22, 18
Date: 02/2025
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Analyzes perspectives on resilience and coping strategies and behaviors related to stigma reduction and HIV prevention among people who inject drugs (PWID) in rural Appalachian Ohio, utilizing interview data of 35 PWID. Discusses the role of supports for PWID in improving public health outcomes in rural areas.
Author(s): Stacy Endres-Dighe, Ana D. Sucaldito, Renee McDowell, et al.
Citation: Harm Reduction Journal, 22, 18
Date: 02/2025
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Disparities in Substance Use Disorder Telehealth Services
Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Peer-Assisted Telemedicine Hepatitis-C Treatment for People Who Use Drugs in Rural Communities: A Mixed Methods Study
Examines the Oregon HOPE TeleHCV study, which provided peer-facilitated telemedicine hepatitis C virus (HCV) treatment for people who use drugs (PWUD) in rural Oregon. Utilizes survey and interview data provided by patients and clinicians to identify effective strategies for building trust and reducing barriers to treatment at the systems, clinical, and peer levels.
Author(s): Kim Hoffman, Gillian Leichtling, Sarah Shin, et al.
Citation: Addiction Science & Clinical Practice, 20, 10
Date: 02/2025
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Examines the Oregon HOPE TeleHCV study, which provided peer-facilitated telemedicine hepatitis C virus (HCV) treatment for people who use drugs (PWUD) in rural Oregon. Utilizes survey and interview data provided by patients and clinicians to identify effective strategies for building trust and reducing barriers to treatment at the systems, clinical, and peer levels.
Author(s): Kim Hoffman, Gillian Leichtling, Sarah Shin, et al.
Citation: Addiction Science & Clinical Practice, 20, 10
Date: 02/2025
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Over-the-Counter Naloxone Availability at North Carolina Community Pharmacies: A Secret Shopper Study
Examines access to over-the-counter naloxone at pharmacies in North Carolina. Analyzes data from 600 community pharmacies and provides rural versus urban data on naloxone availability, pharmacy type, cost, and more.
Author(s): Delesha M. Carpenter, Grace T. Marley, Izabela E. Annis, Paul Delamater, Kathleen L. Egan
Citation: Drug and Alcohol Dependence, 267, 112545
Date: 02/2025
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Examines access to over-the-counter naloxone at pharmacies in North Carolina. Analyzes data from 600 community pharmacies and provides rural versus urban data on naloxone availability, pharmacy type, cost, and more.
Author(s): Delesha M. Carpenter, Grace T. Marley, Izabela E. Annis, Paul Delamater, Kathleen L. Egan
Citation: Drug and Alcohol Dependence, 267, 112545
Date: 02/2025
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Opioid Overdose Surveillance Preliminary District Report: Georgia, 2023
Describes district-level fatal and nonfatal opioid-involved overdoses in Georgia from 2021-2023. Covers prescription opioids and illicit opioids, and features statistics on demographics, overdose deaths, and emergency department (ED) visits, with breakdowns by district, drug type, and year. Includes county-level maps with shadings showing ranges of opioid-involved deaths and ED visits per 100,000.
Date: 01/2025
Sponsoring organization: Georgia Department of Public Health
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Describes district-level fatal and nonfatal opioid-involved overdoses in Georgia from 2021-2023. Covers prescription opioids and illicit opioids, and features statistics on demographics, overdose deaths, and emergency department (ED) visits, with breakdowns by district, drug type, and year. Includes county-level maps with shadings showing ranges of opioid-involved deaths and ED visits per 100,000.
Date: 01/2025
Sponsoring organization: Georgia Department of Public Health
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Enhancing Rural Access to Medications for Opioid Use Disorder: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to opioid use disorder (OUD) in rural areas. Discusses access to medication for opioid use disorder (MOUD), MOUD workforce, telehealth to support access to MOUD, and Medicaid 1115 demonstrations that address OUD. Offers policy recommendations related to regulatory barriers, reimbursement flexibility, workforce, and service site expansion to increase access to MOUD in rural areas.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of issues related to opioid use disorder (OUD) in rural areas. Discusses access to medication for opioid use disorder (MOUD), MOUD workforce, telehealth to support access to MOUD, and Medicaid 1115 demonstrations that address OUD. Offers policy recommendations related to regulatory barriers, reimbursement flexibility, workforce, and service site expansion to increase access to MOUD in rural areas.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Assessing the Needs of Rural Families Affected by the Opioid Crisis: Issue Brief and Recommendations to the Secretary
Explores the considerations for addressing social determinants of health that influence opioid use disorder (OUD) and the role of community efforts in prevention, treatment, and recovery in rural areas, with a focus on prevention efforts in Las Vegas, New Mexico. Discusses youth and family prevention and well-being; stigma; adverse childhood experience; school-based health centers and youth and family resource centers; access to stable housing, food, and other social supports; the importance of trusted community resources for support; and workforce. Offers recommendations related to reducing stigma and promoting the enhanced utilization of the Community Services Block Grant (CSBG) to help rural communities address OUD and substance use disorders.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Explores the considerations for addressing social determinants of health that influence opioid use disorder (OUD) and the role of community efforts in prevention, treatment, and recovery in rural areas, with a focus on prevention efforts in Las Vegas, New Mexico. Discusses youth and family prevention and well-being; stigma; adverse childhood experience; school-based health centers and youth and family resource centers; access to stable housing, food, and other social supports; the importance of trusted community resources for support; and workforce. Offers recommendations related to reducing stigma and promoting the enhanced utilization of the Community Services Block Grant (CSBG) to help rural communities address OUD and substance use disorders.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Opioid Use Among Rural Medicare Beneficiaries
Examines trends in prescription opioid use among Medicare beneficiaries in rural areas, utilizing 2010-2017 Medicare Current Beneficiary Survey (MCBS) data. Provides data on receipt of opioid prescriptions among community-dwelling and facility-dwelling beneficiaries, associations between prescribing and chronic overlapping pain conditions (COPCs), and prescriptions exceeding CDC guidelines. Includes rural-urban comparisons.
Author(s): Yvonne Jonk, Heidi O'Connor, Karen Pearson, et al.
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Examines trends in prescription opioid use among Medicare beneficiaries in rural areas, utilizing 2010-2017 Medicare Current Beneficiary Survey (MCBS) data. Provides data on receipt of opioid prescriptions among community-dwelling and facility-dwelling beneficiaries, associations between prescribing and chronic overlapping pain conditions (COPCs), and prescriptions exceeding CDC guidelines. Includes rural-urban comparisons.
Author(s): Yvonne Jonk, Heidi O'Connor, Karen Pearson, et al.
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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