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Rural Health
Resources by Topic: Substance use and misuse

Rates of Substance Use of American Indian Students in 8th, 10th, and 12th Grades Living on or Near Reservations: Update, 2009-2012
Analyzes data from a large sample of American Indian students, showing lifetime, annual, and last-month use by grade. Includes breakdowns by type of drug and comparisons with substance abuse rates in a nationally representative group of secondary school students.
Author(s): Linda R. Stanley, Susan D. Harness, Randall C. Swaim, Fred Beauvais
Citation: Public Health Reports, 129(2)
Date: 03/2014
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Retail Tobacco Exposure: Using Geographic Analysis to Identify Areas With Excessively High Retail Density
Examines how socio-demographic factors relate to tobacco outlet density in the U.S. Includes rural versus urban tobacco outlet density data by race/ethnicity and poverty level.
Author(s): Daniel Rodriguez, Heather A. Carlos, Anna M. Adachi-Mejia, Ethan M. Berke, James Sargent
Citation: Nicotine & Tobacco Research, 16(2), 155-165
Date: 02/2014
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'It's about the Smoke, Not the Smoker': Messages That Motivate Rural Communities to Support Smoke-free Policies
Discusses the results of a series of focus groups and surveys with community activists in three rural Kentucky counties regarding the use of promotional materials used to endorse smoke-free policies.
Author(s): Ganna Kostygina, Ellen J. Hahn, Mary Kay
Citation: Health Education Research, 29(1), 58-71
Date: 02/2014
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Understanding the Rural–Urban Differences in Nonmedical Prescription Opioid Use and Abuse in the United States
This report analyzes the risk factors, including availability and access, that drive nonmedical prescription opioid drug misuse and abuse in U.S. states with large rural populations.
Author(s): Katherine M. Keyes, Magdalena Cerdá, Joanne E. Brady, Jennifer R. Havens, Sandro Galea
Citation: American Journal of Public Health, 104(2)
Date: 02/2014
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Developing Empirically Based, Culturally Grounded Drug Prevention Interventions for Indigenous Youth Populations
Describes the relevance of a culturally grounded approach when developing a drug prevention program for Indigenous youth. Includes implications for culturally grounded approaches in behavioral health services and a case example of a drug prevention program for rural Native Hawaiian youth.
Author(s): Scott K. Okamoto, Susana Helm, Suzanne Pel, et al.
Citation: Journal of Behavioral Health Services & Research, 41(1)
Date: 01/2014
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Gender Differences in Circumstances Surrounding First Injection Experience of Rural Injection Drug Users in the United States
Discusses the gender differences between first time drug injection users in Appalachian Kentucky who primarily use prescription opioids.
Author(s): April M. Young, Nika Larian, Jennifer R. Havens
Citation: Drug and Alcohol Dependence, 134, 401-405
Date: 01/2014
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Religiosity and Sexual Risk Behaviors Among African American Cocaine Users in the Rural South
Reports on a study investigating the association between religious behavior and sexual behavior among African Americans in rural Arkansas who use cocaine.
Author(s): Brooke E.E. Montgomery, Katharine E. Stewart, Karen H.K. Yeary, et al.
Citation: Journal of Rural Health, 30(3), 284-291
Date: 2014
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Drug Offers as a Context for Violence Perpetration and Victimization
Analyzes the connection of drug use by rural Native Hawaiian youth with aggressive behavior and violence.
Author(s): Susana Helm, Scott Okamoto, Alexis Kaliades, Danielle Giroux
Citation: Journal of Ethnicity in Substance Abuse, 13(1), 39-57
Date: 2014
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Facilitators of Health Systems Change for Tobacco Dependence Treatment: A Qualitative Study of Stakeholders' Perceptions
An evaluation of tobacco treatment programs in rural and urban health systems in Minnesota that demonstrates they can implement extensive changes in a short time to enhance treatment of tobacco dependence. Emphasizes the use of electronic health records and healthcare quality measures to improve the healthcare environment for tobacco dependence.
Author(s): Amanda L Jansen, Traci R Capesius, Randi Lachter, Lija O Greenseid, Paula A Keller
Citation: BMC Health Services Research, 14, 575
Date: 2014
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Trends and Geographic Patterns in Drug-Poisoning Death Rates in the U.S., 1999–2009
Utilizes small-area estimation techniques to approximate county-level age-adjusted death rates (AADR) associated with drug poisoning in the U.S. to explore geographic and temporal variations. Includes AADR data by annual change, rural versus urban location, and region of the U.S.
Author(s): Lauren M. Rossen, Diba Khan, Margaret Warner
Citation: American Journal of Preventive Medicine, 45(6), e19-e25
Date: 12/2013
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