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Rural Health
Resources by Topic: Substance use and misuse

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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Extreme Binge Drinking Among 12th-Grade Students in the U.S.: Prevalence and Predictors
Analyzes the frequency and predictors of binge drinking and extreme binge drinking by 12th graders in rural and urban areas of the U.S.
Author(s): Megan E. Patrick, John E. Schulenberg, Meghan E. Martz, et al.
Citation: JAMA Pediatrics, 167(11), 1019-25
Date: 11/2013
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Risky Sex in Rural America: Longitudinal Changes in a Community-Based Cohort of Methamphetamine and Cocaine Users
Analyzes the relationship between stimulant use and sexual behavior in a community-based study of rural users in select counties in Arkansas, Kentucky, and Ohio.
Author(s): Tyrone F. Borders, Katharine E. Stewart, Patricia B. Wright
Citation: American Journal on Addictions, 22(6), 535-542
Date: 11/2013
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From Kids, Through Kids, To Kids: Examining the Social Influence Strategies Used by Adolescents to Promote Prevention among Peers
Examines messages adolescents believe are most effective in persuading their peers to resist substance use through an analysis of messages created by students from 20 rural middle schools. Gathers data on the audience-generated intervention messages to determine if they are similar to campaign philosophy and branding.
Author(s): Janice L. Krieger, Samantha Coveleski, Michael L. Hecht, et al.
Citation: Health Communication, 28(7), 683-695
Date: 10/2013
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