Rural Health
Resources by Topic: Substance use and misuse
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 & 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 & 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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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, 61(2), e14638
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, 61(2), e14638
Date: 05/2025
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Reported Rural Drug Overdoses Decline 40 Percent in One Year (Pennsylvania)
Compares rates of drug overdoses in 2023 and 2024 in rural and urban areas of Pennsylvania. Features statistics on reported drug overdose rates per 100,000 during these years, percent of rural and urban residents receiving naloxone in 2023 and 2024, demographic information on rural overdose victims, and a county-level map showing percent change in reported overdoses by county.
Date: 05/2025
Sponsoring organization: Center for Rural Pennsylvania
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Compares rates of drug overdoses in 2023 and 2024 in rural and urban areas of Pennsylvania. Features statistics on reported drug overdose rates per 100,000 during these years, percent of rural and urban residents receiving naloxone in 2023 and 2024, demographic information on rural overdose victims, and a county-level map showing percent change in reported overdoses by county.
Date: 05/2025
Sponsoring organization: Center for Rural Pennsylvania
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Discreet but Accessible: A Qualitative Study with People Who Use Drugs and Service Staff about the Optimal Design of a Harm Reduction Vending Machine in Rural Kentucky
Analyzes perspectives on harm reduction vending machine (HRVM) access and suitability via interviews with people who use drugs as well as health department and syringe service program (SSP) staff in rural Appalachian Kentucky. Discusses factors influencing the usefulness of HRVMs and their ability to address public health needs such as infectious disease prevention, overdose reduction, and other community benefits.
Author(s): Rachel M. Marschke, April M. Young, Hannah K. Knudsen, Chelsi N. Cheatom, Hannah L. F. Cooper
Citation: Harm Reduction Journal, 22, 88
Date: 05/2025
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Analyzes perspectives on harm reduction vending machine (HRVM) access and suitability via interviews with people who use drugs as well as health department and syringe service program (SSP) staff in rural Appalachian Kentucky. Discusses factors influencing the usefulness of HRVMs and their ability to address public health needs such as infectious disease prevention, overdose reduction, and other community benefits.
Author(s): Rachel M. Marschke, April M. Young, Hannah K. Knudsen, Chelsi N. Cheatom, Hannah L. F. Cooper
Citation: Harm Reduction Journal, 22, 88
Date: 05/2025
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Prevalence and Predictors of Chronic Disease among Rural and Medically Underserved Populations Using Smokeless Tobacco
Examines chronic disease prevalence and associated risk factors among 532 smokeless tobacco (SLT) cessation intervention participants who live in rural and medically underserved communities. Includes data on chronic diseases including cancer, cardiovascular disease, diabetes, oral health, and more.
Author(s): Elaine Sang, Susan Silva, Sarah Grenon, et al.
Citation: Frontiers in Public Health, 13, 1565910
Date: 05/2025
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Examines chronic disease prevalence and associated risk factors among 532 smokeless tobacco (SLT) cessation intervention participants who live in rural and medically underserved communities. Includes data on chronic diseases including cancer, cardiovascular disease, diabetes, oral health, and more.
Author(s): Elaine Sang, Susan Silva, Sarah Grenon, et al.
Citation: Frontiers in Public Health, 13, 1565910
Date: 05/2025
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