Rural Health
Resources by Topic: Substance use and misuse
The SUPPORT for Patients and Communities Reauthorization Act of 2025: Section-by-Section Summary
Provides a section-by-section description of the SUPPORT for Patients and Communities Reauthorization Act (P.L. 119-44). Includes background information and a summary of each provision. Table 1 presents expired authorizations and appropriations in the SUPPORT Act of 2018, related annual appropriations, and whether the SUPPORT for Patients and Communities Reauthorization Act reauthorized each provision.
Date: 09/2026
Sponsoring organization: Congressional Research Service
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Provides a section-by-section description of the SUPPORT for Patients and Communities Reauthorization Act (P.L. 119-44). Includes background information and a summary of each provision. Table 1 presents expired authorizations and appropriations in the SUPPORT Act of 2018, related annual appropriations, and whether the SUPPORT for Patients and Communities Reauthorization Act reauthorized each provision.
Date: 09/2026
Sponsoring organization: Congressional Research Service
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Methadone Versus Buprenorphine/Naloxone: Treatment Outcome Differences among Individuals Receiving Medications for Opioid Use Disorders in Rural Treatment Settings - A 1-Year Retrospective Cohort Study
Presents a study comparing the efficacy of methadone and buprenorphine treatments for opioid use disorders (OUD) in community-based rural treatment settings. Bases findings on data from patients who began treatment in 2019 at four rural clinics in Oregon. Breaks down data by participant age, OUD diagnosis, and employment status, among other measures.
Author(s): Anna MacCamy, Lisa Khairy, Tara Wasser, et al.
Citation: Journal of Rural Health, 42(4), e70219
Date: 09/2026
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Presents a study comparing the efficacy of methadone and buprenorphine treatments for opioid use disorders (OUD) in community-based rural treatment settings. Bases findings on data from patients who began treatment in 2019 at four rural clinics in Oregon. Breaks down data by participant age, OUD diagnosis, and employment status, among other measures.
Author(s): Anna MacCamy, Lisa Khairy, Tara Wasser, et al.
Citation: Journal of Rural Health, 42(4), e70219
Date: 09/2026
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Place-Based Risk: Examining Relationships Between Adolescent Perceptions of Community Risk Factors and Adolescent Substance Use Across Geographic Contexts
Examines adolescent perceptions of structural and social factors that influence their substance use in rural and urban communities. Utilizes 2019 Florida Youth Substance Abuse Survey data from 9,819 adolescents to analyze alcohol, tobacco, marijuana, and illicit drug use according to sociodemographics, cultural norms, law enforcement response to substance use, availability of drugs, and urban, suburban, town, or rural location.
Author(s): Melissa Pearman Fenton, Sarah D. Lynne, Josie L. Bryan, Catherine Woodstock Striley, Larry F. Forthun
Citation: American Journal of Community Psychology, 78(1-2), 245-262
Date: 09/2026
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Examines adolescent perceptions of structural and social factors that influence their substance use in rural and urban communities. Utilizes 2019 Florida Youth Substance Abuse Survey data from 9,819 adolescents to analyze alcohol, tobacco, marijuana, and illicit drug use according to sociodemographics, cultural norms, law enforcement response to substance use, availability of drugs, and urban, suburban, town, or rural location.
Author(s): Melissa Pearman Fenton, Sarah D. Lynne, Josie L. Bryan, Catherine Woodstock Striley, Larry F. Forthun
Citation: American Journal of Community Psychology, 78(1-2), 245-262
Date: 09/2026
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Expanding Peer Recovery Services in Rural Georgia: A Recovery Community Organization's Approach
Provides information on recovery community organizations (RCOs) and their role in providing support to people with substance use disorder (SUD). Discusses the implementation, programs, services, staffing, funding, and impact of an RCO in rural Georgia.
Author(s): Vanessa Finisse
Date: 09/2026
Sponsoring organization: Center for Health Care Strategies
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Provides information on recovery community organizations (RCOs) and their role in providing support to people with substance use disorder (SUD). Discusses the implementation, programs, services, staffing, funding, and impact of an RCO in rural Georgia.
Author(s): Vanessa Finisse
Date: 09/2026
Sponsoring organization: Center for Health Care Strategies
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Cancer Survival Differences Between Rural and Urban Populations During the Opioid Epidemic: A SEER Analysis
Explores how rural and urban cancer survival changed over time during the U.S. opioid epidemic, and how rural cancer survival disparities were associated with increasing drug mortality during the same period. Utilizes 2000-2016 SEER and CDC WONDER data.
Author(s): Martin G. Bouldo, Daniel J. Becker
Citation: Anticancer Research, 46(9), 4973-4984
Date: 09/2026
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Explores how rural and urban cancer survival changed over time during the U.S. opioid epidemic, and how rural cancer survival disparities were associated with increasing drug mortality during the same period. Utilizes 2000-2016 SEER and CDC WONDER data.
Author(s): Martin G. Bouldo, Daniel J. Becker
Citation: Anticancer Research, 46(9), 4973-4984
Date: 09/2026
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Unmasking the Rural Substance Use Burden: The Need to Move Beyond Macro-Level Data in Substance Use Policy and Planning
Brief examines health-related differences and service gaps of rural, non-rural, and national communities to better understand substance use trends in order to inform policies and interventions in rural communities. Bases findings on data from the National Survey on Drug Use and Health (NSDUH) and details rates of opioid, stimulant, vape, and alcohol use in rural and urban areas in 2023 and 2024.
Date: 09/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Brief examines health-related differences and service gaps of rural, non-rural, and national communities to better understand substance use trends in order to inform policies and interventions in rural communities. Bases findings on data from the National Survey on Drug Use and Health (NSDUH) and details rates of opioid, stimulant, vape, and alcohol use in rural and urban areas in 2023 and 2024.
Date: 09/2026
Sponsoring organization: Rural Communities Opioid Response Program - Technical Assistance
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Exploring Potential Predictors and Mediators of Marijuana Use Among US Women: A Structural Equation Modeling Approach
Examines variables related to marijuana use among U.S. adult women who reported marijuana use in the last year. Utilizes 2023 National Survey on Drug Use and Health data to analyze marijuana use with breakdowns according to sociodemographic variables, criminal history, binge drinking, and nonmetropolitan, small metropolitan, or large metropolitan county location.
Author(s): Elfreda Samman, Wah Wah Myint, Gabrielle Torres-Coley, Aishatu Yusuf
Citation: Preventing Chronic Disease, 23
Date: 09/2026
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Examines variables related to marijuana use among U.S. adult women who reported marijuana use in the last year. Utilizes 2023 National Survey on Drug Use and Health data to analyze marijuana use with breakdowns according to sociodemographic variables, criminal history, binge drinking, and nonmetropolitan, small metropolitan, or large metropolitan county location.
Author(s): Elfreda Samman, Wah Wah Myint, Gabrielle Torres-Coley, Aishatu Yusuf
Citation: Preventing Chronic Disease, 23
Date: 09/2026
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Urban-Rural and Racial/Ethnic Disparities in Modes of Preconception Cannabis Use among Insured Patients Receiving Prenatal Care at an Integrated Healthcare System in Northern California from 2020 to 2023
Analyzes joint interactions in race and ethnicity and level of rurality on cannabis use and mode of use during preconception, using Kaiser Permanente Northern California (KPNC) data of 191,469 pregnancies taking place between February 2020 and September 2023.
Author(s): Qiana L. Brown, Catherine A. Cortez, Joshua R. Nugent, et al.
Citation: Drug and Alcohol Dependence, 286, 113281
Date: 09/2026
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Analyzes joint interactions in race and ethnicity and level of rurality on cannabis use and mode of use during preconception, using Kaiser Permanente Northern California (KPNC) data of 191,469 pregnancies taking place between February 2020 and September 2023.
Author(s): Qiana L. Brown, Catherine A. Cortez, Joshua R. Nugent, et al.
Citation: Drug and Alcohol Dependence, 286, 113281
Date: 09/2026
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Oregon by the Numbers - Key Measures for Oregon and Its Counties
Breaks down demographic and socioeconomic data in Oregon by county. Highlights data on various measures for each county such as food insecurity, unemployment rate, adult smoking, broadband access, and percent rural versus urban, among others.
Date: 08/2026
Sponsoring organizations: Oregon State University Rural Studies Program, The Ford Family Foundation
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Breaks down demographic and socioeconomic data in Oregon by county. Highlights data on various measures for each county such as food insecurity, unemployment rate, adult smoking, broadband access, and percent rural versus urban, among others.
Date: 08/2026
Sponsoring organizations: Oregon State University Rural Studies Program, The Ford Family Foundation
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Non-Metropolitan vs. Metropolitan Variations in Alcohol, Illicit Drug, and Prescription Therapeutic Drug Misuse
Reports on how alcohol use, illicit drug use, and the use of opioid and non-opioid prescription drugs vary by rural or urban area using 2023-2024 National Survey on Drug Use and Health (NSDUH) data.
Author(s): Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Reports on how alcohol use, illicit drug use, and the use of opioid and non-opioid prescription drugs vary by rural or urban area using 2023-2024 National Survey on Drug Use and Health (NSDUH) data.
Author(s): Tyrone F. Borders
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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