Rural Health
Resources by Topic: Substance use and misuse
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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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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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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2025 National Guidelines for a Behavioral Health Coordinated System of Crisis Care
Report details national guidelines to establish a behavioral health crisis care system. Provides a number of guiding principles for crisis services, such as person-centered care, accessibility, and trauma-informed care, among others. Discusses considerations for rural and tribal areas, including rural case-studies.
Additional links: Model Definitions
Author(s): Christopher D. Carroll, Tison Thomas, John Palmieri
Date: 01/2025
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Report details national guidelines to establish a behavioral health crisis care system. Provides a number of guiding principles for crisis services, such as person-centered care, accessibility, and trauma-informed care, among others. Discusses considerations for rural and tribal areas, including rural case-studies.
Additional links: Model Definitions
Author(s): Christopher D. Carroll, Tison Thomas, John Palmieri
Date: 01/2025
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Cumulative Social Disadvantage and Medicinal Cannabis Use among Younger Adults in Rural Communities: A Mixed Methods Approach
Examines associations between medicinal cannabis use and social disadvantage among 153 adults aged 18-35 in rural northern California. Discusses topics including rural access to primary and mental healthcare, stigma, and the relationships between recreational and medicinal cannabis use.
Author(s): Sharon Lipperman-Kreda, Emile Sanders, Julie Peach, et al.
Citation: Journal of Psychoactive Drugs, 58(3), 325-334
Date: 01/2025
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Examines associations between medicinal cannabis use and social disadvantage among 153 adults aged 18-35 in rural northern California. Discusses topics including rural access to primary and mental healthcare, stigma, and the relationships between recreational and medicinal cannabis use.
Author(s): Sharon Lipperman-Kreda, Emile Sanders, Julie Peach, et al.
Citation: Journal of Psychoactive Drugs, 58(3), 325-334
Date: 01/2025
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Social Network Barriers to Extended-Release Naltrexone Within Rural Appalachia: Perspectives from Justice-Involved Clients and Clinicians
Presents a study on the role of family, friends, and clinicians can play in influencing naltrexone treatment uptake of people with opioid use disorder (POUD) who are incarcerated in Appalachia. Bases findings on interviews with clinicians and breaks down data by sociodemographic characteristics, substance use, and social network composition, among other measures.
Author(s): Amanda M. Bunting, Carrie B. Oser, Marisa Booty, et al.
Citation: Substance Use & Misuse, 60(5), 758-765
Date: 01/2025
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Presents a study on the role of family, friends, and clinicians can play in influencing naltrexone treatment uptake of people with opioid use disorder (POUD) who are incarcerated in Appalachia. Bases findings on interviews with clinicians and breaks down data by sociodemographic characteristics, substance use, and social network composition, among other measures.
Author(s): Amanda M. Bunting, Carrie B. Oser, Marisa Booty, et al.
Citation: Substance Use & Misuse, 60(5), 758-765
Date: 01/2025
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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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Access to Firearms and Opioids Among Veterans at Risk for Suicide
Analyzes rates of access to firearms and opioids, gun safety practices, and being provided or declining naloxone or firearm locks among 38,454 veterans at risk for suicide, utilizing 2021-2023 Veterans Health Administration electronic health record data. Includes demographic breakdowns, including rural versus urban dwelling.
Author(s): Gabriela Kattan Khazanov, Matthew Wilson, Tom Cidav, et al.
Citation: JAMA Network Open, 8(1), e2456906
Date: 01/2025
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Analyzes rates of access to firearms and opioids, gun safety practices, and being provided or declining naloxone or firearm locks among 38,454 veterans at risk for suicide, utilizing 2021-2023 Veterans Health Administration electronic health record data. Includes demographic breakdowns, including rural versus urban dwelling.
Author(s): Gabriela Kattan Khazanov, Matthew Wilson, Tom Cidav, et al.
Citation: JAMA Network Open, 8(1), e2456906
Date: 01/2025
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