Rural Health
Resources by Topic: Substance use and misuse
Rural and Urban Differences in Factors Associated with Inpatient Hospital Stays for Substance Use Disorder
Provides information on inpatient hospital stays for patients with substance use disorder (SUD) by rural and urban location. Utilizes 2018 Healthcare Cost and Utilization Project (HCUP) data to examine 81,857 inpatient hospital stays, with rural versus urban data further broken down by age, sex, race/ethnicity, type of SUD diagnosis, secondary conditions and comorbidities, admission type and source, Health Professional Shortage Area (HPSA) status, payer type, hospital characteristics, and more.
Author(s): Craig Holden, Curt Mueller, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Provides information on inpatient hospital stays for patients with substance use disorder (SUD) by rural and urban location. Utilizes 2018 Healthcare Cost and Utilization Project (HCUP) data to examine 81,857 inpatient hospital stays, with rural versus urban data further broken down by age, sex, race/ethnicity, type of SUD diagnosis, secondary conditions and comorbidities, admission type and source, Health Professional Shortage Area (HPSA) status, payer type, hospital characteristics, and more.
Author(s): Craig Holden, Curt Mueller, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Factors Associated with Lengths-of-Stay for Inpatients with Substance Use Disorders
Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and socio-demographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and socio-demographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Nevada 2022 Rural Behavioral Health Profile: Elko, Eureka, Humboldt, Lander, Pershing, and White Pine Counties
Summarizes the behavioral health for 6 counties defined as rural in Nevada as of 2022. Includes general population statistics for the area as well as a discussion of mental health including suicide; substance use and misuse; and prenatal substance use and neonatal abstinence syndrome, among other topics.
Date: 04/2023
Sponsoring organization: Nevada Department of Health and Human Services
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Summarizes the behavioral health for 6 counties defined as rural in Nevada as of 2022. Includes general population statistics for the area as well as a discussion of mental health including suicide; substance use and misuse; and prenatal substance use and neonatal abstinence syndrome, among other topics.
Date: 04/2023
Sponsoring organization: Nevada Department of Health and Human Services
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Augmenting Project ECHO for Opioid Use Disorder with Data-Informed Quality Improvement
Discusses the feasibility of training clinics that are participating in a Project ECHO virtual collaborative to implement quality initiative (QI) projects that mitigate opioid overdose and mortality. Provides results of 5 New Hampshire clinics that joined the training and includes considerations of QI projects and opioid mitigation taking place in rural areas.
Author(s): Owen B. Murray, Marcy Doyle, Bethany M. McLeman, et al.
Citation: Addiction Science & Clinical Practice, 18, 24
Date: 04/2023
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Discusses the feasibility of training clinics that are participating in a Project ECHO virtual collaborative to implement quality initiative (QI) projects that mitigate opioid overdose and mortality. Provides results of 5 New Hampshire clinics that joined the training and includes considerations of QI projects and opioid mitigation taking place in rural areas.
Author(s): Owen B. Murray, Marcy Doyle, Bethany M. McLeman, et al.
Citation: Addiction Science & Clinical Practice, 18, 24
Date: 04/2023
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Location, Age, and Race Matter: A Path Model of Emotional Distress in the U.S. During COVID-19
Examines factors that contributed to emotional distress during COVID-19 such as rurality, race, demographics, substance use, and more. Provides 2020 survey results from 947 U.S. adults and discusses mental health in vulnerable populations.
Author(s): Viktor Clark, Hannah Ming, Sunny Jung Kim
Citation: BMC Public Health, 23, 762
Date: 04/2023
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Examines factors that contributed to emotional distress during COVID-19 such as rurality, race, demographics, substance use, and more. Provides 2020 survey results from 947 U.S. adults and discusses mental health in vulnerable populations.
Author(s): Viktor Clark, Hannah Ming, Sunny Jung Kim
Citation: BMC Public Health, 23, 762
Date: 04/2023
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The Opioid Crisis: Impact on Native American Communities
Describes the opioid crisis impact on Non-Hispanic Native American communities since 2000. Compares deaths for Native Americans with the general U.S. population and the general New Mexican population. Also shows impact of different types of opioids and deaths for Non-Hispanic Native Americans by sex and age in 2021 as well as drug use among Native American high school students in New Mexico in 2021 by drug type.
Date: 04/2023
Sponsoring organization: Albuquerque Area Southwest Tribal Epidemiology Center
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Describes the opioid crisis impact on Non-Hispanic Native American communities since 2000. Compares deaths for Native Americans with the general U.S. population and the general New Mexican population. Also shows impact of different types of opioids and deaths for Non-Hispanic Native Americans by sex and age in 2021 as well as drug use among Native American high school students in New Mexico in 2021 by drug type.
Date: 04/2023
Sponsoring organization: Albuquerque Area Southwest Tribal Epidemiology Center
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Biopsychosocial Contexts of Timely and Adequate Prenatal Care Utilization among Women with Criminal Legal Involvement and Opioid Use Disorder
Examines utilization patterns of rural pregnant women with criminal legal involvement and opioid use disorder (CL-OUD) and adequate prenatal care utilization (APNCU). Analyzes medical records from 317 women with CL-OUD between 2015 and 2022 according to several social, health, and demographic factors, including rural versus non-rural prenatal location.
Author(s): Milan F. Satcher, Martha L. Bruce, Daisy J. Goodman, Sarah E. Lord
Citation: BMC Public Health, 23, 729
Date: 04/2023
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Examines utilization patterns of rural pregnant women with criminal legal involvement and opioid use disorder (CL-OUD) and adequate prenatal care utilization (APNCU). Analyzes medical records from 317 women with CL-OUD between 2015 and 2022 according to several social, health, and demographic factors, including rural versus non-rural prenatal location.
Author(s): Milan F. Satcher, Martha L. Bruce, Daisy J. Goodman, Sarah E. Lord
Citation: BMC Public Health, 23, 729
Date: 04/2023
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Risk and Protective Factors for Vaping and Smoking Among High School Students in Maine
Examines risks and protective factors related to vaping and smoking among 17,651 high school students in Maine. Provides odds of vaping and smoking according to health and wellness behaviors, perceptions of substance use, and family support, as well as by demographic factors such as sex, race/ethnicity, sexual orientation, grade level, and county.
Author(s): Gabriel Tilton, Sara Huston, Pamela Albert
Citation: Preventing Chronic Disease, 20
Date: 04/2023
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Examines risks and protective factors related to vaping and smoking among 17,651 high school students in Maine. Provides odds of vaping and smoking according to health and wellness behaviors, perceptions of substance use, and family support, as well as by demographic factors such as sex, race/ethnicity, sexual orientation, grade level, and county.
Author(s): Gabriel Tilton, Sara Huston, Pamela Albert
Citation: Preventing Chronic Disease, 20
Date: 04/2023
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Harm Reduction and Recovery Services Support (HRRSS) to Mitigate the Opioid Overdose Epidemic in a Rural Community
Examines factors impacting harm reduction and recovery services related to opioid use in a rural South Carolina county. Discusses feedback from 338 community respondents regarding issues such as syringe services programs, safe consumption sites, placement of naloxone in public places, and more, with data reported as a harm reduction and recovery support score (HRRSS) connected to various demographic variables and personal beliefs.
Author(s): Moonseong Heo, Taylor Beachler, Laksika B. Sivaraj, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 18, 23
Date: 04/2023
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Examines factors impacting harm reduction and recovery services related to opioid use in a rural South Carolina county. Discusses feedback from 338 community respondents regarding issues such as syringe services programs, safe consumption sites, placement of naloxone in public places, and more, with data reported as a harm reduction and recovery support score (HRRSS) connected to various demographic variables and personal beliefs.
Author(s): Moonseong Heo, Taylor Beachler, Laksika B. Sivaraj, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 18, 23
Date: 04/2023
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Descriptive Study: The Novel "Full Spectrum People-With-Opioid-Use-Disorder Care Model"
Examines the implementation of a comprehensive care delivery model that provides access to harm reduction services for people with opioid use disorder (PWOUD). Analyzes 565 encounters with people utilizing medical and/or behavioral healthcare services in a rural New Mexico county. Provides demographic breakdown of encounters and data on the counties with highest overdose rates, along with discussion on how to provide harm reduction services to hard-to-reach populations.
Author(s): Richard Gadomski, Snehal Bhatt, Jessica Gross, et al.
Citation: Harm Reduction Journal, 20, 47
Date: 04/2023
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Examines the implementation of a comprehensive care delivery model that provides access to harm reduction services for people with opioid use disorder (PWOUD). Analyzes 565 encounters with people utilizing medical and/or behavioral healthcare services in a rural New Mexico county. Provides demographic breakdown of encounters and data on the counties with highest overdose rates, along with discussion on how to provide harm reduction services to hard-to-reach populations.
Author(s): Richard Gadomski, Snehal Bhatt, Jessica Gross, et al.
Citation: Harm Reduction Journal, 20, 47
Date: 04/2023
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