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Rural Health
Resources by Topic: Substance use and misuse

Cancer in Iowa - 2024
Provides county-level data on cancer cases, deaths, and survivors in Iowa. Highlights information on cancer surveillance and care in Iowa, data on specific types of cancer, and risk factors for cancer, with a focus on the connection between cancer and alcohol use.
Additional links: Press Briefing
Date: 02/2024
Type: Document
Sponsoring organizations: Iowa Cancer Registry, Iowa College of Public Health
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Opioid Stewardship Program Implementation in Rural and Critical Access Hospitals in Arizona
Assesses the implementation of 11 opioid stewardship program (OSP) elements at 17 Arizona Critical Access Hospitals. Compares data between the emergency and inpatient departments and analyzes trends. Discusses standardization of OSPs and both preventing and treating opioid misuse disorder.
Author(s): Benjamin R. Brady, Bianca SantaMaria, Kathryn Tucker Ortiz y Pino, Bridget S. Murphy
Citation: Journal of Opioid Management, 20(1), 21-30
Date: 02/2024
Type: Document
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Understanding COPD and Pulmonary Rehabilitation
Provides an overview of chronic obstructive pulmonary disease (COPD) symptoms and causes, and explains how rural-based pulmonary rehabilitation services help to restore independence and quality of life in COPD patients. Highlights the prevalence of COPD in rural communities and the steps that Critical Access Hospitals and other small rural hospitals can take to improve access to much-needed pulmonary rehabilitation services. Includes transcript.
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Factors Associated with Gaps in Naloxone Knowledge: Evidence from a 2022 Great Plains Survey
Examines naloxone knowledge in Nebraska, such as familiarity with, access to, and competency administering naloxone. Analyzes 2022 Nebraska Annual Social Indicators Survey data with breakdowns according to respondent substance use, social and demographic data, and metro versus nonmetro location. Discusses issues such as naloxone access, education, and stigma related to opioid-related overdose deaths.
Author(s): Spencer Cooper-Ohm, Patrick Habecker, Ryan Humeniuk, Rick A. Bevins
Citation: Harm Reduction Journal, 21, 37
Date: 02/2024
Type: Document
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Geographic Differences in Preconception Health Indicators Among Ohio Women Who Delivered Live Births, 2019–2021
Examines preconception health indicators in Ohio women based on geographical differences. Utilizes data from the 2019–2021 Ohio Pregnancy Assessment Survey to analyze indicators such as health behaviors and conditions, substance use, and wanted versus unwanted pregnancy according to metropolitan, Appalachian, rural non-Appalachian, and suburban location.
Author(s): Natalie DiPietro Mager, Michelle Menegay, Connie Bish, Reena Oza-Frank
Citation: Preventing Chronic Disease, 21
Date: 02/2024
Type: Document
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The Association of Alcohol Use and Heavy Drinking With Subsequent Handgun Carrying Among Youth From Rural Areas
Presents a study on the correlation between alcohol use and handgun carrying among rural youth. Examines past alcohol use by rural youth and young adults aged 12-26 on a scale of never used, used but not heavily, or used heavily. Breaks down data by participant characteristics, such as rebelliousness, family conflict, and education, among other factors.
Author(s): Alice M. Ellyson, Julia P. Schleimer, Kimberly Dalve, et al.
Citation: Journal of Rural Health, 40(1), 181–191
Date: 01/2024
Type: Document
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Medicaid Coverage of Medications to Reverse Opioid Overdose and Treat Alcohol and Opioid Use Disorders
Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Assessment of Substance Use Disorder Stigma and Strategies for Addressing Stigma in Rural Areas
January 31, 2024 webinar recording sharing results from the National Report on Rural Substance Use Disorder Stigma and Treatment Needs and discussing strategies for addressing stigma in rural areas. Includes transcript.
Additional links: Slide Presentation
Date: 01/2024
Type: Video/Multimedia
Sponsoring organization: University of Vermont Center on Rural Addiction
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A Federally Qualified Health Center and Certified Community Behavioral Health Clinic Partnership in Rural Missouri
Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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El Dorado Community Health Centers: Addressing the Opioid Epidemic in Rural California through Community Partnerships
Case study describing how El Dorado Community Health Centers, a Federally Qualified Health Center (FQHC) in California, works with a community coalition to address the opioid epidemic and implement a medication for opioid use disorder (MOUD) program. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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