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Rural Health
Resources by Topic: Substance use and misuse

Engaging At-Risk Rural Residents in Secondary Lung Cancer Prevention
Presents the results of a qualitative study analyzing interview transcripts of rural residents in Maine at risk for lung cancer based on smoking history and age to identify key themes that influence their understanding and attitudes regarding lung cancer risk, low-dose computed tomography (LDCT) screening tests, and the role of patient-provider relationships.
Author(s): Erika Ziller, Jean A. Talbot, Martha Elbaum, et al.
Citation: Journal of Primary Care & Community Health, 14
Date: 2023
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Rural Communities Face More than an Opioid Crisis: Reimagining Funding Assistance to Address Polysubstance Use, Associated Health Problems, and Limited Rural Service Capacity
Examines progress reports from the first 4 quarters of the Rural Communities Opioid Response Program (RCORP) to identify both substances of concern (including but not limited to opioids) and related health issues in funded communities. Data highlight which substances and related health issues are of greatest concern and that communities have the least capacity to address. Includes guidance on future funding strategies for opioid and other substance use projects.
Author(s): Carolyn Carpenedo Mun, Heather Schuler, Robin Baker, et al.
Citation: Journal of Rural Health, 39(4), 795-803
Date: 2023
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Understanding Opioid Use Within a Southwestern American Indian Reservation Community: A Qualitative Study
Examines motivations, consequences, and general impact of opioid use among youth and young adults based on interviews with 18 individuals living in a Southwestern reservation community. Discusses prevention efforts such as family-based services and community program interventions.
Author(s): Emma Waugh, Jerreed Ivanich, Victoria O'Keefe, et al.
Citation: Journal of Rural Health, 39(1), 179-185
Date: 2023
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Exploring the Question of Financial Incentives for Training Amongst Non-adopters of MOUD in Rural Primary Care
Explores the role of stigma in West Virginia primary care providers' decision to undergo training to receive a medication for opioid use disorder (MOUD) waiver and the effect financial incentives have on that decision. Discusses providers' perceptions of MOUD treatment and perceived barriers to attaining a waiver, among other issues.
Author(s): Treah Haggerty, Nicholas A. Turiano, Tyra Turner, Patricia Dekeseredy, Cara L. Sedney
Citation: Addiction Science and Clinical Practice, 17, 72
Date: 12/2022
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Virginia Community Services Boards Behavioral Health Services: 2022
Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Sponsoring organization: Joint Legislative Audit and Review Commission
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Emerging Adults Voice their Lived Experience: State of Hawai`i Substance Use System of Care Needs Assessment focused on Emerging Adults
Reports on a culturally responsive needs assessment focused on the substance use system in Hawaii and the experiences of emerging adults aged 18 to 29. Discusses qualitative data from behavioral health professionals as well as 24 emerging adults who have lived experiences with substance use disorder (SUD). Includes participants from various geographic areas with quotes from respective participants labeled by their rural or urban location.
Author(s): Susana Helm, Tai-An Miao, James Taylor, et al.
Date: 12/2022
Sponsoring organization: State of Hawai`i Department of Health, Alcohol & Drug Abuse Division
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Disparities in Current Cigarette Smoking Among US Adults With Mental Health Conditions
Examines the prevalence of smoking among adults with reported mental health conditions. Analyzes 19,398 respondents from the 2019 and 2020 National Survey on Drug Use and Health and breaks down the data state-by-state as well as by age, sex, sexual orientation, education, disability, annual income, marriage status, health insurance and employment status, having been arrested in the past 12 months, and large metro, small metro, and nonmetro/rural area.
Author(s): Caitlin G. Loretan, Teresa W. Wang, Christina V. Watson, Ahmed Jamal
Citation: Preventing Chronic Disease, 19
Date: 12/2022
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Florence County Alcohol & Other Drug Abuse and Mental Health Coalition - Increasing Community Capacity and Resources through Partnership
Details a community effort to address substance use and mental health issues in rural Florence County, WI. Highlights the coalition's efforts to address the behavioral health of the county's youth and families through school-based efforts and discusses how collective action can address behavioral health issues in rural communities.
Date: 12/2022
Sponsoring organizations: Bright Research Group, County Health Rankings & Roadmaps
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Racial and Ethnic Differences in Emergency Department Visits Related to Substance Use Disorders, 2019
Explores emergency department (ED) visits related to substance use disorders (SUD) using data from the 2019 Nationwide Emergency Department Sample (NEDS). Presents the number and percentage of SUD-related ED visits by race and ethnicity for selected patient characteristics, including sex, age group, rural/urban location, and the social vulnerability of the county in which the individual resides.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Early Changes in Waivered Clinicians and Utilization of Buprenorphine for Opioid Use Disorder After Implementation of the 2021 HHS Buprenorphine Practice Guidelines
Report examines the changes in access to buprenorphine following the implementation of new HHS guidelines as of April 2021. Discusses the revised guidelines and analyzes their effect on access to buprenorphine for patients with opioid use disorder.
Date: 12/2022
Sponsoring organization: U.S. Department of Health and Human Services
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