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Rural Health Information Hub

Rural Health
Resources by Topic: Substance use and misuse

Practical Tools for Prescribing and Promoting Buprenorphine in Primary Care Settings
Offers evidence-based information to support primary care providers in prescribing buprenorphine to treat opioid use disorder (OUD). Addresses strategies and considerations for primary care providers and practices looking to implement the treatment, including the phases of care, training and education, and payment and pharmacy considerations. Chapter 2.7 covers buprenorphine prescribing in rural settings.
Date: 12/2021
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Oklahoma State Department of Health: Tribal Jurisdictions and Health Facilities
Map showing locations of Oklahoma's tribal health facilities, including alcohol and substance use treatment facilities, health centers, and hospitals. Map shading indicates the jurisdictions of tribal nations in Oklahoma.
Date: 11/2021
Sponsoring organization: Oklahoma State Department of Health
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Where There's a Will, There's a Way? Strategies to Reduce or Abstain from Alcohol Use Developed by Northern Plains American Indian Women Participating in a Brief Alcohol-Exposed Pregnancy Preconceptual Intervention
Analyzes strategies to reduce or abstain from alcohol use by American Indian and Alaska Native women for the purpose of reducing alcohol-exposed pregnancy rates. Identifies themes related to goal achievement, overcoming barriers, and cultural strengths.
Author(s): Arielle R. Deutsch, Rebecca Lustfield, Jessica D. Hanson
Citation: Alcohol Clinical & Experimental Research, 45(11), 2383-2395
Date: 11/2021
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Robustness of Estimated Access to Opioid Use Disorder Treatment Providers in Rural Vs. Urban Areas of the United States
Estimates level of access to opioid use disorder treatment at 31,053 locations in July 2020 for rural and urban opioid users by comparing drive time and availability of treatment. Discusses treatment differences between rural and urban opioid users with particular focus on infrastructure such as transportation and broadband, hospital closures, and health insurance status.
Author(s): Matthew V. Kiang, Michael L. Barnett, Sarah E. Wakeman, Keith Humphreys, Alexander C. Tsai
Citation: Drug and Alcohol Dependence, 228, 109081
Date: 11/2021
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Missouri State Health Assessment 2024
Describes the Missouri state health status assessment, community themes and strengths, state health system assessment, and forces of change. Mentions rural throughout and includes statistics showing disparities between urban and rural areas for various health issues.
Date: 11/2021
Sponsoring organization: Missouri Department of Health and Senior Services
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Challenges of Addressing Opioid Use Disorder in Rural Settings: A State Perspective
Highlights a study on evidence-based approaches to addressing rural opioid/substance use disorder (OUD/SUD) treatment, prevention, and recovery that can be applied at the state level. Presents 5 different considerations for addressing rural OUD/SUD and uses Maine as an example.
Author(s): Lisa M. Letourneau
Citation: Preventive Medicine, 152(2)
Date: 11/2021
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Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US
Examines tobacco use and medical opioid use for rural populations based on 2019 National Health Interview Survey data. Describes the association between cigarette use and odds of medical opioid use, noting the potential impacts of tobacco cessation interventions on reducing opioid use.
Author(s): Mariaelena Gonzalez, Ashley Sanders-Jackson
Citation: International Journal of Environmental Research and Public Health, 18(22), 11864
Date: 11/2021
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QuickStats: Percentage of Births to Mothers Who Reported Smoking Cigarettes at Any Time During Pregnancy, by Urbanization Level of County of Residence — United States, 2020
Bar chart showing the percentage of women who reported smoking cigarettes at any time during pregnancy for metropolitan, micropolitan, and noncore (rural) areas.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(47), 1652
Date: 11/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Assessment of State and Federal Health Policies for Opioid Use Disorder Treatment During the COVID-19 Pandemic and Beyond
Examines state-level policy data from government and nonprofit agencies related to treatment access and treatment retention for patients with Opioid Use Disorder (OUD) during the COVID-19 pandemic. Describes policy changes affecting telehealth coverage, delivery, and payment; issues of licensing and security; and the initiation and dispensing of treatment medications.
Author(s): Seema Chosky Pessar, Anne Boustead, Yimin Ge, Rosanna Smart, Rosalie Liccardo Pacula
Citation: JAMA Health Forum, 2(11), e213833
Date: 11/2021
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Improving Health in Rural Communities: FY 2021 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2021. Focuses on 10 priority areas: COVID-19, Federally-facilitated and State Marketplaces; Medicare payment and policy; practitioner workforce; Medicaid and Children's Health Insurance Program (CHIP) enrollment, payment, and policy; long-term services and supports; maternal health; mental health and substance use disorders; models and demonstrations, and quality and equity.
Date: 11/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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