Rural Health
Resources by Topic: Substance use and misuse
A Comparison of Classifications for Geographic Location and their Associations with Tobacco Use among US Adults
Details a study on the differences in two different rural classification in rates of cigarette, e-cigarette, and smokeless tobacco usage. Compares U.S. Census Bureau's definition of urban and rural areas with the National Center for Education Statistics' urban/suburban/town/rural classification.
Author(s): Jenny E. Ozga, Andrea Milstred, Melissa D. Blank, et al.
Citation: Journal of Rural Health, 41(3), e70070
Date: 06/2025
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Details a study on the differences in two different rural classification in rates of cigarette, e-cigarette, and smokeless tobacco usage. Compares U.S. Census Bureau's definition of urban and rural areas with the National Center for Education Statistics' urban/suburban/town/rural classification.
Author(s): Jenny E. Ozga, Andrea Milstred, Melissa D. Blank, et al.
Citation: Journal of Rural Health, 41(3), e70070
Date: 06/2025
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Evaluation of the Maternal Opioid Misuse (MOM) Model: Fourth Annual Report (Implementation Year 3)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2023–June 30, 2024, and summarizes qualitative and beneficiary-level process data findings by state awardee. Discusses barriers pregnant and postpartum women with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 06/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Westat
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2023–June 30, 2024, and summarizes qualitative and beneficiary-level process data findings by state awardee. Discusses barriers pregnant and postpartum women with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 06/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Westat
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Assessing Temporal Changes in Spatially-Varying Disparities in Tobacco Retailer Density across Ohio
Examines how tobacco retailer density (TRD) across Ohio contributes to disparities in tobacco use. Utilizes 2017-2022 geocoded data on TBD, with breakdowns according to census tract sociodemographic characteristics and urban, suburban, or rural neighborhood type.
Author(s): Rui Qiang, Peter F. Craigmile, Wendy Hyde, Abby Shores, Megan E. Roberts
Citation: Ohio Journal of Public Health, 7(2)
Date: 06/2025
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Examines how tobacco retailer density (TRD) across Ohio contributes to disparities in tobacco use. Utilizes 2017-2022 geocoded data on TBD, with breakdowns according to census tract sociodemographic characteristics and urban, suburban, or rural neighborhood type.
Author(s): Rui Qiang, Peter F. Craigmile, Wendy Hyde, Abby Shores, Megan E. Roberts
Citation: Ohio Journal of Public Health, 7(2)
Date: 06/2025
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Tobacco Treatment Billing and Tobacco Use Disorder Diagnosis in Healthcare Settings in the United States: An Analysis of South Carolina Medicaid Claims
Examines demographic differences in tobacco use disorder diagnosis and receipt of counseling among Medicaid beneficiaries in South Carolina, utilizing 2019-2022 South Carolina Medicaid administrative claims data. Includes data breakdowns by rural or urban dwelling, among other factors.
Author(s): Kinsey Pebley, Joni D. Nelson, Julie L. Marshall, Alana M. Rojewski
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 24
Date: 06/2025
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Examines demographic differences in tobacco use disorder diagnosis and receipt of counseling among Medicaid beneficiaries in South Carolina, utilizing 2019-2022 South Carolina Medicaid administrative claims data. Includes data breakdowns by rural or urban dwelling, among other factors.
Author(s): Kinsey Pebley, Joni D. Nelson, Julie L. Marshall, Alana M. Rojewski
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 24
Date: 06/2025
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Report to Congress on Medicaid and CHIP, June 2025
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to transitions from pediatric to adult care for Medicaid-covered children and youth with special health care needs (CYSHCN). Also discusses appropriate access to residential behavioral health treatment services for children, findings from MACPAC's analytic work on access to medications for opioid use disorder (MOUD) in Medicaid, an overview on the Program of All-Inclusive Care for the Elderly, and self-direction for Medicaid home- and community-based services. Includes rural references throughout.
Date: 06/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to transitions from pediatric to adult care for Medicaid-covered children and youth with special health care needs (CYSHCN). Also discusses appropriate access to residential behavioral health treatment services for children, findings from MACPAC's analytic work on access to medications for opioid use disorder (MOUD) in Medicaid, an overview on the Program of All-Inclusive Care for the Elderly, and self-direction for Medicaid home- and community-based services. Includes rural references throughout.
Date: 06/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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The Opioid Epidemic in Rural Communities: Can Telehealth Increase Access to Medication for Opioid Use Disorder and Offset Barriers to Care?
Examines the impact of telehealth on access to medication for opioid use disorder (MOUD) and substance and opioid use disorder (SUD/OUD) treatment. Utilizes data from the Rural Communities Opioid Response Program's (RCORP) consortia, the National Survey of Drug Use and Health (NSDUH), and the U.S. Census Bureau's American Community Survey (ACS) to analyze access to MOUD and rates of telehealth use for rural consortia. Discusses potential barriers and factors impacting telehealth implementation for SUD/OUD care.
Author(s): Kathleen Meyers, Shannon Herman, Heather Schuler, et al.
Citation: Drug and Alcohol Dependence, 271, 112628
Date: 06/2025
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Examines the impact of telehealth on access to medication for opioid use disorder (MOUD) and substance and opioid use disorder (SUD/OUD) treatment. Utilizes data from the Rural Communities Opioid Response Program's (RCORP) consortia, the National Survey of Drug Use and Health (NSDUH), and the U.S. Census Bureau's American Community Survey (ACS) to analyze access to MOUD and rates of telehealth use for rural consortia. Discusses potential barriers and factors impacting telehealth implementation for SUD/OUD care.
Author(s): Kathleen Meyers, Shannon Herman, Heather Schuler, et al.
Citation: Drug and Alcohol Dependence, 271, 112628
Date: 06/2025
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Traffic Safety Facts, 2023 Data: Alcohol-Impaired Driving
National data on traffic crashes involving alcohol-impaired drivers. Features statistics with breakdowns including road conditions, month, time of day, state, and rural or urban location.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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National data on traffic crashes involving alcohol-impaired drivers. Features statistics with breakdowns including road conditions, month, time of day, state, and rural or urban location.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Midwest Urban-Rural Differences in Cancer Prevalence
Analyzes cancer prevalence by level of rurality in a midwestern region, utilizing Rochester Epidemiology Project (REP) data of 647,909 people who lived in a 27-county region of Minnesota and Wisconsin as of January 2020. Includes data breakdowns by level of rurality and place of cancer, smoking status, sex, age, and other demographic factors.
Author(s): Christine M. Prissel, Brandon R. Grossardt, Lila J. Finney Rutten, et al.
Citation: Mayo Clinic Proceedings
Date: 05/2025
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Analyzes cancer prevalence by level of rurality in a midwestern region, utilizing Rochester Epidemiology Project (REP) data of 647,909 people who lived in a 27-county region of Minnesota and Wisconsin as of January 2020. Includes data breakdowns by level of rurality and place of cancer, smoking status, sex, age, and other demographic factors.
Author(s): Christine M. Prissel, Brandon R. Grossardt, Lila J. Finney Rutten, et al.
Citation: Mayo Clinic Proceedings
Date: 05/2025
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Prevalence and Predictors of Chronic Disease among Rural and Medically Underserved Populations Using Smokeless Tobacco
Examines chronic disease prevalence and associated risk factors among 532 smokeless tobacco (SLT) cessation intervention participants who live in rural and medically underserved communities. Includes data on chronic diseases including cancer, cardiovascular disease, diabetes, oral health, and more.
Author(s): Elaine Sang, Susan Silva, Sarah Grenon, et al.
Citation: Frontiers in Public Health, 13, 1565910
Date: 05/2025
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Examines chronic disease prevalence and associated risk factors among 532 smokeless tobacco (SLT) cessation intervention participants who live in rural and medically underserved communities. Includes data on chronic diseases including cancer, cardiovascular disease, diabetes, oral health, and more.
Author(s): Elaine Sang, Susan Silva, Sarah Grenon, et al.
Citation: Frontiers in Public Health, 13, 1565910
Date: 05/2025
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Discreet but Accessible: A Qualitative Study with People Who Use Drugs and Service Staff about the Optimal Design of a Harm Reduction Vending Machine in Rural Kentucky
Analyzes perspectives on harm reduction vending machine (HRVM) access and suitability via interviews with people who use drugs as well as health department and syringe service program (SSP) staff in rural Appalachian Kentucky. Discusses factors influencing the usefulness of HRVMs and their ability to address public health needs such as infectious disease prevention, overdose reduction, and other community benefits.
Author(s): Rachel M. Marschke, April M. Young, Hannah K. Knudsen, Chelsi N. Cheatom, Hannah L. F. Cooper
Citation: Harm Reduction Journal, 22, 88
Date: 05/2025
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Analyzes perspectives on harm reduction vending machine (HRVM) access and suitability via interviews with people who use drugs as well as health department and syringe service program (SSP) staff in rural Appalachian Kentucky. Discusses factors influencing the usefulness of HRVMs and their ability to address public health needs such as infectious disease prevention, overdose reduction, and other community benefits.
Author(s): Rachel M. Marschke, April M. Young, Hannah K. Knudsen, Chelsi N. Cheatom, Hannah L. F. Cooper
Citation: Harm Reduction Journal, 22, 88
Date: 05/2025
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