Rural Health
Resources by Topic: Substance use and misuse
Community of Practice: Preventing and Reducing the Stigma of Substance Use Disorders in Rural Communities - Implementation and Lessons Learned
Report discusses strategies for reducing stigma around substance use disorders (SUDs) and SUD treatment in rural communities. Details the implementation of Communities of Practice sessions with participants and breaks down participant data and session timeline.
Date: 2021
Sponsoring organizations: Great Lakes PTTC, Prevention Technology Transfer Center Network
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Report discusses strategies for reducing stigma around substance use disorders (SUDs) and SUD treatment in rural communities. Details the implementation of Communities of Practice sessions with participants and breaks down participant data and session timeline.
Date: 2021
Sponsoring organizations: Great Lakes PTTC, Prevention Technology Transfer Center Network
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Voices From the Field: A Qualitative Study of the Challenges and Promising Practices of Rural Public Health in Addressing HIV and Hepatitis C
Examines rural vulnerability to HIV and hepatitis C for people who inject drugs. Presents findings from interviews with 36 public health professionals from rural states, addressing funding limitations, staffing, public health infrastructure challenges, public health initiatives, and community education programs.
Author(s): Martha Elbaum Williamson, Karen B. Pearson, Amanda R. Burgess, Jennifer D. Lenardson, Erika C. Ziller
Citation: Journal of Health and Human Services Administration, 44(2), 114-136
Date: 2021
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Examines rural vulnerability to HIV and hepatitis C for people who inject drugs. Presents findings from interviews with 36 public health professionals from rural states, addressing funding limitations, staffing, public health infrastructure challenges, public health initiatives, and community education programs.
Author(s): Martha Elbaum Williamson, Karen B. Pearson, Amanda R. Burgess, Jennifer D. Lenardson, Erika C. Ziller
Citation: Journal of Health and Human Services Administration, 44(2), 114-136
Date: 2021
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High and Rising Mortality Rates Among Working-Age Adults
Identifies key drivers of increasing death rates and disparities in working-age mortality from 1990-2017 and examines modifiable risk factors that could alleviate poor health and widening health inequalities in the working-age population. Makes recommendations for future research and data collection, and explores potential policy implications. Mentions rural throughout. Features statistics on trends in working-age mortality by age, sex, race/ethnicity, cause of death, and geography.
Author(s): Committee on Rising Midlife Mortality Rates and Socioeconomic Disparities
Date: 2021
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Identifies key drivers of increasing death rates and disparities in working-age mortality from 1990-2017 and examines modifiable risk factors that could alleviate poor health and widening health inequalities in the working-age population. Makes recommendations for future research and data collection, and explores potential policy implications. Mentions rural throughout. Features statistics on trends in working-age mortality by age, sex, race/ethnicity, cause of death, and geography.
Author(s): Committee on Rising Midlife Mortality Rates and Socioeconomic Disparities
Date: 2021
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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A Description of COVID-19 Lifestyle Restrictions Among a Sample of Rural Appalachian Women
Findings from a survey given to 33 women who had previously participated in a larger survey involving substance use and behavioral risks. Features demographics and statistics on substance use, mental health, and types of activity restrictions related to COVID-19.
Author(s): Michele Staton, Martha Tillson, J. Matthew Webster
Citation: Journal of Appalachian Health, 3(1), 4-17
Date: 2021
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Findings from a survey given to 33 women who had previously participated in a larger survey involving substance use and behavioral risks. Features demographics and statistics on substance use, mental health, and types of activity restrictions related to COVID-19.
Author(s): Michele Staton, Martha Tillson, J. Matthew Webster
Citation: Journal of Appalachian Health, 3(1), 4-17
Date: 2021
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Delaware State Health Improvement Plan: 2020 Annual Report
Assesses policy improvements and the alignment of activities among 9 key Delaware stakeholder groups with the 2018-2023 Delaware State Health Needs Assessment and State Health Improvement Plan. Includes sections on chronic disease, maternal and child health, substance use disorders, and mental health, and offers system-wide recommendations.
Additional links: Executive Summary
Date: 12/2020
Sponsoring organizations: Delaware Health and Social Services, University of Delaware Partnership for Healthy Communities
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Assesses policy improvements and the alignment of activities among 9 key Delaware stakeholder groups with the 2018-2023 Delaware State Health Needs Assessment and State Health Improvement Plan. Includes sections on chronic disease, maternal and child health, substance use disorders, and mental health, and offers system-wide recommendations.
Additional links: Executive Summary
Date: 12/2020
Sponsoring organizations: Delaware Health and Social Services, University of Delaware Partnership for Healthy Communities
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Behavioral Health Barometer: United States, Volume 6
Provides a broad overview of behavioral health in the U.S. with an emphasis on illicit drug, alcohol, and tobacco use, as well as the estimated percentage of people living with serious mental illness. Breaks down data by demographic information, such as age, sex, and others, as well as by metro or nonmetro location. Data is from the 2019 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.
Date: 12/2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Provides a broad overview of behavioral health in the U.S. with an emphasis on illicit drug, alcohol, and tobacco use, as well as the estimated percentage of people living with serious mental illness. Breaks down data by demographic information, such as age, sex, and others, as well as by metro or nonmetro location. Data is from the 2019 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.
Date: 12/2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Opioid Initiation and Injection Transition in Rural Northern New England: A Mixed-methods Approach
Highlights a study on opioid initiation and transition to opioid injection in rural New England. Bases findings on interviews with opioid users in 11 rural counties in Massachusetts, Vermont, and New Hampshire. Tracks the time and circumstances of first opioid use to first opioid injection.
Author(s): Kerry Nolte, Aurora L. Drew, Peter D. Friedmann, et al.
Citation: Drug and Alcohol Dependence, 217(1), 108256
Date: 12/2020
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Highlights a study on opioid initiation and transition to opioid injection in rural New England. Bases findings on interviews with opioid users in 11 rural counties in Massachusetts, Vermont, and New Hampshire. Tracks the time and circumstances of first opioid use to first opioid injection.
Author(s): Kerry Nolte, Aurora L. Drew, Peter D. Friedmann, et al.
Citation: Drug and Alcohol Dependence, 217(1), 108256
Date: 12/2020
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Prevalence and Geographic Distribution of Obstetrician-Gynecologists Who Treat Medicaid Enrollees and Are Trained to Prescribe Buprenorphine
Highlights a study on the geographic distribution of Medicaid-claimant obstetrician-gynecologists trained to prescribe buprenorphine for opioid use disorder. Compares provider prevalence in rural versus urban counties.
Author(s): Max Jordan Nguemeni Tiako, Jennifer Culhane, Eugenia South, et al.
Citation: JAMA Network Open, 3(12), e2029043
Date: 12/2020
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Highlights a study on the geographic distribution of Medicaid-claimant obstetrician-gynecologists trained to prescribe buprenorphine for opioid use disorder. Compares provider prevalence in rural versus urban counties.
Author(s): Max Jordan Nguemeni Tiako, Jennifer Culhane, Eugenia South, et al.
Citation: JAMA Network Open, 3(12), e2029043
Date: 12/2020
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How Does DATA-Waiver Provider Patient Capacity Relate to Opioid and Buprenorphine Prescribing?
Explores if regulatory changes to increase the patient capacity among buprenorphine waivered providers effects buprenorphine and opioids prescription rates at the county-level. Compares prescription rates by metropolitan and non-metropolitan counties.
Author(s): Robin Ghertner, Mir M. Ali
Date: 12/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores if regulatory changes to increase the patient capacity among buprenorphine waivered providers effects buprenorphine and opioids prescription rates at the county-level. Compares prescription rates by metropolitan and non-metropolitan counties.
Author(s): Robin Ghertner, Mir M. Ali
Date: 12/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Cost-Effectiveness of Scaling Up HCV Prevention and Treatment in the United States for People Who Inject Drugs
Highlights the cost-effectiveness of combining medication-assisted treatment (MAT) and syringe-service programs (SSP) with hepatitis C (HCV) treatment for people who inject drugs. Compares services for patients in rural Perry County, KY; and urban San Francisco, CA.
Author(s): Carolina Barbosa, Hannah Fraser, Thomas J. Hoerger, et al.
Citation: Addiction, 114(12), 2267-2278
Date: 12/2020
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Highlights the cost-effectiveness of combining medication-assisted treatment (MAT) and syringe-service programs (SSP) with hepatitis C (HCV) treatment for people who inject drugs. Compares services for patients in rural Perry County, KY; and urban San Francisco, CA.
Author(s): Carolina Barbosa, Hannah Fraser, Thomas J. Hoerger, et al.
Citation: Addiction, 114(12), 2267-2278
Date: 12/2020
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