Rural Health
Resources by Topic: Substance use and misuse
An Examination of Telehealth Policy Impacts on Initial Rural Opioid Use Disorder Treatment Patterns During the COVID‐19 Pandemic
Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
view details
Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
view details
Urban–Rural Differences in Drug Overdose Death Rates, 1999–2019
Examines age-adjusted drug overdose deaths in urban and rural counties. Includes urban-rural data on overdose deaths overall and for selected types of opioids and stimulants from 1999 through 2019. Identifies states with higher overdose deaths in rural counties, higher rates in urban counties, and states with no significant difference between rural and urban overdose death rates.
Author(s): Holly Hedegaard, Merianne Rose Spencer
Date: 03/2021
Sponsoring organization: National Center for Health Statistics
view details
Examines age-adjusted drug overdose deaths in urban and rural counties. Includes urban-rural data on overdose deaths overall and for selected types of opioids and stimulants from 1999 through 2019. Identifies states with higher overdose deaths in rural counties, higher rates in urban counties, and states with no significant difference between rural and urban overdose death rates.
Author(s): Holly Hedegaard, Merianne Rose Spencer
Date: 03/2021
Sponsoring organization: National Center for Health Statistics
view details
Trends in the Utilization of Emergency Department Services, 2009-2018
Examines emergency department (ED) utilization. Explores ED visits resulting in hospital admission, visits ending in release, and visits associated with mental health or substance use disorder diagnoses. Presents information on the patient, hospital, and payer characteristics for each of these three categories, including metropolitan status. Describes federal efforts to discourage inappropriate ED use.
Date: 03/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Examines emergency department (ED) utilization. Explores ED visits resulting in hospital admission, visits ending in release, and visits associated with mental health or substance use disorder diagnoses. Presents information on the patient, hospital, and payer characteristics for each of these three categories, including metropolitan status. Describes federal efforts to discourage inappropriate ED use.
Date: 03/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Alcohol- and Drug-Related Consequences Across Latent Classes of Substance Use Among American Indian Adolescents
Examines differences across four classes of substance use behaviors by American Indian (AI) adolescents. Classes include: no substance use in the past month; marijuana and cigarette use only; alcohol, marijuana, and cigarette use only; and other substance use in addition to alcohol, marijuana, and cigarettes. Goal of study is to determine the extent of substance-related mortality and morbidity, tendency toward developing a substance-use disorder, and other related health disparities.
Author(s): Melissa R. Schick, Silvi C. Goldstein, Tessa Nalven, Nichea S. Spillane
Citation: Addictive Behaviors, 113
Date: 02/2021
view details
Examines differences across four classes of substance use behaviors by American Indian (AI) adolescents. Classes include: no substance use in the past month; marijuana and cigarette use only; alcohol, marijuana, and cigarette use only; and other substance use in addition to alcohol, marijuana, and cigarettes. Goal of study is to determine the extent of substance-related mortality and morbidity, tendency toward developing a substance-use disorder, and other related health disparities.
Author(s): Melissa R. Schick, Silvi C. Goldstein, Tessa Nalven, Nichea S. Spillane
Citation: Addictive Behaviors, 113
Date: 02/2021
view details
Traffic Safety in Appalachia: Final Report
Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Sponsoring organization: Appalachian Regional Commission
view details
Defines the traffic safety culture in Appalachia and discusses causes of common safety problems in the region, including drug- and alcohol-impaired driving. Explores environmental concerns of Appalachian drivers, such as expansive rural regions, mountainous and curved terrain, and dense forests exposed to extreme weather elements. Includes analysis of Appalachian traffic fatalities, fatal crash data statistics, and an evaluation of the Appalachian Development Highway System as a possible intervention measure for treating traffic safety problems. Also includes a case study of severe crashes in Appalachian North Carolina, featuring statistics with breakdowns by rural and urban areas.
Additional links: Research Brief
Author(s): Wesley Kumfer, Katherine Harmon, Bo Lan, et al.
Date: 02/2021
Sponsoring organization: Appalachian Regional Commission
view details
Opioid and Substance Use Strategies for Critical Access Hospitals
Recording of a February 26, 2021, webinar discussing the role of Critical Access Hospitals (CAHs) in addressing opioid and substance use disorders (O/SUDs) in local systems of care. Provides a framework to support CAH opioid and substance use initiatives. Highlights examples of O/SUD activities taken by CAHs and offers lessons learned.
Additional links: Presentation Slides
Date: 02/2021
Sponsoring organization: Flex Monitoring Team
view details
Recording of a February 26, 2021, webinar discussing the role of Critical Access Hospitals (CAHs) in addressing opioid and substance use disorders (O/SUDs) in local systems of care. Provides a framework to support CAH opioid and substance use initiatives. Highlights examples of O/SUD activities taken by CAHs and offers lessons learned.
Additional links: Presentation Slides
Date: 02/2021
Sponsoring organization: Flex Monitoring Team
view details
Projected Estimates of Opioid Mortality After Community-Level Interventions
Presents a study on the effectiveness of different evidence-based practices to prevent opioid overdose mortality in simulated rural and urban communities. Highlights data by evidence-based practice and by projected rural and urban population group, which is broken down by age, sex, and opioid injection versus non-injection.
Author(s): Benjamin P. Linas, Alexandra Savinkina, R.W.M.A. Madushani, et al.
Citation: JAMA Network Open, 4(2), e2037259
Date: 02/2021
view details
Presents a study on the effectiveness of different evidence-based practices to prevent opioid overdose mortality in simulated rural and urban communities. Highlights data by evidence-based practice and by projected rural and urban population group, which is broken down by age, sex, and opioid injection versus non-injection.
Author(s): Benjamin P. Linas, Alexandra Savinkina, R.W.M.A. Madushani, et al.
Citation: JAMA Network Open, 4(2), e2037259
Date: 02/2021
view details
Capacity of Rural Counties to Address an HIV or Hepatitis C Outbreak
Examines data from 20 states potentially at risk of a human immunodeficiency virus (HIV) or hepatitis C virus (HCV) outbreak to determine which services local health departments (LHDs) provide to help identify or address HIV or HCV. Examples of relevant services include HIV testing, substance use services, and infectious disease surveillance, among others. Includes rural/urban differences in LHD services and staff, LHD partnerships and collaboration, and demographic characteristics of at-risk counties.
Author(s): Jennifer Lenardson, Jaclyn Janis, Amanda Burgess, Karen Pearson, Martha Elbaum
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
view details
Examines data from 20 states potentially at risk of a human immunodeficiency virus (HIV) or hepatitis C virus (HCV) outbreak to determine which services local health departments (LHDs) provide to help identify or address HIV or HCV. Examples of relevant services include HIV testing, substance use services, and infectious disease surveillance, among others. Includes rural/urban differences in LHD services and staff, LHD partnerships and collaboration, and demographic characteristics of at-risk counties.
Author(s): Jennifer Lenardson, Jaclyn Janis, Amanda Burgess, Karen Pearson, Martha Elbaum
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
view details
Opioid-Related Visits to Rural Emergency Departments
Explores the impact of the opioid crisis on rural emergency departments (EDs) by analyzing 2006 and 2013 Nationwide Emergency Department Sample (NEDS) data. Compares opioid-related ED visits in rural and urban hospitals by type of opioid involved and year. Breaks down data by patient characteristics, comorbid diagnosis at admission, and outcome of ED visit.
Author(s): Erika C. Ziller, Jean A. Talbot, Deborah Thayer, Carly Milkowski
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
view details
Explores the impact of the opioid crisis on rural emergency departments (EDs) by analyzing 2006 and 2013 Nationwide Emergency Department Sample (NEDS) data. Compares opioid-related ED visits in rural and urban hospitals by type of opioid involved and year. Breaks down data by patient characteristics, comorbid diagnosis at admission, and outcome of ED visit.
Author(s): Erika C. Ziller, Jean A. Talbot, Deborah Thayer, Carly Milkowski
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
view details
Opioid-Related and Stimulant-Related Adult Inpatient Stays, 2012-2018
Presents statistics on inpatient hospital stays related to the dependence, abuse, and adverse effects of opioids and stimulants between 2012 and 2018. Examines data by patient characteristics, including age, sex, urban or rural location of residence, and income.
Date: 02/2021
Sponsoring organization: Agency for Healthcare Research and Quality
view details
Presents statistics on inpatient hospital stays related to the dependence, abuse, and adverse effects of opioids and stimulants between 2012 and 2018. Examines data by patient characteristics, including age, sex, urban or rural location of residence, and income.
Date: 02/2021
Sponsoring organization: Agency for Healthcare Research and Quality
view details