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Rural Health Information Hub

Rural Health
Resources by Topic: Substance use and misuse

Socioenvironmental Risk Factors for Adolescent Marijuana Use in a United States-Mexico Border Community
Reports on a study of predominantly Hispanic high school students in a rural border community, examining community and immigration-related stress, normalized drug trafficking, and negative perceptions of their neighborhood. Discusses the link between these socioenvironmental risk factors and tobacco, alcohol, and marijuana use, as well as implications for health promotion and public health practitioners.
Author(s): Elizabeth Salerno Valdez, Luis Valdez, Josephine Korchmaros, et al.
Citation: American Journal of Health Promotion, 35(1), 20-27
Date: 01/2021
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Rural Emergency Medical Service Providers Perceptions on the Causes of and Solutions to the Opioid Crisis: A Qualitative Assessment
Study examining the perspectives of rural emergency medical service (EMS) providers on key issues related to the opioid crisis, including prescription, ease of access to opioids, socioeconomic vulnerability, mental health, and lack of alternative treatment options. Discusses qualitative data taken from 123 surveys addressing perceived causes and solutions to the crisis.
Author(s): Heather Blue, Ashley Dahly, Susan Chhen, et al.
Citation: Journal of Primary Care and Community Health, 12, 2150132720987715
Date: 01/2021
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Harm Reduction and Adaptations Among PWUD in Rural Oregon During COVID-19
Presents a study on harm reduction practices during the COVID-19 pandemic for people who use drugs (PWUDs) in rural Oregon. Bases findings on interviews with PWUDs in 5 rural counties. Breaks down data by sex, race, and drugs used. Discusses the effect of COVID-19 on syringe service programs in rural areas.
Author(s): Andrew Seaman, Gillian Leichtling, Erin Stack, et al.
Citation: AIDS and Behavior, 25(5), 1331–1339
Date: 01/2021
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Patient Satisfaction with Medications for Opioid Use Disorder Treatment via Telemedicine: Brief Literature Review and Development of a New Assessment
Study assessing patient satisfaction with telemedicine-delivered medications for opioid use disorder (tMOUD). Discusses barriers to delivery of medications for opioid use disorder in rural areas. Offers a literature review and pilot survey data from 65 patients at a treatment clinic on Maryland's Eastern Shore, addressing future directions for telemedicine use in opioid use disorder (OUD) treatment programs.
Author(s): Thomas O. Cole, Darlene Robinson, Andrea Kelley-Freeman, et al.
Citation: Frontiers in Public Health, 8, 557275
Date: 01/2021
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Telemedicine for Tobacco Cessation and Prevention to Combat COVID-19 Morbidity and Mortality in Rural Areas
Discusses the use of telehealth to initiate tobacco cessation programs in rural areas as a means of limiting comorbidity and mortality during the COVID-19 pandemic. Highlights the rates of tobacco use in rural areas by type and compares rates to urban areas. Explores several examples of programs using telemedicine to implement successful models of tobacco cessation treatment in the U.S. and in Hong Kong.
Author(s): Ashley L. Merianos, Bradley Fevrier, E. Melinda Mahabee-Gittens
Citation: Frontiers in Public Health, 8, 598905
Date: 01/2021
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Viral Hepatitis National Strategic Plan for the United States: A Roadmap to Elimination 2021-2025
Functions as a comprehensive roadmap for federal and other stakeholders to decrease and ultimately eliminate viral hepatitis cases, prevent new infections, and enhance treatment and care in the U.S. Provides information on Hepatitis A, B, and C, including the number of reported and estimated cases from 2010-2018, current challenges, priority populations, and more.
Date: 01/2021
Sponsoring organization: U.S. Department of Health and Human Services
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Treatment for Opioid Use Disorder May Reduce Substantiated Cases of Child Abuse and Neglect
Highlights a study on the correlation between opioid use disorder (OUD) and child maltreatment. Specifically, the effect buprenorphine treatment for OUD has on rates of maltreatment. Discusses challenges and considerations for rural areas.
Author(s): Robin Ghertner, Mir M. Ali
Date: 01/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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COVID-19 During the Opioid Epidemic – Exacerbation of Stigma and Vulnerabilities
Explores how the lack of healthcare infrastructure in rural areas and the COVID-19 pandemic create particular challenges for people who use drugs (PWUDs). Discusses the stigma of seeking care during a pandemic and the difficulty of accessing living resources, among other issues affecting PWUDs in rural areas.
Author(s): Wiley D. Jenkins, Rebecca Bolinski, John Bresett, et al.
Citation: Journal of Rural Health, 37(1), 172-174
Date: 01/2021
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A Primary Care Response to COVID‐19 for Patients with an Opioid Use Disorder
Discusses the challenges of treating patients with opioid use disorder (OUD) during the COVID-19 pandemic. Highlights decisions made by primary care physicians regarding harm reduction related to COVID-19 that may have detrimental effects for OUD patient.
Author(s): Courtenay Gilmore Wilson, Melinda Ramage, E. Blake Fagan
Citation: Journal of Rural Health, 37(1), 169-171
Date: 01/2021
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Flattening the Curve by Getting Ahead of It: How the VA Healthcare System Is Leveraging Telehealth to Provide Continued Access to Care for Rural Veterans
Describes the Veterans Health Administration's efforts to use telehealth to provide behavioral health services to rural veterans affected by the COVID-19 pandemic.
Author(s): Ursula S. Myers, Anna Birks, Anouk L. Grubaugh, R. Neal Axon
Citation: Journal of Rural Health, 37(1), 194-196
Date: 01/2021
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