Rural Health
Resources by Topic: Substance use and misuse
Opioid Use Disorder: Opportunities to Improve Assessments of State Opioid Response Grant Program
Provides an overview of the Substance Abuse and Mental Health Services Administration (SAMHSA) State Opioid Response (SOR) grant program and examines how SAMHSA assesses the program. Offers recommendations to SAMHSA to identify potential limitations in its analyses and provide a more comprehensive assessment of the program to identify opportunities for improvement. Includes SOR grant funding awards by state for fiscal years 2020 and 2021.
Additional links: Full Report
Date: 12/2021
Sponsoring organization: Government Accountability Office
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Provides an overview of the Substance Abuse and Mental Health Services Administration (SAMHSA) State Opioid Response (SOR) grant program and examines how SAMHSA assesses the program. Offers recommendations to SAMHSA to identify potential limitations in its analyses and provide a more comprehensive assessment of the program to identify opportunities for improvement. Includes SOR grant funding awards by state for fiscal years 2020 and 2021.
Additional links: Full Report
Date: 12/2021
Sponsoring organization: Government Accountability Office
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A Cross-Sectional Survey of Potential Factors, Motivations, and Barriers Influencing Research Participation and Retention Among People Who Use Drugs in the Rural USA
Study examining research participation and retention among rural people who use drugs (PWUD) based on surveys of 255 research cohort members from Oregon, Kentucky, and Ohio. Examines participant demographics, drug use history, factors influencing research participation, and barriers and motivators related to research retention.
Author(s): Angela T. Hetrick, April M. Young, Miriam R. Elman, et al.
Citation: Trials, 22, 948
Date: 12/2021
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Study examining research participation and retention among rural people who use drugs (PWUD) based on surveys of 255 research cohort members from Oregon, Kentucky, and Ohio. Examines participant demographics, drug use history, factors influencing research participation, and barriers and motivators related to research retention.
Author(s): Angela T. Hetrick, April M. Young, Miriam R. Elman, et al.
Citation: Trials, 22, 948
Date: 12/2021
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Rural Opioid Treatment Program Patient Perspectives on Take-Home Methadone Policy Changes During COVID-19: A Qualitative Thematic Analysis
Examines patient perspectives following policy changes in take-home methadone treatment for opioid use disorder (OUD), based on qualitative interviews with 46 patients from 3 rural opioid treatment programs in Oregon. Highlights main themes related to adapting to the changing policies during the COVID-19 pandemic, the challenges and benefits of at-home dosing, and future policy and procedural changes.
Author(s): Ximena A. Levander, Kim A. Hoffman, John W. McIlveen, et al.
Citation: Addiction Science & Clinical Practice, 16, 72
Date: 12/2021
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Examines patient perspectives following policy changes in take-home methadone treatment for opioid use disorder (OUD), based on qualitative interviews with 46 patients from 3 rural opioid treatment programs in Oregon. Highlights main themes related to adapting to the changing policies during the COVID-19 pandemic, the challenges and benefits of at-home dosing, and future policy and procedural changes.
Author(s): Ximena A. Levander, Kim A. Hoffman, John W. McIlveen, et al.
Citation: Addiction Science & Clinical Practice, 16, 72
Date: 12/2021
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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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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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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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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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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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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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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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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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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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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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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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