Rural Health
Resources by Topic: Substance use and misuse
Urban–Rural Disparities in Access to Low-Dose Computed Tomography Lung Cancer Screening in Missouri and Illinois
Investigates the relationship between rurality and access to low-dose computed tomography (LDCT) lung cancer screening. Includes county-level maps for Missouri and Illinois, with data on LDCT access, lung cancer deaths per 100,000 people, and prevalence of adult smoking.
Author(s): Karthik Rohatgi, Christine Marx, Marquita Lewis-Thames, et al.
Citation: Preventing Chronic Disease, 17
Date: 11/2020
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Investigates the relationship between rurality and access to low-dose computed tomography (LDCT) lung cancer screening. Includes county-level maps for Missouri and Illinois, with data on LDCT access, lung cancer deaths per 100,000 people, and prevalence of adult smoking.
Author(s): Karthik Rohatgi, Christine Marx, Marquita Lewis-Thames, et al.
Citation: Preventing Chronic Disease, 17
Date: 11/2020
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Addressing Opioid Use Disorder among Rural Pregnant and Postpartum Women: A Study Protocol
Explores a study examining the rates of prenatal opioid use disorder and neonatal opioid withdrawal syndrome in rural areas. Study includes provider-level measurements such as patient retention, adoption of evidence-based practices, and attitude towards substance misuse, among others, and patient-level measurements such as substances used, co-occurring conditions, and birth outcomes, among others.
Author(s): M. Aryana Bryan, Marcela C. Smid, Melissa Cheng, et al.
Citation: Addiction Science and Clinical Practice, 15, 33
Date: 10/2020
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Explores a study examining the rates of prenatal opioid use disorder and neonatal opioid withdrawal syndrome in rural areas. Study includes provider-level measurements such as patient retention, adoption of evidence-based practices, and attitude towards substance misuse, among others, and patient-level measurements such as substances used, co-occurring conditions, and birth outcomes, among others.
Author(s): M. Aryana Bryan, Marcela C. Smid, Melissa Cheng, et al.
Citation: Addiction Science and Clinical Practice, 15, 33
Date: 10/2020
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A Non-Randomized Pilot Study to Test the Feasibility of Treating Chronic Pain and Opioid Prescription Use in Rural Areas with Acceptance and Commitment Therapy (T-PACT)
Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L. Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
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Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L. Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
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21st Century Cures Mobile Crisis Teams
Findings brief evaluating mobile crisis teams dedicated to addressing opioid and other substance use, especially in rural communities of Indiana. Discusses barriers and facilitators to implementing and operating mobile crisis teams, and offers recommendations.
Author(s): Beca Stockman, Staci Rising, Karla Camacho-Reyes
Date: 10/2020
Sponsoring organization: Indiana University Public Policy Institute
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Findings brief evaluating mobile crisis teams dedicated to addressing opioid and other substance use, especially in rural communities of Indiana. Discusses barriers and facilitators to implementing and operating mobile crisis teams, and offers recommendations.
Author(s): Beca Stockman, Staci Rising, Karla Camacho-Reyes
Date: 10/2020
Sponsoring organization: Indiana University Public Policy Institute
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The American Opioid Epidemic in Special Populations: Five Examples
Report on the disproportionate impacts of the opioid crisis on populations, in the criminal justice system, rural residents, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Sponsoring organization: National Academy of Medicine
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Report on the disproportionate impacts of the opioid crisis on populations, in the criminal justice system, rural residents, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Sponsoring organization: National Academy of Medicine
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Increase in Drug Overdose Deaths Involving Cocaine: United States, 2009–2018
Reports on trends in drug overdose deaths involving cocaine, with data by sex, age group, race and Hispanic origin, and concurrent involvement of opioids. Includes cocaine overdose death rate data for 2018 for urban and rural areas by Census region.
Author(s): Holly Hedegaard, Merianne Rose Spencer, Matthew F. Garnett
Date: 10/2020
Sponsoring organization: National Center for Health Statistics
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Reports on trends in drug overdose deaths involving cocaine, with data by sex, age group, race and Hispanic origin, and concurrent involvement of opioids. Includes cocaine overdose death rate data for 2018 for urban and rural areas by Census region.
Author(s): Holly Hedegaard, Merianne Rose Spencer, Matthew F. Garnett
Date: 10/2020
Sponsoring organization: National Center for Health Statistics
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Rates of Alcohol-induced Deaths Among Adults Aged 25 and Over in Urban and Rural Areas: United States, 2000–2018
Examines trends in alcohol-induced deaths among adults aged 25 and over. Includes data by sex for urban and rural residents from 2000 through 2018, with information for metropolitan, micropolitan, and non-core areas.
Author(s): Merianne Rose Spencer, Sally C. Curtin, Holly Hedegaard
Date: 10/2020
Sponsoring organization: National Center for Health Statistics
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Examines trends in alcohol-induced deaths among adults aged 25 and over. Includes data by sex for urban and rural residents from 2000 through 2018, with information for metropolitan, micropolitan, and non-core areas.
Author(s): Merianne Rose Spencer, Sally C. Curtin, Holly Hedegaard
Date: 10/2020
Sponsoring organization: National Center for Health Statistics
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Costs of Emergency Department Visits for Mental and Substance Use Disorders in the United States, 2017
Examines the costs of emergency department (ED) visits with diagnoses of mental and substance use disorders compared to total ED visits, with data on total costs and cost per visit. Includes information by hospital location for large metropolitan, small metropolitan, micropolitan, and rural areas.
Author(s): Zeynal Karaca, Brian J. Moore
Date: 10/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the costs of emergency department (ED) visits with diagnoses of mental and substance use disorders compared to total ED visits, with data on total costs and cost per visit. Includes information by hospital location for large metropolitan, small metropolitan, micropolitan, and rural areas.
Author(s): Zeynal Karaca, Brian J. Moore
Date: 10/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Polysubstance Use among Pregnant Women with Opioid Use Disorder in the United States, 2007–2016
Details a study on polysubstance use, or the use of multiple substances at once, by pregnant women from 2007-2016. Breaks down results by demographic data such as age and socioeconomic status, as well as by substances used and rural versus urban location.
Author(s): Marian P. Jarlenski, Nicole C. Paul, Elizabeth E. Krans
Citation: Obstetrics and Gynecology, 136(3), 556-564
Date: 09/2020
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Details a study on polysubstance use, or the use of multiple substances at once, by pregnant women from 2007-2016. Breaks down results by demographic data such as age and socioeconomic status, as well as by substances used and rural versus urban location.
Author(s): Marian P. Jarlenski, Nicole C. Paul, Elizabeth E. Krans
Citation: Obstetrics and Gynecology, 136(3), 556-564
Date: 09/2020
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Impaired Driving Among Rural Female Drug-Involved Offenders
Highlights a study on women convicted of impaired driving in rural areas. Breaks down data by demographic data such as age and education, as well as prior history of mental health and substance use issues.
Author(s): J. Matthew Webster, Martha Tillson, Megan F. Dickson, Michele Staton
Citation: Traffic Injury Prevention, 21(8), 513-520
Date: 09/2020
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Highlights a study on women convicted of impaired driving in rural areas. Breaks down data by demographic data such as age and education, as well as prior history of mental health and substance use issues.
Author(s): J. Matthew Webster, Martha Tillson, Megan F. Dickson, Michele Staton
Citation: Traffic Injury Prevention, 21(8), 513-520
Date: 09/2020
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