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Rural Health Information Hub

Rural Health
Resources by Topic: Substance use and misuse

Recognition and Stigma of Prescription Drug Abuse Disorder: Personal and Community Determinants
Highlights a study on the role personal and community characteristics play in levels of stigma around prescription drug misuse. Breaks down data by age, income, and rurality of the county.
Author(s): Robert Shupp, Scott Loveridge, Mark Skidmore, et al.
Citation: BMC Public Health, 20, 977
Date: 2020
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Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings
Report explores how primary care providers can best provide mental health and substance use disorder services to their patients. Discusses the barriers to behavioral healthcare in rural areas such as insurance coverage, workforce shortages, and lack of transportation, among others, and highlights the role primary care providers can play in overcoming those barriers.
Additional links: Read Online
Date: 2020
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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A Portrait of Louisiana 2020: Human Development in an Age of Uncertainty
Assesses well-being and access to opportunities among Louisiana residents by examining health disparities, access to healthy food, social determinants of health, racial inequality, and other topics. Provides human development index (HDI) scores for Louisiana state by sex, race, ethnicity, and parish.
Author(s): Kristen Lewis
Date: 2020
Sponsoring organization: Measure of America
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Annual Surveillance Report of Drug-Related Risks and Outcomes, 2019
Summarizes latest information on opioid prescribing, drug use, and overdose mortality from 2018-2019. Features statistics with breakdowns by large metropolitan, small metropolitan, non-metropolitan urbanized, non-metropolitan less urbanized, and completely rural. Highlights notable differences in the report from 2018 to 2019.
Additional links: Highlights
Date: 2020
Sponsoring organization: Centers for Disease Control and Prevention
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The Opioid Crisis and the Hispanic/Latino Population: An Urgent Issue
Report highlights the opioid crisis in Hispanic/Latino populations. Details rates of illicit opioid use and prescription drug misuse, as well as overdose and death rates. Discusses measures taken in to provide treatment and prevention in Latino communities, including in rural and border areas.
Date: 2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Stem the Tide: Opioid Stewardship Measurement Implementation Guide
Identifies best practices for hospitals and health systems to use data to improve opioid stewardship. Addresses six elements that can support facilities through implementing a data-driven opioid stewardship program. Provides a list of quality improvement measures for hospitals and health systems to track progress. Highlights a consortium of providers serving rural communities across Minnesota, North Dakota, and Wisconsin focused on access to treatment and interventions that address social determinants of health.
Date: 2020
Sponsoring organization: American Hospital Association
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Opportunities to Improve Opioid Use Disorder and Infectious Disease Services: Integrating Responses to a Dual Epidemic
Examines opioid use and drug-related infectious diseases. Identifies the barriers to integration of opioid use disorder (OUD) and infectious disease services, including barriers faced in rural areas such as workforce shortages. Offers strategies to overcome those barriers. Offers case studies of programs that have successfully integrated services, including programs serving rural areas. Includes policy recommendations.
Additional links: Read Online, Report Highlights
Author(s): Board on Population Health and Public Health Practice
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Engagement With Project ECHO to Increase Medication-Assisted Treatment in Rural Primary Care
Examines a study on the barriers and facilitators to implementing medication-assisted treatment (MAT) for opioid use disorder between Project ECHO and rural primary care providers in New Mexico. Bases conclusions on post-ECHO intervention interviews with rural primary care providers and discusses external factors that could factor into the implementation of MAT.
Author(s): Julie Salvador, Snehal Bhatt, Rebecca Fowler, et al.
Citation: Psychiatric Services, 70(12), 1157-1160
Date: 12/2019
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Migration to the US among Rural Puerto Ricans Who Inject Drugs: Influential Factors, Sources of Support, and Challenges for Harm Reduction Interventions
Details a study of the migration patterns of rural people who inject drugs (PWID) from Puerto Rico to the United States. Breaks down data by age, sex, and HIV and HCV status among other measures.
Author(s): R. Abadie, P. Habecker, C. Gelpi-Acosta, K. Dombrowski
Citation: BMC Public Health, 19, 1710
Date: 12/2019
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A Systematic Review of Rural-specific Barriers to Medication Treatment for Opioid Use Disorder in the United States
Analyzes a number of studies looking at medication-assisted treatment (MAT) for opioid use disorder in rural areas. Explores barriers to accessing MAT in rural areas and makes rural and urban comparisons.
Author(s): Jamey J. Lister, Addie Weaver, Jennifer D. Ellis, Joseph A. Himle, David M. Ledgerwood
Citation: The American Journal of Drug and Alcohol Abuse
Date: 12/2019
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