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Rural Health
Resources by Topic: Substance use and misuse

Rural‐Urban Trends in Opioid Overdose Discharges in Missouri Emergency Departments, 2012‐2016
Study of opioid overdose cases treated by Missouri emergency departments from 2012-2016 that compares rural and urban rates. Analyzes billing data from the state's Patient Abstract System (PAS), including population information and type of opiate involved in the overdose over the data period. Discusses the role of non-heroin opioids in overdose rates and implications of observed trends for emergency departments.
Author(s): Whitney Coffey, Andrew Hunter, Evan Mobley, Alana Vivolo-Kantor
Citation: Journal of Rural Health, 36(2), 177-186
Date: 04/2019
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Rural Residence and Poverty Are Independent Risk Factors for Chronic Obstructive Pulmonary Disease in the United States
Uses data from the 2012-2015 National Health Interview Survey to determine whether urban-rural status, poverty, and other individual- or community-level factors are associated with chronic obstructive pulmonary disease (COPD) prevalence in the United States. Compares COPD predictors among current or past smokers and individuals who have never smoked.
Author(s): Sarath Raju, Corinne A. Keet, Laura M. Paulin, et al.
Citation: American Journal of Respiratory and Critical Care Medicine, 199(8), 961-969
Date: 04/2019
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Community Pharmacies as Access Points for Addiction Treatment
Investigates the distribution of community pharmacies in rural and urban counties of Wisconsin and the connection it has on county-level opioid-related overdose death rates and the number of treatment facilities.
Author(s): Kevin A. Look, Mercedes Kile, Katie Morgan, Andrew Roberts
Citation: Research in Social & Administrative Pharmacy, 15(4), 404-409
Date: 04/2019
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Buprenorphine Prescribing by Nurse Practitioners, Physician Assistants and Physicians After CARA 2016
Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Using Rural–Urban Continuum Codes (RUCCS) to Examine Alcohol-Related Motor Vehicle Crash Injury and Enforcement in New York State
Compares rates of alcohol-related motor vehicle accidents in New York State by rural-urban continuum codes (RUCCs). Uses multiple county-level data sources and looks at demographic information, such as age, household income, and RUCC of the location.
Author(s): Joyce C. Pressley, Leah M. Hines, Michael J. Bauer, et al.
Citation: International Journal of Environmental Research and Public Health, 16(8), 1346
Date: 04/2019
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Opioid Addiction: Meeting the Need for Treatment in Michigan
Analyzes survey data from village, township, city, and county leaders throughout Michigan to identify drug treatment needs across the state. Discusses access issues related to treatment programs that are particularly present in rural areas and information on providing local treatment programs. Offers policy implications and recommendations to improve treatment options.
Author(s): Amy Bohnert, Jennifer Erb-Downward, Thomas Ivacko
Date: 04/2019
Sponsoring organization: Poverty Solutions at the University of Michigan
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Serum Cotinine Versus Parent Reported Measures of Secondhand Smoke Exposure in Rural Appalachian Children
Highlights a study of secondhand smoke exposure in Appalachian children. Features data collected from children aged 7-9 and compares rates to national and Appalachian-state rates.
Author(s): Samrat Yeramaneni, Kimberly Yolton, Kurunthachalam Kannan, Kim N. Dietrich, Erin N. Haynes
Citation: Journal of Appalachian Health, 1(1), 15-26
Date: 04/2019
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Rural Health Research Recap: State of Rural Women's Healthcare Utilization and Health Indicators
Summarizes rural and urban statistics describing health indicators and healthcare utilization for women, maternal and obstetric healthcare services, and maternal substance use. Includes information regarding barriers to accessing care.
Author(s): Shawnda Schroeder
Date: 04/2019
Sponsoring organization: Rural Health Research Gateway
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Health Disparities Related to Smoking in Appalachia: Practical Strategies and Recommendations for Communities
Offers statistics on smoking in rural Appalachian communities. Highlights strategies and resources to reduce tobacco use. Covers recommendations to assist policymakers, funders, and leaders working to reduce health disparities related to smoking and tobacco use.
Author(s): Kate Beatty, Nathan Hale, Michael Meit, et al.
Date: 04/2019
Sponsoring organization: Appalachian Regional Commission
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Health Disparities Related to Opioid Misuse in Appalachia: Practical Strategies and Recommendations for Communities
Offers statistics on opioid misuse and overdose deaths in rural Appalachian communities. Highlights strategies and resources to address opioid issues. Covers recommendations to assist policymakers, funders, and leaders working to reduce opioid related health disparities.
Author(s): Kate Beatty, Nathan Hale, Michael Meit, et al.
Date: 04/2019
Sponsoring organization: Appalachian Regional Commission
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