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Rural Health
Resources by Topic: Substance use and misuse

Community Response Planning for Outbreaks of Hepatitis and HIV among People who Inject Drugs: A Case Study from Lenowisco Health District, A Rural Community in Virginia
Provides guidance to rural health departments when developing a comprehensive community response plan for hepatitis and HIV outbreaks among persons who inject drugs (PWIDs). Integrates key components of controlling and preventing communicable disease with emergency management strategies and community resource utilization. Offers lessons learned from the experiences of the LENOWISCO Health District located in the Appalachian region of Virginia. .
Date: 2018
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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Impact of Presence of Children on Indoor Tobacco Restrictions in Households of Urban and Rural Adult Tobacco Users
Highlights a study on indoor tobacco use around children among rural and urban tobacco users in Ohio. Breaks down data by the tobacco users age, race, and gender, as well as number of children in the household, among other factors.
Author(s): Benjamin T. Kopp, Alice Hinton, Rong Lu, et al.
Citation: Academic Pediatrics, 18(8), 920-927
Date: 2018
Type: Document
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Evidence-Based Strategies for Preventing Opioid Overdose: What's Working in the United States
A guide for community leaders, public health, law enforcement, and others working to address the opioid crisis in their community. Identifies evidence-based practices that have been successfully implemented in the U.S. and are effective in reducing rates of opioid overdose. Includes strategies focused on naloxone distribution, medication-assisted treatment (MAT), addressing opioid use in criminal justice settings, syringe services, and more.
Author(s): Jennifer J. Carroll, Traci C. Green, Rita K. Noonan
Date: 2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Developing Smokeless Tobacco Prevention Messaging for At-Risk Youth: Early Lessons from "The Real Cost" Smokeless Campaign
Presents the findings of two separate qualitative research studies – strategic concept testing and creative concept testing - conducted with youth at risk or who had experimented with smokeless tobacco (SLT), to support the development of health messaging to inform youth on the consequences of SLT use. Focus groups were conducted with 252 rural male youth ages 12-17 from states with high prevalence of SLT associated with the target audience.
Author(s): Matthew W. Walker, Sarah A. Evans, Cameron Wimpy, Amanda T. Berger, Alexandria A. Smith
Citation: Health Equity, 2(1), 167–173
Date: 2018
Type: Document
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Pharmacy Staff Perspectives on Alcohol and Medication Interaction Prevention Among Older Rural Adults
Analyzes the perspectives of pharmacy staff on alcohol and medication interaction (AMI) prevention programs, dissemination methods for AMI prevention information, and barriers to participation in prevention programs by rural older adults. Interviews were conducted with pharmacists and pharmacy technicians in 2 counties for each of the following states: Kentucky, Maryland, and Virginia. Robert Wood Johnson County Health Rankings were used to identify the counties selected based on their rural and national health risk profiles.
Author(s): Faika Zanjani, Hannah Allen, Rachel Vickers Smith, Demetra Antimisiaris, Nancy Schoenberg, et al.
Citation: Gerontology and Geriatric Medicine, 4
Date: 2018
Type: Document
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Rural and Urban Substance Use Differences: Effects of the Transition to College
Details a study on the differences in alcohol, tobacco, and marijuana use among college students from rural and urban areas. Looks at rates of usage for freshman, sophomores, and juniors enrolled in a large, public university in the Southeastern U.S. Breaks down data by age, gender, and race.
Author(s): Karen J. Derefinko, Zoran Bursac, Michael G. Mejia, Richard Milich, Donald R. Lynam
Citation: The American Journal of Drug and Alcohol Abuse, 44(2), 224-234
Date: 2018
Type: Document
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Child Welfare and Substance Use
Discusses a study on the relationship between substance use, specifically opioid misuse, and child welfare caseloads. Explores reports of child abuse and foster care entries along with drug mortality rates and retail opioid sales. Features rural information in the second and third reports.
Date: 2018
Type: Website
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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The Opioid Crisis in Rural and Small Town America
Provides data on opioid mortality rates in 2016 and changes in opioid mortality from 1999 through 2016 for metropolitan and nonmetro counties. Also provides metro/nonmetro data on drug overdoses by type of opioid - heroin, prescription opioids, synthetic opioids, and unspecified opioids - from 1999 through 2016. Discusses challenges rural areas face in addressing the opioid crisis.
Author(s): Shannon M. Monnat, Khary K. Rigg
Date: 2018
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Health Equity Report 2017
Reports on trends in health equity and health disparities in the U.S. Provides statistics and information on multiple program areas, including: maternal and child health, primary care, access, quality, HIV/AIDS, mental and behavioral health, chronic disease, health promotion, health workforce, rural versus urban, and geographic disparities. Addresses disparity patterns for 3 priority areas: mental health, opioid use, and childhood obesity.
Author(s): Gopal K. Singh, Andrew "Drew" De Los Reyes, Michelle Allender, et al.
Date: 2018
Type: Document
Sponsoring organization: Health Resources and Services Administration
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2018 Pennsylvania Opioid Task Force: Important Maps
Details several maps showing county level data on opioid overdose deaths in Pennsylvania. Highlights differences in rural and urban counties. Includes statewide map of treatment centers.
Date: 2018
Type: Map/Mapping System
Sponsoring organization: USDA Rural Development
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