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Rural Health
Resources by Topic: Substance use and misuse

Rapid Review of Rural Health Research: Resources for the Five Leading Causes of Death
Prepared to accompany the December 12-13, 2017 workshop What Works for Rural: From Research to Reality. Compiles research and resources gathered online from October 2013 to December 2017 on the topics of cancer, chronic lower respiratory disease, heart disease, stroke, and unintentional injury, which includes a subsection on drug overdoses and opioids.
Date: 01/2018
Sponsoring organizations: Centers for Disease Control and Prevention, Federal Office of Rural Health Policy, Georgia Health Policy Center, National Network of Public Health Institutes
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Rural Health Research Recap: Opioid Use and Treatment Availability
Summarizes key findings from the Rural Health Research Centers' most recent research on opioid use and treatment. Focuses on research related to opioid use in rural communities, treatment for opioid use disorder, perceived need and use of treatment, and rural community response. Provides links to each of the referenced source documents.
Author(s): Shawnda Schroeder
Date: 01/2018
Sponsoring organization: Rural Health Research Gateway
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The Opioid Crisis: An Examination of How We Got Here and How We Move Forward
Presents the full U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the opioid crisis, featuring a testimony from Sam Quinones, journalist and author of Dreamland: The True Tale of America's Opioid Epidemic.
Additional links: Written Testimony
Date: 01/2018
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Perceived Treatment Need and Utilization for Illicit Drug and Opioid Use Disorders in Non-Metropolitan Areas
Gives estimates of perceived need and use of treatment for illicit drug and prescription pain reliever use disorders in 2008-2010, 2011-2013, and 2014-2015 among people ages 18-64. Includes statistics with breakdowns by urban or rural locations and by opioid, heroin, prescription drug, or any drug use disorder.
Author(s): Tyrone F. Borders, Hefei Wen
Date: 01/2018
Sponsoring organization: Rural and Underserved Health Research Center
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Illicit Drug and Opioid Use Disorders among Non-Metropolitan Residents
Provides estimates of metropolitan and non-metropolitan past year drug use disorder rates among people ages 18-64 and temporal changes in past year drug use disorder prevalence rates. Includes statistics with metropolitan and non-metropolitan breakdowns for any drug, opioid, heroin, and prescription pain reliever use disorder.
Author(s): Tyrone F. Borders, Hefei Wen
Date: 01/2018
Sponsoring organization: Rural and Underserved Health Research Center
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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
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 and sex, 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
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Evidence-Based Strategies for Preventing Opioid Overdose: What's Working in the United States
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
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
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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, et al.
Citation: Gerontology and Geriatric Medicine, 4
Date: 2018
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