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Rural Response to the Opioid Crisis – Resources

Selected recent or important resources focusing on Rural Response to the Opioid Crisis.

Preventing Opioid Overdose with Peer-Administered Naloxone: Findings from a Rural State
Highlights a study on the efficacy of peer-administered naloxone to prevent opioid overdose deaths. Bases conclusions on interviews with individuals who have received the training and the naloxone kits from a program in rural Alaska.
Author(s): Bridget L. Hanson, Rebecca R. Porter, Amanda L. Zöld, Heather Terhorst-Miller
Citation: Harm Reduction Journal, 17(1), 4
Date: 01/2020
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Socioeconomic Risk Factors for Fatal Opioid Overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)
Highlights a study that correlates demographic and socioeconomic status with opioid overdose fatalities. Draws data from the Mortality Disparities in American Community Study (MDAC) and compares results by rural/nonrural residence, employment, and educational attainment, among other measures.
Author(s): Sean F. Altekruse, Candace M. Cosgrove, William C. Altekruse, Richard A. Jenkins, Carlos Blanco
Citation: PLoS One, 15(1)
Date: 01/2020
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Rural Community Action Guide: Building Stronger, Healthy, Drug-Free Rural Communities
Provides an overview of challenges rural communities face related to substance use disorder (SUD), including prescription opioid misuse. Identifies action steps rural communities can take related to prevention, treatment, recovery, and SUD-related issues such as stigma, transportation barriers, and lack of employment opportunities. Features programs that are working to address these issues in rural communities.
Additional links: Promising Practices Supplement
Date: 01/2020
Sponsoring organization: Office of National Drug Control Policy
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Trends in Opioids Prescribed at Discharge From Emergency Departments Among Adults: United States, 2006–2017
Examines trends in emergency department (ED) discharge opioid prescribing for adults from 2006–2007 through 2016–2017. Provides data by selected patient and hospital characteristics and the type of opioids prescribed. Table 1 includes data on the percent of ED patients prescribed an opioid at discharge by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): Pinyao Rui, Loredana Santo, Jill J. Ashman
Date: 01/2020
Sponsoring organization: National Center for Health Statistics
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Associations Between Stopping Prescriptions for Opioids, Length of Opioid Treatment, and Overdose or Suicide Deaths in US Veterans: Observational Evaluation
Highlights a study on the correlation between halting treatment for opioid use disorder, length of treatment, and death from overdose or suicide among Veterans Health Administration patients. Breaks down data by age, sex, and rural status among other factors.
Author(s): Elizabeth M Oliva, Thomas Bowe, Ajay Manhapra, et al.
Citation: BMJ, 2020: m283
Date: 2020
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Does a Rural Community-Based Intervention Improve Knowledge and Attitudes of Opioid Use Disorder and Medication-Assisted Treatment? A Report From the IT MATTTRs Study
Details a study on the effect of a community-based intervention on a rural Colorado community's perception and knowledge of medication-assisted treatment (MAT) for opioid use disorder (OUD). Bases findings on surveys of community members both before and after the intervention. Breaks down participant data by age and affiliation to the study, among other measures.
Author(s): Kristen Curcija, Linda Zittleman, Mary Fisher, et al.
Citation: Journal of Rural Health, 38(1), 120-128
Date: 2020
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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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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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The Impact of the Opioid Epidemic on the Aging Services Network and the Older Adults They Serve
Report highlights the results of a survey of National Council on Aging (NCOA) grantees and partners on the effect of the opioid epidemic on older adults. Details the percentage of respondents from rural areas and offers recommendations and resources to address the epidemic among the aging population.
Date: 12/2019
Sponsoring organization: National Council on Aging
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Last Updated: 9/8/2025