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Substance Use and Misuse in Rural Areas – Resources

Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.

On the Farm
Documentary miniseries explores mental health and substance misuse on the American farm. Discusses the factors that contribute to psychological stress and substance use in farm families. Features interviews with experts as well as farmers and their families.
Additional links: Film Website
Date: 06/2022
Sponsoring organization: Mississippi State University
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Rural Disparities in Adolescent Smoking Prevalence
Analyzes surveys of 299,435 12th grade students between 1998 and 2018 to compare smoking prevalence among urban and rural youth. Discusses potential reasons for disparate rates and gaps in the literature regarding e-cigarette use.
Author(s): Sooyong Kim, Arielle Selya
Citation: Journal of Rural Health, 38(2), 360-363
Date: 03/2022
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Strengthening Federal Mental Health and Substance Use Disorder Programs: Opportunities, Challenges, and Emerging Issues
Presents a full committee hearing of the U.S. Senate Committee on Health, Education, Labor, and Pensions discussing the current state of federal mental health and substance use disorder programs. Features testimonies from representatives of the Heath Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the National Institute of Mental Health, and the National Institute on Drug Abuse.
Additional links: Carole Johnson Testimony, Joshua A. Gordon Testimony, Miriam E. Delphin-Rittmon Testimony, Nora D. Volkow Testimony
Date: 03/2022
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Hazardous Alcohol Use and Alcohol-Related Harm in Rural and Remote Communities: A Scoping Review
Presents a review of studies exploring hazardous alcohol use and alcohol-related harm in rural and remote communities. Details the health effects and other negative outcomes of hazardous alcohol use and highlights correlations across rural communities.
Author(s): Erik Loewen Friesen, Jacob Bailey, Sarah Hyett, et al.
Citation: The Lancet Public Health, 7(2), E177-E187
Date: 02/2022
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Rural Health Research Recap: Opioid Use Disorder and Treatment: Rural-Urban Comparisons
Summary of research on opioid use disorder (OUD) among youth, young adults, and pregnant women, the impact of OUD on hospitals and emergency departments, and the use of buprenorphine and partial psychiatric hospitalization programs as treatment for OUD. Features statistics including population-adjusted emergency department rates per 100 people from 2005-2016 and opioid-related emergency room visit rates per 100,000 people in 2006 and 2013, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 02/2022
Sponsoring organization: Rural Health Research Gateway
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Meeting the Behavioral Health Needs of Farm Families in Times of Economic Distress
Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance misuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Evaluation of State-Led Surveillance of Neonatal Abstinence Syndrome — Six U.S. States, 2018–2021
Examines data collection challenges and infrastructure gaps that impact surveillance of neonatal abstinence syndrome (NAS), based on information from 6 states with mandated NAS reporting. Includes brief discussion of rural concerns, including disparities in the incidence of opioid use disorder and NAS and gaps in rural infrastructure and access to care.
Author(s): Shahla M. Jilani, Kristina West, Laura Jacobus-Kantor, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(2), 37-42
Date: 01/2022
Sponsoring organization: Centers for Disease Control and Prevention
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Stigma Experienced by Rural Pregnant Women with Substance Use Disorder: A Scoping Review and Qualitative Synthesis
Explores the stigma experienced by rural pregnant women with substance use disorder (SUD). Bases findings on a literature review of studies from 2000-2022. Breaks down the various ways and areas rural pregnant women with SUD experience stigma, such as within the community and healthcare settings. Discusses the importance of comprehensive care that takes these experiences into consideration.
Author(s): Victoria Bright, Julia Riddle, Jean Kerver
Citation: International Journal of Environmental Research and Public Health, 19(22), 15065
Date: 2022
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Family-Focused Interventions to Prevent Substance Use Disorders in Adolescence
Proceedings from a workshop exploring barriers to and opportunities for implementing interventions and highlighting efforts to incorporate interventions into statewide healthcare strategies. Includes sections on interventions in healthcare settings, program implementation, federal agency perspectives, and possible future directions. Mentions initiatives geared toward tribal communities.
Additional links: Read Online
Author(s): Division of Behavioral and Social Sciences and Education
Date: 2022
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Tobacco Where You Live: Native Communities
Report focuses on tobacco use in American tribal communities. Differentiates traditional uses of tobacco from commercial use and highlights strategies for highlighting this difference to reduce rates of commercial tobacco use.
Date: 2022
Sponsoring organization: Centers for Disease Control and Prevention
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