Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
NSDUH (National Survey on Drug Use and Health) Detailed Tables - 2023
Explores 2023 survey data, including revisions, on use of prescription and illicit drugs, alcohol, tobacco and nicotine products, trends in substance use disorder (SUD) and mental illness, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Date: 07/2024
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Explores 2023 survey data, including revisions, on use of prescription and illicit drugs, alcohol, tobacco and nicotine products, trends in substance use disorder (SUD) and mental illness, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Date: 07/2024
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Community-Level Factors and their Associations with Changing Opioid Overdose Fatality Rates in Kentucky, 2019–2021
Identifies associations between community-level factors and opioid overdose fatality rates in Appalachian and non-Appalachian Kentucky counties, and examines how these associations have changed from 2019 to 2021. Discusses societal changes that occurred due to COVID-19, including social isolation, and which may be linked to an increase in overdose deaths. Features statistics with breakdowns by metropolitan, adjacent-to-metropolitan, and nonmetropolitan areas.
Author(s): Shawn R. Nigam, Philip M. Westgate, Svetla Slavova, Rachel Vickers-Smith, Katherine L. Thompson
Citation: Journal of Appalachian Health, 6(1), 90-115
Date: 07/2024
Type: Document
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Identifies associations between community-level factors and opioid overdose fatality rates in Appalachian and non-Appalachian Kentucky counties, and examines how these associations have changed from 2019 to 2021. Discusses societal changes that occurred due to COVID-19, including social isolation, and which may be linked to an increase in overdose deaths. Features statistics with breakdowns by metropolitan, adjacent-to-metropolitan, and nonmetropolitan areas.
Author(s): Shawn R. Nigam, Philip M. Westgate, Svetla Slavova, Rachel Vickers-Smith, Katherine L. Thompson
Citation: Journal of Appalachian Health, 6(1), 90-115
Date: 07/2024
Type: Document
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Adult Smoking Cessation — United States, 2022
Reports estimates of cigarette smoking cessation indicators among U.S. adults. Includes rural and urban data on interest in quitting, past-year attempts to quit smoking, recent successful cessation, health professional assistance and counseling, and use of medication to quit smoking.
Author(s): Brenna VanFrank, Ann Malarcher, Monica E. Cornelius, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(29), 633-641
Date: 07/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports estimates of cigarette smoking cessation indicators among U.S. adults. Includes rural and urban data on interest in quitting, past-year attempts to quit smoking, recent successful cessation, health professional assistance and counseling, and use of medication to quit smoking.
Author(s): Brenna VanFrank, Ann Malarcher, Monica E. Cornelius, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(29), 633-641
Date: 07/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Prescription Opioid Tapering Practices and Outcomes at a Rural VA Health Care System
Presents a study on the clinical characteristics of rural veterans using opioids for chronic pain and undergoing opioid tapering. Breaks down data on outcomes from tapering for rural veterans who were taking 90 Morphine Equivalent Daily Dose (MEDD) or more. Highlights common tapering outcomes, such as increased pain, suicidal ideation, and other withdrawal symptoms.
Author(s): Rena Elizabeth Courtney, Emily Halsey, Tanvi Patil, et al.
Citation: Pain Medicine, 25(7), 480-482
Date: 07/2024
Type: Document
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Presents a study on the clinical characteristics of rural veterans using opioids for chronic pain and undergoing opioid tapering. Breaks down data on outcomes from tapering for rural veterans who were taking 90 Morphine Equivalent Daily Dose (MEDD) or more. Highlights common tapering outcomes, such as increased pain, suicidal ideation, and other withdrawal symptoms.
Author(s): Rena Elizabeth Courtney, Emily Halsey, Tanvi Patil, et al.
Citation: Pain Medicine, 25(7), 480-482
Date: 07/2024
Type: Document
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Rural and Urban Differences in Disparities in Substance Use and Substance Use Disorders Affecting Sexual Minority Populations
Examines substance use (SU), substance use disorders (SUD), and SUD treatment in heterosexual and sexual minority populations. Analyzes 2015 to 2019 National Survey on Drug Use and Health data with information broken down by demographics, SU, and large metro, small metro, or nonmetro location.
Author(s): Christina Dyar, Ethan Morgan
Citation: Journal of Rural Health, 40(3), 542-556
Date: 06/2024
Type: Document
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Examines substance use (SU), substance use disorders (SUD), and SUD treatment in heterosexual and sexual minority populations. Analyzes 2015 to 2019 National Survey on Drug Use and Health data with information broken down by demographics, SU, and large metro, small metro, or nonmetro location.
Author(s): Christina Dyar, Ethan Morgan
Citation: Journal of Rural Health, 40(3), 542-556
Date: 06/2024
Type: Document
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Evaluation of the Maternal Opioid Misuse (MOM) Model: Third Annual Report (Implementation Year 2)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Evaluation of Using Telehealth for Opioid Use Disorders in a Correctional Setting
Report evaluates a telehealth intervention in a rural county jail to provide medications for opioid use disorder (MOUD) and therapy to inmates with opioid use disorder (OUD) during the COVID-19 pandemic. Highlights program goals and details data from participant surveys on the intervention's perceived quality and efficacy.
Author(s): Marina Duane, Jennifer Yahner, Malore Dusenbery, Erica Henderson
Date: 05/2024
Type: Document
Sponsoring organizations: National Criminal Justice Reference Service, Office of Justice Programs
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Report evaluates a telehealth intervention in a rural county jail to provide medications for opioid use disorder (MOUD) and therapy to inmates with opioid use disorder (OUD) during the COVID-19 pandemic. Highlights program goals and details data from participant surveys on the intervention's perceived quality and efficacy.
Author(s): Marina Duane, Jennifer Yahner, Malore Dusenbery, Erica Henderson
Date: 05/2024
Type: Document
Sponsoring organizations: National Criminal Justice Reference Service, Office of Justice Programs
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Association Between Sociodemographics and Change in Alcohol or Tobacco Use Behaviors During the COVID-19 Pandemic
Presents a study exploring the changes in alcohol and tobacco use during the COVID-19 pandemic and aims to identify correlating sociodemographic factors. Breaks down survey data by sociodemographic markers, such as age, race, gender, and rural versus urban location, among other factors.
Author(s): Selam Habtemariam, Chloe M. Hery, Xiaochen Zhang, et al.
Citation: PLoS ONE, 19(5), e0304111
Date: 05/2024
Type: Document
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Presents a study exploring the changes in alcohol and tobacco use during the COVID-19 pandemic and aims to identify correlating sociodemographic factors. Breaks down survey data by sociodemographic markers, such as age, race, gender, and rural versus urban location, among other factors.
Author(s): Selam Habtemariam, Chloe M. Hery, Xiaochen Zhang, et al.
Citation: PLoS ONE, 19(5), e0304111
Date: 05/2024
Type: Document
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Overdose Responses among Rural People Who Use Drugs: A Multi-Regional Qualitative Study
Analyzes qualitative data from 7 Rural Opioid Initiative studies on peer responses to overdose. Identifies themes related to naloxone administration, overdose reversal strategies, willingness to call 911, perceptions of first responders, and access to medical intervention. Discusses public health approaches to increasing access to care and effectiveness of overdose response in rural areas.
Author(s): Robin Baker, Rob J Fredericksen, Abby E Rudolph, et al.
Citation: Harm Reduction Journal, 21, 107
Date: 05/2024
Type: Document
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Analyzes qualitative data from 7 Rural Opioid Initiative studies on peer responses to overdose. Identifies themes related to naloxone administration, overdose reversal strategies, willingness to call 911, perceptions of first responders, and access to medical intervention. Discusses public health approaches to increasing access to care and effectiveness of overdose response in rural areas.
Author(s): Robin Baker, Rob J Fredericksen, Abby E Rudolph, et al.
Citation: Harm Reduction Journal, 21, 107
Date: 05/2024
Type: Document
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Tribally-Led Mobile Outreach: Improving Access to Harm Reduction Services in One Rural Reservation Community
Presents a study on the efficacy of a tribally-run mobile outreach service to deliver opioid harm reduction information and services. Breaks down type of services offered, the organizational reach, and population served.
Author(s): Allyson Kelley, Kellie Webb, Katherine Hirchak, et al.
Citation: Frontiers in Public Health, 12, 1383729
Date: 05/2024
Type: Document
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Presents a study on the efficacy of a tribally-run mobile outreach service to deliver opioid harm reduction information and services. Breaks down type of services offered, the organizational reach, and population served.
Author(s): Allyson Kelley, Kellie Webb, Katherine Hirchak, et al.
Citation: Frontiers in Public Health, 12, 1383729
Date: 05/2024
Type: Document
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Alcohol use
- Behavioral health
- Behavioral health workforce
- Illicit drug use
- Prescription drug misuse
- Substance use and misuse
- Tobacco use
Last Updated: 7/30/2024