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Rural Health Information Hub

Substance Use and Misuse in Rural Areas – Resources

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

Entertainment-Education Videos as a Persuasive Tool in the Substance Use Prevention Intervention "keepin' it REAL"
Examines the effects of engagement by adolescents receiving a substance use prevention curriculum offering entertainment-education videos on alcohol use by youth and communication skills to refuse drug offers. Seventh grade students from two rural public schools were assigned to two versions of the keepin' it REAL prevention curriculum – one rural based and one urban based. Discusses the pre/post surveys taken by students at the beginning and the end of 7th grade.
Author(s): YoungJu Shin, Michelle Miller-Day, Michael L. Hecht, Janice L. Krieger
Citation: Health Communication, 33(7) 896-906
Date: 07/2018
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Integrating Responses at the Intersection of Opioid Use Disorder and Infectious Disease Epidemics: Proceedings of a Workshop
Features the proceedings of a public workshop on the relationship between the opioid epidemic and the spread of infectious diseases. Presents research and policy options, such as integrating infectious disease treatment into opioid treatment and prevention efforts, as well as exploring the role of law enforcement. Discusses barriers to treatment and prevention in rural areas.
Additional links: Read Online
Date: 07/2018
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Geographic Variation in the Supply of Selected Behavioral Health Providers
Analyzes the geographic distribution of behavioral healthcare providers across the country. Breaks down data by metropolitan, micropolitan, and non-core counties and by psychiatrists, psychologists, and psychiatric nurse practitioners.
Author(s): C. Holly A. Andrilla, Davis G. Patterson, Lisa A. Garberson, et al.
Citation: American Journal of Preventive Medicine, 54(6), Supp 3, S199-S207
Date: 06/2018
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Report to Congress on Medicaid and CHIP, June 2018
Provides an in-depth examination of and makes recommendations on two critical issues, the high cost of prescription drugs and the opioid epidemic, as they relate to Medicaid. The opioid section includes discussion of rural access to treatment for substance use disorder. Also discusses Medicaid's role as the nation's largest payer for long-term services and supports.
Date: 06/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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SAMHSA Opioid Overdose Prevention Toolkit
Provides strategies for healthcare providers, communities, and local governments to help prevent opioid-related overdoses and deaths. Includes facts for community members, essential steps for first responders, information for prescribers, safety advice for patients and family members, and resources for overdose survivors and their families.
Date: 06/2018
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Prescribing Practices of Rural Physicians Waivered to Prescribe Buprenorphine
Highlights a study on the prescribing practices of rural physicians with buprenorphine waivers, which allowed them to provide medication-assisted treatment (MAT) for opioid used disorder. Findings are based on surveys of all rural physicians with a Drug Enforcement Administration prescription waiver. Breaks down data by physician specialty, practice type, and waiver type, among other factors.
Author(s): Holly A. Andrilla, Cynthia Coulthard, Davis G. Patterson
Citation: American Journal of Preventive Medicine, 54(6) S3, S208-S214
Date: 06/2018
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As Fatal Overdoses Rise, Many Americans See Drug Addiction as a Major Problem in Their Community
Highlights the results of a Pew Research Center survey on fatal drug overdoses and public concern about the opioid crisis. Features data comparing rural, urban, and suburban areas.
Author(s): John Gramlich
Date: 05/2018
Sponsoring organization: Pew Research Center
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Access to Syringe Services Programs — Kentucky, North Carolina, and West Virginia, 2013–2017
Overview of the role of syringe services programs (SSPs) in reducing hepatitis C transmission related to injection drug use. Describes the expansion of SSPs in Kentucky, North Carolina, and West Virginia from 2013 through August 1, 2017. Discusses the opportunity to improve access to care through SSPs, including access to related services such as medication-assisted treatment, which can be included in comprehensive SSPs.
Author(s): Danae Bixler, Greg Corby-Lee, Scott Proescholdbell, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(18), 529-532
Date: 05/2018
Sponsoring organization: Centers for Disease Control and Prevention
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A Social–Contextual Investigation of Smoking among Rural Women: Multi-level Factors Associated with Smoking Status and Considerations for Cessation
Presents a study of the personal characteristics of women who use tobacco in the Appalachian region of Ohio. Breaks down data by education, marital status, household income, and employment, among other measures.
Author(s): Julianna M Nemeth, Tiffany L Thomson, Bo Lu, et al.
Citation: Rural and Remote Health, 18(1)
Date: 04/2018
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2018 Electronic Cigarette Use among Youth in Georgia
Features data on e-cigarette use among youth in Georgia. Compares usage rates with other forms of tobacco, as well as usage rates in urban versus rural areas.
Date: 04/2018
Sponsoring organization: Georgia Department of Public Health
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Last Updated: 11/10/2025