Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
Designed Cultural Adaptation and Delivery Quality in Rural Substance Use Prevention: An Effectiveness Trial for the Keepin' it REAL Curriculum
Examines the effectiveness of two versions – one urban and one rural - of a culturally adapted evidence-based middle school substance use prevention curriculum on adolescents. Data collected included adolescent self-reported substance use, and ratings of quality in delivery analyzed from video recordings of lessons presented.
Author(s): Michael L. Hecht, YoungJu Shin, Jonathan Pettigrew, Michelle Miller-Day, Janice L. Krieger
Citation: Prevention Science 19(8), 1008-1018
Date: 11/2018
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Examines the effectiveness of two versions – one urban and one rural - of a culturally adapted evidence-based middle school substance use prevention curriculum on adolescents. Data collected included adolescent self-reported substance use, and ratings of quality in delivery analyzed from video recordings of lessons presented.
Author(s): Michael L. Hecht, YoungJu Shin, Jonathan Pettigrew, Michelle Miller-Day, Janice L. Krieger
Citation: Prevention Science 19(8), 1008-1018
Date: 11/2018
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Variations in Support for Secondhand Smoke Restrictions Across Diverse Rural Regions of the United States
Surveys the support of secondhand smoke restrictions among rural and urban people across all of the HHS regions. Explores the attitudes of people pertaining to smoking regulations in various locations, such as in homes, bars, and playgrounds, among others.
Author(s): Frances A. Stillman, Erin Tanenbaum, Mary Ellen Wewers, et al.
Citation: Preventive Medicine, 116, 157-165
Date: 11/2018
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Surveys the support of secondhand smoke restrictions among rural and urban people across all of the HHS regions. Explores the attitudes of people pertaining to smoking regulations in various locations, such as in homes, bars, and playgrounds, among others.
Author(s): Frances A. Stillman, Erin Tanenbaum, Mary Ellen Wewers, et al.
Citation: Preventive Medicine, 116, 157-165
Date: 11/2018
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A Large HCV Transmission Network Enabled a Fast-growing HIV Outbreak in Rural Indiana, 2015
Highlights a study of the co-infection of hepatitis C among HIV patients who inject opioids in rural Indiana. Details the age, race, and county of residence, as well as several risk factors of the patients.
Author(s): Sumathi Ramachandran, Hong Thai, Joseph C. Forbi, et al.
Citation: EBioMedicine, 37, 374-381
Date: 11/2018
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Highlights a study of the co-infection of hepatitis C among HIV patients who inject opioids in rural Indiana. Details the age, race, and county of residence, as well as several risk factors of the patients.
Author(s): Sumathi Ramachandran, Hong Thai, Joseph C. Forbi, et al.
Citation: EBioMedicine, 37, 374-381
Date: 11/2018
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Responding to the HIV Crisis in Scott County, Indiana: Q&A with Dr. William Cooke
An interview with Dr. William Cooke, the only physician in Austin, Indiana at the time of the country's largest rural HIV outbreak. Highlights the work of Dr. Cooke and his staff to help address HIV, hepatitis C, and opioid/substance use disorder in the community.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2018
Sponsoring organization: Rural Health Information Hub
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An interview with Dr. William Cooke, the only physician in Austin, Indiana at the time of the country's largest rural HIV outbreak. Highlights the work of Dr. Cooke and his staff to help address HIV, hepatitis C, and opioid/substance use disorder in the community.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2018
Sponsoring organization: Rural Health Information Hub
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The Health and Economic Concerns of Rural Americans
Presentation features a discussion on the role social and economic disparities play in the health of people in rural communities. Highlights the effect the opioid crisis has had in rural areas and discusses ways communities can use local resources to combat opioid abuse. Transcript available in the video description.
Date: 11/2018
Sponsoring organization: The Forum, Harvard T.H. Chan School of Public Health
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Presentation features a discussion on the role social and economic disparities play in the health of people in rural communities. Highlights the effect the opioid crisis has had in rural areas and discusses ways communities can use local resources to combat opioid abuse. Transcript available in the video description.
Date: 11/2018
Sponsoring organization: The Forum, Harvard T.H. Chan School of Public Health
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Surveillance for Cancers Associated with Tobacco Use — United States, 2010–2014
Reports on tobacco-associated cancer incidence for lung, bronchial, and tracheal cancers; laryngeal cancer; oral cavity and pharyngeal cancers; esophageal cancer; stomach cancer; colon and rectal cancers; liver cancer; pancreatic cancer; kidney and renal pelvis cancers; urinary bladder cancer; cervical cancer; and acute myeloid leukemia. Includes data for metropolitan and nonmetro counties, as well as by sex, age, tumor characteristics, U.S. census region, state, and other demographics.
Author(s): M. Shayne Gallaway, S. Jane Henley, C. Brooke Steele, et al.
Citation: MMWR Surveillance Summaries, 67(12), 1-42
Date: 11/2018
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on tobacco-associated cancer incidence for lung, bronchial, and tracheal cancers; laryngeal cancer; oral cavity and pharyngeal cancers; esophageal cancer; stomach cancer; colon and rectal cancers; liver cancer; pancreatic cancer; kidney and renal pelvis cancers; urinary bladder cancer; cervical cancer; and acute myeloid leukemia. Includes data for metropolitan and nonmetro counties, as well as by sex, age, tumor characteristics, U.S. census region, state, and other demographics.
Author(s): M. Shayne Gallaway, S. Jane Henley, C. Brooke Steele, et al.
Citation: MMWR Surveillance Summaries, 67(12), 1-42
Date: 11/2018
Sponsoring organization: Centers for Disease Control and Prevention
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The Opioid Crisis and Economic Opportunity: Geographic and Economic Trends
Features a study on the relationship between economic opportunity and opioid use. Explores the correlation between poverty and opioid prescriptions, hospitalizations, and overdose rates. Features several nationwide maps of county-level data.
Author(s): Robin Ghertner, Lincoln Groves
Date: 11/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Features a study on the relationship between economic opportunity and opioid use. Explores the correlation between poverty and opioid prescriptions, hospitalizations, and overdose rates. Features several nationwide maps of county-level data.
Author(s): Robin Ghertner, Lincoln Groves
Date: 11/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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HRSA's Home Visiting Program: Supporting Families Impacted by Opioid Use and Neonatal Abstinence Syndrome: A Resource for MIECHV Awardees
Details a report for HRSA's Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program grantees on providing support to families impacted opioid use disorder (OUD) and neonatal abstinence syndrome (NAS). Discusses methods of treatments for newborns with NAS and Medication-Assisted Treatment (MAT) for pregnant women with OUD.
Date: 10/2018
Sponsoring organization: Health Resources and Services Administration
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Details a report for HRSA's Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program grantees on providing support to families impacted opioid use disorder (OUD) and neonatal abstinence syndrome (NAS). Discusses methods of treatments for newborns with NAS and Medication-Assisted Treatment (MAT) for pregnant women with OUD.
Date: 10/2018
Sponsoring organization: Health Resources and Services Administration
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Life in Rural America
Summarizes the results of a survey of rural adults living in the U.S. Includes survey response data and statistics on a variety of topics such as: drug addiction or abuse and opioids; the economy; health conditions; suicide; and more.
Additional links: Full Report
Date: 10/2018
Sponsoring organizations: Harvard T.H. Chan School of Public Health, NPR, Robert Wood Johnson Foundation
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Summarizes the results of a survey of rural adults living in the U.S. Includes survey response data and statistics on a variety of topics such as: drug addiction or abuse and opioids; the economy; health conditions; suicide; and more.
Additional links: Full Report
Date: 10/2018
Sponsoring organizations: Harvard T.H. Chan School of Public Health, NPR, Robert Wood Johnson Foundation
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Federal Legislation to Address the Opioid Crisis: Medicaid Provisions in the SUPPORT Act
Brief details the Medicaid provisions in the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act. Discusses provisions aimed at treating substance use disorder(SUD) in rural areas.
Author(s): MaryBeth Musumeci, Jennifer Tolbert
Date: 10/2018
Sponsoring organization: KFF
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Brief details the Medicaid provisions in the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act. Discusses provisions aimed at treating substance use disorder(SUD) in rural areas.
Author(s): MaryBeth Musumeci, Jennifer Tolbert
Date: 10/2018
Sponsoring organization: KFF
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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: 5/6/2025