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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.

Perceptions of Substance Use Disorder in Rural Areas: How the Brain Disease Model Impacts Public Stigma
Presents a study on substance use disorder (SUD) stigma in rural communities by comparing the results from a 2020 study to a survey conducted in 2023. Explores rural perceptions in SUD as a legitimate illness and discusses perceptions of medication-assisted treatment (MAT) and SUD treatment and recovery.
Author(s): Erin E. Miller, Sarah Schweitzer, Patricia Ahmed, et al.
Citation: BMC Public Health, 24, 3531
Date: 12/2024
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Lifting Kids Up with Grace: How a New Mexico Community Built a Grassroots Youth and Family Center from the Ground Up
Features the GRACE Youth and Family Center for Everyone, a New Mexico grassroots initiative that offers free programming to children, teenagers, and families in a rural county with high rates of substance use.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 12/2024
Sponsoring organization: Rural Health Information Hub
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Eliminating Tobacco-Related Disease and Death: Addressing Disparities - A Report of the Surgeon General
Report explores disparities in tobacco use and tobacco use-related health outcomes. Identifies tobacco-related disparities and the various demographic groups that still use tobacco products at a higher rate than the national average, such as people below the poverty level, workers in manual labor or service industry jobs, and people who live in rural communities, among others. Highlights strategies for curtailing the expansion of tobacco use and details promising interventions for reducing tobacco-related health disparities.
Additional links: Executive Summary, Full Report
Date: 11/2024
Sponsoring organization: U.S. Department of Health and Human Services
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Implementation Outcomes from a Pilot Study of Training Probation Officers to Deliver Contingency Management for Emerging Adults with Substance Use Disorders
Discusses the risk for young adults in the criminal justice system to misuse substances and develop substance use disorders. Highlights the increased risk for those young adults living in rural communities and explores the efficacy of a program that empowers probation officers to connect their clients to evidence-based substance use services. Details the results of this pilot program in two rural counties in Oregon.
Author(s): Tess K. Drazdowskia, Katherine Keltonc, Patrick F. Hibbard, et al.
Citation: Journal of Substance Use & Addiction Treatment, 166, 209450
Date: 11/2024
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2023 Report to Congress on the State Opioid Response Grants (SOR)
Report details the outcomes of state opioid response (SOR) grants to Congress. Highlights demographic breakdown of people served by SOR programs and discusses key accomplishments by state/territory. Includes rural references throughout.
Date: 09/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Santa Fe and Las Vegas, New Mexico, September 4-6, 2024
Summarizes the 95th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Santa Fe and Las Vegas, New Mexico. Presents an overview of national, state, and community perspectives on the rural opioid and substance use crisis.
Date: 09/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Medication-Based Treatment among Rural, Primary Care Patients Diagnosed with Opioid Use Disorder and Alcohol Use Disorder
Explores prescribing rates of medications for opioid use disorder (MOUD) and alcohol use disorder (MAUD) in primary care settings in rural and urban areas. Discusses the use of medications for treating OUD and AUD and looks for differences in utilization by rural and urban providers. Breaks down data by patient age, sex, and medication type, among other measures.
Author(s): Emily Kan, Laura-Mae Baldwin, Larissa J. Mooney, et al.
Citation: Journal of Substance Use & Addiction Treatment, 164, 20933
Date: 09/2024
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Examining U.S. Disparities in Smoking among Rural Versus Urban Women of Reproductive Age: 2002–2019
Examines rural and urban trends in cigarette smoking prevalence and first-time quit ratios among adult women aged 18-44, utilizing 2002-2019 U.S. National Survey on Drug Use and Health (NSDUH) data. Includes data on pregnant and non-pregnant women. Discusses the significance of smoking behaviors and access to cessation support for multigenerational rural health disparities.
Author(s): Stephen T. Higgins, Tyler Erath, Fang-Fang Chen
Citation: Preventive Medicine, 108115
Date: 08/2024
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Pain in the Nation 2024: The Epidemics of Alcohol, Drug, and Suicide Deaths
Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on polysubstance use and drug overdose issues. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Author(s): Molly Warren, Brandon Reavis
Date: 07/2024
Sponsoring organization: Trust for America's Health
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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
Sponsoring organization: Centers for Disease Control and Prevention
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Last Updated: 1/2/2026