Substance Use and Misuse in Rural Areas – Resources

Stem the Tide: Addressing the Opioid Epidemic
Presents a report on various methods hospitals and health systems can use to address the opioid epidemic. Discusses non-opioid pain management, prescribing practices, and treatment for substance use disorders (SUDs), among other topics. Highlights several rural programs and examples throughout.
Date: 2017
Type: Document
Sponsoring organization: American Hospital Association
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A Socioecological Approach to Addressing Tobacco-Related Health Disparities
Presents a sociological approach to reducing tobacco use. Focuses on addressing tobacco use in minority groups where usage is still prevalent. Analyzes factors that predispose various groups to tobacco use and discusses methods for prevention and cessation.
Additional links: Executive Summary
Date: 2017
Type: Document
Sponsoring organization: National Cancer Institute
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Opioid Overdose Experience, Risk Behaviors, and Knowledge in Drug Users from a Rural Versus an Urban Setting
Highlights a study on the overdose knowledge of opioid users from both rural and urban areas. Details participants' experience with overdosing and their responses to the Brief Opioid Overdose Knowledge (BOOK) questionnaire.
Author(s): Kelly E. Dunn, Frederick S. Barrett, Claudia Yepez-Laubach, et al.
Citation: Journal of Substance Abuse and Treatment, 71, 1-7
Date: 12/2016
Type: Document
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Vital Signs: Trends in HIV Diagnoses, Risk Behaviors, and Prevention Among Persons Who Inject Drugs — United States
Reports on trends in HIV diagnoses among people who inject drugs. Figure 1 shows data for urban and rural White, African American, and Hispanic people from 2008-2014.
Author(s): Cyprian Wejnert, Kristen L. Hess, H. Irene Hall, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(47), 1336-1342
Date: 12/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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County-level Vulnerability Assessment for Rapid Dissemination of HIV or HCV Infections among Persons Who Inject Drugs, United States
Explores a study on the prevalence of HIV and hepatitis C virus (HCV) due to illicit injection drug use in rural areas. Identifies counties across the U.S. that are potentially vulnerable to HIV/HCV infections among people who inject drugs.
Author(s): Michelle M Van Handel, Charles E Rose, Elaine J Hallisey, et al.
Citation: Journal of Acquired Immune Deficiency Syndromes, 73(3), 323-331
Date: 11/2016
Type: Document
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Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health
Highlights ways substance use disorder treatment in rural and urban areas can be aligned with primary care, and provides recommendations and examples of how individuals, organizations, and communities can work together to reduce and prevent substance misuse.
Date: 11/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Pennsylvania Mobile Team Addresses Substance Use Disorders
Features the Addiction Recovery Mobile Outreach Team (ARMOT) program, which supports patients in the recovery process and educates medical staff on addiction and recovery. ARMOT is a collaboration of three hospitals, two substance abuse providers, and the Armstrong-Indiana-Clarion Drug and Alcohol Commission.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Vital Signs: Disparities in Tobacco-Related Cancer Incidence and Mortality — United States, 2004–2013
Reports on trends and disparities in incidence and death rates for cancers related to cigarette smoking during 2004–2013. Includes data for urban and rural counties.
Author(s): S. Jane Henley, Cheryll C. Thomas, Saida R. Sharapova, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(44),1212-1218
Date: 11/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Supply and Distribution of the Behavioral Health Workforce in Rural America
Discusses and compares the provider to population ratios of the behavioral health workforce in metropolitan and nonmetro (micropolitan and non-core) U.S. counties. A state-level analysis of the study is also available with information for all states.
Author(s): Eric H. Larson, Davis G. Patterson, Lisa A. Garberson, C. Holly A. Andrilla
Date: 09/2016
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Fentanyl Law Enforcement Submissions and Increases in Synthetic Opioid-Involved Overdose Deaths - 27 States, 2013-2014
Reports on drugs testing positive for fentanyl. Provides information on synthetic opioid-involved deaths other than methadone, including fentanyl deaths. For 27 states with death certificate reporting of drugs involved in overdoses, provides data for metropolitan, micropolitan, and noncore areas.
Author(s): R. Matthew Gladden, Pedro Martinez, Puja Seth
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(33), 837-843
Date: 08/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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