Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
Neonatal and Maternal Hospital Stays Related to Substance Use, 2006-2012
Examines newborn and maternal inpatient hospital stays associated with substance use, based on data from 38 states. Table 2 provides data by location of patient residence for rural and urban locations.
Author(s): Kathryn R. Fingar, Carol Stocks, Audrey J. Weiss, Pamela L. Owens
Date: 07/2015
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines newborn and maternal inpatient hospital stays associated with substance use, based on data from 38 states. Table 2 provides data by location of patient residence for rural and urban locations.
Author(s): Kathryn R. Fingar, Carol Stocks, Audrey J. Weiss, Pamela L. Owens
Date: 07/2015
Sponsoring organization: Agency for Healthcare Research and Quality
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Urban vs. Rural Differences in Prescription Opioid Misuse among Adults in the United States: Informing Region Specific Drug Policies and Interventions
A study analyzing data from the 2011 and 2012 National Survey on Drug Use and Health discussing the rural/urban differences in prescription opioid misuse.
Author(s): Khary K. Rigg, Shannon M. Monnat
Citation: International Journal of Drug Policy, 26(5), 484–491
Date: 05/2015
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A study analyzing data from the 2011 and 2012 National Survey on Drug Use and Health discussing the rural/urban differences in prescription opioid misuse.
Author(s): Khary K. Rigg, Shannon M. Monnat
Citation: International Journal of Drug Policy, 26(5), 484–491
Date: 05/2015
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Increases in Hepatitis C Virus Infection Related to Injection Drug Use Among Persons Aged ≤30 Years - Kentucky, Tennessee, Virginia, and West Virginia, 2006-2012
Discusses opioid abuse, drug injecting, and hepatitis C virus (HCV) infection in central Appalachia, with data on HCV infection rates for four states. Includes data for rural and urban areas.
Author(s): Jon E. Zibbell, Kashif Iqbal, Rajiv C. Patel, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 64(17), 453-458
Date: 05/2015
Sponsoring organization: Centers for Disease Control and Prevention
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Discusses opioid abuse, drug injecting, and hepatitis C virus (HCV) infection in central Appalachia, with data on HCV infection rates for four states. Includes data for rural and urban areas.
Author(s): Jon E. Zibbell, Kashif Iqbal, Rajiv C. Patel, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 64(17), 453-458
Date: 05/2015
Sponsoring organization: Centers for Disease Control and Prevention
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A Rural Appalachian Faith-Placed Smoking Cessation Intervention
Describes a faith-oriented smoking cessation program comprising 590 smokers in 26 churches located in rural Appalachia. Discusses 3 themes identified by the participants' evaluation of the program including the program's ability to leverage social connections, be conveniently orientated, and to provide financial support for smoking cessation.
Author(s): Nancy E. Schoenberg, Henry E. Bundy, Jordan A. Baeker Bispo, et al.
Citation: Journal of Religion and Health, 54(2), 598-611
Date: 04/2015
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Describes a faith-oriented smoking cessation program comprising 590 smokers in 26 churches located in rural Appalachia. Discusses 3 themes identified by the participants' evaluation of the program including the program's ability to leverage social connections, be conveniently orientated, and to provide financial support for smoking cessation.
Author(s): Nancy E. Schoenberg, Henry E. Bundy, Jordan A. Baeker Bispo, et al.
Citation: Journal of Religion and Health, 54(2), 598-611
Date: 04/2015
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Ethnic Differences in Associations Among Popularity, Likability, and Trajectories of Adolescents' Alcohol Use and Frequency
Highlights a study on alcohol use as it is related to social popularity by minority adolescents in rural communities. Breaks down data by grade level and frequency of use, among other factors.
Author(s): Sophia Choukas-Bradley, Matteo Giletta, Enrique W. Neblett, Mitchell J. Prinstein
Citation: Child Development, 86(2), 519-535
Date: 03/2015
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Highlights a study on alcohol use as it is related to social popularity by minority adolescents in rural communities. Breaks down data by grade level and frequency of use, among other factors.
Author(s): Sophia Choukas-Bradley, Matteo Giletta, Enrique W. Neblett, Mitchell J. Prinstein
Citation: Child Development, 86(2), 519-535
Date: 03/2015
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The Future of Rural Behavioral Health
Policy paper discussing the unique challenges of providing behavioral healthcare services in rural areas. Includes policy recommendations and interventions related to workforce development, reimbursement and financing, integration of care, and the use of technology in delivering behavioral healthcare.
Author(s): Will Wilson, Angela Bangs, Tammy Hatting
Date: 02/2015
Sponsoring organization: National Rural Health Association
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Policy paper discussing the unique challenges of providing behavioral healthcare services in rural areas. Includes policy recommendations and interventions related to workforce development, reimbursement and financing, integration of care, and the use of technology in delivering behavioral healthcare.
Author(s): Will Wilson, Angela Bangs, Tammy Hatting
Date: 02/2015
Sponsoring organization: National Rural Health Association
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Rural Substance Use Treatment Centers in the United States: An Assessment of Treatment Quality by Location
Investigates the differences in treatment quality in rural and urban substance abuse treatment centers to determine if these differences are a result of structural characteristics and rurality.
Author(s): Mary Bond Edmond, Lydia Aletraris, Paul M. Roman
Citation: American Journal of Drug and Alcohol Abuse, 41(5), 449-457
Date: 2015
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Investigates the differences in treatment quality in rural and urban substance abuse treatment centers to determine if these differences are a result of structural characteristics and rurality.
Author(s): Mary Bond Edmond, Lydia Aletraris, Paul M. Roman
Citation: American Journal of Drug and Alcohol Abuse, 41(5), 449-457
Date: 2015
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Behavioral Health Equity Barometer: United States, 2014
Reports on differences in prevalence of behavioral health disorders, perceptions of risk, and access to treatment for different populations. Includes information for metropolitan and nonmetropolitan residents, as well as by race/ethnicity, income level, and health insurance status.
Date: 2015
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Reports on differences in prevalence of behavioral health disorders, perceptions of risk, and access to treatment for different populations. Includes information for metropolitan and nonmetropolitan residents, as well as by race/ethnicity, income level, and health insurance status.
Date: 2015
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Risk Factors for HCV Infection Among Young Adults in Rural New York Who Inject Prescription Opioid Analgesics
Details a study of hepatitis C virus (HCV) prevalence among people who inject drugs and those who misuse prescription opioid analgesics in rural New York. Analyzes cohort by age, sex, age at first injection, and use of a syringe exchange program, among others.
Author(s): Jon E. Zibbell, Rachel Hart-Malloy, John Barry, Lillian Fan, Colleen Flanigan
Citation: American Journal of Public Health, 104(11), 2226-2232
Date: 11/2014
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Details a study of hepatitis C virus (HCV) prevalence among people who inject drugs and those who misuse prescription opioid analgesics in rural New York. Analyzes cohort by age, sex, age at first injection, and use of a syringe exchange program, among others.
Author(s): Jon E. Zibbell, Rachel Hart-Malloy, John Barry, Lillian Fan, Colleen Flanigan
Citation: American Journal of Public Health, 104(11), 2226-2232
Date: 11/2014
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Barriers to Substance Abuse Treatment in Rural and Urban Communities: A Counselor Perspective
Compares rural and urban substance abuse counselors' perceptions of barriers to providing substance abuse treatment by analyzing data collected from 28 counselors in Kentucky.
Author(s): Erin Pullen, Carrie Oser
Citation: Substance Use & Misuse, 49(7), 891-901
Date: 06/2014
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Compares rural and urban substance abuse counselors' perceptions of barriers to providing substance abuse treatment by analyzing data collected from 28 counselors in Kentucky.
Author(s): Erin Pullen, Carrie Oser
Citation: Substance Use & Misuse, 49(7), 891-901
Date: 06/2014
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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: 8/15/2025

