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Substance Use and Misuse in Rural Areas – Resources

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

Home Cooked: A 50-Year History of Meth in America
Podcast series presents a discussion on the history of the use, production, and proliferation of methamphetamine in the U.S. The 5-episode series explores how the social perception of meth in America compares with the reality of its use throughout the 20th and 21st centuries and how this has affected rural communities.
Date: 03/2024
Sponsoring organizations: Rural Assembly, The Daily Yonder
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Home Cooked: A 50-Year History of Meth in America - Ep. 3: Lab School
Podcast series presents a discussion on the history of the use, production, and proliferation of methamphetamine in the U.S. Episode 3 discusses the home meth lab surge in the rural Midwest and how this changed the distribution and policing of the illicit meth market.
Date: 03/2024
Sponsoring organizations: Rural Assembly, The Daily Yonder
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Home Cooked: A 50-Year History of Meth in America - Ep. 2: Made in the U.S.A.
Podcast series presents a discussion on the history of the use, production, and proliferation of methamphetamine in the U.S. Episode 2 discusses the history of legal methamphetamine production and use in the 1930s and follows the drug's production and distribution post-criminalization.
Date: 03/2024
Sponsoring organizations: Rural Assembly, The Daily Yonder
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Home Cooked: A 50-Year History of Meth in America - Ep. 1: Old Meth, New Meth
Podcast series presents a discussion on the history of the use, production, and proliferation of methamphetamine in the U.S. Episode 1 discusses the perception of meth as a "hillbilly drug" and how that socially constructed perception differs from the realities of meth use and production.
Date: 03/2024
Sponsoring organizations: Rural Assembly, The Daily Yonder
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Rural–Urban Differences in Out-of-Network Treatment Initiation and Engagement Rates for Substance Use Disorders
Explores disparities in access to substance use disorder treatments among privately insured individuals in rural and urban areas between 2016-2018. Compares rates of initial and ongoing treatment for alcohol use disorder, opioid use disorder, and other drug use disorders overall and from out-of-network providers for urban and rural patients.
Author(s): Eli Raver, Sheldon M. Retchin, Yiting Li, Andrew D. Carlo, Wendy Y. Xu
Citation: Health Services Research
Date: 03/2024
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Cannabis Donation as a Harm Reduction Strategy: A Case Study
Analyzes harm reduction practices to address overdose mortality rates in the U.S. by exploring the outcomes of a cannabis donation program operated in rural Michigan. Examines the program's operational logistics, feasibility, sales and donation statistics, potential benefits, and impacts of substituting cannabis in place of other substances.
Author(s): Sarah E. Duhart Clarke, Grant Victor, Pamela Lynch, Leslie W. Suen, Bradley Ray
Citation: Harm Reduction Journal, 21, 58
Date: 03/2024
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Exploring the Link between Altitude of Residence and Smoking Patterns in the United States
Presents a study exploring the relationship between altitude and rates of smoking. Features a breakdown of the data by demographic characteristics, such as sex and rurality, among other factors.
Author(s): Danielle Jeanne-Marie Boxer, Young-Hoon Sung, Nicolas A. Nunez, et al.
Citation: International Journal of Environmental Research and Public Health, 21(2), 226
Date: 02/2024
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Testing the Feasibility of the QuitAid Smoking Cessation Intervention in a Randomized Factorial Design in an Independent, Rural Community Pharmacy
Examines a pharmacist-delivered smoking cessation intervention in rural Appalachia. Analyzes an ask-advise-connect model conducted with 24 adult smokers between September and November 2021, observing recruitment, retention, treatment adherence, and fidelity. Includes data on participant demographics, participant satisfaction, and pharmacist perceptions.
Author(s): Melissa A. Little, Taylor Reid, Matthew Moncrief, et al.
Citation: Pilot and Feasibility Studies, 10(41)
Date: 02/2024
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Recent Trends in Mental Health and Substance Use Concerns Among Adolescents
Report highlights the state of adolescent mental health and substance use across the country. Breaks down rates of suicides, drug use, drug-related deaths, and other behavioral health issues by race, sex, and sexual orientation, as well as by rurality.
Author(s): Nirmita Panchal, Robin Rudowitz, Cynthia Cox
Date: 02/2024
Sponsoring organization: KFF
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The Association of Alcohol Use and Heavy Drinking With Subsequent Handgun Carrying Among Youth From Rural Areas
Presents a study on the correlation between alcohol use and handgun carrying among rural youth. Examines past alcohol use by rural youth and young adults aged 12-26 on a scale of never used, used but not heavily, or used heavily. Breaks down data by participant characteristics, such as rebelliousness, family conflict, and education, among other factors.
Author(s): Alice M. Ellyson, Julia P. Schleimer, Kimberly Dalve, et al.
Citation: Journal of Rural Health, 40(1), 181–191
Date: 01/2024
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Last Updated: 4/28/2025