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Rural Health
Resources by Topic: Prescription drug misuse

Implementing Harm Reduction Initiatives in Rural Communities
Webinar recording discusses substance use harm reduction, such as safe syringe services. Features a discussion of Project Hope in Menominee, WI and highlights it's successes and challenges in establishing community buy-in and financial sustainability, among other topics.
Additional links: Webinar Slides
Author(s): Eric Atkinson
Date: 04/2024
Type: Video/Multimedia
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NCHS Rapid Surveys System: Illegal Drugs and Naloxone (Narcan) Awareness
Interactive data showing awareness of and perspectives on access to prescription medication, illegal drugs, and naloxone. Includes data breakdown by urbanicity and other demographic and geographic characteristics. Data gathered by the National Center for Health Statistics between October and November 2023.
Date: 04/2024
Type: Chart/Graph
Sponsoring organization: National Center for Health Statistics
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Changes in Buprenorphine Prescribing in Community Health Centers
Analyzes changes from 2016 to 2021 in prescriptions of buprenorphine in Community Health Centers (CHCs) to treat opioid addiction. Utilizes data from the OCHIN Inc network of CHCs to analyze patient and clinic/clinician characteristics, including rural versus urban location.
Author(s): Daniel M. Hartung, Robert W. Voss, Steffani R. Bailey, Nathalie Huguet, John Muench
Citation: JAMA Health Forum, 5(4)
Date: 04/2024
Type: Document
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Evaluation of Respondent-Driven Sampling in Seven Studies of People Who Use Drugs from Rural Populations: Findings from the Rural Opioid Initiative
Examines the efficacy of respondent-driven sampling (RDS) to recruit people who use drugs (PWUD) in rural populations. Analyzes 7 Rural Opioid Initiative studies that occurred between 2018-2020 and performs statistical analyses to observe RDS-generated validity in population-level prevalence estimates.
Author(s): Abby E. Rudolph, Robin M. Nance, Georgiy Bobashev, et al.
Citation: BMC Medical Research Methodology, 24, 94
Date: 04/2024
Type: Document
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Evaluating a Web-Based Training Curriculum for Disseminating Best Practices for the Care of Newborns with Neonatal Opioid Withdrawal Syndrome in a Rural Hospital, the NOWS-NM Program
Evaluates the NOWS-NM program, a web-based training program for care of newborns with neonatal opioid withdrawal syndrome (NOWS) in rural New Mexico hospitals. Describes results of interviews with 16 providers on their experiences with NOWS and attitudes toward local NOWS treatment. Discusses stigma reduction and knowledge of non-pharmacologic NOWS treatment.
Author(s): Heather Pratt-Chavez, Heidi Rishel Brakey, Sarah G. Sanders, et al.
Citation: BMC Pediatrics, 24, 258
Date: 04/2024
Type: Document
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How Do People Who Use Opioids Express Their Qualities and Capacities? An Assessment of Attitudes, Behaviors, and Opportunities
Evaluates perceived strengths among 46 people who nonmedically use opioids and other drugs in rural southern Illinois and New York City. Highlights situational factors affecting urban and rural people who use drugs, describes the impact of stigma on quality of life and access to substance use treatment, and discusses strengths-based treatment models.
Author(s): Jerel M. Ezell, Mai T. Pho, Elinor Simek, et al.
Citation: Harm Reduction Journal, 21, 79
Date: 04/2024
Type: Document
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The Relationship Between Felt Stigma and Non-Fatal Overdose among Rural People Who Use Drugs
Analyzes associations between felt stigma and recent non-fatal overdose among 2,608 rural people who use opioids from January 2018 to March 2020. Discusses factors influencing stigma in rural areas and describes interventions which reduce stigma-related barriers to treatment and overdose prevention.
Author(s): Adams L. Sibley, Emma Klein, Hannah L.F. Cooper, et al.
Citation: Harm Reduction Journal, 21, 77
Date: 04/2024
Type: Document
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Motivation and Context of Concurrent Stimulant and Opioid Use Among Persons Who Use Drugs in the Rural United States: A Multi-Site Qualitative Inquiry
Explores the motivation and context of stimulant and opioid use in rural America among persons who use drugs (PWUD). Utilizes participant interviews to discuss general substance use, injection drug use, changes in drug use, harm reduction practices, and more.
Author(s): R. J. Fredericksen, R. Baker, A. Sibley, et al.
Citation: Harm Reduction Journal, 21, 74
Date: 04/2024
Type: Document
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Exploring the Demographic and Professional Characteristics of Physicians and Nurse Practitioners Associated With Providing Medication-Assisted Treatment: A Retrospective Observational Study
Examines the factors that impact the likelihood of primary care physicians and nurse practitioners providing medication-assisted treatment (MAT) for opioid use disorder. Utilizes license renewal data to observe MAT treatment by primary care providers, with breakdowns according to age group, sex, race, medical specialty and setting, Medicaid and/or sliding fee use, and rurality.
Author(s): Hannah L. Maxey, Sierra X. Vaughn, Analise Dickinson, Robin Newhouse
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 03/2024
Type: Document
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Drug Overdose Deaths: South Carolina, 2022
Reports drug overdose deaths for South Carolina in 2022 using state vital statistics data. Includes statistics on the demographics of drug-related mortality, unintentional and intentional deaths, drug categories, and selected drugs. Includes county-by-county tables and maps showing totals, rates, and change over time.
Date: 03/2024
Type: Document
Sponsoring organization: South Carolina Department of Health and Environmental Control
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