The Opioid Crisis in Rural and Small Town America

Monnat, Shannon M.; Rigg, Khary K.

doi:10.34051/p/2020.332

Cited by 29 publications

(18 citation statements)

References 6 publications

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“…Interestingly, alcohol or substance use as a source of support was greater for those in non-rural areas even though it was quite low (slightly disagree to use as a form or support). Monnat and Rigg (2018) provide two possible explanations for a difference in usage. First, because stigma is stronger in rural communities, people are less likely to seek or continue treatment (Monnat & Rigg, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Monnat and Rigg (2018) provide two possible explanations for a difference in usage. First, because stigma is stronger in rural communities, people are less likely to seek or continue treatment (Monnat & Rigg, 2018). Thus, this finding may be a result of underreporting.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, this finding may be a result of underreporting. A second explanation offered is that rural communities may be strengthened by their comparatively higher levels of community attachment, social interaction, and social support (Monnat & Rigg, 2018). The latter highlights a strength in which small communities may provide support.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Coping With and Adapting to COVID-19 in Rural United States and Canada

Wang

Chonody

Krase

et al. 2021

Families in Society: The Journal of Contemporary Social Service

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Guidelines aimed at slowing the spread of COVID-19 resulted in major changes in people’s lives. A cross-sectional online survey, completed by 1,405 adults in Canada and the United States in June 2020, found respondents from rural areas/small towns reported better coping and adjustment (i.e., less use of substances for support), less personal impact, less life disruption, and fewer challenges with transportation and health care, than urban and suburban respondents. Those in rural areas were less likely to use the newspaper, but more likely to use social media, for information. Finally, rural respondents reported higher levels of support for their national leadership’s response to the pandemic. The needs and strengths of rural areas, as well as approaches to serve rural areas are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Coping With and Adapting to COVID-19 in Rural United States and Canada

Wang

Chonody

Krase

et al. 2021

Families in Society: The Journal of Contemporary Social Service

View full text Add to dashboard Cite

show abstract

“…In addition, the rural health disparities become magnified when you also add the smaller and often under-resourced healthcare infrastructure. 23 Specifically, rural communities struggle with healthcare coverage, 24 workforce shortages, 25 and delays in accessing treatment. 26…”

Section: Rural Health Disparitiesmentioning

confidence: 99%

Designing Policy Solutions to Build a Healthier Rural America

Vohra¹,

Pointer²,

Fogleman³

et al. 2020

J. Law. Med. Ethics

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Disparities exist in the health, livelihood, and opportunities for the 46-60 million people living in America’s rural communities. Rural communities across the United States need a new energy and focus concentrated around health and health care that allows for the designing capturing, and spreading of existing and new innovations. This paper aims to provide a framework for policy solutions to build a healthier rural America describing both the current state of rural health policy and the policies and practices in states that could be used as a national model for positive change.

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“…In contrast to their urban counterparts, rural areas are subject to higher rates of opioid prescribing, higher rates of high-dose opioid prescriptions, and higher average morphine milligram equivalents (MME) prescribed per person. 4,5 Studies have shown higher rates of misuse of prescription opioids, [6][7][8][9] higher rates of prescription opioid poisoning, 5,10 higher opioid mortality rates, 11 less availability of medicationassisted treatment (MAT), [12][13][14][15] longer wait times to access opioid addiction treatment, 13 and fewer resources for inpatient and outpatient opioid treatment 12 in rural compared to urban areas.…”

mentioning

confidence: 99%

Rural/Urban Differences in the Predictors of Opioid Prescribing Rates Among Medicare Part D Beneficiaries 65 Years of Age and Older

Shoff

Yang

Kim

2020

The Journal of Rural Health

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While research has been done comparing rural/urban differences in opioid prescribing to the disabled Medicare Part D population, research on opioid prescribing among the aged Medicare Part D population is lacking. This study aims to fill this gap by exploring the predictors of opioid prescribing to aged Medicare Part D beneficiaries and investigating whether these predictors vary across rural and urban areas. Methods: This is an analysis of ZIP Codes in the continental United States (18,126 ZIP Codes) utilizing 2017 data from Centers for Medicare & Medicaid Services. The analytic approach includes aspatial descriptive analysis, exploratory spatial analysis with geographically weighted regression, and explanatory analysis with spatial error regime modeling. Findings: Both beneficiary and prescriber characteristics play an important role in determining opioid prescribing rates in urban ZIP Codes, but most of them fail to explain the opioid prescribing rates in rural ZIP Codes. Conclusion: We identify potential spatial nonstationarity in opioid prescribing rates, indicating the complex nature of opioid-related issues. This means that the same stimulus may not lead to the same change in opioid prescribing rates, because the change may be place specific. By understanding the rural/urban differences in the predictors of opioid prescribing, place-specific policies can be developed that can guide more informed opioid prescribing practices and necessary interventions.

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The Opioid Crisis in Rural and Small Town America

Abstract: A b o u t t h e A u t h o r sShannon M.

Cited by 29 publications

References 6 publications

Coping With and Adapting to COVID-19 in Rural United States and Canada

Coping With and Adapting to COVID-19 in Rural United States and Canada

Designing Policy Solutions to Build a Healthier Rural America

Rural/Urban Differences in the Predictors of Opioid Prescribing Rates Among Medicare Part D Beneficiaries 65 Years of Age and Older

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