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Understanding the rural-urban differences in nonmedical prescription opioid use and abuse in the United States

Author

Listed:
  • Keyes, K.M.
  • Cerdá, M.
  • Brady, J.E.
  • Havens, J.R.
  • Galea, S.

Abstract

Nonmedical prescription opioid misuse remains a growing public problem in need of action and is concentrated in areas of US states with large rural populations such as Kentucky, West Virginia, Alaska, and Oklahoma. We developed hypotheses regarding the influence of 4 factors: (1) greater opioid prescription in rural areas, creating availability from which illegal markets can arise; (2) an out-migration of young adults; (3) greater rural social and kinship network connections, which may facilitate drug diversion and distribution; and (4) economic stressors that may create vulnerability to drug use more generally. A systematic consideration of the contexts that create differences in availability, access, and preferences is critical to understanding how drug use context varies across geography.

Suggested Citation

  • Keyes, K.M. & Cerdá, M. & Brady, J.E. & Havens, J.R. & Galea, S., 2014. "Understanding the rural-urban differences in nonmedical prescription opioid use and abuse in the United States," American Journal of Public Health, American Public Health Association, vol. 104(2), pages 52-59.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301709_5
    DOI: 10.2105/AJPH.2013.301709
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    Cited by:

    1. Sauer, Jeffery & Stewart, Kathleen, 2023. "Geographic information science and the United States opioid overdose crisis: A scoping review of methods, scales, and application areas," Social Science & Medicine, Elsevier, vol. 317(C).
    2. John J. Jost & Barbara Tempalski & Tatiana Vera & Matthew J. Akiyama & Aprille P. Mangalonzo & Alain H. Litwin, 2019. "Gaps in HCV Knowledge and Risk Behaviors among Young Suburban People Who Inject Drugs," IJERPH, MDPI, vol. 16(11), pages 1-10, June.
    3. Jessica Y. Ho, 2017. "The Contribution of Drug Overdose to Educational Gradients in Life Expectancy in the United States, 1992–2011," Demography, Springer;Population Association of America (PAA), vol. 54(3), pages 1175-1202, June.
    4. Shannon M. Monnat, 2022. "Demographic and Geographic Variation in Fatal Drug Overdoses in the United States, 1999–2020," The ANNALS of the American Academy of Political and Social Science, , vol. 703(1), pages 50-78, September.
    5. Goetz, Stephan J. & Davlasheridze, Meri, 2017. "Explaining Spatial Disparities in Drug Overdoses, 1970-2014," 2018 Allied Social Sciences Association (ASSA) Annual Meeting, January 5-7, 2018, Philadelphia, Pennsylvania 266296, Agricultural and Applied Economics Association.
    6. Mynti Hossain & Lauren Akers & Patricia Del Grosso & Marisa Shenk & Michael Cavanaugh & Melissa Azur, "undated". "Touchpoints for Addressing Substance Use Issues in Home Visiting: Phase 1 Final Report," Mathematica Policy Research Reports 0761ea54498b4f27b8d238e2b, Mathematica Policy Research.
    7. Martijn van Hasselt & Christopher R. Bollinger & Jeremy W. Bray, 2022. "A Bayesian approach to account for misclassification in prevalence and trend estimation," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 37(2), pages 351-367, March.
    8. Jiaqi Li & Thomas Bell & Deborah Chollet, "undated". "Patterns of Opioid Prescribing in Minnesota: 2012 and 2015," Mathematica Policy Research Reports dd6564dd045540429c10d6a05, Mathematica Policy Research.
    9. Elham Erfanian & Alan R. Collins & Daniel Grossmam, 2018. "The Impact of Naloxone Access Laws on Opioid Overdose Deaths in the U.S," Working Papers Working Paper 2018-03, Regional Research Institute, West Virginia University.
    10. Colleen Heflin & Xiaohan Sun, 2022. "Food Insecurity and the Opioid Crisis," The ANNALS of the American Academy of Political and Social Science, , vol. 703(1), pages 262-284, September.
    11. Snell-Rood, Claire & Carpenter-Song, Elizabeth, 2018. "Depression in a depressed area: Deservingness, mental illness, and treatment in the contemporary rural U.S," Social Science & Medicine, Elsevier, vol. 219(C), pages 78-86.
    12. Cotti, Chad D. & Gordanier, John M. & Ozturk, Orgul D., 2020. "The relationship of opioid prescriptions and the educational performance of children," Social Science & Medicine, Elsevier, vol. 265(C).
    13. Ezell, Jerel M. & Walters, Suzan & Friedman, Samuel R. & Bolinski, Rebecca & Jenkins, Wiley D. & Schneider, John & Link, Bruce & Pho, Mai T., 2021. "Stigmatize the use, not the user? Attitudes on opioid use, drug injection, treatment, and overdose prevention in rural communities," Social Science & Medicine, Elsevier, vol. 268(C).
    14. Thuy D. Nguyen & W. David Bradford & Kosali I. Simon, 2019. "How do Opioid Prescribing Restrictions Affect Pharmaceutical Promotion? Lessons from the Mandatory Access Prescription Drug Monitoring Programs," NBER Working Papers 26356, National Bureau of Economic Research, Inc.
    15. Gearhart, Richard & Michieka, Nyakundi, 2021. "Provider availability, disease burdens, and opioid prescriptions," Economic Analysis and Policy, Elsevier, vol. 71(C), pages 371-383.
    16. Strumpf, Erin C. & Charters, Thomas J. & Harper, Sam & Nandi, Arijit, 2017. "Did the Great Recession affect mortality rates in the metropolitan United States? Effects on mortality by age, gender and cause of death," Social Science & Medicine, Elsevier, vol. 189(C), pages 11-16.
    17. Sun, Feinuo, 2022. "Rurality and opioid prescribing rates in U.S. counties from 2006 to 2018: A spatiotemporal investigation," Social Science & Medicine, Elsevier, vol. 296(C).
    18. Shannon M. Monnat, 2019. "The Contributions of Socioeconomic and Opioid Supply Factors to Geographic Variation in U.S. Drug Mortality Rates," Working Papers Series 87, Institute for New Economic Thinking.
    19. Colleen McLuckie & Mai T. Pho & Kaitlin Ellis & Livia Navon & Kelly Walblay & Wiley D. Jenkins & Christofer Rodriguez & Marynia A. Kolak & Yen-Tyng Chen & John A. Schneider & Whitney E. Zahnd, 2019. "Identifying Areas with Disproportionate Local Health Department Services Relative to Opioid Overdose, HIV and Hepatitis C Diagnosis Rates: A Study of Rural Illinois," IJERPH, MDPI, vol. 16(6), pages 1-14, March.
    20. Friebel, Rocco & Yoo, Katelyn Jison & Maynou, Laia, 2022. "Opioid abuse and austerity: Evidence on health service use and mortality in England," Social Science & Medicine, Elsevier, vol. 298(C).
    21. Samuel Taylor & Heather M. Stephens & Daniel Grossman, 2022. "The opioid crisis and economic distress: Consequences for population change," Journal of Regional Science, Wiley Blackwell, vol. 62(2), pages 541-577, March.

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