ArticleThe American journal of drug and alcohol abuse2015
Rural substance use treatment centers in the United States: an assessment of treatment quality by location.
Article in The American journal of drug and alcohol abuse, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed.
- Can a participant-referred 'study buddy' increase retention of rural people who use drugs in research? A multi-site, randomized trial.Addiction (Abingdon, England) · 2026Trial
- Community coalition and key stakeholder perceptions of the community opioid epidemic before an intensive community-level intervention.Journal of substance abuse treatment · 2022Trial
- "The alternative is they're not getting care at all": a qualitative interview study of opioid use disorder treatment providers' perspectives on quality and appropriateness of telehealth for buprenorphine access.Harm reduction journal · 2026Article
- Geographic Variations of Intensive Care Unit Admissions with Substance-Related Diagnoses in the United States.Journal of intensive care medicine · 2026Observational
- Rural- and nonrural-specific themes in personalized intervention messages for adults with at-risk alcohol use living in rural areas.Experimental and clinical psychopharmacology · 2026Article
- Harm-Reduction Programs and Interventions for Equity-Deserving Populations Who Use Crack-Cocaine: A Scoping Review.European addiction research · 2026Article
- A scoping review of interventions addressing social determinants of health and their influence on opioid use disorder outcomes.Drug and alcohol dependence · 2025Article
- Prescribed medications for patients with amphetamine-type stimulant use disorder seen in rural-serving Pacific Northwest primary care clinics.Addiction science & clinical practice · 2025Article
- Associations of hepatitis C virus (HCV) antibody positivity with opioid, stimulant, and polysubstance injection among people who inject drugs (PWID) in rural U.S. communities.The International journal on drug policy · 2025Article
- A multi-method spatial examination of factors associated with changes in geographic accessibility to buprenorphine providers in HEALing communities study states Kentucky, Massachusetts, and Ohio.Preventive medicine reports · 2025Article
- Different forms of stigma and rural primary care professionals' willingness to prescribe buprenorphine.Journal of substance use and addiction treatment · 2025Article
- Differences in Provider Beliefs and Delivery of the 5As for Cigarette and Non-Cigarette Tobacco Use Between Two Types of Healthcare Centers Serving Rural and/or Medically Underserved Areas of Texas, US.Healthcare (Basel, Switzerland) · 2025Article
- Acceptability and feasibility of a mobile behavioral economic health intervention to reduce alcohol use in adults in rural areas.Drug and alcohol dependence reports · 2024Article
- [Mental Health Gap Action Programme: a theoretical model of barriers to implementation by health personnel in Chocó, ColombiaPrograma de Ação para Reduzir as Lacunas em Saúde Mental: modelo teórico das barreiras de implementação por profissionais de saúde de Chocó, Colômbia].Revista panamericana de salud publica = Pan American journal of public health · 2024Article
- Examining facilitative services for entry into substance use disorder treatment: A cluster analysis of treatment facilities.PloS one · 2024Article
- Delinquency, Substance Use, and Risky Sexual Behaviors among Youth who are involved in the Justice System and Predominantly Reside in Rural Communities: Patterns and Associated Risk Factors.Journal of crime and justice · 2023Article
- Identifying and Treating Incarcerated Women Experiencing Substance Use Disorders: A Review.Substance abuse and rehabilitation · 2023Review
- Integrated Supports for Women and Girls Experiencing Substance Use and Complex Needs.Substance abuse : research and treatment · 2023Article
- A cohort study examining changes in treatment patterns for alcohol use disorder among commercially insured adults in the United States during the COVID-19 pandemic.Journal of substance abuse treatment · 2023Article
- Non-engagement in substance use treatment among women with an unmet need for treatment: A latent class analysis on multidimensional barriers.Drug and alcohol dependence · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundWhile previous research has added to the understanding of rural residents' unique health challenges, much remains to be learned about the provision of substance use disorder (SUD) treatment in rural areas. A key question is difference in structural resources and quality of care between rural and urban treatment centers.
objectiveTo examine differences in treatment quality in rural and urban centers and to determine if differences in treatment quality are contextualized by centers' structural resources.
methodsUtilizing combined data from two representative samples of SUD treatment centers (n = 591), we used a series of multivariate regressions to analyze the association between center rurality and various indicators of structural characteristics and treatment quality. Interaction effects were further examined between structural characteristics and treatment quality indicators.
resultsWe found that structural and quality differences between rural and urban treatment centers were present. Rural centers had reduced access to highly educated counselors, were more likely to be non-profit and dependent on public funding, offered fewer wraparound services, and had less diverse specialized treatment options. Our results also indicated that rural centers were less likely to prescribe buprenorphine as part of their treatment but were more likely to employ nursing staff and offer specialized treatment for adolescents. Rural center access to a physician contextualized the association between center rurality and the more limited provision of wraparound services.
conclusionOur findings suggest that treatment quality differs between urban and rural centers in complex ways that are subject to resource availability.
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