ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2016
Examining Rural/Urban Differences in Prescription Opioid Misuse Among US Adolescents.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
67 citing papers in PubMed, 2 syntheses or guidelines pooled it, 192 citations in OpenAlex.
- Telehealth-guided provider-to-provider communication to improve rural health: A systematic review.Journal of telemedicine and telecare · 2024Pooled it
- Social norms associated with nonmedical opioid use in rural communities: a systematic review.Translational behavioral medicine · 2019Pooled it
- Evaluating the Effectiveness of a Web-Based Program (POP4Teens) to Prevent Prescription Opioid Misuse Among Adolescents: Randomized Controlled Trial.JMIR public health and surveillance · 2021Trial
- Capacity of juvenile probation officers in low-resourced, rural settings to deliver an evidence-based substance use intervention to adolescents.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020Trial
- Rural-urban residence in relation to cannabis use influences and behaviors among a sample of US young adults reporting past-month cannabis use.The American journal on addictions · 2026Article
- Place-based risk: Examining relationships between adolescent perceptions of community risk factors and adolescent substance use across geographic contexts.American journal of community psychology · 2026Article
- What breaks when federal commitments break: comment on Beccia et al.SSM. Mental health · 2026Article
- Article
- Challenges Implementing Youth-Focused Evidence-Based Practices in Rural Areas: A Rapid Ethnographic Study.Rural mental health · 2026Article
- Further Evaluation of Youth Mental and Behavioral Health in Rural Communities.Behavioral sciences (Basel, Switzerland) · 2025Article
- Effects of using different rural measurements on estimates of hospitalizations for depression and substance use.BMC health services research · 2025Article
- Double vulnerability? Examining the effect of living in nonmetropolitan areas within non-expansion Medicaid states on health status among working-age adults in the United States, 2022-2024.SSM - population health · 2025Article
- Rural reticence to inform physicians of cannabis use.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Identifying factors associated with persistent opioid use after total joint arthroplasty: a retrospective review.Pain medicine (Malden, Mass.) · 2025Article
- Organization of Psychosocial Processes in Metropolitan and Non-Metropolitan Regions.Urban-regional ecology · 2025Article
- Medications for Opioid Use Disorder Among Transition Age Youth Compared to Adults 26 or Older in Rural Settings.JAACAP open · 2024Article
- A cross-sectional study of stigma towards opioid users among rural law enforcement and community members in tennessee.Harm reduction journal · 2024Article
- Rural and urban differences in marijuana use following passages of medical marijuana laws.Public health · 2024Article
- Leveraging Parents and Peer Recovery Supports to Increase Recovery Capital in Emerging Adults With Polysubstance Use: Protocol for a Feasibility, Acceptability, and Appropriateness Study of Launch.JMIR research protocols · 2024Article
- Rural-urban differences in dental opioid prescribing among adolescent/young adult and adult Medicaid beneficiaries.Frontiers in public health · 2024Article
7 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThis study examines differences in prescription opioid misuse (POM) among adolescents in rural, small urban, and large urban areas of the United States and identifies several individual, social, and community risk factors contributing to those differences.
methodsWe used nationally representative data from the 2011 and 2012 National Survey on Drug Use and Health and estimated binary logistic regression and formal mediation models to assess past-year POM among 32,036 adolescents aged 12-17.
resultsAmong adolescents, 6.8% of rural, 6.0% of small urban, and 5.3% of large urban engaged in past-year POM. Net of multiple risk and protective factors, rural adolescents have 35% greater odds and small urban adolescents have 21% greater odds of past-year POM compared to large urban adolescents. The difference between rural and small urban adolescents was not significant. Criminal activity, lower perceived substance use risk, and greater use of emergency medical treatment partially contribute to higher odds among rural adolescents, but they are also partially buffered by less peer substance use, less illicit drug access, and stronger religious beliefs.
conclusionsResearchers, policy makers, and treatment providers must consider the complex array of individual, social, and community risk and protective factors to understand rural/urban differences in adolescent POM. Potential points of intervention to prevent POM in general and reduce rural disparities include early education about addiction risks, use of family drug courts to link criminal offenders to treatment, and access to nonemergency medical services to reduce rural residents' reliance on emergency departments where opioid prescribing is more likely.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.