ArticleRural mental health2017
Substance Use in Rural Central Appalachia: Current Status and Treatment Considerations.
Article in Rural mental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 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
85 citing papers in PubMed, 155 citations in OpenAlex.
- A Bilingual HIV Status-Neutral Intervention to Promote Heath Equity Among GBQMSM and Transgender and Nonbinary Persons in Appalachia: Outcomes From the Appalachian Access Project Intervention Trial.AIDS education and prevention : official publication of the International Society for AIDS Education · 2025Trial
- Improvement in Post-traumatic Stress Symptoms Following an Internet-based Cognitive-Behavioral Intervention for Insomnia: An Open Trial among Rural Appalachian Women.Journal of health care for the poor and underserved · 2023Trial
- History of Naloxone Possession Among Rural and Urban Individuals Participating in Prison-Based Treatment: An Observational Study.Substance use & addiction journal · 2026Observational
- Article
- A participatory photovoice investigation of community assets, barriers, and opportunities to curb the opioid epidemic.Journal of substance use and addiction treatment · 2025Article
- Lessons Learned From a Trial of a Bilingual Community-Based Peer Navigation And mHealth Intervention to Address HIV, STI, HCV, and Mpox Inequities Among GBQMSM and Transgender and Nonbinary Persons in Appalachia.AIDS education and prevention : official publication of the International Society for AIDS Education · 2025Article
- Perceived Social Isolation and Fentanyl Use Among Adults Who Inject Drugs in Rural Kentucky.Social work in public health · 2025Article
- Family Ties and Opioid Lies: Pathways to Elder Abuse in Rural Appalachia.Innovation in aging · 2025Article
- Investigating Suicide Risk Factors Among Appalachian West Virginian Adults.Journal of Appalachian health · 2025Article
- Determinants of Willingness to Share Wearable Health Data with Health Care Providers in Appalachian Populations: an Exploratory Study.Journal of Appalachian health · 2025Article
- Upward and Downward Prosocial Influence Across Levels of a Social Hierarchy: Field and Experimental Evidence About Authorities of U.S. Counties.Social psychological and personality science · 2024Article
- Geographic disparities in late HIV diagnoses in Tennessee: Opportunities for interventions in the rural Southeast.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024Article
- An Automated Text Messaging Intervention to Reduce Substance Use Self-Stigma (Project RESTART): Protocol for a Feasibility and Acceptability Pilot Study.JMIR research protocols · 2024Article
- The burden of cirrhosis mortality by county, race, and ethnicity in the USA, 2000-19: a systematic analysis of health disparities.The Lancet. Public health · 2024Article
- Is peer support a tipping point for the opioid use disorder crisis in Appalachia? Research holds the answer.Harm reduction journal · 2024Article
- Rural-urban disparities in the availability of hospital-based screening, medications for opioid use disorder, and addiction consult services.Journal of substance use and addiction treatment · 2024Article
- The paradox of high greenness and poor health in rural Central Appalachia.Environmental research · 2024Article
- Article
- Telling the story of the opioid crisis: A narrative analysis of the TV series Dopesick.PloS one · 2024Article
- The Importance of Justice and Health Care Partnerships in MOUD Feasibility Trials.Journal of social work practice in the addictions · 2024Article
25 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
3 authors at 2 institutions in 1 country.
Funding
Abstract
The burden of substance use and especially the unmatched rates of overdoses in rural Central Appalachia highlight the need for innovative approaches to curb the initiation to drug misuse and to address current substance use disorders. Effective substance use interventions involve a thorough understanding of the region. In Central Appalachia, many of the barriers to treatment are shared with other rural and impoverished areas, including a lack of access to health care and lack of health care providers with specialized training. Parts of Appalachia also present their own considerations, including the challenges of fostering trust and encouraging treatment-seeking in communities with dense, long-term, place-based social and family networks. Current policies and interventions for substance use have been largely inadequate in the region, as evidenced by continued increases in substance use and substance-related deaths, especially related to nonmedical prescription drug use and increasing heroin use. The authors discuss ways in which rural life, poverty, identity, and values in Appalachia have influenced substance use and treatment and propose strategies and interventions to improve outcomes.
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What OpenQuestion holds
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.