Evidence map›Paper›PMID 33162261›Full record

ArticleJournal of substance abuse treatment2021

The next wave? Mental health comorbidities and patients with substance use disorders in under-resourced and rural areas.

Sara C Warfield, Robert P Pack, Louisa Degenhardt, Sarah Larney, Chrianna Bharat, Lisham Ashrafioun, Brandon D L Marshall, Robert M Bossarte

Open access · greenAbstract read
In one paragraph

Article in Journal of substance abuse treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Rural-Urban Differences in Excessive Alcohol Use and Select Mental Health Conditions.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Analysis of Substance Use and Suicidal Ideation in Midwestern Frontier and Non-Frontier Locations.South Dakota medicine : the journal of the South Dakota State Medical Association · 2023
    Article
  9. Article
  10. Addressing Substance Use and Misuse in East Texas: Stakeholder-Driven Needs and Priorities.International journal of environmental research and public health · 2022
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 3 countries.

Sara C WarfieldInjury Control Research Center, West Virginia University, United States of America; Center of Excellence for Suicide Prevention, Department of Veterans Affairs, United States of America; Department of Behavioral Medicine and Psychiatry, West Virginia University, United States of America. Electronic address: sara.warfield@hsc.wvu.edu.
Robert P PackDepartment of Community & Behavioral Health, College of Public Health, East Tennessee State University, United States of America; Addiction Science Center, East Tennessee State University, United States of America.
Louisa DegenhardtNational Drug and Alcohol Research Centre, UNSW Sydney, Australia.
Sarah LarneyNational Drug and Alcohol Research Centre, UNSW Sydney, Australia; Department of Family Medicine and Emergency Medicine, Université de Montréal, Canada; Université de Montréal Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Canada.
Chrianna BharatNational Drug and Alcohol Research Centre, UNSW Sydney, Australia.
Lisham AshrafiounCenter of Excellence for Suicide Prevention, Department of Veterans Affairs, United States of America; Department of Psychiatry, University of Rochester, United States of America.
Brandon D L MarshallDepartment of Epidemiology, School of Public Health, Brown University, United States of America.
Robert M BossarteInjury Control Research Center, West Virginia University, United States of America; Center of Excellence for Suicide Prevention, Department of Veterans Affairs, United States of America; Department of Behavioral Medicine and Psychiatry, West Virginia University, United States of America.
UNSW Sydney · AUWest Virginia University · USCentre Hospitalier de l’Université de Montréal · CAEast Tennessee State University · USJohn Brown University · USUniversity of Rochester · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

The rapid spread of the coronavirus disease (COVID-19) has impacted the lives of millions around the globe. The COVID-19 pandemic has caused increasing concern among treatment professionals about mental health and risky substance use, especially among those who are struggling with a substance use disorder (SUD). The pandemic's impact on those with an SUD may be heightened in vulnerable communities, such as those living in under-resourced and rural areas. Despite policies loosening restrictions on treatment requirements, unintended mental health consequences may arise among this population. We discuss challenges that under-resourced areas face and propose strategies that may improve outcomes for those seeking treatment for SUDs in these areas.

Indexed as

ComorbidityHealth Services AccessibilityResource AllocationRural PopulationCOVID-19HumansMental DisordersMental Health ServicesSubstance-Related DisordersTelemedicineCOVID-19RuralSubstance use disorderTreatmentUnder-resourced

Identifiers

PMID33162261
PMCPMC8370590
OpenAlexW3097759778

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.