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Opioid Crisis in the Rural U.S.

  • Shannon M. MonnatEmail author
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Part of the National Symposium on Family Issues book series (NSFI, volume 10)

Abstract

This chapter describes geographic trends in opioid mortality in the United States and discusses these trends within the broader contexts of declining U.S. rural health and “deaths of despair.” I elucidate macro-level economic and social explanations for the emergence and perpetuation of the opioid crisis. I discuss geographic variation in the crisis and summarize the consequences for rural families and communities. Some promising upstream strategies for addressing the social and economic determinants of the opioid crisis and other substance problems in the hardest-hit rural communities are proposed. Ultimately, the information presented dispels the myth that the opioid crisis is disproportionately rural and demonstrates that the magnitude of the problem varies considerably across different types of rural places. Furthermore, I urge to view the U.S. opioid problem from within the larger context of economic, family, health, and social problems occurring between and within communities along the rural–urban continuum.

Keywords

Rural opioid misuse Rural opioid mortality Rural health Opioid overdose Social determinants of opioid misuse Deaths of despair Purdue Pharma 

References

  1. Ahmedani, B. K., Peterson, E. L., Hu, Y., Rossom, R. C., Lynch, F., Lu, C. Y., … Simon, G. E. (2017). Major physical health conditions and risk of suicide. American Journal of Preventive Medicine, 53(3), 308–315.  https://doi.org/10.1016/j.amepre.2017.04.001CrossRefPubMedPubMedCentralGoogle Scholar
  2. Alexander, B. (2017). Glass house: The 1% economy and the shattering of the all-American town. New York: St. Martin’s Press.Google Scholar
  3. Ananat, E. O., Gassman-Pines, A., Francis, D. V., & Gibson-Davis, C. M. (2017). Linking job loss, inequality, mental health, and education. Science, 356(6343), 1127–1128.  https://doi.org/10.1126/science.aam5347CrossRefPubMedGoogle Scholar
  4. Bailey, C., Jensen, L., & Ransom, E. (Eds.). (2014). Rural America in a globalizing world: Problems and prospects for the 2010s. Morgantown, WV: West Virginia University Press.Google Scholar
  5. Birnbaum, E., & Lora, M. (2018, June). Opioid crisis sending thousands of children into foster care. The Hill. Retrieved from http://thehill.com/policy/healthcare/393129-opioid-crisis-sending-thousands-of-children-into-foster-care?userid=50245.
  6. Borders, T. F., & Booth, B. M. (2007). Research on rural residence and access to drug abuse services: Where are we and where do we go? Journal of Rural Health, 23(S1), 79–83.  https://doi.org/10.1111/j.1748-0361.2007.00128.xCrossRefPubMedGoogle Scholar
  7. Bradley, R. (2018). Prenatal substance exposure and associated factors: Inequality housing, financial problems, domestic violence, foster care, adoption, living arrangements (Undergraduate honors thesis). The Ohio State University. Retreived from https://kb.osu.edu/handle/1811/84914
  8. Brown, D. L., & Swanson, L. E. (2003). Challenges for rural America in the twenty-first century. University Park, PA: Pennsylvania State University Press.Google Scholar
  9. Burton, L. M., Lichter, D. T., Baker, R. S., & Eason, J. M. (2013). Inequality, family processes, and health in the “new” rural America. American Behavioral Scientist, 57(8), 1128–1151.  https://doi.org/10.1177/0002764213487348CrossRefGoogle Scholar
  10. Carr, P. J., & Kefalas, M. (2009). Hollowing out the middle: The rural brain drain and what it means for America. Boston, MA: Beacon Press.Google Scholar
  11. Case, A., & Deaton, A. (2015). Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century. Proceedings of the National Academy of Sciences, 112(49), 15078–15083.  https://doi.org/10.1073/pnas.1518393112CrossRefGoogle Scholar
  12. Case, A., & Deaton, A. (2017). Morbidity and mortality in the 21st century. Washington, DC: The Brooking Institution. Retrieved from https://www.brookings.edu/bpea-articles/mortality-and-morbidity-in-the-21st-century/CrossRefGoogle Scholar
  13. Catalano, R., & Dooley, D. (1983). Health effects of economic instability: A test of economic stress hypothesis. Journal of Health and Social Behavior, 24(1), 46–60.CrossRefGoogle Scholar
  14. Centers for Disease Control and Prevention (CDC). (2018a). Multiple cause of death 1999–2017, CDC WONDER Online Database, released December, 2017. Retrieved September 7, 2018, from https://wonder.cdc.gov/
  15. Centers for Disease Control and Prevention (CDC). (2018b). Preventing opioid overdoses among rural Americans (Opioid Overdoses Policy Brief). Retrieved September 10, 2018, from https://www.cdc.gov/ruralhealth/drug-overdose/policybrief.html
  16. Cheatle, M. D. (2011). Depression, chronic pain, and suicide by overdose: On the edge. Pain Medicine, 12(Suppl. 2), S43–S48.  https://doi.org/10.1111/j.1526-4637.2011.01131.xCrossRefPubMedGoogle Scholar
  17. Chen, V. T. (2015). Cut loose: Jobless and hopeless in an unfair economy. Oakland: University of California Press.Google Scholar
  18. Cosby, A. G., Neaves, T. T., Cossman, R. E., Cossman, J. S., James, W. L., Feierabend, N., … Farrigan, T. (2008). Preliminary evidence for an emerging nonmetropolitan mortality penalty in the United States. American Journal of Public Health, 98(8), 1470–1472.  https://doi.org/10.2105/ajph.2007.123778CrossRefPubMedPubMedCentralGoogle Scholar
  19. Cossman, J. S., James, W. L., Cosby, A. G., & Cossman, R. E. (2010). Underlying causes of the emerging nonmetropolitan mortality penalty. American Journal of Public Health, 100(8), 1417–1419.  https://doi.org/10.2105/AJPH.2009.174185CrossRefPubMedPubMedCentralGoogle Scholar
  20. Council of Economic Advisors (CEA). (2017). The underestimated cost of the opioid crisis. Washington, DC: Executive Office of the President. Retrieved from https://www.whitehouse.gov/briefings-statements/cea-report-underestimated-cost-opioid-crisis/Google Scholar
  21. Currie, J., Jin, J.Y., & Schnell, M. (2018, March). U.S. employment and opioids: Is there a connection? (NBER Working Paper No. 24440). Washington, DC: National Bureau of Economic Research. Retrieved Sept. 8, 2018, from http://www.nber.org/papers/w24440
  22. Dasgupta, N., Beletsky, L., & Ciccarone, D. (2018). Opioid crisis: No easy fix to its social and economic determinants. American Journal of Public Health, 108(2), 182–186.CrossRefGoogle Scholar
  23. Davidov, D. M., Davis, S. M., Zhu, M., Afifi, T. O., Kimber, M., Goldstein, A. L., … Stocks, C. (2017). Intimate partner violence-related hospitalizations in Appalachia and the non-Appalachian United States. PLoS ONE, 12(9), e0184222.  https://doi.org/10.1371/journal.pone.0184222CrossRefPubMedPubMedCentralGoogle Scholar
  24. Day, M. A., & Thorn, B. E. (2010). The relationship of demographic and psychosocial variables to pain-related outcomes in a rural chronic pain population. Pain, 151(2), 467–474.CrossRefGoogle Scholar
  25. Donnermeyer, J. F., & Tunnell, K. (2007). In our own backyard: Methamphetamine manufacturing, trafficking and abuse in rural America. Rural Realities, 2(2). https://www.ruralsociology.org/assets/docs/rural-realities/rural-realities-2-2.pdf
  26. Doogan, N. J., Roberts, M. E., Wewers, M. E., Stanton, C. A., Keith, D. R., Gaalema, D. E., … Higgins, S. T. (2017). A growing geographic disparity: Rural and urban cigarette smoking trends in the United States. Preventive Medicine, 104, 79–85.  https://doi.org/10.1016/j.ypmed.2017.03.011CrossRefPubMedPubMedCentralGoogle Scholar
  27. Driscoll, K. (2017, November). Opioid crisis compounds rising domestic violence cases. Dayton Daily News. Retrieved from https://www.daytondailynews.com/business/opioid-crisis-compounds-rising-domestic-violence-cases/oprLmgFPyiwBx09TWnqbjI/.
  28. Drug Enforcement Administration. (2017). DEA releases 2017 National Drug Threat Assessment [Press release]. Retrieved from https://www.dea.gov/press-releases/2017/10/23/dea-releases-2017-national-drug-threat-assessment
  29. Durkheim, E. (1897/1966). Suicide. New York: The Free Press.Google Scholar
  30. Fontanella, C. A., Hiance-Steelesmith, D. L., Phillips, G. S., Bridge, J. A., Lester, N., Sweeney, H. A., & Campo, J. V. (2015). Widening rural-urban disparities in youth suicides, United States, 1996–2010. JAMA Pediatrics, 169(5), 466–473.  https://doi.org/10.1001/jamapediatrics.2014.3561CrossRefPubMedPubMedCentralGoogle Scholar
  31. Frasquilho, D., Matos, M. G., Salonna, F., Guerreiro, D., Storti, C. C., Gaspar, T., & Caldas-de-Almeida, J. M. (2016). Mental health outcomes in times of economic recession: A systematic literature review. BMC Public Health, 16, 115.  https://doi.org/10.1186/s12889-016-2720-yCrossRefPubMedPubMedCentralGoogle Scholar
  32. Gebelein, M. (2018, May). Opioid epidemic inundating public health, foster care systems. North Carolina Health News. Retrieved from https://www.northcarolinahealthnews.org/2018/05/16/opioid-epidemic-inundating-public-health-foster-care-systems/.
  33. Hancock, C., Mennenga, H., King, N., Andrilla, H., Larson, E., & Schou, P. (2017). Treating the rural opioid epidemic (Policy Brief). Washington, DC: National Rural Health Association. Retrieved from https://www.ruralhealthweb.org/NRHA/media/Emerge_NRHA/Advocacy/Policy%20documents/Treating-the-Rural-Opioid-Epidemic_Feb-2017_NRHA-Policy-Paper.pdfGoogle Scholar
  34. Havens, J. R., Young, A. M., & Havens, C. E. (2011). Nonmedical prescription drug use in a nationally representative sample of adolescents: Evidence of greater use among rural adolescents. Archives of Pediatrics & Adolescent Medicine, 165(3), 250–255.CrossRefGoogle Scholar
  35. Hempstead, K. A., & Phillips, J. A. (2015). Rising suicide among adults aged 40-64 years: The role of job and financial circumstances. American Journal of Preventive Medicine, 48(5), 491–500.  https://doi.org/10.1016/j.amepre.2014.11.006CrossRefPubMedGoogle Scholar
  36. Hernandez, L., & Radnovich, C. (2018, February). Oregon meth-related deaths higher than ever. U.S. News & World Report. Retrieved from https://www.usnews.com/news/best-states/oregon/articles/2018-02-24/oregon-meth-related-deaths-higher-than-ever.
  37. Iceland, J., & Hernandez, E. (2017). Understanding trends in concentrated poverty: 1980–2014. Social Science Research, 62, 75–95.  https://doi.org/10.1016/j.research.2016.09.001CrossRefPubMedGoogle Scholar
  38. Inciardi, J. A., Surratt, H. L., Cicero, T. J., & Beard, R. A. (2009). Prescription opioid abuse and diversion in an urban community: The results of an ultrarapid assessment. Pain Medicine, 10(3), 537–548.  https://doi.org/10.1111/j.1526-4637.2009.00603.xCrossRefPubMedGoogle Scholar
  39. Iowa State University. (2018). Prosper partnerships. Ames, IA: Partners in Prevention Science Institute. http://helpingkidsprosper.org/Google Scholar
  40. Ivey-Stephenson, A. Z., Crosby, A. E., Jack, S. P. D., Haileyesus, T., & Kresnow-Sedacca, M. J. (2017). Suicide trends among and within urbanization levels by sex, race/ethnicity, age group, and mechanism of death—United States, 2001–2015. Morbidity and Mortality Weekly Report Surveillance Summaries, 66(SS-18), 1–16.  https://doi.org/10.15585/mmwr.ss6618a1CrossRefPubMedPubMedCentralGoogle Scholar
  41. Jonas, A. B., Young, A. M., Oser, C. B., Leukefeld, C. G., & Havens, J. R. (2012). OxyContin as currency: OxyContin use and increased social capital among rural Appalachian drug users. Social Science & Medicine, 74(10), 1602–1609.CrossRefGoogle Scholar
  42. Kandel, W., & Parrado, E. A. (2005). Restructuring of the US meat processing industry and new Hispanic migrant destinations. Population and Development Review, 31(3), 447–471.  https://doi.org/10.1111/j.1728-4457.2005.00079.xCrossRefGoogle Scholar
  43. Kaplan, M. S., Huguet, N., Caetano, R., Giesbrecht, N., Kerr, W. C., & McFarland, B. H. (2015). Economic contraction, alcohol intoxication and suicide: Analysis of the National Violent Death Reporting System. Injury Prevention, 21(1), 35–41.  https://doi.org/10.1136/injuryprev-2014-041215CrossRefPubMedGoogle Scholar
  44. Kegler, S. R., Stone, D. M., & Holland, K. M. (2017). Trends in suicide by level of urbanization—United States, 1999–2015. Morbidity and Mortality Weekly Report, 66(10), 270–273.CrossRefGoogle Scholar
  45. Kerr, W. C., Kaplan, M. S., Huguet, N., Caetano, R., Giesbrecht, N., & McFarland, B. H. (2017). Economic recession, alcohol, and suicide rates: Comparative effects of poverty, foreclosure, and job loss. American Journal of Preventive Medicine, 52(4), 469–475.  https://doi.org/10.1016/j.amepre.2016.09.021CrossRefPubMedGoogle Scholar
  46. Keyes, K. M., Cerda, 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, 104(2), E52–E59.  https://doi.org/10.2105/Ajph.2013.301709CrossRefPubMedPubMedCentralGoogle Scholar
  47. Ko, J. Y., Patrick, S. W., Tong, V. T., Pate, R., Lind, J. N., & Barfield, W. D. (2016). Incidence of neonatal abstinence syndrome-28 states, 1999–2013. Morbidity and Mortality Weekly Report, 65(31), 799–802.CrossRefGoogle Scholar
  48. Kolodny, A., Courtwright, D. T., Hwang, C. S., Kreiner, P., Eadie, J. L., Clark, T. W., & Alexander, G. C. (2015). The prescription opioid and heroin crisis: A public health approach to an epidemic of addiction. Annual Review of Public Health, 36(1), 559–574.  https://doi.org/10.1146/annurev-publhealth-031914-122957CrossRefPubMedGoogle Scholar
  49. Krueger, A. B. (2017). Where have all the workers gone? An inquiry into the decline of U.S. labor force participation. Brookings Papers on Economic Activity. Washington, DC: The Brookings Institite. Retrieved https://www.brookings.edu/wp-content/uploads/2017/09/1_krueger.pdfGoogle Scholar
  50. Lenardson, J. D., Gale, J. A., & Ziller, E. C. (2016). Rural opioid abuse: Prevalence and user characteristics (Research & Policy Brief No. PB-63-1). Maine Rural Health Research Center. Retrieved from http://muskie.usm.maine.edu/Publications/rural/Rural-Opioid-Abuse.pdf
  51. Levin, M., & Haugen, M. (2018). Open roads and overflowing jails: Addressing high rates of rural pretrial incarceration. Austin, TX: Center for Effective Justice, Texas Public Policy Foundation. Retrieved from https://files.texaspolicy.com/uploads/2018/08/16104511/2018-04-RR-Rural-Pretrial-Incarceration-CEJ-Levin-Haugen-1.pdfGoogle Scholar
  52. Lichter, D., & Ziliak, J. P. (2017). The rural-urban interface: New patterns of spatial interdependence and inequality in America. The Annals of the American Academy of Political and Social Science, 672(1), 6–25.CrossRefGoogle Scholar
  53. Livingston, G. (2018, June). Family life is changing in different ways across urban, suburban, and rural communities in the U.S. Pew Research Center, Fact Tank. Retrieved from https://www.pewresearch.org/fact-tank/2018/06/19/family-life-is-changing-in-different-ways-across-urban-suburban-and-rural-communities-in-the-u-s/
  54. Lobao, L. (2004). Continuity and change in place stratification: Spatial inequality and middle-range territorial units. Rural Sociology, 69(1), 1–30.  https://doi.org/10.1526/003601104322919883CrossRefGoogle Scholar
  55. Lobao, L. (2014). Economic change, structural forces, and rural America: Shifting fortunes across communities. In C. Bailey, L. Jensen, & E. Ransom (Eds.), Rural America in a globalizing world: Problems and prospects for the 2010s (pp. 543–555). Morgantown, WV: West Virginia University Press.Google Scholar
  56. Lobao, L., & Saenz, R. (2002). Spatial inequality and diversity as an emerging research area. Rural Sociology, 67(4), 497–511.  https://doi.org/10.1111/j.1549-0831.2002.tb00116.xCrossRefGoogle Scholar
  57. Lobao, L., Zhou, M., Partridge, M., & Betz, M. (2016). Poverty, place, and coal employment across Appalachia and the United States in a new economic era. Rural Sociology, 81(3), 343–386.  https://doi.org/10.1111/ruso.12098CrossRefGoogle Scholar
  58. Lobao, L. M., Hooks, G., & Tickamyer, A. R. (Eds.). (2007). The sociology of spatial inequality. Albany, NY: State University of New York Press.Google Scholar
  59. Macy, B. (2018). Dopesick: Dealers, doctors, and the drug company that addicted America. New York: Little, Brown, and Company.Google Scholar
  60. McLean, K. (2016). “There's nothing here”: Deindustrialization as risk environment for overdose. International Journal on Drug Policy, 29, 19–26.  https://doi.org/10.1016/j.drugpo.2016.01.009CrossRefPubMedGoogle Scholar
  61. Monnat, S. M. (2016). Deaths of despair and support for Trump in the 2016 presidential election (Research Brief 12/04/16). University Park, PA: The Pennsylvania State University, Department of Agricultural Economics, Sociology, and Education Retrieved from http://aese.psu.edu/directory/smm67/Election16.pdf
  62. Monnat, S. M. (2017). Drugs, alcohol, and suicide represent growing share of U.S. mortality (National Issue Brief #112). Durham, NH: University of New Hampshire Carsey School of Public Policy.. Retrieved from https://carsey.unh.edu/publication/drugs-alcohol-suicide
  63. Monnat, S. M. (2018). Factors associated with county-level differences in U.S. drug-related mortality rates. American Journal of Preventive Medicine, 54(5), 611–619.CrossRefGoogle Scholar
  64. Monnat, S. M., & Chandler, R. F. (2015). Long-term physical health consequences of adverse childhood experiences. The Sociological Quarterly, 56(4), 723–752.CrossRefGoogle Scholar
  65. National Advisory Committee on Rural Health and Human Services. (2016, July). Families in crisis: The human service implications of rural opioid misuse (Policy Brief). Rockville, MD, Retrieved from https://www.hrsa.gov/advisorycommittees/rural/publications/opioidabuse.pdf
  66. National Institute on Drug Abuse. (2013, September). What are the long-term effects of methamphetamine abuse? Retrieved from https://www.drugabuse.gov/publications/research-reports/methamphetamine/what-are-long-term-effects-methamphetamine-abuse.
  67. National Institute on Drug Abuse. (2019, January). Overdose death rates. Retrieved from https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates
  68. Nestadt, P. S., Triplett, P., Fowler, D. R., & Mojtabai, R. (2017). Urban-rural differences in suicide in the state of Maryland: The role of firearms. American Journal Public Health, 107(10), 1548–1553.  https://doi.org/10.2105/ajph.2017.303865CrossRefGoogle Scholar
  69. Newman, K. S. (1999). Falling from grace: Downward mobility in the age of affluence. Berkeley, CA: University of California Press.Google Scholar
  70. Noonan, R. (2017, November). Rural America in crisis: The changing opioid overdose epidemic [Public Health Matters Blog post]. Centers for Disease Control and Prevention. Retrieved from https://blogs.cdc.gov/publichealthmatters/2017/11/opioids/
  71. Olfson, M., Blanco, C., Wall, M., Liu, S.-M., Saha, T. D., Pickering, R. P., & Grant, B. F. (2017). National trends in suicide attempts among adults in the United States. JAMA Psychiatry, 74(11), 1095–1103.  https://doi.org/10.1001/jamapsychiatry.2017.2582CrossRefPubMedPubMedCentralGoogle Scholar
  72. Patrick, S. W., Davis, M. M., Lehman, C. U., & Cooper, W. O. (2015). Increasing incidence and geographic distribution of neonatal abstinence syndrome: United States, 2009–2012. Journal of Perinatology, 35(8), 650–655.CrossRefGoogle Scholar
  73. Peters, D. J. (2012). Income inequality across micro and meso geographic scales in the midwestern United States, 1979–20091. Rural Sociology, 77(2), 171–202.  https://doi.org/10.1111/j.1549-0831.2012.00077.xCrossRefGoogle Scholar
  74. Peters, D. J. (2013). American income inequality across economic and geographic space, 1970–2010. Social Science Research, 42(6), 1490–1504.  https://doi.org/10.1016/j.ssresearch.2013.06.009CrossRefPubMedGoogle Scholar
  75. Pullen, E., & Oser, C. (2014). Barriers to substance abuse treatment in rural and urban communities: A counselor perspective. Substance Use & Misuse, 49(7), 891–901.  https://doi.org/10.3109/10826084.2014.891615CrossRefGoogle Scholar
  76. Putnam, R. D. (2000). Bowling alone: The collapse and revival of American community. New York, NY: Simon and Schuster.Google Scholar
  77. Quinones, S. (2015). Dreamland: The true tale of America’s opiate epidemic. New York, NY: Bloomsbury Press.Google Scholar
  78. Reding, N. (2009). Methland: The death and life of an American small town. New York: Bloomsbury.Google Scholar
  79. Rezvani, A. (writer). (2018, June). A new wave of meth overloads communities struggling with opioids [Radio program]. In R. Martin & D. Hajek (Host) Health News from NPR. National Public Radio. Retrieved from https://www.npr.org/sections/health-shots/2018/06/20/619929939/a-new-wave-of-meth-overloads-communities-struggling-with-opioids.
  80. Rigg, K. K., & Monnat, S. M. (2015). Urban vs. rural differences in prescription opioid misuse among adults in the United States: Informing region specific drug policies and interventions. International Journal of Drug Policy, 26(5), 484–491.  https://doi.org/10.1016/j.drugpo.2014.10.001CrossRefPubMedGoogle Scholar
  81. Rigg, K. K., Monnat, S. M., & Chavez, M. N. (2018). Opioid-related mortality in rural America: Geographic heterogeneity and intervention strategies. International Journal of Drug Policy, 57, 119–129.  https://doi.org/10.1016/j.drugpo.2018.04.011CrossRefPubMedGoogle Scholar
  82. Robles, F. (2018, February). Meth, the forgotten killer, is back. And it’s everywhere. New York Times.. Retrieved from https://www.nytimes.com/2018/02/13/us/meth-crystal-drug.html
  83. Ruhm, C. (2018). Deaths of despair or drug problem? (Working Paper No. 24188). Cambridge, MA: National Bureau of Economic Research. Retrieved from http://www.nber.org/papers/w24188
  84. Runyon, L. (Writer). (2017, January). Why is the opioid epidemic hitting rural America especially hard? [Radio program] Weekend All Things Considered. Illinois: National Public Radio. Retrieved from http://www.nprillinois.org/post/why-opioid-epidemic-hitting-rural-america-especially-hard#stream/0.
  85. Rupasingha, A., Goetz, S. J., & Freshwater, D. (2006). The production of social capital in US counties. The Journal of Socio-Economics, 35(1), 83–101.  https://doi.org/10.1016/j.socec.2005.11.001CrossRefGoogle Scholar
  86. Rural Health Information Hub. (2018). Substance abuse in rural areas. Retrieved from https://www.ruralhealthinfo.org/topics/substance-abuse
  87. Russ, T. C., Kivimaki, M., Morling, J. R., Starr, J. M., Stamatakis, E., & Batty, G. D. (2015). Association between psychological distress and liver disease mortality: A meta-analysis of individual study participants. Gastroenterology, 148(5), 958–966.e4.  https://doi.org/10.1053/j.gastro.2015.02.004CrossRefPubMedGoogle Scholar
  88. Saez, E., & Zucman, G. (2016). Wealth inequality in the United States since 1913: Evidence from capitalized income tax data. The Quarterly Journal of Economics, 131(2), 519–578.  https://doi.org/10.1093/qje/qjw004CrossRefGoogle Scholar
  89. Sampson, R. J., & Groves, W. B. (1989). Community structure and crime: Testing social-disorganization theory. American Journal of Sociology, 94(4), 774–802.CrossRefGoogle Scholar
  90. Singh, G. K., & Siahpush, M. (2014). Widening rural-urban disparities in life expectancy, U.S., 1969–2009. American Journal of Preventive Medicine, 46(2), e19–e29.  https://doi.org/10.1016/j.amepre.2013.10.017CrossRefPubMedGoogle Scholar
  91. Slack, T. (2014). Work in rural America in the era of globalization. In C. Bailey, L. Jensen, & E. Ransom (Eds.), Rural America in a globalizing world: Problems and prospects for the 2010s (pp. 573–590). Morgantown, WV: West Virginia University Press.Google Scholar
  92. Smith, K. (2018, Spring). Parental substance use in New Hampshire: Who cares for children? (Regional Brief #53). Durham, NH: Carsey School of Public Policy, University of New Hampshire. Retrieved from https://carsey.unh.edu/publication/parental-substance-nh
  93. Smith, K. E., & Tickamyer, A. R. (2011). Economic restructuring and family well-being in rural America. University Park, PA: The Pennsylvania State University Press.Google Scholar
  94. Solar, O., & Irwin, A. (2010). A. conceptual framework for action on the social determinants of health. Geneva, Switzerland: WHO. Retrieved from http://www​.who.int/sdhconference​/resources​/ConceptualframeworkforactiononSDH​_eng.pdfGoogle Scholar
  95. Stone, W. (Writer). (2018, January). In rural Arizona, some doctors worry tighter opioid regulations could backfire. [Radio program] Phoenix: 91.5 KJZZ. Retrieved from https://kjzz.org/content/596974/rural-arizona-some-doctors-worry-tighter-opioid-regulations-could-backfire
  96. Substance Abuse and Mental Health Services Administration. (2016). National survey on drug use and health. Rockville, MD: Center for Behavior Health Statistics and Quality. https://pdas.samhsa.gov/#/Google Scholar
  97. Syme, S. L. (1989). Control and health: A personal perspective. In A. Steptoe & A. Appels (Eds.), Stress, personal control, and health. New York, NY: Wiley.Google Scholar
  98. Thiede, B., Kim, H., & Valasik, M. (2018). The spatial concentration of America's rural poor population: A postrecession update. Rural Sociology, 83(1), 109–144.  https://doi.org/10.1111/ruso.12166CrossRefGoogle Scholar
  99. U.S. Census Bureau. (2015). American Community Survey, 2010–14. Washington, DC. Retrieved from https://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml
  100. United States Department of Agriculture (USDA). (2018). Opioid misuse in rural America. Washington, DC. Retrieved from https://www.usda.gov/topics/opioids
  101. Van Gundy, K. T. (2006). Substance abuse in rural and small town America. Reports on rural America, 1(2). Durham, NH: Carsey Institute, University of New Hampshire Retrieved from https://scholars.unh.edu/cgi/viewcontent.cgi?article=1006&context=carsey
  102. van Vlaanderen, Zoe. (2018, January). What’s behind the addiction crisis in rural America? [Blog post] Addiction Medicine Update, National Council on Alcoholism and Drug Dependence Inc. Retrieved from https://www.ncadd.org/blogs/addiction-update/what-s-behind-the-addiction-crisis-in-rural-america
  103. Van Zee, A. (2009). The promotion and marketing of OxyContin: Commercial triumph, public health tragedy. American Journal of Public Health, 99(2), 221–227.  https://doi.org/10.2105/AJPH.2007.131714CrossRefPubMedPubMedCentralGoogle Scholar
  104. Villapiano, N. L. G., Winkelman, T. N. A., Kozhimannil, K. B., Davis, M. M., & Patrick, S. W. (2017). Rural and urban differences in neonatal abstinence syndrome and maternal opioid use, 2004–2013. JAMA Pediatrics, 171(2), 194–196.CrossRefGoogle Scholar
  105. Weiss, A. J., Elixhauser, A., Barrett, M. L., Steiner, C. A., Bailey, M. K., & O’Malley, L. (2017). Opioid-related inpatient stays and emergency department visits by state, 2009–2014. (Statistical Brief #219). Rockville, MD: Healthcare Cost and Utilization Project (HCUP). Retrieved from https://www.hcup-us.ahrq.gov/reports/statbriefs/sb219-Opioid-Hospital-Stays-ED-Visits-by-State.jsp
  106. Whitehead, M., Pennington, A., Orton, L., Nayak, S., Petticrew, M., Sowden, A., & White, M. (2016). How could differences in ‘control over destiny’ lead to socio-economic inequalities in health? A synthesis of theories and pathways in the living environment. Health & Place, 39(Suppl. C), 51–61.  https://doi.org/10.1016/j.healthplace.2016.02.002CrossRefGoogle Scholar
  107. Wiltz, T. (2016, November). Why more grandparents are raising children. PEW Stateline. Retrieved from https://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2016/11/02/why-more-grandparents-are-raising-children
  108. Yen, I. H., & Syme, L. S. (1999). The social environment and health: A discussion of the epidemiologic literature. Annual Review of Public Health, 20, 287–308.  https://doi.org/10.1146/annurev.publhealth.20.1.287CrossRefPubMedGoogle Scholar

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Syracuse UniversitySyracuseUSA

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