Social norms associated with nonmedical opioid use in rural communities: a systematic review

Rebecca Bolinski; Kaitlin Ellis; Whitney E Zahnd; Suzan Walters; Colleen McLuckie; John Schneider; Christofer Rodriguez; Jerel Ezell; Samuel R Friedman; Mai Pho; Wiley D Jenkins

doi:10.1093/tbm/ibz129

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Social norms associated with nonmedical opioid use in rural communities: a systematic review

Journal article

Open access

Peer reviewed

Social norms associated with nonmedical opioid use in rural communities: a systematic review

Rebecca Bolinski, Kaitlin Ellis, Whitney E Zahnd, Suzan Walters, Colleen McLuckie, John Schneider, Christofer Rodriguez, Jerel Ezell, Samuel R Friedman, Mai Pho, …

Translational behavioral medicine, Vol.9(6), pp.1224-1232

11/25/2019

DOI: 10.1093/tbm/ibz129

PMCID: PMC6875642

PMID: 31504988

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875642View

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Abstract

Successful intervention in rural opioid misuse requires a better understanding of how local social norms and networks, and employment and medical care access, combine to facilitate or hinder individual use. Prescription and illicit opioids were involved in over 42,000 deaths in the USA in 2016. Rural counties experience higher rates of opioid prescribing and, although opioid prescribing rates have fallen in recent years, the rate of decline is less in rural areas. The sociocultural context of rural life may impact opioid misuse in important ways; however, little research directly explores this possibility. We performed a systematic review of English-language manuscripts in U.S. context to determine what is known about social networks, norms, and stigma in relation to rural opioid misuse. Of nine articles identified and reviewed, two had only primary findings associated with social networks, norms, or stigma, five had only secondary findings, and two had both primary and secondary findings. The normalization of prescription opioid use along with environmental factors likely impacts the prevalence of opioid misuse in rural communities. Discordant findings exist regarding the extent to which social networks facilitate or protect against nonmedical opioid use. Lastly, isolation, lack of treatment options, social norms, and stigma create barriers to substance use treatment for rural residents. Although we were able to identify important themes across multiple studies, discordant findings exist and, in some cases, findings rely on single studies. The paucity of research examining the role of social networks, norms, and stigma in relation to nonmedical opioid use in rural communities is evident in this review. Scholarship aimed at exploring the relationship and impact of rurality on nonmedical opioid use is warranted.

Opioid

Other Behavioral Medicine Pieces

Rural

Social networks

Social norms

Stigma

Details

Title: Subtitle: Social norms associated with nonmedical opioid use in rural communities: a systematic review
Creators: Rebecca Bolinski - , Carbondale, IL, , Chicago, IL, , Columbia, SC, , New York, NY, , Chicago, IL, , Chicago, IL, , Springfield, IL, , Chicago, IL, , Inc, New York, NY, , Chicago, IL, , Springfield, IL
Kaitlin Ellis - , Carbondale, IL, , Chicago, IL, , Columbia, SC, , New York, NY, , Chicago, IL, , Chicago, IL, , Springfield, IL, , Chicago, IL, , Inc, New York, NY, , Chicago, IL, , Springfield, IL
Whitney E Zahnd - , Carbondale, IL, , Chicago, IL, , Columbia, SC, , New York, NY, , Chicago, IL, , Chicago, IL, , Springfield, IL, , Chicago, IL, , Inc, New York, NY, , Chicago, IL, , Springfield, IL
Suzan Walters - , Carbondale, IL, , Chicago, IL, , Columbia, SC, , New York, NY, , Chicago, IL, , Chicago, IL, , Springfield, IL, , Chicago, IL, , Inc, New York, NY, , Chicago, IL, , Springfield, IL
Colleen McLuckie - , Carbondale, IL, , Chicago, IL, , Columbia, SC, , New York, NY, , Chicago, IL, , Chicago, IL, , Springfield, IL, , Chicago, IL, , Inc, New York, NY, , Chicago, IL, , Springfield, IL
John Schneider - , Carbondale, IL, , Chicago, IL, , Columbia, SC, , New York, NY, , Chicago, IL, , Chicago, IL, , Springfield, IL, , Chicago, IL, , Inc, New York, NY, , Chicago, IL, , Springfield, IL
Christofer Rodriguez - , Carbondale, IL, , Chicago, IL, , Columbia, SC, , New York, NY, , Chicago, IL, , Chicago, IL, , Springfield, IL, , Chicago, IL, , Inc, New York, NY, , Chicago, IL, , Springfield, IL
Jerel Ezell - , Carbondale, IL, , Chicago, IL, , Columbia, SC, , New York, NY, , Chicago, IL, , Chicago, IL, , Springfield, IL, , Chicago, IL, , Inc, New York, NY, , Chicago, IL, , Springfield, IL
Samuel R Friedman - , Carbondale, IL, , Chicago, IL, , Columbia, SC, , New York, NY, , Chicago, IL, , Chicago, IL, , Springfield, IL, , Chicago, IL, , Inc, New York, NY, , Chicago, IL, , Springfield, IL
Mai Pho - , Carbondale, IL, , Chicago, IL, , Columbia, SC, , New York, NY, , Chicago, IL, , Chicago, IL, , Springfield, IL, , Chicago, IL, , Inc, New York, NY, , Chicago, IL, , Springfield, IL
Wiley D Jenkins - , Carbondale, IL, , Chicago, IL, , Columbia, SC, , New York, NY, , Chicago, IL, , Chicago, IL, , Springfield, IL, , Chicago, IL, , Inc, New York, NY, , Chicago, IL, , Springfield, IL
Resource Type: Journal article
Publication Details: Translational behavioral medicine, Vol.9(6), pp.1224-1232
Publisher: Oxford University Press
DOI: 10.1093/tbm/ibz129
PMID: 31504988
PMCID: PMC6875642
ISSN: 1869-6716
eISSN: 1613-9860
Grant note: 1UG3DA044829-01 / ; ; ; ; ; ;
Language: English
Date published: 11/25/2019
Academic Unit: Health Management and Policy
Record Identifier: 9984214951702771

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