A rural community’s perspective on the causes of and solutions to the opioid crisis in southern Virginia: A qualitative study

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dc.contributor.authorHargrove, Angelina J.en
dc.contributor.authorRafie, Carlinen
dc.contributor.authorZimmerman, Emilyen
dc.contributor.authorMoser, Dawn E.en
dc.coverage.countryUnited Statesen
dc.coverage.stateVirginiaen
dc.date.accessioned2023-02-21T17:44:15Zen
dc.date.available2023-02-21T17:44:15Zen
dc.date.issued2022-06en
dc.date.updated2023-02-21T16:04:34Zen
dc.description.abstractIntroduction: Opioid use disorder is a leading public health issue in the USA, with complex drivers requiring a multi-level response. Rural communities are particularly affected by opioid misuse. Due to variability in local conditions and resources, they require community-specific responses. The aim of this study was to gain insight into the perceptions, knowledge, and experiences of members of a rural community impacted by the opioid crisis to inform the development of local strategies to address the crisis. Methods: Stakeholder focus groups were conducted by a participatory research team as part of a larger project using the Stakeholder Engagement in Question Development and Prioritization (SEED) Method. Results: Key findings from the focus groups included the importance of family dynamics and social networks as risk and resiliency factors, addressing hopelessness as a preventive strategy, the need for holistic approaches to treatment, childhood exposure resulting in intergenerational substance use, the needs of overburdened healthcare providers, the expansion of long-term rehabilitation programs, and the need for judicial reform towards those with opioid use disorder. Specific and well-defined strategies are needed for more comprehensive methods to address the complexity of opioid use disorder. Understanding factors that contribute to opioid use disorder in rural communities through a stakeholder engagement process should be the first responsive strategy in developing actions. Conclusion: This study shows that rural community stakeholders provide important perspectives that can be useful in solving the drug epidemic in their neighborhoods. Their understanding of the internal dynamics of the communities’ needs offers a unique roadmap in which prioritized actions can be customized and adapted for improving health outcomes.en
dc.description.versionAccepted versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.22605/RRH7152en
dc.identifier.eissn1445-6354en
dc.identifier.issn1445-6354en
dc.identifier.issue2en
dc.identifier.orcidRafie, Carlin [0000-0002-1402-5650]en
dc.identifier.other7152 (PII)en
dc.identifier.pmid35641244en
dc.identifier.urihttp://hdl.handle.net/10919/113889en
dc.identifier.volume22en
dc.language.isoenen
dc.publisherRural and Remote Healthen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/35641244en
dc.rightsCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectSEED methoden
dc.subjectUSAen
dc.subjectcommunity engagementen
dc.subjectcommunity healthen
dc.subjectcommunity perspectivesen
dc.subjectopioidsen
dc.subjectpreventionen
dc.subjectpublic healthen
dc.subjectsubstance abuseen
dc.subjectcommunity engaged researchen
dc.subjectDrug Abuse (NIDA Only)en
dc.subjectHealth Servicesen
dc.subjectSubstance Abuseen
dc.subjectClinical Researchen
dc.subjectBehavioral and Social Scienceen
dc.subjectRural Healthen
dc.subject.meshHumansen
dc.subject.meshOpioid-Related Disordersen
dc.subject.meshQualitative Researchen
dc.subject.meshChilden
dc.subject.meshRural Populationen
dc.subject.meshVirginiaen
dc.subject.meshOpioid Epidemicen
dc.titleA rural community’s perspective on the causes of and solutions to the opioid crisis in southern Virginia: A qualitative studyen
dc.title.serialRural and Remote Healthen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherJournal Articleen
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Agriculture & Life Sciencesen
pubs.organisational-group/Virginia Tech/Agriculture & Life Sciences/Human Nutrition, Foods, & Exerciseen

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