This academic paper informs that CDC analysis of patient opioid prescription data from a national electronic health record vendor during 2014–2017 found that the percentage of patients prescribed an opioid was higher in rural than in urban areas. According to this paper, there were significant decreases in opioid prescribing which occurred across all urban-rural categories after the March 2016 release of the CDC Guideline for Prescribing Opioids for Chronic Pain.
García, M.C, Heilig, C.M, Lee, S.H, et al. (2019) Opioid Prescribing Rates in Nonmetropolitan and Metropolitan Counties Among Primary Care Providers Using an Electronic Health Record System — United States, 2014–2017. MMWR Morb Mortal Wkly Rep, 68:25–30. doi:10.15585/mmwr.mm6802a1