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Despite considerable change in the legal status of marijuana in the United States in the 21st century, the state of Nebraska has become an outlier in maintaining a complete prohibition on the substance. We estimate overall public support for medical and recreational marijuana in the state of Nebraska. Our data comes from the 2020 Nebraska Annual Social Indicators Survey, an address-based sample of Nebraskan adults. We asked a question from the Pew Research Center if participants support legal marijuana for medical AND recreational use, medical use only, or if they think it should not be legal. We estimate that 83.18% of Nebraskans support medical marijuana legalization. There is less consistent support for legal recreational use than medical use alone. There are also associations between support preferences and age, political party, gender, and the amount of stigma a participant reports in their community towards people that use various substances.

The ability of a user to access a given type of drug is related to the configuration of the market for that drug, and a range of economic and criminal justice concerns. This study focuses on Nebraskan's "ready access" to four types of drugs (marijuana, methamphetamine, heroin, and prescription pills) in 2016, using a statewide survey of housed Nebraskan adults. Ready access is defined as a participant knowing at least one person from whom they could obtain a given type of drug if they wanted to. We found that 35% of adult Nebraskans knew at least one person from whom they could obtain marijuana, 8.9% for methamphetamine, 4.5% for heroin, and 17.8% knew at least one source for prescription pills. Relationships between knowing a source for each type of drug and rurality, sex, race, religious attendance, mental health symptoms, and education are explored.

We use a unique platform called the Open Dynamic Interaction Network (ODIN) app, to collect fine grained, daily data from participants. Our results graphically depict the feasibility of using the ODIN app with people who use drugs (PWUD) in the Great Plains. During fall 2022-spring 2023, 100 participants (53% female), using an Android smartphone with the ODIN app installed, were asked up to 22 questions per day on substance use, stress, and social support over 30 days. The mean overall daily response rates to the ecological momentary assessment questions using the ODIN app was 82%. Overall, 82% of participants reported that the ODIN app was "somewhat" or "very easy" to use. Our graphical depictions highlight, for example, that response rates do not typically drop off until the third block of questions. These findings have methodological significance for those who work with PWUD and other hard to reach populations.

The abuse of opioid and methamphetamine is a public health crisis in the United States, particularly in rural areas where injection drug use is common. This systematic review of rural injection drug use synthesized the research on injection of opioids and methamphetamine use and assessed the similarity of their research findings to the field of rural injection drug use in the United States. A citation network analysis was used to support the assessment of research similarity and provided a visualization of the field. This citation network analysis exposed a gap in the literature revealing that the state of research may not be fully applicable to the field in its entirety in the United States. In summary, this review provides a representative overview of the state of research in the field of injection drug use. Future research should conduct studies on rural drug use in areas of the country not represented in this review.