CDC: Opioid Prescribing Higher in Rural Areas. In the latest Morbidity and Mortality Weekly Report, researchers for the Centers for Disease Control and Prevention (CDC) analyzed electronic health record data from 2014-2017 and found that patients in the most rural counties had an 87% higher chance of receiving an opioid prescription compared to patients in large metropolitan counties. The report posits higher odds may be attributed to several factors, including higher prevalence of conditions associated with pain and limited access to alternative therapies