“…These counties are disproportionally representative of agricultural and husbandry-based economies with potentially large workforces of Mexican-origin immigrants ( Flores, 2016 ). Unlike those in urban counties, Latinos in these communities may be living in socially isolated and economically marginalized contexts with less access to culturally tailored healthcare, drug treatment, and harm reduction services ( Negi et al., 2021 , Stone et al., 2019 ). For instance, all three counties mentioned above report having no methadone clinics, and only Lake county has a syringe exchange program ( California Department of Public Health, 2021 , Substance Abuse and Mental Health Services Administrtation, 2021 ).…”