use statements are “items” according to the linked reference. I think the idea is that the crate can be chopped up into a series of items.
Rust does have “declarations”: mod foo; is exactly a declaration according to the C sense. (You could, I suppose, argue that this is not a crate-level construct since from the point of view of compiling the crate (in the naive view at least) mod foo; is replaced with the entire module: mod foo { ... }, neverless mod declarations do occur at the file level.)
As for extern crate and use ..., they are either declarations or instructions (or some word to that effect).
Then there are attributes and macro definitions, neither of which are listed in that section of the reference.