城市和农村患有阿片类药物使用障碍的被监禁妇女的部分资源不安全和戒断自我效能。

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI:10.1353/hpu.2024.a943978

Jaxin Annett, Megan Dickson, Martha Tillson, Carl Leukefeld, J Matthew Webster, Michele Staton

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引用次数: 0

摘要

目的：调查刑事法律系统（CLS）介入和阿片类药物使用障碍（OUD）妇女的特定资源不安全（即食物、住房和交通）与戒断自我效能之间的关系，并研究生活在农村或城市地区的潜在调节作用：数据收集是美国国家药品管理局（NIDA）资助的肯塔基州司法社区阿片类药物创新网络（JCOIN）试验的一部分。从肯塔基州的九个监狱中随机抽取了妇女（N = 900），对她们进行了 OUD 筛查、登记和访谈。衡量标准包括资源不安全和禁欲自我效能的单项衡量标准：研究禁欲自我效能独立相关因素的多变量回归分析结果表明，在控制社会人口协变量的情况下，禁欲自我效能与粮食不安全之间存在显著关联（p = .008）。农村地区调节了交通与禁欲自我效能之间的关系（p = .001）：结论：资源不安全，尤其是农村地区交通不安全，可能会降低禁欲自我效能感。解决资源劣势对提高妇女的治疗参与度和康复至关重要。

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Selected Resource Insecurities and Abstinence Self-Efficacy Among Urban and Rural Incarcerated Women with Opioid Use Disorder.

Purpose: To investigate the relationship between selected resource insecurities (i.e., food, housing, and transportation) and abstinence self-efficacy among women with criminal legal system (CLS)-involvement and opioid use disorder (OUD) and examine potential moderating effects of living in a rural or urban area.

Methods: Data were collected as part of the NIDA-funded Kentucky Justice Community Opioid Innovation Network (JCOIN) trial. Women (N = 900) were randomly selected from nine Kentuckyjails, screened for OUD, enrolled, and interviewed. Measures included resource insecurity and a single-item measure of abstinence self-efficacy.

Findings: Results from a multivariable regression analysis examining independent correlates of abstinence self-efficacy demonstrated significant associations with food insecurity (p = .008), controlling for sociodemographic covariates. Rurality moderated the relationship between transportation and abstinence self-efficacy (p = .001).

Conclusions: Resource insecurity, particularly transportation insecurity in rural areas, may reduce abstinence self-efficacy. Addressing resource disadvantages is vital to improving treatment engagement and recovery among women.

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.