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

AI Article Synopsis

  • - The study investigates how insecurities related to food, housing, and transportation affect abstinence self-efficacy in women involved with the criminal justice system who have opioid use disorder (OUD).
  • - Data was collected from 900 women in Kentucky jails, focusing on their resource insecurities and their confidence in maintaining abstinence from opioids.
  • - Findings suggest that food insecurity is negatively related to abstinence self-efficacy, and that living in rural areas exacerbates the impact of transportation insecurity on recovery efforts.

Article Abstract

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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Source
http://dx.doi.org/10.1353/hpu.2024.a943978DOI Listing

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