Grants and Contracts Details
Description
The scientific literature offers little information about the use of stimulants, particularlymethamphetamine
("me1h"), cocaine, and crack, in rural America. We know little about the characteristics of rural stimulant
'users, how stimulant use is organized, the course of stimulant use, or about drug treatment and ether
Iservice use in rural areas. Rural characteristics suggest that inferencesfrom urban drug users may not
be generalizable to rural stimulant users. Recently, Wright State University (WSU) in Dayton, Ohio was
funded by NIDA to study rural Ohic stimulant users, and to Identify factors associated with their drug use
and use of health services. This application proposes to expand and enhance the Ohio rural stimulant
research to the Arkansas Mississippi Delta and Appalachian Kentucky, by contributing a substantially
wider range of rural ecologies, participant demographic and cuUural characteristics, service availability,
I
land service use. We willexpand the primary focus of the Ohio study to a broader-based natural history
. of rural stimulant use and health services, highlighting the critical role of co-occurring mental dis9rders in
relationship to trajectories of drug use and use of health servjces, including mental health services. We
will also target interactions with the criminal justice system as longitudinal measures. We propose to
develop complementary projects using parallel specific aims and procedures. and commondata
collection instruments, with the Ohio project. We will study 450 stimulant users over a three-yearinterval
with six-monthly follow-ups. Using both qualitative and quantitative methods, our overall specific aim is to
characterize stimulant use and use of health services in two dIstinct rural ecologies. We plan to study the
longitudinalcourse of drug use and predictors of drug use, and use of treatment, mental health, general
medical, and ER services, and to conduct pooled analyses of the Arkansas, Kentucky, and Ohio samples.
This expanded research fram three diverse rural ecologies will provide convincing and cogent data for
health planning and health policy far prevention and treatment of stimulant users in rut'sl areas.
Status | Finished |
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Effective start/end date | 9/25/02 → 6/30/06 |
Funding
- University of Arkansas: $1,583,300.00
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