Contraceptive use in Appalachian women who use drugs and were recruited from rural jails

Gretchen E. Ely, Braden K. Linn, Michele Staton, Travis W. Hales, Kafuli Agbemenu, Eugene Maguin

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


This study describes a secondary data analysis of contraceptive use across the lifetime and within the six months prior to incarceration in a sample of 400 currently incarcerated women recruited from rural, Appalachian jails, who were using drugs prior to incarceration. Phase 1 (baseline) data from an NIH funded study were used to examine rates of contraceptive use, reasons for nonuse of condoms, and correlates of condom use. Results indicate that the majority (96.5%) of respondents reported lifetime use of contraceptives, and most (70.5%) had a history of using multiple methods, with male condoms, oral contraceptive pills, and contraceptive injections being the most commonly used methods. Almost 69% of respondents reported nonuse of contraceptives within the last six months, despite high rates of involvement in risky, intimate male partnerships prior to incarceration. Contraceptive use was found to be historically acceptable in this sample, in stark contrast to rates of use within the last six months prior to incarceration, suggesting that reproductive justice-informed, social work interventions to help improve current contraceptive use are warranted as a harm-reduction approach.

Original languageEnglish
Pages (from-to)365-386
Number of pages22
JournalSocial Work in Health Care
Issue number6
StatePublished - Jul 2 2020

Bibliographical note

Publisher Copyright:
© 2020, © 2020 Taylor & Francis.


  • Appalachia
  • Contraceptive use
  • condoms
  • drug-using
  • jails
  • rural
  • women

ASJC Scopus subject areas

  • Community and Home Care
  • Psychiatry and Mental health


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