Differences in prevalence of prescription opiate misuse among rural and urban probationers

Jennifer R. Havens, Carrie B. Oser, Carl G. Leukefeld, J. Matthew Webster, Steven S. Martin, Daniel J. O'Connell, Hilary L. Surratt, James A. Inciardi

Research output: Contribution to journalArticlepeer-review

77 Scopus citations


We compared the prevalence of prescription opiate misuse among 2 cohorts of felony probationers (N = 1525). Multiple logistic regression was utilized to determine the independent correlates of prescription opiate misuse among rural (n = 782) and urban (n = 743) probationers participating in an HIV-intervention study. After adjustment for differences in demographic and drug use characteristics, rural participants were almost five times more likely than their urban counterparts to have misused prescription opiates. The prevalence of prescription opiate misuse was significantly higher among the rural probationers; however, given the paucity of illicit opiates and relatively recent emergence of prescription opiates in rural areas, rural substance abuse treatment may be ill-prepared to treat prescription opiate misuse.

Original languageEnglish
Pages (from-to)309-317
Number of pages9
JournalAmerican Journal of Drug and Alcohol Abuse
Issue number2
StatePublished - Mar 2007

Bibliographical note

Funding Information:
These studies were supported by grants from the National Institute on Drug Abuse (R01DA011580 to C.G.L and R01DA011611 to S.M).


  • Prescription opiate
  • Probationers
  • Rural
  • Urban

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health


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