HIV prevention in rural appalachian jails: Implications for re-entry risk reduction among women who use drugs

Michele Staton, Justin C. Strickland, J. Matthew Webster, Carl Leukefeld, Carrie Oser, Erika Pike

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Rural women are at risk for health consequences (such as HIV) associated with substance misuse, but targeted interventions are limited for this population. Jails provide an underutilized opportunity for outreach to high-risk women in rural Appalachian communities. Rural women were randomized to either the NIDA Standard education intervention (n = 201) or the NIDA Standard plus motivational interviewing (MI-HIV; n = 199) while in jail. Outcomes focused on HIV risk behaviors 3 months post-release from jail. Decreases in HIV risk behaviors were observed at follow-up across conditions. Although participants in the MI-HIV group showed reductions in outcomes compared to the NIDA Standard group (OR = 0.82-0.93), these estimates did not reach significance (p values > .57). HIV education interventions can be associated with risk-reduction behaviors. These findings support the need for increased access to prevention education in criminal justice venues, particularly in rural communities.

Original languageEnglish
Pages (from-to)4009-4018
Number of pages10
JournalAIDS and Behavior
Issue number12
StatePublished - Jan 1 2018

Bibliographical note

Funding Information:
Funding This study was funded by the National Institute on Drug Abuse of the National Institutes of Health under Awards R01DA033866, K02DA035116, and T32DA035200 and the National Science Foundation under Award 1247392. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. We would also like to recognize the cooperation and partnership with the Kentucky Department of Corrections and the local jails participating in this study.

Publisher Copyright:
© Springer Science+Business Media, LLC, part of Springer Nature 2018.


  • Drug use
  • HIV prevention
  • Incarceration
  • Intervention
  • Rural women

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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