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

doi:10.1007/s10461-018-2209-z

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 journal › Article › peer-review

19 Scopus citations

Abstract

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 language	English
Pages (from-to)	4009-4018
Number of pages	10
Journal	AIDS and Behavior
Volume	22
Issue number	12
DOIs	https://doi.org/10.1007/s10461-018-2209-z
State	Published - Jan 1 2018

Bibliographical note

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

Funding

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.

Funders	Funder number
National Science Foundation Arctic Social Science Program	1247392
National Science Foundation Arctic Social Science Program
National Institutes of Health (NIH)
National Institute on Drug Abuse	K02DA035116, R01DA033866, T32DA035200
National Institute on Drug Abuse

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being
SDG 16 Peace, Justice and Strong Institutions

Keywords

Drug use
HIV prevention
Incarceration
Intervention
Rural women

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

Access to Document

10.1007/s10461-018-2209-z

Cite this

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

abstract = "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.",

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author = "Michele Staton and Strickland, \{Justin C.\} and Webster, \{J. Matthew\} and Carl Leukefeld and Carrie Oser and Erika Pike",

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AU - Staton, Michele

AU - Strickland, Justin C.

AU - Webster, J. Matthew

AU - Leukefeld, Carl

AU - Oser, Carrie

AU - Pike, Erika

N1 - Publisher Copyright: © Springer Science+Business Media, LLC, part of Springer Nature 2018.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - 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.

AB - 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.

KW - Drug use

KW - HIV prevention

KW - Incarceration

KW - Intervention

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

Abstract

Bibliographical note

Funding

UN SDGs

Keywords

ASJC Scopus subject areas

Access to Document

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