Abstract
Since 2016, African Americans have experienced the largest increase in cocaine-related drug overdose deaths compared to other racial/ethnic groups. African American male prisoners who used drugs prior to incarceration are at an increased risk for relapse and overdose upon community re-entry. Using the Theory of Planned Behavior as a guiding framework, this study examined correlates of perceived need for treatment among 193 drug-using incarcerated African American men nearing release. Linear regression analyses revealed that the number of lifetime drug overdoses, severity of legal problems, and previous drug treatment significantly predicted a need for treatment. Further, more frequent drug use, specifically crack cocaine, in the month prior to incarceration predicted a higher perceived need for drug treatment. Implications suggest this population demonstrates a need for treatment, which may be exacerbated by re-entry stressors. Preventative measures, including culturally tailored treatment and transitional care from prison to community-based services, are necessary to reduce risk of relapse and overdose among this group.
| Original language | English |
|---|---|
| Article number | 108166 |
| Journal | Journal of Substance Abuse Treatment |
| Volume | 120 |
| DOIs | |
| State | Published - Jan 2021 |
Bibliographical note
Publisher Copyright:© 2020 Elsevier Inc.
Funding
This research was supported by the University of Kentucky and the National Institute on Drug Abuse (NIDA) T32DA035200 (PI: Rush), K08DA032296 (PI: Stevens-Watkins), and R01DA049333 (PI: Stevens-Watkins). The fourth author is supported by UL1TR001998 (PI: CTSA). These funding agencies have no role in study design, data collection or analysis, or preparation and submission of the manuscript. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. This research was supported by the University of Kentucky and the National Institute on Drug Abuse (NIDA) T32DA035200 (PI: Rush), K08DA032296 (PI: Stevens-Watkins), and R01DA049333 (PI: Stevens-Watkins). The fourth author is supported by UL1TR001998 (PI: CTSA). These funding agencies have no role in study design, data collection or analysis, or preparation and submission of the manuscript. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
| Funders | Funder number |
|---|---|
| National Institutes of Health (NIH) | |
| National Institute on Drug Abuse | K08DA032296, UL1TR001998, R01DA049333, T32DA035200 |
| University of Kentucky |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- African Americans
- Community Re-entry
- Drug treatment
- Male prisoners
- Theory of Planned Behavior
ASJC Scopus subject areas
- Psychiatric Mental Health
- Medicine (miscellaneous)
- Clinical Psychology
- Psychiatry and Mental health
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