Rural drug users: Factors associated with substance abuse treatment utilization

Carrie B. Oser, Carl G. Leukefeld, Michele Staton Tindall, Thomas F. Garrity, Robert G. Carlson, Russel Falck, Wang Jichuan Wang, Brenda M. Booth

Research output: Contribution to journalArticlepeer-review

43 Scopus citations


The purpose of this study is to use a modified version of Andersen's Behavioral Model of Health Services Use to identify the correlates of the number of substance abuse treatment episodes received by rural drug users. Data were collected from face-to-face interviews with 711 drug users in rural areas of Ohio, Arkansas, and Kentucky. Descriptive analyses examine rural drug users' substance use histories and retrospective substance abuse treatment service utilization patterns. A negative binomial regression model indicated that selected predisposing, historical health, and enabling factors were significantly associated with the utilization of substance abuse treatment among rural drug users. Despite high levels of recent and lifetime self-reported substance use among these rural drug users, treatment services were underutilized. Future studies are needed to examine the impact of the health care system and characteristics of the external environment associated with rural substance abuse treatment in order to increase utilization among drug users.

Original languageEnglish
Pages (from-to)567-586
Number of pages20
JournalInternational Journal of Offender Therapy and Comparative Criminology
Issue number4
StatePublished - Jun 2011


  • behavioral model of health services
  • rural drug users
  • substance abuse treatment

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Arts and Humanities (miscellaneous)
  • Applied Psychology


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