Rurality and criminal history as predictors of HIV risk among drug-involved offenders

J. Matthew Webster, Allison Mateyoke-Scrivner, Michele Staton, Carl Leukefeld

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


The current study examined rurality and criminality as predictors of the lifetime HIV risk behaviors of 661 male, drug-abusing state prisoners. HIV risk behaviors included the number of lifetime sex partners, the number of lifetime drug injections, the number of times had sex with an injection drug user, and the frequency with which a condom was used. Regression analyses showed that criminality was related to the number of lifetime injections, whereas rurality was related to fewer lifetime sex partners and less frequent condom use. A rurality by criminality interaction for sex with an injection drug user was found. Specifically, those from rural areas who had more extensive criminal histories reported relatively high numbers of sex partners who were IDUs. Results are discussed in the context of rural and criminal justice interventions for HIV risk behavior.

Original languageEnglish
Pages (from-to)153-160
Number of pages8
JournalSubstance Use and Misuse
Issue number1
StatePublished - Jan 1 2007

Bibliographical note

Funding Information:
This study was supported by Grant R01 DA11309 from the National Institute on Drug Abuse; Carl G. Leukefeld, Principal Investigator; and by the staff and resources of the Center on Drug and Alcohol Research at the University of Kentucky. Opinions expressed are those of the authors and do not represent the position of the National Institute on Drug Abuse. An earlier version of this manuscript was presented at the annual meeting of the Kentucky Psychological Association, Louisville, KY, November 2001. Correspondence should be addressed to the authors at the Center on Drug and Alcohol Research, University of Kentucky, 643 Maxwelton Court, Lexington, KY 40506-0350.


  • Criminality
  • Drug abuse
  • HIV risk behavior
  • Prisoner
  • Rural

ASJC Scopus subject areas

  • Health(social science)
  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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