Abstract
PURPOSE: To investigate the relationship between selected resource insecurities (i.e., food, housing, and transportation) and abstinence self-efficacy among women with criminal legal system (CLS)-involvement and opioid use disorder (OUD) and examine potential moderating effects of living in a rural or urban area.
METHODS: Data were collected as part of the NIDA-funded Kentucky Justice Community Opioid Innovation Network (JCOIN) trial. Women (N = 900) were randomly selected from nine Kentuckyjails, screened for OUD, enrolled, and interviewed. Measures included resource insecurity and a single-item measure of abstinence self-efficacy.
FINDINGS: Results from a multivariable regression analysis examining independent correlates of abstinence self-efficacy demonstrated significant associations with food insecurity (p = .008), controlling for sociodemographic covariates. Rurality moderated the relationship between transportation and abstinence self-efficacy (p = .001).
CONCLUSIONS: Resource insecurity, particularly transportation insecurity in rural areas, may reduce abstinence self-efficacy. Addressing resource disadvantages is vital to improving treatment engagement and recovery among women.
| Original language | English |
|---|---|
| Pages (from-to) | 1068-1088 |
| Number of pages | 21 |
| Journal | Journal of Health Care for the Poor and Underserved |
| Volume | 35 |
| Issue number | 4 |
| DOIs | |
| State | Published - 2024 |
Keywords
- Humans
- Female
- Adult
- Opioid-Related Disorders/psychology
- Self Efficacy
- Kentucky
- Rural Population/statistics & numerical data
- Urban Population/statistics & numerical data
- Prisoners/psychology
- Middle Aged
- Food Insecurity
- Transportation
- Housing
- Young Adult
