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 - Nov 2024 |
Bibliographical note
Publisher Copyright:© Meharry Medical College.
Funding
This work was supported by the National Institutes of Health through the NIH HEAL Initiative under award number UG1DA050069, 2020. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the NIH, the NIH HEAL Initiative, or the participating sites. We would also like to acknowledge the contribution of our partners in the Kentucky Department of Corrections and the Kentucky Department of Behavioral Health. Declarations of interest: none. This work was supported by the National Institutes of Health through the NIH HEAL Initiative under award number UG1DA050069, 2020. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the NIH, the NIH HEAL Initiative, or the participating sites. We would also like to acknowledge the contribution of our partners in the Kentucky Department of Corrections and the Kentucky Department of Behavioral Health. Declarations of interest: none. Research data are not shared.
| Funders | Funder number |
|---|---|
| Kentucky Department for Behavioral Health | |
| Kentucky Department of Corrections | |
| National Institutes of Health (NIH) | UG1DA050069 |
| National Institutes of Health (NIH) |
Keywords
- Criminal legal system-involved
- abstinence self-efficacy
- resource insecurity
- rural-urban
- women
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
