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Selected Resource Insecurities and Abstinence Self-Efficacy Among Urban and Rural Incarcerated Women with Opioid Use
Journal of Health Care for the Poor and Underserved
|November 25, 2024
Summary
Food insecurity and transportation challenges, especially in rural areas, can lower abstinence self-efficacy in women with opioid use disorder and criminal legal system involvement. Addressing these resource gaps is crucial for recovery.
Area of Science:
- Public Health
- Addiction Medicine
- Criminology
Background:
- Women involved in the criminal legal system (CLS) with opioid use disorder (OUD) face significant challenges.
- Resource insecurities like food, housing, and transportation are prevalent in this population.
- Abstinence self-efficacy is a critical factor for successful recovery from OUD.
Purpose of the Study:
- To examine the association between resource insecurities and abstinence self-efficacy in women with CLS-involvement and OUD.
- To investigate if living in a rural or urban area moderates these relationships.
Main Methods:
- Data from 900 women with OUD recruited from nine Kentucky jails were analyzed.
- Participants were screened for OUD and interviewed regarding resource insecurity and abstinence self-efficacy.
- Multivariable regression analysis was used to assess correlates and moderators.
Main Results:
- Food insecurity was significantly associated with lower abstinence self-efficacy.
- Rurality significantly moderated the relationship between transportation insecurity and abstinence self-efficacy, indicating a stronger negative impact in rural settings.
Conclusions:
- Resource insecurity, particularly transportation issues in rural areas, may impede recovery by reducing self-efficacy.
- Interventions addressing resource disadvantages are essential for enhancing treatment engagement and recovery outcomes for women with OUD and CLS-involvement.
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