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  1. Home
  2. Selected Resource Insecurities And Abstinence Self-efficacy Among Urban And Rural Incarcerated Women With Opioid Use Disorder.
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  2. Selected Resource Insecurities And Abstinence Self-efficacy Among Urban And Rural Incarcerated Women With Opioid Use Disorder.

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Selected Resource Insecurities and Abstinence Self-Efficacy Among Urban and Rural Incarcerated Women with Opioid Use

Jaxin Annett, Megan Dickson, Martha Tillson

    Journal of Health Care for the Poor and Underserved
    |November 25, 2024

    View abstract on PubMed

    Summary
    This summary is machine-generated.

    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.

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    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.