TY - JOUR
KW - Opioids
KW - justice-involved women
KW - latent transition
KW - Methamphetamine
AU - A. M. Bunting
AU - M. Dickson
AU - M. Staton
A1 - 
AB - BACKGROUND: Rural areas have high rates of opioid and stimulant involved polysubstance use which are known to contribute to overdose. Justice-involved women are likely to have multiple substance use disorders and are particularly vulnerable in rural areas where treatment is limited. OBJECTIVES: The research had three aims to (1) identify the patterns of polysubstance use of rural Appalachian justice-involved women, (2) examine how women's engagement in polysubstance use changed in the 12-months following initial release from jail, and (3) determine if women's changes in substance use patterns were associated with re-incarceration during the 12-months of post-release follow-up. METHODS: A total of 339 women with recent substance use histories were randomly recruited from three rural jails. Latent transition analysis of women's substance use from baseline (in jail) to 6 and 12-months was examined, including the effect of re-incarceration on transitions (changes in substance use patterns). RESULTS: Three latent classes were found: High Polysubstance/injection drug use (IDU) (36.3% baseline), Opioid/Benzo (Benzodiazepine) Involved Polysubstance Use (57.3% baseline), and Low Use (6.4% baseline). Polysubstance use classes were characterized by use of opioids and benzodiazepines; the High Polysubstance/IDU class was distinct in co-use and injection use of methamphetamine. Post-release, women transitioned to latent classes of reduced substance use and/or reduced injection drug use, particularly in the first six months. Women who were re-incarcerated during follow-up were likely to remain engaged in, or transition to, the High Polysubstance/IDU class (ORs: 3.14-46.56). CONCLUSION: Justice-involved women in Appalachia reported risky polysubstance use. The first six-months post-release were a critical period for changes in substance use.
AD - Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA.; Department of Behavioral Sciences, University of Kentucky, Lexington, KY, USA.; Department of Behavioral Sciences, University of Kentucky, Lexington, KY, USA.
BT - The American Journal of Drug and Alcohol Abuse
C5 - Healthcare Disparities; Opioids & Substance Use
CY - England
DO - 10.1080/00952990.2021.1995402
JF - The American Journal of Drug and Alcohol Abuse
LA - eng
M1 - Journal Article
N2 - BACKGROUND: Rural areas have high rates of opioid and stimulant involved polysubstance use which are known to contribute to overdose. Justice-involved women are likely to have multiple substance use disorders and are particularly vulnerable in rural areas where treatment is limited. OBJECTIVES: The research had three aims to (1) identify the patterns of polysubstance use of rural Appalachian justice-involved women, (2) examine how women's engagement in polysubstance use changed in the 12-months following initial release from jail, and (3) determine if women's changes in substance use patterns were associated with re-incarceration during the 12-months of post-release follow-up. METHODS: A total of 339 women with recent substance use histories were randomly recruited from three rural jails. Latent transition analysis of women's substance use from baseline (in jail) to 6 and 12-months was examined, including the effect of re-incarceration on transitions (changes in substance use patterns). RESULTS: Three latent classes were found: High Polysubstance/injection drug use (IDU) (36.3% baseline), Opioid/Benzo (Benzodiazepine) Involved Polysubstance Use (57.3% baseline), and Low Use (6.4% baseline). Polysubstance use classes were characterized by use of opioids and benzodiazepines; the High Polysubstance/IDU class was distinct in co-use and injection use of methamphetamine. Post-release, women transitioned to latent classes of reduced substance use and/or reduced injection drug use, particularly in the first six months. Women who were re-incarcerated during follow-up were likely to remain engaged in, or transition to, the High Polysubstance/IDU class (ORs: 3.14-46.56). CONCLUSION: Justice-involved women in Appalachia reported risky polysubstance use. The first six-months post-release were a critical period for changes in substance use.
PP - England
PY - 2022
SN - 1097-9891; 0095-2990
SP - 1
EP - 11
EP - 
T1 - Polysubstance use and re-incarceration in the 12-months after release from jail: a latent transition analysis of rural Appalachian women
T2 - The American Journal of Drug and Alcohol Abuse
TI - Polysubstance use and re-incarceration in the 12-months after release from jail: a latent transition analysis of rural Appalachian women
U1 - Healthcare Disparities; Opioids & Substance Use
U2 - 35130103
U3 - 10.1080/00952990.2021.1995402
VO - 1097-9891; 0095-2990
Y1 - 2022
Y2 - Feb 7
ER -