HIV Prevention in Rural Appalachian Jails: Implications for Re-entry Risk Reduction Among Women Who Use Drugs
Rural women are at risk for health consequences (such as HIV) associated with substance misuse, but targeted interventions are limited for this population. Jails provide an underutilized opportunity for outreach to high-risk women in rural Appalachian communities. Rural women were randomized to eith...
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| Veröffentlicht in: | AIDS and behavior 2018-12, Vol.22 (12), p.4009-4018 |
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| creator | Staton, Michele Strickland, Justin C. Webster, J. Matthew Leukefeld, Carl Oser, Carrie Pike, Erika |
| description | Rural women are at risk for health consequences (such as HIV) associated with substance misuse, but targeted interventions are limited for this population. Jails provide an underutilized opportunity for outreach to high-risk women in rural Appalachian communities. Rural women were randomized to either the NIDA Standard education intervention (n = 201) or the NIDA Standard plus motivational interviewing (MI-HIV; n = 199) while in jail. Outcomes focused on HIV risk behaviors 3 months post-release from jail. Decreases in HIV risk behaviors were observed at follow-up across conditions. Although participants in the MI-HIV group showed reductions in outcomes compared to the NIDA Standard group (OR = 0.82–0.93), these estimates did not reach significance (p values > .57). HIV education interventions can be associated with risk-reduction behaviors. These findings support the need for increased access to prevention education in criminal justice venues, particularly in rural communities. |
| doi_str_mv | 10.1007/s10461-018-2209-z |
| format | Article |
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HIV education interventions can be associated with risk-reduction behaviors. These findings support the need for increased access to prevention education in criminal justice venues, particularly in rural communities.</description><identifier>ISSN: 1090-7165</identifier><identifier>ISSN: 1573-3254</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-018-2209-z</identifier><identifier>PMID: 29959722</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject><![CDATA[Acquired immune deficiency syndrome ; Adult ; AIDS ; Appalachian Region - epidemiology ; Crime ; Criminal justice ; Disease prevention ; Drug abuse ; Drug use ; Drug Users - psychology ; Drug Users - statistics & numerical data ; Education ; Female ; Health Education ; Health Psychology ; Health risks ; HIV ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; HIV Infections - transmission ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Interviews ; Jails ; Judicial system ; Medicine ; Medicine & Public Health ; Middle Aged ; Motivation ; Motivational Interviewing ; Original Paper ; Prevalence ; Prevention ; Prisoners - psychology ; Prisons ; Public Health ; Reduction ; Risk ; Risk behavior ; Risk reduction ; Risk Reduction Behavior ; Risk taking ; Rural areas ; Rural communities ; Rural Population - statistics & numerical data ; Rural schools ; Substance-Related Disorders - complications ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - psychology ; Treatment Outcome ; Unsafe Sex - prevention & control ; Unsafe Sex - statistics & numerical data ; Women ; Womens health]]></subject><ispartof>AIDS and behavior, 2018-12, Vol.22 (12), p.4009-4018</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>AIDS and Behavior is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-79666e8349ffccd3882136acee84c2a54e9de3d5ee0fb002404448ff89944ee73</citedby><cites>FETCH-LOGICAL-c470t-79666e8349ffccd3882136acee84c2a54e9de3d5ee0fb002404448ff89944ee73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-018-2209-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-018-2209-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27321,27901,27902,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29959722$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Staton, Michele</creatorcontrib><creatorcontrib>Strickland, Justin C.</creatorcontrib><creatorcontrib>Webster, J. Matthew</creatorcontrib><creatorcontrib>Leukefeld, Carl</creatorcontrib><creatorcontrib>Oser, Carrie</creatorcontrib><creatorcontrib>Pike, Erika</creatorcontrib><title>HIV Prevention in Rural Appalachian Jails: Implications for Re-entry Risk Reduction Among Women Who Use Drugs</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>Rural women are at risk for health consequences (such as HIV) associated with substance misuse, but targeted interventions are limited for this population. Jails provide an underutilized opportunity for outreach to high-risk women in rural Appalachian communities. Rural women were randomized to either the NIDA Standard education intervention (n = 201) or the NIDA Standard plus motivational interviewing (MI-HIV; n = 199) while in jail. Outcomes focused on HIV risk behaviors 3 months post-release from jail. Decreases in HIV risk behaviors were observed at follow-up across conditions. Although participants in the MI-HIV group showed reductions in outcomes compared to the NIDA Standard group (OR = 0.82–0.93), these estimates did not reach significance (p values > .57). HIV education interventions can be associated with risk-reduction behaviors. These findings support the need for increased access to prevention education in criminal justice venues, particularly in rural communities.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>AIDS</subject><subject>Appalachian Region - epidemiology</subject><subject>Crime</subject><subject>Criminal justice</subject><subject>Disease prevention</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>Drug Users - psychology</subject><subject>Drug Users - statistics & numerical data</subject><subject>Education</subject><subject>Female</subject><subject>Health Education</subject><subject>Health Psychology</subject><subject>Health risks</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - transmission</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Interviews</subject><subject>Jails</subject><subject>Judicial system</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Motivational Interviewing</subject><subject>Original Paper</subject><subject>Prevalence</subject><subject>Prevention</subject><subject>Prisoners - psychology</subject><subject>Prisons</subject><subject>Public Health</subject><subject>Reduction</subject><subject>Risk</subject><subject>Risk behavior</subject><subject>Risk reduction</subject><subject>Risk Reduction Behavior</subject><subject>Risk taking</subject><subject>Rural areas</subject><subject>Rural communities</subject><subject>Rural Population - statistics & numerical data</subject><subject>Rural schools</subject><subject>Substance-Related Disorders - complications</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - psychology</subject><subject>Treatment Outcome</subject><subject>Unsafe Sex - prevention & control</subject><subject>Unsafe Sex - statistics & numerical data</subject><subject>Women</subject><subject>Womens health</subject><issn>1090-7165</issn><issn>1573-3254</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kc1u1DAUhSMEoqXwAGyQJTZsUq4dx45ZII3aQgdVAo0oXVquczPjktjBnlRqnx6nU8qPxMq27neOz9UpipcUDimAfJsocEFLoE3JGKjy9lGxT2tZlRWr-eN8BwWlpKLeK56ldAUASkj1tNhjStVKMrZfDKfLb-RLxGv0Wxc8cZ6spmh6shhH0xu7ccaTT8b16R1ZDmPvrJm5RLoQyQrLLIs3ZOXS9_xqJ3tnshiCX5OLMKAnF5tAzhOS4zit0_PiSWf6hC_uz4Pi_MPJ16PT8uzzx-XR4qy0XMK2lEoIgU3FVddZ21ZNw2gljEVsuGWm5qharNoaEbpLAMaBc950XaMU54iyOije73zH6XLA1s4pTa_H6AYTb3QwTv898W6j1-FaCy5rBpAN3twbxPBjwrTVg0sW-954DFPSDARrKkkVy-jrf9CrMEWf15spKpTg9ZyI7igbQ0oRu4cwFPRcpt6VqXOZei5T32bNqz-3eFD8ai8DbAekPPJrjL-__r_rTwfvqzg</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Staton, Michele</creator><creator>Strickland, Justin C.</creator><creator>Webster, J. 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Matthew ; Leukefeld, Carl ; Oser, Carrie ; Pike, Erika</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-79666e8349ffccd3882136acee84c2a54e9de3d5ee0fb002404448ff89944ee73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adult</topic><topic>AIDS</topic><topic>Appalachian Region - epidemiology</topic><topic>Crime</topic><topic>Criminal justice</topic><topic>Disease prevention</topic><topic>Drug abuse</topic><topic>Drug use</topic><topic>Drug Users - psychology</topic><topic>Drug Users - statistics & numerical data</topic><topic>Education</topic><topic>Female</topic><topic>Health Education</topic><topic>Health Psychology</topic><topic>Health risks</topic><topic>HIV</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - prevention & control</topic><topic>HIV Infections - transmission</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infectious Diseases</topic><topic>Interviews</topic><topic>Jails</topic><topic>Judicial system</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Motivational Interviewing</topic><topic>Original Paper</topic><topic>Prevalence</topic><topic>Prevention</topic><topic>Prisoners - psychology</topic><topic>Prisons</topic><topic>Public Health</topic><topic>Reduction</topic><topic>Risk</topic><topic>Risk behavior</topic><topic>Risk reduction</topic><topic>Risk Reduction Behavior</topic><topic>Risk taking</topic><topic>Rural areas</topic><topic>Rural communities</topic><topic>Rural Population - statistics & numerical data</topic><topic>Rural schools</topic><topic>Substance-Related Disorders - complications</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Substance-Related Disorders - psychology</topic><topic>Treatment Outcome</topic><topic>Unsafe Sex - prevention & control</topic><topic>Unsafe Sex - statistics & numerical data</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Staton, Michele</creatorcontrib><creatorcontrib>Strickland, Justin C.</creatorcontrib><creatorcontrib>Webster, J. 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Matthew</au><au>Leukefeld, Carl</au><au>Oser, Carrie</au><au>Pike, Erika</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HIV Prevention in Rural Appalachian Jails: Implications for Re-entry Risk Reduction Among Women Who Use Drugs</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2018-12-01</date><risdate>2018</risdate><volume>22</volume><issue>12</issue><spage>4009</spage><epage>4018</epage><pages>4009-4018</pages><issn>1090-7165</issn><issn>1573-3254</issn><eissn>1573-3254</eissn><abstract>Rural women are at risk for health consequences (such as HIV) associated with substance misuse, but targeted interventions are limited for this population. Jails provide an underutilized opportunity for outreach to high-risk women in rural Appalachian communities. 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| subjects | Acquired immune deficiency syndrome Adult AIDS Appalachian Region - epidemiology Crime Criminal justice Disease prevention Drug abuse Drug use Drug Users - psychology Drug Users - statistics & numerical data Education Female Health Education Health Psychology Health risks HIV HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - transmission Human immunodeficiency virus Humans Infectious Diseases Interviews Jails Judicial system Medicine Medicine & Public Health Middle Aged Motivation Motivational Interviewing Original Paper Prevalence Prevention Prisoners - psychology Prisons Public Health Reduction Risk Risk behavior Risk reduction Risk Reduction Behavior Risk taking Rural areas Rural communities Rural Population - statistics & numerical data Rural schools Substance-Related Disorders - complications Substance-Related Disorders - epidemiology Substance-Related Disorders - psychology Treatment Outcome Unsafe Sex - prevention & control Unsafe Sex - statistics & numerical data Women Womens health |
| title | HIV Prevention in Rural Appalachian Jails: Implications for Re-entry Risk Reduction Among Women Who Use Drugs |
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