Patterns of buprenorphine use and risk for re-arrest among highly vulnerable opioid-involved women released from jails in rural Appalachia

Surratt, Hilary L.; Staton, Michele; Leukefeld, Carl G.; Oser, Carrie B.; Webster, J. Matthew

doi:10.1080/10550887.2018.1531738

Cited by 10 publications

(6 citation statements)

References 22 publications

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“…Increased risk for these three ACEs could relate to the fact that rural communities have been especially hard hit by substance use problems, especially opioids [ 45 – 49 ]), as well as by child abuse and neglect, and mass incarceration [ 50 , 51 ]. Compounding the problem, rural parents and families face isolation and have limited access to social support, family services, and treatment for substance use problems [ 52 – 54 ].…”

Section: Discussionmentioning

confidence: 99%

Area-level deprivation and adverse childhood experiences among high school students in Maryland

et al. 2022

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Background Nearly one-half of Americans have been exposed to at least one adverse childhood experience (ACE) before turning 18, contributing to a broad array of problems spanning physical health, mental and behavioral health, and psychosocial functioning. Methods This was a cross-sectional, survey research study, using 2018 data from a state adolescent health surveillance system, i.e., Maryland Youth Risk Behavior Survey/Youth Tobacco Survey. The population-based sample of Maryland high school students (n = 41,091) is representative at the state and county levels. The outcome variables included five binary measures of ACEs (i.e., food insecurity, parental substance use/gambling, parental mental illness, family member in jail/prison, and caregiver verbal abuse), and number of ACEs. The main exposure variable, area-level socioeconomic disadvantage, was assessed at the county level using a continuous measure of the area deprivation index (ADI). Additional covariates included: rural county status, age, race/ethnicity, sex, and sexual or gender minority (SGM) status. We used mixed-effect multivariate logistic regression to estimate the odds of ACEs in association with socioeconomic deprivation. Models were adjusted for all covariates. Results County-level ADI was associated with 3 of the 5 ACES [i.e., food insecurity (OR = 1.10, 95% CI: 1.07–1.13), parental substance use/gambling (OR = 1.05, 95% CI: 1.02–1.07), and incarceration of a family member (OR = 1.14, 95% CI: 1.09–1.19)]; and with having at least one ACE (i.e., OR = 1.08, 95% CI: 1.05–1.10). Odds of reporting at least one ACE were higher among girls, older adolescents (i.e., aged 16 and ≥ 17 relative to those aged ≤ 14 years), and among SGM, Black, and Latinx students (all ORs > 1.20). Conclusions ACEs greatly increase risk for adolescent risk behaviors. We observed an increased likelihood of adversity among youth in more deprived counties and among Black, Latinx, or SGM youth, suggesting that social and structural factors play a role in determining the adversity that youth face. Therefore, efforts to address structural factors (e.g., food access, family financial support, imprisonment as a sanction for criminal behavior) could be a critical strategy for primary prevention of ACEs and promoting adolescent health.

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Section: Discussionmentioning

confidence: 99%

Area-level deprivation and adverse childhood experiences among high school students in Maryland

et al. 2022

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“…Given the high prevalence of NMPOU among the current sample, it is recommended that MAT treatment access be expanded in rural jail sites, as it may also have implications for their future risk of violent victimization and recidivism (Surratt et al, 2018). Challenges related to treatment engagement and recidivism may be present if discharge planning inadequately connects participants to the appropriate services experiencing ongoing victimization (Snell-Rood, Staton-Tindall, et al, 2016;Victor et al, 2018).…”

Section: Recommendations For Practicementioning

confidence: 99%

Discriminant Function Analyses: Classifying Drugs/Violence Victimization Typologies Among Incarcerated Rural Women

Victor

Staton

2020

J Interpers Violence

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This study examined the relationship between drug use and violence victimization among incarcerated women in Appalachian Kentucky. The purpose of this study was to test the utility of Goldstein’s tripartite conceptual framework among rural incarcerated women, by examining whether distinct drugs/violence nexus groups could be classified based on psychopharmacological, economic-compulsive, and systemic factors. This study used secondary data from a National Institute on Drug Abuse (NIDA)-funded grant focused on risk reduction among high-risk incarcerated women in Appalachia ( N = 400). Predicted drugs/violence groups were developed using a series of discriminant function analyses. The data yielded three statistically significant discriminant models. Findings of the classified groupings indicated support for three distinct drugs/violence victimization subgroups. The psychopharmacological group showed the greatest prevalence ( n = 181; Wilks’s λ = .389, F = 3.94, p < .001), followed by the economic-compulsive group ( n = 77; Wilks’s λ = .584, F = 11.86, p < .001) and systemic group ( n = 55) significant (Wilks’s λ = .994, F = 2.247, p < .035). To date, this is the first study to report a relationship between systemic violence victimization among rural communities. These findings could offer novel considerations for theory development and implications for clinical practice regarding the drug-related risks for violence victimization among rural incarcerated women.

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“…Thus, it is unlikely that an arrest encounter and subsequent jail booking resulted in buprenorphine dispensation. Further, in the case of the potential for illicit use of buprenorphine, the motivation for this use is overwhelmingly for therapeutic or self-treatment reasons (Smith et al, 2019(Smith et al, , 2020Surratt et al, 2018) and a byproduct of barriers to treatment access (Carroll et al, 2018;McLean & Kavanaugh, 2019;Silverstein et al, 2020). As a result, some policymakers have recognized that buprenorphine can contribute to recovery and reduce overdose risk whether prescribed or not and have thus sought decriminalization of its non-prescription use (Hirschfeld, 2019).…”

Section: Discussionmentioning

confidence: 99%

Buprenorphine Treatment Intake and Critical Encounters following a Nonfatal Opioid Overdose

Victor

Bailey

Ray

2021

Substance Use & Misuse

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Background: Individuals with prior opioid-related overdose events have an increased risk for opioid-related mortality. Buprenorphine is a partial agonist that has shown to be an effective medication for opioid use disorder (MOUD). Yet, few studies have investigated whether buprenorphine reduces the risk of opioid-related mortality following a nonfatal opioid-related overdose. Methods: A retrospective study was conducted on all overdose cases in Indiana between January 1, 2017 and December 31, 2017. Data were linked from multiple administrative sources. Cases were linked to vital records to assess mortality. Bivariate analyses were conducted to assess group differences between survivors and decedents. A series of multiple logistic regression models were used to determine main and interaction effects of opioid-related mortality. Results: Among the 10,195 nonfatal overdoses, 2.4% (247) resulted in a subsequent fatal overdose. Overdose decedents were on average 36.4 years-old, 66.8% male, 91.1% White, and 83.8% did not receive a buprenorphine dispensation. Incremental increases in the number of buprenorphine dispensations decreased the likelihood of fatal overdose by 94% (95% CI = 0.88-0.98, p = .001). Incremental increases in arrest encounters were found to significantly increase the likelihood of a fatal overdose (AOR = 2.16; 95% CI = 1.13-3.55). Arrest encounters were a significant moderator of the relationship between buprenorphine uptake effectiveness and drug-related mortality. Conclusions: Analysis of linked data provided details of risk and protective factors of fatal overdose. Buprenorphine reduced the risk of death; however, criminal justice involvement remains an area of attention for diversion and overdose death prevention interventions.

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Patterns of buprenorphine use and risk for re-arrest among highly vulnerable opioid-involved women released from jails in rural Appalachia

Cited by 10 publications

References 22 publications

Area-level deprivation and adverse childhood experiences among high school students in Maryland

Area-level deprivation and adverse childhood experiences among high school students in Maryland

Discriminant Function Analyses: Classifying Drugs/Violence Victimization Typologies Among Incarcerated Rural Women

Buprenorphine Treatment Intake and Critical Encounters following a Nonfatal Opioid Overdose

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