Work

Predictors of Substance Abuse Treatment Entry among Rural Illicit Stimulant Users in Ohio, Arkansas, and Kentucky

Year: 2010

Type: article

Abstract: Illicit drug use in the rural United States is increasingly common, yet little is known about drug users' treatment-seeking behaviors. This study identifies predictors of substance abuse treatment entry over 24 months among 710 illicit stimulant users in rural areas of Ohio, Arkansas, and Kentucky. Active users of powdered cocaine, crack cocaine, and/or methamphetamine (MA) were recruited using respondent-driven sampling. Participants completed structured interviews at baseline and follow-up questionnaires every 6 months for 24 months. Data were analyzed using the Cox proportional hazards model. The paper is informed by the Anderson-Newman Model. Overall, 18.7% of the sample entered treatment. Ohio or Kentucky residence, perceived need for substance abuse treatment, higher Addiction Severity Index (ASI) legal problem composite scores, prior substance abuse treatment, and tranquilizer use were positively associated with treatment entry. Nondaily crack cocaine users and marijuana users were less likely to enter treatment. The findings can help inform rural substance abuse treatment program development and outreach.

Source: Substance Abuse

DOI: 10.1080/08897070903442459

Authors: Robert G. Carlson, Rocky Sexton, Jichuan Wang, Russel Falck, Carl G. Leukefeld, Brenda M. Booth

Institutions: Wright State University, University of Kentucky, Central Arkansas Veterans Healthcare System, University of Arkansas for Medical Sciences

Language: English

Topic: Substance Abuse Treatment and Outcomes

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Peace, justice, and strong institutions

Open Access status: green

Funder: National Institute on Drug Abuse