a University of Kentucky , Lexington , Kentucky.
J Addict Dis. 2018 Jan-Jun;37(1-2):1-4. doi: 10.1080/10550887.2018.1531738. Epub 2018 Dec 21.
Opioid use is common among correctional populations, yet few inmates receive treatment during incarceration or post-release, particularly in rural areas. This article examines associations of buprenorphine use, licit and illicit, health services use, and risk for re-arrest within 3 months of jail release among rural opioid-involved women. Women were randomly selected from three rural Appalachian jails. Those with moderate to severe opioid-involvement on the NM-ASSIST, and data on patterns of buprenorphine use ( = 188), were included in this analysis. Logistic regression analyses examined predictors of re-arrest within 3 months of release. Median age was 32, all were White. At follow-up, 39 (22.7%) had been rearrested; 9 (5.2%) reported receiving MAT, all with buprenorphine. Significant risk factors for re-arrest included: number of days high, injection use, number of illicit buprenorphine days, and withdrawal symptoms in the follow-up period. The sole protective factor was having a regular source of healthcare at follow-up. Rural opioid-involved women released from jail are highly vulnerable to re-arrest, and lack access to supportive care systems for substance treatment. Innovations to integrate MAT into reentry to improve access is recommended.
在监管人群中，阿片类药物的使用很常见，但很少有囚犯在监禁期间或释放后接受治疗，尤其是在农村地区。本文研究了农村地区阿片类药物滥用女性在入狱后 3 个月内，丁丙诺啡的使用情况（合法和非法）、卫生服务的使用情况和再次被捕的风险之间的关联。从三个农村阿巴拉契亚监狱中随机选择了女性。在 NM-ASSIST 上中度至重度阿片类药物依赖的女性，以及丁丙诺啡使用模式的数据（ = 188），被纳入了本次分析。逻辑回归分析了入狱后 3 个月内再次被捕的预测因素。 中位数年龄为 32 岁，均为白人。在随访期间，有 39 人（22.7%）再次被捕；9 人（5.2%）报告接受了 MAT，均使用丁丙诺啡。再次被捕的显著危险因素包括：高度使用天数、注射使用、非法丁丙诺啡使用天数和随访期间的戒断症状。唯一的保护因素是在随访期间有规律的医疗保健来源。从监狱获释的农村地区阿片类药物滥用女性极易再次被捕，并且缺乏接受药物治疗支持系统的机会。建议将 MAT 纳入重新融入社会的服务中，以改善获得机会。
