Linn Braden K, Ely Gretchen E, Staton Michele
Clinical and Research Institute on Addictions, University at Buffalo, The State University of New York, Buffalo, NY.
School of Social Work, University at Buffalo, The State University of New York, Buffalo, NY.
J Soc Work Pract Addict. 2020;20(2):155-167. doi: 10.1080/1533256X.2020.1748976. Epub 2020 Apr 7.
Women who use opiates and are involved in the criminal justice system in Appalachia may be prone to adverse health outcomes. In this study, we performed a latent class analysis of risk and protective factors on 400 drug-using women recruited from rural, Appalachian jails. A two-profile solution best fit the data. Both profiles evinced low levels of condom use, reproductive and physical health screens, and STD history. However, the primary substantive difference between the profiles was partner risk behavior: the higher risk class had main male partners with histories of injection drug use and incarceration. Results suggest that interventions need to be tailored to unique profiles of risk and protective factors, which should include taking partner risk into consideration.
在阿巴拉契亚地区，使用阿片类药物且卷入刑事司法系统的女性可能容易出现不良健康后果。在本研究中，我们对从阿巴拉契亚农村监狱招募的400名吸毒女性的风险和保护因素进行了潜在类别分析。双类别解决方案最符合数据。两个类别都显示出避孕套使用、生殖和身体健康筛查以及性传播疾病史的水平较低。然而，两个类别之间的主要实质性差异在于伴侣的风险行为：高风险类别中的主要男性伴侣有注射吸毒和监禁史。结果表明，干预措施需要针对风险和保护因素的独特类别进行调整，其中应考虑到伴侣风险。
