J Health Care Poor Underserved. 2024;35(4):1068-1088. doi: 10.1353/hpu.2024.a943978.
To investigate the relationship between selected resource insecurities (i.e., food, housing, and transportation) and abstinence self-efficacy among women with criminal legal system (CLS)-involvement and opioid use disorder (OUD) and examine potential moderating effects of living in a rural or urban area.
Data were collected as part of the NIDA-funded Kentucky Justice Community Opioid Innovation Network (JCOIN) trial. Women (N = 900) were randomly selected from nine Kentuckyjails, screened for OUD, enrolled, and interviewed. Measures included resource insecurity and a single-item measure of abstinence self-efficacy.
Results from a multivariable regression analysis examining independent correlates of abstinence self-efficacy demonstrated significant associations with food insecurity (p = .008), controlling for sociodemographic covariates. Rurality moderated the relationship between transportation and abstinence self-efficacy (p = .001).
Resource insecurity, particularly transportation insecurity in rural areas, may reduce abstinence self-efficacy. Addressing resource disadvantages is vital to improving treatment engagement and recovery among women.
调查与女性刑事法律系统（CLS）参与和阿片类药物使用障碍（OUD）相关的特定资源不安全（即食物、住房和交通）与戒除自我效能之间的关系，并检验生活在农村或城市地区的潜在调节作用。
数据是作为 NIDA 资助的肯塔基州司法社区阿片类药物创新网络（JCOIN）试验的一部分收集的。从肯塔基州的九个监狱中随机选择了 900 名女性，对她们进行 OUD 筛查、入组和访谈。评估包括资源不安全和一项关于戒除自我效能的单一项目。
多变量回归分析检查了戒除自我效能的独立相关因素，结果表明，在控制了社会人口学协变量后，与食物不安全显著相关（p=0.008）。农村地区的交通与戒除自我效能之间的关系受到了农村地区的调节（p=0.001）。
资源不安全，特别是农村地区的交通不安全，可能会降低戒除自我效能。解决资源劣势对于提高女性的治疗参与度和康复率至关重要。
