Drug Use and Incarceration among Rural Appalachian Women: Findings From a Jail Sample

Subst Use Misuse. 2018 May 12;53(6):931-941. doi: 10.1080/10826084.2017.1385631. Epub 2017 Nov 21.

Abstract

Background/objective: The purpose of this paper is to examine drug use and incarceration history among rural Appalachian women.

Methods: This study involved random selection, screening, and interviews with rural women from local jails in Appalachia.

Results: Of the women randomly selected and screened, 97% met criteria for substance use intervention. Significant factors associated with incarceration history included age, education, custody status, and mental health. A significant interaction was observed between male sex partners and drug use on incarceration history.

Conclusions: Study findings suggest that the drug/crime relationship among rural Appalachian women is associated with their high-risk home environment, partner relationships, and mental health. Specifically, in addition to drug use, factors such as family and child relationships, anxiety, victimization, and relationships with partners should also be considered in the trajectory of criminal careers among rural Appalachian women.

Keywords: Appalachia; offenders; rural; women.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Appalachian Region / epidemiology
  • Female
  • Humans
  • Middle Aged
  • Prisons / statistics & numerical data*
  • Risk Factors
  • Rural Population / statistics & numerical data*
  • Sexual Partners
  • Substance-Related Disorders / epidemiology*
  • Young Adult