title: Differences in prevalence of prescription opiate misuse among rural and urban probationers.
abstract: We compared the prevalence of prescription opiate misuse among 2 cohorts of felony probationers (N = 1525). Multiple logistic regression was utilized to determine the independent correlates of prescription opiate misuse among rural (n = 782) and urban (n = 743) probationers participating in an HIV-intervention study. After adjustment for differences in demographic and drug use characteristics, rural participants were almost five times more likely than their urban counterparts to have misused prescription opiates. The prevalence of prescription opiate misuse was significantly higher among the rural probationers; however, given the paucity of illicit opiates and relatively recent emergence of prescription opiates in rural areas, rural substance abuse treatment may be ill-prepared to treat prescription opiate misuse.
authors.affiliation: Center on Drug and Alcohol Research, Department of Behavioral Science, University of Kentucky College of Medicine, Lexington, Kentucky 40502, USA. Jennifer.havens@uky.edu
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Havens
authors.forename: Carrie B
authors.initials: CB
authors.lastname: Oser
authors.forename: Carl G
authors.initials: CG
authors.lastname: Leukefeld
authors.forename: J Matthew
authors.initials: JM
authors.lastname: Webster
authors.forename: Steven S
authors.initials: SS
authors.lastname: Martin
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: O'Connell
authors.forename: Hilary L
authors.initials: HL
authors.lastname: Surratt
authors.forename: James A
authors.initials: JA
authors.lastname: Inciardi
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003691:Delaware / Q000453:epidemiology; D005260:Female; D006801:Humans; D007629:Kentucky / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D009293:Opioid-Related Disorders / Q000453:epidemiology*; D015995:Prevalence; D011329:Prisoners / Q000523:psychology*; D012307:Risk Factors; D012424:Rural Population; D014505:Urban Population