title: Correlates of participation in peer recovery support groups as well as voluntary and mandated substance abuse treatment among rural and urban probationers.
abstract: This study explores the correlates of probationers' participation in 12-step programs, voluntary treatment, and mandated treatment, with respect to the geographic location of where the services are being provided as the primary covariate of interest. Data were derived from face-to-face interviews with rural and urban probationers (N = 1,464). Results of the three logistic regression models suggested that even when all the covariates are taken into account, urban probationers were significantly more likely to have been involved in 12-step programs, voluntary treatment, and mandated treatment over their lifespan. Despite high levels of self-reported substance use among all participants, treatment services were underused by rural probationers. These data suggest that individuals residing in rural communities may face additional barriers to receiving treatment services and that criminal involvement is associated with participation in peer recovery support groups and treatment. Future studies can investigate criminal involvement as an avenue to enhance recovery and how to overcome treatment barriers in rural areas.
authors.affiliation: Department of Sociology, Center on Drug and Alcohol Research, University of Kentucky, Lexington, KY 40506, USA. cboser0@uky.edu
authors.forename: Carrie B
authors.initials: CB
authors.lastname: Oser
authors.forename: Kathi L H
authors.initials: KL
authors.lastname: Harp
authors.forename: Dan J
authors.initials: DJ
authors.lastname: O'Connell
authors.forename: Steve S
authors.initials: SS
authors.lastname: Martin
authors.forename: Carl G
authors.initials: CG
authors.lastname: Leukefeld
mesh_terms: D000328:Adult; D003625:Data Collection; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D037141:Mandatory Programs / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010349:Patient Compliance / Q000706:statistics & numerical data*; D010379:Peer Group; D011329:Prisoners / Q000706:statistics & numerical data; D012424:Rural Population / Q000706:statistics & numerical data; D012657:Self-Help Groups / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D014505:Urban Population / Q000706:statistics & numerical data