title: Incarcerated women's relationship-based strategies to avoid drug use after community re-entry.
abstract: While recent research has stressed the supportive role that family and friends play for incarcerated persons as they re-enter the community, drug-using incarcerated women re-entering the community often have to rely on family, community, and intimate relationships that have played a role in their substance abuse and criminalization. In this study the authors conducted qualitative analysis of clinical sessions with rural, drug-using women (N = 20) in a larger prison-based HIV risk reduction intervention in Kentucky during 2012-2014 to examine incarcerated women's perceptions of the role of their family, community, and intimate relationships in their plans to decrease their substance abuse upon community re-entry. Women stressed the obstacles to receiving support in many of their family and drug-using relationships after community re-entry. Nonetheless, they asserted that changes in their relationships could support their desires to end their substance abuse by setting limits on and using their positive relationships, particularly with their children, to motivate them to change. Interventions to promote incarcerated women's health behavior changes-including substance abuse-must acknowledge the complex social environments in which they live.
authors.affiliation: a Department of Behavioral Science , University of Kentucky College of Medicine , Lexington , Kentucky , USA.
authors.forename: Claire
authors.initials: C
authors.lastname: Snell-Rood
authors.affiliation: b College of Social Work , University of Kentucky , Lexington , Kentucky , USA.
authors.forename: Michele
authors.initials: M
authors.lastname: Staton-Tindall
authors.affiliation: b College of Social Work , University of Kentucky , Lexington , Kentucky , USA.
authors.forename: Grant
authors.initials: G
authors.lastname: Victor
mesh_terms: D003159:Community-Institutional Relations; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006301:Health Services Needs and Demand; D006801:Humans; D007398:Interpersonal Relations; D007629:Kentucky; D010379:Peer Group; D011329:Prisoners / Q000523:psychology*; D011330:Prisons; D036301:Qualitative Research; D012424:Rural Population; D012747:Sexual Partners; D012931:Social Environment; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000523:psychology* / Q000534:rehabilitation; D016387:Women's Health
keywords: Abuse; HIV/AIDS; behavior; coping; drug use; mental health; risk factors