title: A Preliminary Study Examining Women's Physical Health and Nonmedical Prescription Opioid Use in a Recovering Framework.
abstract: There is a growing need for research on women recovering from nonmedical prescription opioid use. A paradigm shift is to focus on wellness and factors that support, rather than hinder, recovering women. For example, although physical health is impacted by nonmedical prescription opioid use, improved health may be a strength-based factor among recovering women. The aim of this preliminary study was to examine physical health in a recovering framework as women begin recovering from nonmedical prescription opiate use.
  
  
  
  This study conducted secondary data analysis using self-report data from Kentucky's Targeted Assessment Program (TAP). TAP assesses and provides pretreatment for problems impeding work or interfering with parental responsibilities. Data included 1247 adult women reporting a history of nonmedical prescription opioid use and receiving pretreatment. Bivariate and logistic regression analyses examined whether physical health and access to health services at baseline were associated with substance-related behavior change upon completion of pretreatment.
  
  
  
  Women reporting better physical health and fewer days with no activities due to health barriers were more likely to engage in pretreatment substance-related behavior change [χ2(8)= 34.6, p < 0.05]. However, ∼40% of women reported barriers in accessing healthcare.
  
  
  
  Using a recovering framework, women's physical health, as expected, is associated with engagement in pretreatment substance-related behavior change. Ongoing service coordination with practitioners and medical providers should be incorporated into care to meet the need. Future research should continue to examine factors that support recovering women, using a recovering framework.
authors.affiliation: Behavioral Science, University of Kentucky College of Medicine , Lexington, Kentucky.
authors.forename: Katherine R
authors.initials: KR
authors.lastname: Marks
authors.affiliation: Behavioral Science, University of Kentucky College of Medicine , Lexington, Kentucky.
authors.forename: Carl G
authors.initials: CG
authors.lastname: Leukefeld
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000009:adverse effects*; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006304:Health Status; D006801:Humans; D007629:Kentucky / Q000453:epidemiology; D016015:Logistic Models; D009293:Opioid-Related Disorders / Q000453:epidemiology*; D055656:Prescriptions / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D057566:Self Report; D016387:Women's Health; D055815:Young Adult
chemical_list: D000701:Analgesics, Opioid
keywords: health; prescription opioid; recovery; women