ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2018
Correlates of Injection Drug Use Among Rural Appalachian Women.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- The opioid and related drug epidemics in rural Appalachia: A systematic review of populations affected, risk factors, and infectious diseases.Substance abuse · 2020Pooled it
- Social norms associated with nonmedical opioid use in rural communities: a systematic review.Translational behavioral medicine · 2019Pooled it
- HIV Prevention in Rural Appalachian Jails: Implications for Re-entry Risk Reduction Among Women Who Use Drugs.AIDS and behavior · 2018Trial
- Partner Relationships and Injection Sharing Practices among Rural Appalachian Women.Women's health issues : official publication of the Jacobs Institute of Women's HealthTrial
- Examining trends in polydrug overdose deaths across rural Midwest counties in the United States, 2022 through 2024.Drug and alcohol dependence · 2025Article
- A Prospective Study of Injection Drug Use and Jail Readmission in Two Western North Carolina Counties.North Carolina medical journal · 2023Article
- Helping Women Suffering from Drug Addiction: Needs, Barriers, and Challenges.International journal of environmental research and public health · 2022Article
- Polysubstance use and re-incarceration in the 12-months after release from jail: a latent transition analysis of rural Appalachian women.The American journal of drug and alcohol abuse · 2022Article
- Medications for opioid use disorder during pregnancy: Access and continuity in a state women's prison facility, 2016-2019.Drug and alcohol dependence · 2022Article
- Behavioural Risk for HIV, Hepatitis B, and Hepatitis C Infections among a Population of Drug Users and Injectors across Four Regions in Ghana.Interdisciplinary perspectives on infectious diseases · 2022Article
- Women in the 2019 hepatitis C cascade of care: findings from the British Columbia Hepatitis Testers cohort study.BMC women's health · 2021Article
- Healthcare stigma and HIV risk among rural people who inject drugs.Drug and alcohol dependence · 2021Article
- Incidence and Prevalence of Incarceration in a Longitudinal Cohort of Women at Risk for Human Immunodeficiency Virus in the United States, 2007-2017.Journal of women's health (2002) · 2021Article
- Factors associated with phylogenetic clustering of hepatitis C among people who inject drugs in Baltimore.BMC infectious diseases · 2020Article
- Contraceptive use in Appalachian women who use drugs and were recruited from rural jails.Social work in health care · 2020Article
- Characterization of diverted buprenorphine use among adults entering corrections-based drug treatment in Kentucky.Drug and alcohol dependence · 2020Article
- Factors Associated with Gabapentin Misuse among People Who Inject Drugs in Appalachian Kentucky.Substance use & misuse · 2020Article
- Latent Profiles of Health and Reproductive Risk and Protective Factors among Women in Appalachia.Journal of social work practice in the addictions · 2020Article
- Risk factors for heroin use following release from jail or prison in adults in a Central Appalachian state between 2012-2017.The American journal of drug and alcohol abuse · 2020Article
- The Affordable Care Act and Changes in Insurance Coverage and Source of Health Care among High-risk Rural, Substance-using, Female Offenders Transitioning to the Community.Journal of health care for the poor and underserved · 2018Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundLimited research has focused on correlates of injection drug use (IDU) among high-risk subgroups of drug users, particularly women, who may be at increased risk for transmission of infectious diseases such as HIV and Hepatitis C. The purpose of this study is to better understand the contextual and health correlates of IDU among women living in rural Appalachia by examining (1) differences between injectors and noninjectors, and (2) the unique correlates of recent IDU and past IDU.
methodsThis study involved random selection, screening, and face-to-face interviews with 400 rural Appalachian women from jails in one state. Analyses included descriptive statistics, multinomial logistic regression, and stepwise regression to identify significant correlates of recent IDU and past IDU compared to never injecting.
resultsFindings indicated that 75.3% of this randomly selected sample reported lifetime injection of drugs. Contextual factors including drug use severity (RRR = 8.66, P < .001), more male sex partners (RRR = 1.01, P < .05), and having injecting partners (RRR = 7.60, P < .001) were robust correlates of recent injection practices.
conclusionsThis study makes an important contribution to understanding factors associated with IDU among rural Appalachian women drug users, which are strongly associated with both relational and health factors. Study findings on the specific factors associated with IDU risk have important implications for tailoring and targeting interventions that should include a focus on the relationship context reducing high-risk injection practices.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.