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Predictors of mental health and substance use disorder treatment use over 3 years among rural adults using stimulants.
Subst Abus. 2019; 40(3):363-370.SA

Abstract

Background:

Persons using substances, living in rural communities, tend to underutilize mental health (MH) and substance use disorder (SUD) treatment compared with their urban peers. However, no studies have examined longitudinal predictors of MH and SUD treatment use among rural persons using stimulants.

Methods:

Data were collected through interviews conducted between 2002 and 2008 from a natural history study of 710 adults using stimulants and living in rural counties of Arkansas, Kentucky, and Ohio. Each study site recruited participants using respondent-driven sampling (RDS). Participants were adults, not in drug treatment, and reporting past-30-day use of methamphetamine, crack cocaine, or powder cocaine. Study participants completed face-to-face baseline assessments and follow-up interviews using computer-assisted personal interviews. Follow-up interviews were conducted at 6-month intervals for 3 years.

Results:

Our results show that being male, nonwhite, and having a prior lifetime history of MH or SUD treatment use were associated with lower odds of using MH and SUD treatment over time; having medical insurance and living in a state with potentially greater availability of MH and SUD treatment were associated with higher odds of using MH and SUD treatment over the 3-year period. Further, reporting greater legal problems and alcohol severity were associated with greater odds of using MH and SUD care, whereas greater employment problems was associated with higher odds of SUD but not MH treatment use.

Conclusions:

Findings from this study could be used to inform clinical and public health strategies for improving linkage to MH and SUD care in this population. Our findings also highlight the importance of having medical insurance as a potential facilitator to utilizing SUD care in this population and support the need for health care policies that increase the ability of rural adults who use stimulants to pay for such services.

Authors+Show Affiliations

Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. Central Arkansas Veterans Affairs Healthcare System, Center for Mental Health Care and Outcomes Research, North Little Rock, Arkansas, USA. VA South Central Mental Illness Research, Education, and Clinical Center, Central Arkansas Veterans Healthcare System (CAVHS), North Little Rock, Arkansas, USA.Department of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.Department of Pharmacy Practice, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

30810499

Citation

Cucciare, Michael A., et al. "Predictors of Mental Health and Substance Use Disorder Treatment Use Over 3 Years Among Rural Adults Using Stimulants." Substance Abuse, vol. 40, no. 3, 2019, pp. 363-370.
Cucciare MA, Ounpraseuth ST, Curran GM, et al. Predictors of mental health and substance use disorder treatment use over 3 years among rural adults using stimulants. Subst Abus. 2019;40(3):363-370.
Cucciare, M. A., Ounpraseuth, S. T., Curran, G. M., & Booth, B. M. (2019). Predictors of mental health and substance use disorder treatment use over 3 years among rural adults using stimulants. Substance Abuse, 40(3), 363-370. https://doi.org/10.1080/08897077.2018.1547809
Cucciare MA, et al. Predictors of Mental Health and Substance Use Disorder Treatment Use Over 3 Years Among Rural Adults Using Stimulants. Subst Abus. 2019;40(3):363-370. PubMed PMID: 30810499.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictors of mental health and substance use disorder treatment use over 3 years among rural adults using stimulants. AU - Cucciare,Michael A, AU - Ounpraseuth,Songthip T, AU - Curran,Geoffrey M, AU - Booth,Brenda M, Y1 - 2019/02/27/ PY - 2019/2/28/pubmed PY - 2020/7/31/medline PY - 2019/2/28/entrez KW - Predictors of mental health care KW - predictors of substance abuse care KW - rural adults using stimulants SP - 363 EP - 370 JF - Substance abuse JO - Subst Abus VL - 40 IS - 3 N2 - Background: Persons using substances, living in rural communities, tend to underutilize mental health (MH) and substance use disorder (SUD) treatment compared with their urban peers. However, no studies have examined longitudinal predictors of MH and SUD treatment use among rural persons using stimulants. Methods: Data were collected through interviews conducted between 2002 and 2008 from a natural history study of 710 adults using stimulants and living in rural counties of Arkansas, Kentucky, and Ohio. Each study site recruited participants using respondent-driven sampling (RDS). Participants were adults, not in drug treatment, and reporting past-30-day use of methamphetamine, crack cocaine, or powder cocaine. Study participants completed face-to-face baseline assessments and follow-up interviews using computer-assisted personal interviews. Follow-up interviews were conducted at 6-month intervals for 3 years. Results: Our results show that being male, nonwhite, and having a prior lifetime history of MH or SUD treatment use were associated with lower odds of using MH and SUD treatment over time; having medical insurance and living in a state with potentially greater availability of MH and SUD treatment were associated with higher odds of using MH and SUD treatment over the 3-year period. Further, reporting greater legal problems and alcohol severity were associated with greater odds of using MH and SUD care, whereas greater employment problems was associated with higher odds of SUD but not MH treatment use. Conclusions: Findings from this study could be used to inform clinical and public health strategies for improving linkage to MH and SUD care in this population. Our findings also highlight the importance of having medical insurance as a potential facilitator to utilizing SUD care in this population and support the need for health care policies that increase the ability of rural adults who use stimulants to pay for such services. SN - 1547-0164 UR - https://www.unboundmedicine.com/medline/citation/30810499/Predictors_of_mental_health_and_substance_use_disorder_treatment_use_over_3_years_among_rural_adults_using_stimulants_ L2 - https://www.tandfonline.com/doi/full/10.1080/08897077.2018.1547809 DB - PRIME DP - Unbound Medicine ER -