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. 2020;20(2):155-167.
doi: 10.1080/1533256X.2020.1748976. Epub 2020 Apr 7.

Latent Profiles of Health and Reproductive Risk and Protective Factors among Women in Appalachia

Braden K Linn  1 , Gretchen E Ely  2 , Michele Staton  3
Affiliations

Latent Profiles of Health and Reproductive Risk and Protective Factors among Women in Appalachia

Braden K Linn et al. J Soc Work Pract Addict. 2020.

Abstract

Women who use opiates and are involved in the criminal justice system in Appalachia may be prone to adverse health outcomes. In this study, we performed a latent class analysis of risk and protective factors on 400 drug-using women recruited from rural, Appalachian jails. A two-profile solution best fit the data. Both profiles evinced low levels of condom use, reproductive and physical health screens, and STD history. However, the primary substantive difference between the profiles was partner risk behavior: the higher risk class had main male partners with histories of injection drug use and incarceration. Results suggest that interventions need to be tailored to unique profiles of risk and protective factors, which should include taking partner risk into consideration.

Keywords: Appalachia; Women; criminal justice system; latent class analysis; partner risk; risk profiles; substance use.

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References

    1. Abbott PJ, Weller SB, Delaney HD, & Moore BA (1998). Community reinforcement approach in the treatment of opiate addicts. American Journal of Drug & Alcohol Abuse, 24(1), 17–30. - PubMed
    1. Ahern J, Stuber J, Galea S (2007). Stigma, discrimination and the health of illicit drug users. Drug & Alcohol Dependence, 88, 188–196. - PubMed
    1. Angold A, Erkanli A, Farmer EMZ, Fairbank JA, Burns BJ, Keeler G, & Costello J (2002). Psychiatric disorder, impairment, and service use in rural African American and White youth. JAMA Psychiatry, 59(10), 893–901. - PubMed
    1. Asparouhov T, & Muthén B (2015). Auxiliary Variables in Mixture Modeling: Using the BCH Method in Mplus to Estimate a Distal Outcome model and an Arbitrary Secondary Model Mplus Web Notes: No. 21 Version 2: Muthen and Muthen.
    1. Bakk Z, & Vermunt JK (2016). Robustness of stepwise latent class modeling with continuous distal outcomes. Structural Equation Modeling, 23(1), 20–31. doi:10.1080/10705511.2014.955104 - DOI

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