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. 2025 Jul;34(4):460-464.
doi: 10.1111/ajad.70025. Epub 2025 Mar 28.

A descriptive analysis of rural-urban overdose experiences among incarcerated women with opioid use disorder

Megan F Dickson  1   2 , Shawn M Jamison  3 , J Matthew Webster  1   2 , Martha Tillson  1 , Carrie B Oser  1   2   4 , Jaxin Annett  1 , Michele Staton  1   2
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A descriptive analysis of rural-urban overdose experiences among incarcerated women with opioid use disorder

Megan F Dickson et al. Am J Addict. 2025 Jul.

Abstract

Background and objectives: Despite elevated overdose risk in rural communities, rural/urban differences in overdose risk factors are understudied among women with criminal legal system involvement. This study examines substance use and overdose among incarcerated women.

Methods: Women (N = 900) were randomly selected from nine Kentucky jails, screened, and interviewed as part of a larger study. Bivariate analyses were used to identify group differences.

Results: Rural women were less likely to report pre-incarceration overdose and to receive emergency services post-overdose. Substance use also varied.

Conclusions and scientific significance: Results underscore the importance of Opioid Overdose Education and Naloxone Distribution in rural communities.

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References

REFERENCES

    1. Flam‐Ross JM, Lown J, Patil P, et al. Factors associated with opioid‐involved overdose among previously incarcerated people in the U.S.: a community engaged narrative review. Int J Drug Policy. 2022;100:103534. doi:10.1016/j.drugpo.2021.103534
    1. Pizzicato LN, Drake R, Domer‐Shank R, Johnson CC, Viner KM. Beyond the walls: risk factors for overdose mortality following release from the Philadelphia Department of Prisons. Drug Alcohol Depend. 2018;189:108‐115. doi:10.1016/j.drugalcdep.2018.04.034
    1. Caudarella A, Dong H, Milloy MJ, Kerr T, Wood E, Hayashi K. Non‐fatal overdose as a risk factor for subsequent fatal overdose among people who inject drugs. Drug Alcohol Depend. 2016;162:51‐55. doi:10.1016/j.drugalcdep.2016.02.024
    1. Fadanelli M, Cloud DH, Ibragimov U, et al. People, places, and stigma: a qualitative study exploring the overdose risk environment in rural Kentucky. Int J Drug Policy. 2020;85:102588. doi:10.1016/j.drugpo.2019.11.001
    1. Harrington RA, Califf RM, Balamurugan A, et al. Call to action: rural health: a presidential advisory from the American Heart Association and American Stroke Association. Circulation. 2020;141(10):e615‐e644. doi:10.1161/CIR.0000000000000753

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