Journal article
Sex Differences in Recovery Capital Gains Post-Incarceration
Substance use & misuse, Vol.58(14), pp.1839-1846
2023
DOI: 10.1080/10826084.2023.2257303
PMID: 37702512
Abstract
Background
People with substance use disorders are highly prevalent in the carceral system. Recovery capital (RC) is the resources available to an individual to initiate or maintain substance use cessation. Sex differences have been identified in RC during both active substance use and recovery in the general population, however, less is known about these sex differences in the post-incarceration population.
Methods
Participants (n = 136) were those with an opioid or stimulant use disorder with past year involvement with the Iowa criminal justice system (USA), who completed the Assessment of Recovery Capital (ARC) twice over a six-month cohort study. Participants were involved in an addiction clinic that utilized active case management. Analysis of covariance evaluated changes in ARC during the study. Separate models compared total ARC and individual ARC domains, with sex as the independent variable of interest. Model means were generated for interpretation based on sex, comparing baseline and study endpoint ARC scores.
Results
There were no baseline sex differences in total ARC. ARC increased significantly for the group, however, males showed disproportionate growth. Females ended the study with a mean ARC of 37.8 (SD= 9.3) and males finished at 41.6 (SD= 9.3), which was a significant difference (p = 0.044); this significant difference was driven by ARC subdomains of ‘Psychological Health’ and ‘Physical Health.’
Conclusions
People post-incarceration are at high risk for return to substance use. Treatment that is informed by sex-based differences may have the potential to decrease the differing rates of growth in RC between sexes.
Details
- Title: Subtitle
- Sex Differences in Recovery Capital Gains Post-Incarceration
- Creators
- Nicholas L. Bormann - Indiana University – Purdue University IndianapolisAndrea N. Weber - University of IowaBenjamin Miskle - University of IowaStephan Arndt - University of IowaAlison C. Lynch - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Substance use & misuse, Vol.58(14), pp.1839-1846
- DOI
- 10.1080/10826084.2023.2257303
- PMID
- 37702512
- NLM abbreviation
- Subst Use Misuse
- ISSN
- 1082-6084
- eISSN
- 1532-2491
- Grant note
- DOI: 10.13039/100000102, name: Health Resources and Services Administration, award: T25HP37624; DOI: 10.13039/100000058, name: Substance Abuse and Mental Health Services Administration, award: 6H79TI085118-01M001, 6H79TI083998-01M002, TI081620; name: Department of Public Health State Opioid Response Corrections Liaison and SBIRT, award: 5881SA144E, 5881SA145E, 5881SA137E; DOI: 10.13039/100008944, name: Iowa Department of Public Health.
- Language
- English
- Electronic publication date
- 09/13/2023
- Date published
- 2023
- Academic Unit
- Psychiatry; Biostatistics; Addiction Medicine; Family and Community Medicine; Nursing; Pharmacy Practice and Science; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984465458502771
Metrics
7 Record Views