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Predictors of substance use disorder treatment and mutual support group participation among Black women across the criminal legal spectrum: A latent class approach

The purpose of this study includes: 1) identifying classes of substance-related needs among Black women, and 2) examining the effect of substance-related need classes and culturally-relevant factors on Black women’s use of substance use disorder (SUD) treatment and mutual support groups. As part of...

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Published in:Drug and alcohol dependence 2024-07, Vol.260, p.111326, Article 111326
Main Authors: Oser, Carrie B., Moody, Myles D., Hansen, Anna C., Stevens-Watkins, Danelle, Staton, Michele, Bunting, Amanda M.
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container_start_page 111326
container_title Drug and alcohol dependence
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creator Oser, Carrie B.
Moody, Myles D.
Hansen, Anna C.
Stevens-Watkins, Danelle
Staton, Michele
Bunting, Amanda M.
description The purpose of this study includes: 1) identifying classes of substance-related needs among Black women, and 2) examining the effect of substance-related need classes and culturally-relevant factors on Black women’s use of substance use disorder (SUD) treatment and mutual support groups. As part of a longitudinal cohort study, Black women were recruited in prison nearing release, on probation, and in the community without involvement in the criminal legal system (CLS, n=565) and followed-up at 18-months. We conducted a baseline latent class analysis of substance-related needs among Black women. Logistic regression models adjusted for culturally-relevant factors to predict the use of treatment and frequency of mutual support group participation over 18-months among Black women who use drugs. Four classes by level of needs were found: low, daily marijuana use, high mental health, and high comorbidity. During the 18-month follow-up, women characterized by the high comorbidity need class and with higher scores of religious well-being were more likely to frequently participate in mutual support groups. Non-CLS-involved women were less likely to engage with both treatment and mutual support groups than women from the prison sample at 18-months. This study highlights four distinct classes of substance-related needs among Black women, highlighting the complex patterns of behavior and within-racial group differences among Black women. Black women with high comorbidity needs were more likely to participate in mutual support groups, but the latent classes did not predict SUD treatment indicating other non-medical and social contextual need factors may be at play. •Identifies four latent classes of needs based on substance use among Black women•High comorbidity latent class predicted use of mutual support groups, but not SUD treatment•Religious well-being was a predictor of mutual support group use•Non-CLS-involved women were less likely to use mutual support groups & SUD treatment
doi_str_mv 10.1016/j.drugalcdep.2024.111326
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source ScienceDirect Freedom Collection; ScienceDirect®
subjects Adult
Black or African American - psychology
Black women
Cohort Studies
Criminal Law
Criminals - psychology
Culture
Female
Humans
Latent class analyses
Latent Class Analysis
Longitudinal Studies
Middle Aged
Mutual support groups, substance use disorder treatment
Prisoners - psychology
Self-Help Groups
Substance-Related Disorders - psychology
Substance-Related Disorders - therapy
Young Adult
title Predictors of substance use disorder treatment and mutual support group participation among Black women across the criminal legal spectrum: A latent class approach
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