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The impact of rural classification systems on a comparison of risky drug-related behaviors in Kentucky and Ohio counties

Bibliographic Data

ID2168953
AuthorsAmanda N Stover (0000-0002-4997-6579, West Virginia University, corresponding author), Erin L Winstanley (0000-0003-3571-0259, Behavioral Medicine & Psychiatry, West Virginia University, Morgantown, West Virginia, USA), Yifan Zhang (0000-0002-7236-0799, West Virginia University), Judith Feinberg (0000-0003-4206-7214, Behavioral Medicine & Psychiatry, West Virginia University, Morgantown, West Virginia, USA)
Year2019
Volume29
Issue3
Pages301-307
Publication date2019-04-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Human Behavior in the Social Environment (JOURNAL)
Journal identifiersISSN: 1091-1359 • E-ISSN: 1540-3556
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10911359.2018.1516591
PMID31551652
OpenAlexW2909591903
LanguageEN
References cited5

To analyze county-level differences in injection drug use (IDU) behaviors and overdoses in Kentucky and Ohio, and to assess the impact of using different models to classify counties as rural.Existing clinical data were pooled from three regional programs: 1) an opioid overdose prevention program (OOPP) within a residential addiction treatment program (n=163), 2) a regional evaluation of four OOPPs (n=655), and 3) a mobile syringe services program (n=1,379), representing 17 counties each in Kentucky (n=516) and Ohio (n=1,618). Pearson chi-square tests were used for dichotomous variables and an analysis of variance (ANOVA) was used to compare continuous variables. A Tukey HSD posttest was used to identify statistically significant comparisons.Age at first IDU was consistently younger in rural counties. However, findings changed based on the classification scheme used. This was also true for the prevalence of methamphetamine use.The rurality classification applied at the county level may be an important consideration in the analysis of research studies

Analysis of variance · Environmental health · Rural area · Rurality · Sociology · Demography · HIV, Drug Use, Sexual Risk · Medicine · Opioid Use Disorder Treatment · Substance Abuse Treatment and Outcomes · Gerontology

  • Increases in Drug and Opioid-Involved Overdose Deaths — United States, 2010–2015

    Open Access•Rose A Rudd, Puja Seth et al.•MMWR. Surveillance Summaries•2016

  • Changes in the Prevalence of Injection Drug Use Among Adolescents and Young Adults in Large U.S. Metropolitan Areas

    Open Access•Sudip Chatterjee, Barbara Tempalski et al.•AIDS and Behavior•2011

Citation velocityhistorical
Highly citedNo

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