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Cited by 30Substance Abuse Treatment and OutcomesCriminal Justice and Corrections AnalysisHomelessness and Social Issues

The association between social stressors and drug use/hazardous drinking among former prison inmates

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Calcaterra, Susan L., Beaty, Brenda, Mueller, Shane R., Min, Sung-Joon, Binswanger, Ingrid A.·2014·Journal of Substance Abuse Treatment
DOI 10.1016/j.jsat.2014.02.002PMC PMC4011944
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Abstract

Social stressors are associated with relapse to substance use among people receiving addiction treatment and people with substance use risk behaviors. The relationship between social stressors and drug use/hazardous drinking in former prisoners has not been studied. We interviewed former prisoners at baseline, 1 to 3 weeks post prison release, and follow up, between 2 and 9 months following the baseline interview. Social stressors were characterized by unemployment, homelessness, unstable housing, problems with family, friends, and/or significant others, being single, or major symptoms of depression. Associations between baseline social stressors and follow-up drug use and hazardous drinking were analyzed using multivariable logistic regression. Problems with family, friends, and/or significant others were associated with reported drug use (AOR 3.01, 95% CI 1.18-7.67) and hazardous drinking (AOR 2.69, 95% CI 1.05-6.87) post release. Further research may determine whether interventions and policies targeting social stressors can reduce relapse among former inmates.

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  • Epidemiological studies have repeatedly shown that environments with high levels of stressors, poor social support, easy access to drugs, and lack of opportunities and alternative reinforcers increase drug use and addiction risk.

    “Epidemiological studies have repeatedly shown that environ ments with high levels of stressors, poor social support, easy access to drugs, and lack of opportunities and alternative rein forcers increase drug use and addiction risk 85,86 .”

    From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [86]

    The Introduction (§§1.2, 1.3 and 1.5; page numbers unavailable) reports associations between drug use and social stressors, unemployment, and lack of positive social support. It does not establish the claimed effect of easy access to drugs or a lack of alternative reinforcers. The Discussion (§4) also cautions that this study cannot establish causality, so the claim that these environments increase risk is stronger than its findings support. (LLM, conf=0.87)

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Cited by

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Authors
Calcaterra, S. L., Beaty, B., Mueller, S. R., Min, S.-J., & Binswanger, I. A.
Affiliations
  • Denver Health Medical Center (US)
  • Children's Hospital Colorado (US)
  • University of Colorado Anschutz (US)
Corresponding author
Calcaterra, Susan L.
ORCID
Venue
Journal of Substance Abuse Treatment
Publisher
Elsevier BV
Published
2014-07
Volume
47
Issue
1
Pages
41-49
ISSN
0740-5472 (ISSN-L)
DOI
10.1016/j.jsat.2014.02.002
PMC
PMC4011944
OpenAlex
W2049375129
Cited by
30
References
7
Citations by year
2026: 1 · 2024: 1 · 2023: 5 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 4 · 2018: 2 · 2017: 5 · 2016: 3
FWCI
2.02
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Substance Abuse Treatment (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • University of Pennsylvania
  • National Institutes of Health (UL1TR000154, UL1TR001082)
  • National Institute on Drug Abuse (R03DA029448, R21DA031041)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
  • Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
Keywords
social stressors, former prisoners, drug use, hazardous drinking, relapse, post-release, family problems, interpersonal relationships, depression, unemployment, homelessness, unstable housing, singlehood
MeSH terms
Adult, Alcoholism, Conflict, Psychological, Female, Ill-Housed Persons, Housing, Humans, Interpersonal Relations, Interviews as Topic, Male, Prisoners, Prospective Studies, Surveys and Questionnaires, Stress, Psychological, Unemployment, Substance-Related Disorders

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