Motivation to Change and Treatment Participation Among Syringe Service Program Utilizers in Rural Kentucky
Open accessAbstract
Purpose: Kentucky experiences a disproportionate burden of substance use disorder (SUD), particularly in rural areas of the state. Multiple factors increase vulnerability to SUD and limit access to services in rural communities. However, the recent implementation and expansion of syringe service programs (SSPs) in rural Kentucky may provide a leverage point to reach at‐risk people who inject drugs (PWID). Methods: Data were collected as part of an ongoing NIDA‐funded study designed to examine uptake of SSPs among PWID in Appalachian Kentucky. Using Respondent Driven Sampling (RDS), the study enrolled a sample of 186 PWID SSP attenders across 3 rural Appalachian Kentucky counties and conducted face‐to‐face interviews regarding health behaviors, injecting practices, SSP utilization, and treatment services. Using logistic regression analyses, we examined consistent SSP use, as well as importance and confidence to reduce substance use as predictors of current treatment participation. Findings: For the prior 6 months, 44.6% of the sample reported consistent SSP use. Consistent use of SSPs was associated with treatment participation in the unadjusted logistic regression models. Significant predictors of treatment participation in the adjusted model included high confidence to reduce substance use, and not reporting primary methamphetamine injection. Conclusions: Rurally located SSPs may play an important role in supporting confidence and motivation to change substance use behaviors among PWID impacted by SUD. SSPs may be critical venues for integration and expansion of prevention, health promotion, and treatment linkage services for this underserved population.
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Self-citation
- Authors
- Surratt, H. L., Otachi, J. K., Williams, T., Gulley, J., Lockard, A. S., & Rains, R.
- Affiliations
- University of Kentucky (US)
- Clark County Health Department Winchester Kentucky
- Kentucky River District Health Department Hazard Kentucky
- Knox County Health Department (US)
- Corresponding author
- Surratt, Hilary L.
- Venue
- The Journal of Rural Health
- Publisher
- Wiley
- Published
- 2019-08-15
- Volume
- 36
- Issue
- 2
- Pages
- 224-233
- ISSN
- 0890-765X (ISSN-L)
- 1748-0361
- PMC
- PMC7021582
- OpenAlex
- W2968434197
- Cited by
- 18
- References
- 58
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 2
- FWCI
- 1.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Rural Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R21 DA044251)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- syringe services programs, people who inject drugs, substance use disorders, treatment participation, motivation for change, rural Appalachia, Kentucky, methamphetamine use, harm reduction, linkage to treatment, access to addiction treatment
- MeSH terms
- Humans, Kentucky, Motivation, Rural Population, Syringes, HIV Infections, Substance Abuse, Intravenous, Needle-Exchange Programs
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