Background: Rates of substance use and substance use disorders are higher among adults on probation or parole supervision compared to the general population. Substance use is a risk factor of not adhering to supervision requirements, which may result in revocation and incarceration. Examining associations of metropolitan area status with substance use and substance use disorders may identify specific substance use behaviors that can be targeted in community corrections prevention and treatment services. The present study examined associations of metropolitan area residency with substance use and substance use disorders among adults on probation or parole supervision. Methods: Data came from the 2015 to 2018 National Survey on Drug Use and Health ([NSDUH]; N = 4266 adults on parole or probation). Multivariable logistic regression was run for substance-specific models for each of the two outcomes of past-year use and substance use disorder. Results: Nonmetropolitan residency was associated with higher odds of methamphetamine use and lower odds of cocaine use. Nonmetropolitan residency was associated with higher odds of methamphetamine use disorder and lower odds of opioid use disorder and cocaine use disorder. Conclusions: Study findings highlight the differences of substance use and substance use disorders between levels of metropolitan areas for those on probation or parole. Findings suggest that cocaine use should be emphasized in clinical services in large metropolitan areas, whereas methamphetamine use may be prioritized in nonmetropolitan areas. Further study is needed to investigate the interface of substance use behaviors and community corrections outcomes across metropolitan and nonmetropolitan areas.
Bureau of Justice Statistics (BJS) – Terms & Definitions: Community Corrections (Probation and Parole). https://www.bjs.gov/index.cfm?ty=tdtp&tid=15. Accessed January 11, 2021.
FearnNE, VaughnMG, NelsonEJTrends and correlates of substance use disorders among probationers and parolees in the United States 2002–2014. Drug Alcohol Depend. 2016;167:128–139.
5.
VaughnMG, DeLisiM, BeaverKM, PerronBE, AbdonA.Toward a criminal justice epidemiology: behavioral and physical health of probationers and parolees in the United States. J Crime Justice. 2012;40(3):165–173.
6.
RuizMA, DouglasKS, EdensJF, NikolovaNL, LilienfeldSO.Co-occurring mental health and substance use problems in offenders: implications for risk assessment. Psychol Assess. 2012;24(1):77–87.
7.
DuhartDT.Urban, Suburban, and Rural Victimization, 1993–98. Washington, DC: U.S. Department of Justice, Office of Justice Programs; 2000.
8.
MowbrayO, McBeathB, BankL, NewellS.Trajectories of health and behavioral health services use among community corrections-involved rural adults. Soc Work Res. 2016;40(1):7–18.
9.
Staton-TindallM, DuvallJ, McNeesE, WalkerR, LeukefeldC.Outcomes following prison and jail-based treatment among women residing in metro and non-metro communities following release. J Drug Issues. 2011;41(2):197–215.
10.
WodahlEJ.The challenges of prisoner reentry from a rural perspective. Western Criminol Rev. 2006;7(2):32–47.
11.
MackKA, JonesCM, BallesterosMF.Illicit drug use, illicit drug use disorders, and drug overdose deaths in metropolitan and nonmetropolitan areas-United States. Am J Transplant. 2017;17(12):3241–3252.
12.
CiceroTJ, SurrattH, InciardiJA, MunozA.Relationship between therapeutic use and abuse of opioid analgesics in rural, suburban, and urban locations in the United States. Pharmacoepidemiol Drug Saf. 2007;16(8):827–840.
13.
HavensJR, OserCB, LeukefeldCGDifferences in prevalence of prescription opiate misuse among rural and urban probationers. Am J Drug Alcohol Abuse. 2007;33(2):309–317.
14.
SmithKE, ArchuletaA, StatonM, WinstonE.Risk factors for heroin use following release from jail or prison in adults in a Central Appalachian state between 2012–2017. Am J Drug Alcohol Abuse. 2020;46(4):485–497.
15.
JamesCV, MoonesingheR, Wilson-FrederickSMRacial/Ethnic health disparities among rural adults – United States, 2012–2015. MMWR Surveill Summ. 2017;66(23):1–9.
16.
MatthewsKA, CroftJB, LiuYHealth-related behaviors by urban-rural county classification – United States, 2013. MMWR Surveill Summ. 2017;66(5):1–8. Published 2017 Feb 3.
17.
GreenbergAJ, HaneyD, BlakeKD, MoserRP, HesseBW.Differences in access to and use of electronic personal health information between rural and urban residents in the United States. J Rural Health. 2018;34(Suppl 1):s30–s38.
18.
SchulenbergJ, JohnstonL, O'MalleyP Monitoring the future national survey results on drug use, 1975–2019: Volume II, college students and adults ages 19–60. Ann Arbor, MI: Institute for Social Research (ISR).
19.
HicksWD, HolcombJE, AlexanderMA, ClodfelterTA.Drug testing and community supervision outcomes. Crim Justice Behav. 2020;47(4):419–436.
20.
CarmichaelS, GoverAR, Koons-WittB, InabnitB.The successful completion of probation and parole among female offenders. Women Crim Justice. 2005;17(1):75–97.
21.
BaillargeonJ, PennJV, KnightKRisk of reincarceration among prisoners with co-occurring severe mental illness and substance use disorders. Adm Policy Ment Health. 2010;37(4):367–374.
22.
GendreauP, LittleT, GogginC.A meta-analysis of the predictors of adult offender recidivism: what works. Criminology. 1996;34(4):575–608.
23.
Staton-TindallM, HarpKL, WinstonE, WebsterJM, PangburnK.Factors associated with recidivism among corrections-based treatment participants in rural and urban areas. J Subst Abuse Treat. 2015;56:16–22.
24.
MaruschakLM, StatisticianB, ParksE, InternB. Probation and parole in the United States, 201. Published online 2012. 21.
ShannonLM, JonesAJ, NewellJ, NashS, NicholsE.Examining contextual differences in participant characteristics and during-program occurrences with drug court program completion. J Drug Issues. 2020;50(2):191–208.
28.
LipariRN, GfroererJC.Trends in substance use disorders among males aged 18 To 49 on probation or parole. In: The CBHSQ Report. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2014:1–14.
29.
DixonMA, ChartierKG.Alcohol use patterns among urban and rural residents: demographic and social influences. Alcohol Res. 2016;38(1):69–77.
30.
HasinDS, ShmulewitzD, SarvetAL.Time trends in US cannabis use and cannabis use disorders overall and by sociodemographic subgroups: a narrative review and new findings. Am J Drug Alcohol Abuse. 2019;45(6):623–643.
31.
JohnWS, WuLT.Problem alcohol use and healthcare utilization among persons with cannabis use disorder in the United States. Drug Alcohol Depend. 2017;178:477–484.
32.
JohnWS, WuL-T.Trends and correlates of cocaine use and cocaine use disorder in the United States from 2011 to 2015. Drug Alcohol Depend. 2017;180:376–384.
33.
HanB, ComptonWM, BlancoC, CraneE, LeeJ, JonesCM.Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health. Ann Intern Med. 2017;167(5):293–301.
34.
JonesCM, ComptonWM, MustaquimD.Patterns and characteristics of methamphetamine use among adults – United States, 2015–2018. MMWR Morb Mortal Wkly Rep. 2020;69(12):317–323. Published 2020 Mar 27.
35.
Substance Abuse and Mental Health Services Administration.2018 National Survey on Drug Use and Health: Public Use File Codebook. Retrieved from https://www.samhsa.gov/data/. Published October 22, 2019.
36.
Substance Abuse and Mental Health Services Administration. 2016 National Survey on Drug Use and Health: Public Use File Codebook. Retrieved from https://www.samhsa.gov/data/. Published March 23, 2018.
37.
Substance Abuse and Mental Health Services Administration.2017 National Survey on Drug Use and Health: Public Use File Codebook. Retrieved from https://www.samhsa.gov/data/. Published October 23, 2018.
38.
Substance Abuse and Mental Health Services Administration. 2015 National Survey on Drug Use and Health: Public Use File Codebook. Retrieved from https://www.samhsa.gov/data/. Published March 23, 2018.
Office of Management and Budget. Revised delineations of metropolitan statistical areas, micropolitan statistical areas, and combined statistical areas, and guidance on uses of the delineations of these areas. Office of Management and Budget [OMB Bulletin: 13-01]. 2013. https://obamawhitehouse.archives.gov/sites/default/files/omb/bulletins/2013/b-13-01.pdf. Accessed January 31, 2021.
American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association; 2000.
43.
CropseyKL, StevensEN, ValeraPRisk factors for concurrent use of benzodiazepines and opioids among individuals under community corrections supervision. Drug Alcohol Depend. 2015;154:152–157.
44.
HartleyD.Rural health disparities, population health, and rural culture. Am J Public Health. 2004;94(10):1675–1678.
ChromyJ, AbeyasekeraS, United Nationsstatistical analysis of survey data. In: Household Sample Surveys in Developing and Transition Countries. Studies in Methods. New York, NY: United Nations; 2005:389–417.
47.
CastroY, BaresCB, CastilloB, KennedyA.Sociodemographics, but not acculturation proxies, account for differences in lifetime cessation between White and Hispanic smokers. Ethn Dis. 2018;28(3):145–152. Published 2018 Jul 12.
48.
PandeyS, ElliottW.Suppressor variables in social work research: ways to identify in multiple regression models. J Soc Soc Work Res. 2010;1(1):28–40.
49.
ClarkBC, PerkinsA, McCullumsmithCB, IslamAM, SungJ, CropseyKL.What does self-identified drug of choice tell us about individuals under community corrections supervision?J Addict Med. 2012;6(1):57–67.
50.
StoopsWW, TindallMS, Mateyoke-ScrivnerA, LeukefeldC.Methamphetamine use in nonurban and urban drug court clients. Int J Offender Ther Comp Criminol. 2005;49(3):260–276.
51.
LeukefeldCG, NarevicE, HillerMLAlcohol and drug use among rural and urban incarcerated substance abusers. Int J Offender Ther Comp Criminol. 2002;46(6):715–728.
52.
Mateyoke-ScrivnerA, WebsterJM, StatonM, LeukefeldC.Treatment retention predictors of drug court participants in a rural state. Am J Drug Alcohol Abuse. 2004;30(3):605–625.
53.
BremsC, JohnsonME, WarnerTD, RobertsLW.Barriers to healthcare as reported by rural and urban interprofessional providers. J Interprof Care. 2006;20(2):105–118.
54.
FortneyJ, MukherjeeS, CurranG, FortneyS, HanX, BoothBM.Factors associated with perceived stigma for alcohol use and treatment among at-risk drinkers. J Behav Health Serv Res. 2004;31(4):418–429.
55.
SullivanWP, HosierMD, OtisAG.Rural mental health practice: voices from the field. Families in Society. 1993;74(8):493–502.
