The Receipt of Substance Use Disorder Treatment Among Individuals Under Community Supervision at Risk for HIV.

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Title: The Receipt of Substance Use Disorder Treatment Among Individuals Under Community Supervision at Risk for HIV.
Authors: Parisi, Anna B. (AUTHOR), Peacock, Anne M. (AUTHOR), Krajewski, Taylor (AUTHOR), Paquette, Catherine E. (AUTHOR), Brinkley-Rubinstein, Lauren (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 2, p179-189. 11p.
Subjects: HIV infection risk factors, Substance abuse treatment, HIV infection epidemiology, Substance abuse, Risk assessment, Trans men, Health services accessibility, Correctional institutions, Research funding, Criminals, Prisoners, Descriptive statistics, Continuum of care, Longitudinal method, Pre-exposure prophylaxis, Trans women, Comparative studies, Data analysis software, Sociodemographic factors, Medical care of prisoners
Geographic Terms: Florida, Kentucky, North Carolina
Abstract: Objectives: Individuals under community supervision (e.g., probation and parole) have high rates of illicit substance use (ISU) and substance use disorders (SUDs), increasing their risk for numerous health issues, including HIV transmission. While SUD treatment can reduce substance use and HIV transmission risk, gaps remain in our understanding of its receipt among community-supervised individuals at risk for HIV. Methods: Using baseline data from the Southern Pre-Exposure Prophylaxis Study (SPECS), we examined the prevalence and demographic characteristics associated with SUD treatment receipt among community-supervised individuals at risk for HIV. Two participant subsets from SPECS were analyzed: those with a history of ISU (n = 346) and, among these participants, those specifically reporting a history of illicit opioid use (IOU; n = 211). Results: A high prevalence of SUD treatment receipt was found among participants reporting ISU (58.7%) and IOU (73.9%). Among participants with a history of ISU, Black non-Hispanic individuals had a significantly lower prevalence of treatment receipt than White non-Hispanic individuals (aPR = 0.68, 95% CI: 0.51, 0.90, p = 0.007). Among participants reporting IOU, White non-Hispanic individuals were 2.7 (95% CI: 1.2, 6.3) times more likely to receive medication for an SUD than individuals of any other race or ethnicity. Conclusions: Study findings highlight missed opportunities to engage people on community supervision who are at risk for HIV in evidence-based SUD care. Targeted efforts are needed to promote the adoption of medications for opioid use disorders (MOUDs) among individuals under community supervision, particularly for racially minoritized populations. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: The Receipt of Substance Use Disorder Treatment Among Individuals Under Community Supervision at Risk for HIV.
– Name: Author
  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Parisi%2C+Anna+B%2E%22">Parisi, Anna B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Peacock%2C+Anne+M%2E%22">Peacock, Anne M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Krajewski%2C+Taylor%22">Krajewski, Taylor</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Paquette%2C+Catherine+E%2E%22">Paquette, Catherine E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brinkley-Rubinstein%2C+Lauren%22">Brinkley-Rubinstein, Lauren</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2026, Vol. 61 Issue 2, p179-189. 11p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22HIV+infection+risk+factors%22">HIV infection risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse+treatment%22">Substance abuse treatment</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infection+epidemiology%22">HIV infection epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Trans+men%22">Trans men</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Correctional+institutions%22">Correctional institutions</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Criminals%22">Criminals</searchLink><br /><searchLink fieldCode="DE" term="%22Prisoners%22">Prisoners</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Continuum+of+care%22">Continuum of care</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-exposure+prophylaxis%22">Pre-exposure prophylaxis</searchLink><br /><searchLink fieldCode="DE" term="%22Trans+women%22">Trans women</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+of+prisoners%22">Medical care of prisoners</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Florida%22">Florida</searchLink><br /><searchLink fieldCode="DE" term="%22Kentucky%22">Kentucky</searchLink><br /><searchLink fieldCode="DE" term="%22North+Carolina%22">North Carolina</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: Individuals under community supervision (e.g., probation and parole) have high rates of illicit substance use (ISU) and substance use disorders (SUDs), increasing their risk for numerous health issues, including HIV transmission. While SUD treatment can reduce substance use and HIV transmission risk, gaps remain in our understanding of its receipt among community-supervised individuals at risk for HIV. Methods: Using baseline data from the Southern Pre-Exposure Prophylaxis Study (SPECS), we examined the prevalence and demographic characteristics associated with SUD treatment receipt among community-supervised individuals at risk for HIV. Two participant subsets from SPECS were analyzed: those with a history of ISU (n = 346) and, among these participants, those specifically reporting a history of illicit opioid use (IOU; n = 211). Results: A high prevalence of SUD treatment receipt was found among participants reporting ISU (58.7%) and IOU (73.9%). Among participants with a history of ISU, Black non-Hispanic individuals had a significantly lower prevalence of treatment receipt than White non-Hispanic individuals (aPR = 0.68, 95% CI: 0.51, 0.90, p = 0.007). Among participants reporting IOU, White non-Hispanic individuals were 2.7 (95% CI: 1.2, 6.3) times more likely to receive medication for an SUD than individuals of any other race or ethnicity. Conclusions: Study findings highlight missed opportunities to engage people on community supervision who are at risk for HIV in evidence-based SUD care. Targeted efforts are needed to promote the adoption of medications for opioid use disorders (MOUDs) among individuals under community supervision, particularly for racially minoritized populations. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10826084.2025.2548939
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 179
    Subjects:
      – SubjectFull: HIV infection risk factors
        Type: general
      – SubjectFull: Substance abuse treatment
        Type: general
      – SubjectFull: HIV infection epidemiology
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Trans men
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Correctional institutions
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Criminals
        Type: general
      – SubjectFull: Prisoners
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Continuum of care
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Pre-exposure prophylaxis
        Type: general
      – SubjectFull: Trans women
        Type: general
      – SubjectFull: Comparative studies
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      – SubjectFull: Data analysis software
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      – SubjectFull: Sociodemographic factors
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      – SubjectFull: Medical care of prisoners
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      – SubjectFull: Florida
        Type: general
      – SubjectFull: Kentucky
        Type: general
      – SubjectFull: North Carolina
        Type: general
    Titles:
      – TitleFull: The Receipt of Substance Use Disorder Treatment Among Individuals Under Community Supervision at Risk for HIV.
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            – D: 01
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              Text: 2026
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              Y: 2026
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