{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T17:36:32Z","timestamp":1793295392820,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1002463"],"award-info":[{"award-number":["1002463"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["409966"],"award-info":[{"award-number":["409966"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Methamphetamine use is more common than opioid use among prison entrants in some countries, including Australia, yet most research and policy focuses on opioid use. This suggests that traditional opioid\u2010focused interventions are no longer appropriate for the majority of this group in countries such as Australia. To inform policy and practice, we compared socio\u2010demographic characteristics and health needs of people leaving prison with a history of methamphetamine use and\/or opioid use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional survey of incarcerated adults administered the World Health Organization Alcohol, Smoking and Substance Involvement Screening Test was used to identify moderate\u2010\/high\u2010risk methamphetamine use (<jats:italic>n<\/jats:italic>\u00a0=\u00a0909), opioid use (<jats:italic>n<\/jats:italic>\u00a0=\u00a0115) or combined methamphetamine\/opioid use (<jats:italic>n<\/jats:italic>\u00a0=\u00a0356) before incarceration. We compared groups using modified log\u2010linked Poisson regression with robust error variance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared to the opioid\u2010only group, the methamphetamine\u2010only group were: significantly more often aged &lt;25\u2009years; significantly more likely to identify as Indigenous; significantly less likely to have a history of prior incarceration, drug injection or overdose. A significantly lower proportion of methamphetamine\u2010only and methamphetamine\u2010and\u2010opioid participants self\u2010reported current hepatitis C infection compared to opioid\u2010only participants. A majority of participants in all groups screened positive for current psychological distress according to the K10.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>People leaving prison with a history of methamphetamine use differ from opioid users with respect to demographics, patterns of substance use and related health concerns. Treatment and harm reduction efforts for people who experience incarceration must respond to patterns of drug use in this population, and invest at scale in coordinated, continuous services for co\u2010occurring substance use and mental health problems.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13636","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T17:00:40Z","timestamp":1678813240000},"page":"778-784","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The health needs of people leaving prison with a history of methamphetamine and\/or opioid use"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2556-3294","authenticated-orcid":false,"given":"Craig","family":"Cumming","sequence":"first","affiliation":[{"name":"Centre for Health Services Research, School of Population and Global Health University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3956-5343","authenticated-orcid":false,"given":"Stuart A.","family":"Kinner","sequence":"additional","affiliation":[{"name":"Centre for Adolescent Health Murdoch Children's Research Institute  Melbourne Australia"},{"name":"Melbourne School of Population and Global Health The University of Melbourne  Melbourne Australia"},{"name":"Griffith Criminology Institute Griffith University  Brisbane Australia"},{"name":"School of Population Health Curtin University  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2833-4830","authenticated-orcid":false,"given":"Rebecca","family":"McKetin","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre UNSW Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Li","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B.","family":"Preen","sequence":"additional","affiliation":[{"name":"Centre for Health Services Research, School of Population and Global Health University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12518"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.3758"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2020.4321"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202000927"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40352-020-00112-8"},{"key":"e_1_2_11_7_1","volume-title":"The health of Australia's prisoners 2018","author":"Australian Institute of Health and Welfare","year":"2019"},{"key":"e_1_2_11_8_1","unstructured":"World Health Organization.Preventing overdose deaths in the criminal\u2010justice system.2014."},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2013.01.004"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31078-9"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2018.12.003"},{"key":"e_1_2_11_12_1","volume-title":"Health After Release from Prison (HARP) cohort study","author":"The University of Melbourne"},{"key":"e_1_2_11_13_1","volume-title":"The Alcohol, Smoking and Substance involvement Screening Test (ASSIST): manual for use in primary care","author":"Humeniuk R","year":"2010"},{"key":"e_1_2_11_14_1","volume-title":"National Health Survey: first results","author":"Australian Bureau of Statistics","year":"2018"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.2.184"},{"key":"e_1_2_11_16_1","volume-title":"4363.0\u2014National Health Survey: users' guide, 2014\u201315","author":"Australian Bureau of Statistics","year":"2017"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwh090"},{"key":"e_1_2_11_18_1","volume-title":"Stata statistical software: release 16","author":"StataCorp","year":"2019"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2015.06.011"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-159-9-201311050-00005"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2019.107707"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2016.1233596"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0257369"},{"key":"e_1_2_11_24_1","unstructured":"Department of Health and Aged Care.About sexual health: Australian Government.2022. 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