Competing priorities that rival health in adults on probation in Rhode Island: substance use recovery, employment, housing, and food intake

BMC Public Health
Kimberly R DongThomas J Stopka

Abstract

Individuals on probation experience economic disadvantage because their criminal records often prohibit gainful employment, which compromises their ability to access the basic components of wellbeing. Unemployment and underemployment have been studied as distinct phenomenon but no research has examined multiple determinants of health in aggregate or explored how these individuals prioritize each of these factors. This study identified and ranked competing priorities in adults on probation and qualitatively explored how these priorities impact health. We conducted in-depth interviews in 2016 with 22 adults on probation in Rhode Island to determine priority rankings of basic needs. We used Maslow's hierarchy of needs theory and the literature to guide the priorities we pre-selected for probationers to rank. Within a thematic analysis framework, we used a modified ranking approach to identify the priorities chosen by participants and explored themes related to the top four ranked priorities. We found that probationers ranked substance use recovery, employment, housing, and food intake as the top four priorities. Probationers in recovery reported sobriety as the most important issue, a necessary basis to be able to address other as...Continue Reading

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Citations

Sep 19, 2019·International Journal of Prisoner Health·Victoria D OjedaArisa Ortiz
Nov 30, 2019·Substance Use & Misuse·Jennifer HarrisonHillary A Johnson
Jul 22, 2018·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Kimberly R DongCurt G Beckwith
Jul 29, 2020·International Journal of Environmental Research and Public Health·Seung-Hyun LeeSe-Hwan Jung
Jan 26, 2021·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Erika L CrableMichael S Gordon

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