Continued drug use during methadone treatment in China: A retrospective analysis of 19,026 service users

Journal article


Sullivan, Sheena G., Wu, Zunyou, Cao, Xiaobin, Liu, Enwu and Detels, Roger. (2014) Continued drug use during methadone treatment in China: A retrospective analysis of 19,026 service users. Journal of Substance Abuse Treatment. 47(1), pp. 86 - 92. https://doi.org/10.1016/j.jsat.2013.12.004
AuthorsSullivan, Sheena G., Wu, Zunyou, Cao, Xiaobin, Liu, Enwu and Detels, Roger
Abstract

This study examined nation-wide data from China to assess client outcomes after 6-months of methadone treatment. Data on 19,026 clients enrolled between April 2008 and March 2010 were reviewed for changes in HIV-risk behaviours and emergence of new HIV cases. Multivariable logistic regression was used to identify factors associated with illicit drug use while in MMT. Clients reported reduced drug use and related risk behaviours and improved social functioning. There were 24 newly-identified cases of HIV. Continued drug use was associated with low attendance (OR = 5.98, 95% CI = 4.69–7.63), frequently seeing drug using friends (OR = 3.72 for daily vs. never, 95% CI = 3.18–4.34) and having a difficult family relationship (OR = 2.03 for difficult vs. good, 95% CI = 1.63–2.52). Methadone dose was not associated with continued drug use while in treatment. The Chinese MMT programme appears to be having a positive influence on those clients who remain in treatment, but needs to explore strategies to increase accessibility.

KeywordsChina; methadone maintenance treatment; HIV/AIDS; healthcare; harm reduction
Year2014
JournalJournal of Substance Abuse Treatment
Journal citation47 (1), pp. 86 - 92
PublisherElsevier
ISSN0740-5472
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jsat.2013.12.004
Scopus EID2-s2.0-84899957222
Page range86 - 92
Research GroupMary MacKillop Institute for Health Research
Place of publicationNetherlands
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