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Continued drug use during methadone treatment in China: A retrospective analysis of 19,026 service users
Sullivan, Sheena G. Wu, Zunyou Cao, Xiaobin Liu, Enwu Detels, Roger
Sullivan, Sheena G.
Wu, Zunyou
Cao, Xiaobin
Liu, Enwu
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.
Keywords
China, methadone maintenance treatment, HIV/AIDS, healthcare, harm reduction
Date
2014
Type
Journal article
Journal
Journal of Substance Abuse Treatment
Book
Volume
47
Issue
1
Page Range
86-92
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
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Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled