TY - JOUR
T1 - Continued drug use during methadone treatment in China: A retrospective analysis of 19,026 service users
AU - Sullivan, Sheena
AU - Wu, Zunyou
AU - Cao, Xiaobin
AU - Liu, Enwu
AU - Detels, Roger
PY - 2014/7
Y1 - 2014/7
N2 - 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.
AB - 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.
KW - China
KW - Harm reduction
KW - Healthcare
KW - HIV/AIDS
KW - Methadone maintenance treatment
UR - http://www.scopus.com/inward/record.url?scp=84899957222&partnerID=8YFLogxK
U2 - 10.1016/j.jsat.2013.12.004
DO - 10.1016/j.jsat.2013.12.004
M3 - Article
SN - 0740-5472
VL - 47
SP - 86
EP - 92
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
IS - 1
ER -