Prevalence of infection by HIV and hepatitis C virus in a cohort of patients on methadone treatment

Methadone maintenance treatment reduces drug-related-harm. The aims of the study were: a) to analyze the temporal tendencies of prevalence of infection by HIV and hepatitis C virus, and b) to evaluate if the adherence to methadone maintenance treatment protects against the infection by HIV and hepat...

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Veröffentlicht in:Medicina clínica 2003-05, Vol.120 (20), p.765
Hauptverfasser: Esteban, Javier, Gimeno, Carmen, Aragonés, Amparo, Barril, José, Pellín, María de la Cruz
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container_issue 20
container_start_page 765
container_title Medicina clínica
container_volume 120
creator Esteban, Javier
Gimeno, Carmen
Aragonés, Amparo
Barril, José
Pellín, María de la Cruz
description Methadone maintenance treatment reduces drug-related-harm. The aims of the study were: a) to analyze the temporal tendencies of prevalence of infection by HIV and hepatitis C virus, and b) to evaluate if the adherence to methadone maintenance treatment protects against the infection by HIV and hepatitis C virus. Retrospective longitudinal study with All the 1,487 patients receiving treatment in the Province of Alicante between June 1990 and December 1997. The prevalence of infection by HIV and hepatitis C virus were computed. The variables associated to the infection by HIV and hepatitis C virus were recognized though a model of logistic regression. The prevalence of infection by HIV decreased, and the prevalence of infection by hepatitis C virus increased along the studied period. The independent predictors with regard to the infection by HIV were the age of beginning in treatment (odds ratio [OR] = 0.95; 95% confident interval [95%CI], 0.93-0.97; p < 0.001), total time within treatment (OR = 0.99; 95%CI, 0.98-1.0; p = 0.01) and non-parenteral route of administration (OR = 0.25; 95%CI, 0.18-0.33; p < 0.001). To be admitted to methadone maintenance treatment for the first time after opiate dependence has been developed and to remain in treatment for long periods of time, all that decreases the risk of infection by HIV.
doi_str_mv 10.1157/13048329
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subjects Adult
Analgesics, Opioid - therapeutic use
Cohort Studies
Female
Hepatitis C - complications
Hepatitis C - epidemiology
Hepatitis C - virology
HIV Infections - complications
HIV Infections - epidemiology
HIV Infections - virology
Humans
Male
Methadone - therapeutic use
Odds Ratio
Opioid-Related Disorders - rehabilitation
Prevalence
Retrospective Studies
Risk Factors
Spain - epidemiology
title Prevalence of infection by HIV and hepatitis C virus in a cohort of patients on methadone treatment
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