Heroin use during methadone maintenance treatment: the importance of methadone dose and cocaine use

The purpose of this study was to examine factors associated with heroin use during methadone maintenance treatment. Logistic regression statistical models were used to examine data obtained in a cross-sectional sample of 652 methadone patients. Heroin use during the 3 months prior to interview was s...

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Veröffentlicht in:American journal of public health (1971) 1995-01, Vol.85 (1), p.83-88
Hauptverfasser: Hartel, D M, Schoenbaum, E E, Selwyn, P A, Kline, J, Davenny, K, Klein, R S, Friedland, G H
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container_end_page 88
container_issue 1
container_start_page 83
container_title American journal of public health (1971)
container_volume 85
creator Hartel, D M
Schoenbaum, E E
Selwyn, P A
Kline, J
Davenny, K
Klein, R S
Friedland, G H
description The purpose of this study was to examine factors associated with heroin use during methadone maintenance treatment. Logistic regression statistical models were used to examine data obtained in a cross-sectional sample of 652 methadone patients. Heroin use during the 3 months prior to interview was shown to be greatest among (1) patients maintained on methadone dosages of less than 70 mg/day (adjusted odds ratio [OR] = 2.1, 95% confidence interval [CI] = 1.3, 3.4) and (2) patients who used cocaine during treatment (adjusted OR = 5.9, 95% CI = 3.8, 9.1). These results were independent of treatment duration, treatment compliance, alcohol use, and socioeconomic factors. Cocaine users were more likely than nonusers of cocaine to use heroin at all methadone dosage levels. This study confirms and extends past research showing high-dose methadone maintenance to be important to heroin abstinence. Further investigation of the independent association between heroin use and cocaine use is needed.
doi_str_mv 10.2105/AJPH.85.1.83
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titles)</collection><jtitle>American journal of public health (1971)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hartel, D M</au><au>Schoenbaum, E E</au><au>Selwyn, P A</au><au>Kline, J</au><au>Davenny, K</au><au>Klein, R S</au><au>Friedland, G H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Heroin use during methadone maintenance treatment: the importance of methadone dose and cocaine use</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>1995-01-01</date><risdate>1995</risdate><volume>85</volume><issue>1</issue><spage>83</spage><epage>88</epage><pages>83-88</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>The purpose of this study was to examine factors associated with heroin use during methadone maintenance treatment. Logistic regression statistical models were used to examine data obtained in a cross-sectional sample of 652 methadone patients. Heroin use during the 3 months prior to interview was shown to be greatest among (1) patients maintained on methadone dosages of less than 70 mg/day (adjusted odds ratio [OR] = 2.1, 95% confidence interval [CI] = 1.3, 3.4) and (2) patients who used cocaine during treatment (adjusted OR = 5.9, 95% CI = 3.8, 9.1). These results were independent of treatment duration, treatment compliance, alcohol use, and socioeconomic factors. Cocaine users were more likely than nonusers of cocaine to use heroin at all methadone dosage levels. This study confirms and extends past research showing high-dose methadone maintenance to be important to heroin abstinence. Further investigation of the independent association between heroin use and cocaine use is needed.</abstract><cop>Washington, DC</cop><pub>Am Public Health Assoc</pub><pmid>7832267</pmid><doi>10.2105/AJPH.85.1.83</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0090-0036
ispartof American journal of public health (1971), 1995-01, Vol.85 (1), p.83-88
issn 0090-0036
1541-0048
language eng
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source MEDLINE; PAIS Index; Periodicals Index Online; EBSCOhost Business Source Complete; Applied Social Sciences Index & Abstracts (ASSIA); EBSCOhost Education Source; PubMed Central; Alma/SFX Local Collection
subjects Addicts
Adult
Biological and medical sciences
Cocaine
Cross-Sectional Studies
Drug addictions
Drug dosages
Drug therapy
Drug use
Female
Heroin
Heroin Dependence - complications
Heroin Dependence - diagnosis
Heroin Dependence - rehabilitation
HIV
Human immunodeficiency virus
Humans
Male
Medical sciences
Methadone
Methadone - therapeutic use
Narcotics
Public health
Sociodemographics
Substance Abuse Detection
Substance abuse treatment
Substance-Related Disorders - diagnosis
Toxicology
Treatment
Urine
Variables
title Heroin use during methadone maintenance treatment: the importance of methadone dose and cocaine use
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