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...
Gespeichert in:
Veröffentlicht in: | American journal of public health (1971) 1995-01, Vol.85 (1), p.83-88 |
---|---|
Hauptverfasser: | , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
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 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1615273</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1514482</sourcerecordid><originalsourceid>FETCH-LOGICAL-c555t-ddbde2528f1ec81f402826d469cf73f2ab2b747411e236ac3ec23ea4461c96eb3</originalsourceid><addsrcrecordid>eNqFksuP0zAQxiMEWsrCjStSxOtEi8evOBxWWq2AglaCA5wtx5k0rhK72Akr_ntcWqoFCXHySN9vPs-rKB4DWVEg4vXlx8_rlRIrWCl2p1iA4LAkhKu7xYKQmuSYyfvFg5S2hADUAs6Ks0oxSmW1KOwaY3C-nBOW7Ryd35QjTr1pg8dyNM5P6I23WE4RzTSin96UU4-lG3chTr-U0N1KaUM2Mr4tbbA5G_fGD4t7nRkSPjq-58XXd2-_XK2X15_ef7i6vF5aIcS0bNumRSqo6gCtgo4TqqhsuaxtV7GOmoY2Fa84AFImjWVoKUPDuQRbS2zYeXFx8N3NzYitzcVGM-hddKOJP3QwTv-peNfrTfiuQYKgFcsGL48GMXybMU16dMniMBiPYU5aVCIPjtD_giCrmvJKZvDpX-A2zNHnKWgKAgBkDRl69i8IaK1Yrk6QTL06UDaGlCJ2p8aA6P0h6P0haCU0aLXv5cntYZzg4-az_vyom2TN0MW8S5dOGOO8JrTO2IsD1rtNf-Mi6jSaYcimoM121__-7idYLshl</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>215111691</pqid></control><display><type>article</type><title>Heroin use during methadone maintenance treatment: the importance of methadone dose and cocaine use</title><source>MEDLINE</source><source>PAIS Index</source><source>Periodicals Index Online</source><source>EBSCOhost Business Source Complete</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>EBSCOhost Education Source</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Hartel, D M ; Schoenbaum, E E ; Selwyn, P A ; Kline, J ; Davenny, K ; Klein, R S ; Friedland, G H</creator><creatorcontrib>Hartel, D M ; Schoenbaum, E E ; Selwyn, P A ; Kline, J ; Davenny, K ; Klein, R S ; Friedland, G H</creatorcontrib><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.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.85.1.83</identifier><identifier>PMID: 7832267</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: Am Public Health Assoc</publisher><subject>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</subject><ispartof>American journal of public health (1971), 1995-01, Vol.85 (1), p.83-88</ispartof><rights>1995 INIST-CNRS</rights><rights>Copyright American Public Health Association Jan 1995</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c555t-ddbde2528f1ec81f402826d469cf73f2ab2b747411e236ac3ec23ea4461c96eb3</citedby><cites>FETCH-LOGICAL-c555t-ddbde2528f1ec81f402826d469cf73f2ab2b747411e236ac3ec23ea4461c96eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1615273/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1615273/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27866,27869,27923,27924,27925,31000,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3449029$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7832267$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hartel, D M</creatorcontrib><creatorcontrib>Schoenbaum, E E</creatorcontrib><creatorcontrib>Selwyn, P A</creatorcontrib><creatorcontrib>Kline, J</creatorcontrib><creatorcontrib>Davenny, K</creatorcontrib><creatorcontrib>Klein, R S</creatorcontrib><creatorcontrib>Friedland, G H</creatorcontrib><title>Heroin use during methadone maintenance treatment: the importance of methadone dose and cocaine use</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><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.</description><subject>Addicts</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cocaine</subject><subject>Cross-Sectional Studies</subject><subject>Drug addictions</subject><subject>Drug dosages</subject><subject>Drug therapy</subject><subject>Drug use</subject><subject>Female</subject><subject>Heroin</subject><subject>Heroin Dependence - complications</subject><subject>Heroin Dependence - diagnosis</subject><subject>Heroin Dependence - rehabilitation</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methadone</subject><subject>Methadone - therapeutic use</subject><subject>Narcotics</subject><subject>Public health</subject><subject>Sociodemographics</subject><subject>Substance Abuse Detection</subject><subject>Substance abuse treatment</subject><subject>Substance-Related Disorders - diagnosis</subject><subject>Toxicology</subject><subject>Treatment</subject><subject>Urine</subject><subject>Variables</subject><issn>0090-0036</issn><issn>1541-0048</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7TQ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>7QJ</sourceid><recordid>eNqFksuP0zAQxiMEWsrCjStSxOtEi8evOBxWWq2AglaCA5wtx5k0rhK72Akr_ntcWqoFCXHySN9vPs-rKB4DWVEg4vXlx8_rlRIrWCl2p1iA4LAkhKu7xYKQmuSYyfvFg5S2hADUAs6Ks0oxSmW1KOwaY3C-nBOW7Ryd35QjTr1pg8dyNM5P6I23WE4RzTSin96UU4-lG3chTr-U0N1KaUM2Mr4tbbA5G_fGD4t7nRkSPjq-58XXd2-_XK2X15_ef7i6vF5aIcS0bNumRSqo6gCtgo4TqqhsuaxtV7GOmoY2Fa84AFImjWVoKUPDuQRbS2zYeXFx8N3NzYitzcVGM-hddKOJP3QwTv-peNfrTfiuQYKgFcsGL48GMXybMU16dMniMBiPYU5aVCIPjtD_giCrmvJKZvDpX-A2zNHnKWgKAgBkDRl69i8IaK1Yrk6QTL06UDaGlCJ2p8aA6P0h6P0haCU0aLXv5cntYZzg4-az_vyom2TN0MW8S5dOGOO8JrTO2IsD1rtNf-Mi6jSaYcimoM121__-7idYLshl</recordid><startdate>19950101</startdate><enddate>19950101</enddate><creator>Hartel, D M</creator><creator>Schoenbaum, E E</creator><creator>Selwyn, P A</creator><creator>Kline, J</creator><creator>Davenny, K</creator><creator>Klein, R S</creator><creator>Friedland, G H</creator><general>Am Public Health Assoc</general><general>American Public Health Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HDMVH</scope><scope>IBDFT</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7RV</scope><scope>7TQ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88A</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>KC-</scope><scope>L.-</scope><scope>L.0</scope><scope>LK8</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7U7</scope><scope>C1K</scope><scope>7QJ</scope><scope>5PM</scope></search><sort><creationdate>19950101</creationdate><title>Heroin use during methadone maintenance treatment: the importance of methadone dose and cocaine use</title><author>Hartel, D M ; Schoenbaum, E E ; Selwyn, P A ; Kline, J ; Davenny, K ; Klein, R S ; Friedland, G H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c555t-ddbde2528f1ec81f402826d469cf73f2ab2b747411e236ac3ec23ea4461c96eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Addicts</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cocaine</topic><topic>Cross-Sectional Studies</topic><topic>Drug addictions</topic><topic>Drug dosages</topic><topic>Drug therapy</topic><topic>Drug use</topic><topic>Female</topic><topic>Heroin</topic><topic>Heroin Dependence - complications</topic><topic>Heroin Dependence - diagnosis</topic><topic>Heroin Dependence - rehabilitation</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methadone</topic><topic>Methadone - therapeutic use</topic><topic>Narcotics</topic><topic>Public health</topic><topic>Sociodemographics</topic><topic>Substance Abuse Detection</topic><topic>Substance abuse treatment</topic><topic>Substance-Related Disorders - diagnosis</topic><topic>Toxicology</topic><topic>Treatment</topic><topic>Urine</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hartel, D M</creatorcontrib><creatorcontrib>Schoenbaum, E E</creatorcontrib><creatorcontrib>Selwyn, P A</creatorcontrib><creatorcontrib>Kline, J</creatorcontrib><creatorcontrib>Davenny, K</creatorcontrib><creatorcontrib>Klein, R S</creatorcontrib><creatorcontrib>Friedland, G H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 15</collection><collection>Periodicals Index Online Segment 27</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - West</collection><collection>Primary Sources Access (Plan D) - International</collection><collection>Primary Sources Access & Build (Plan A) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Midwest</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Northeast</collection><collection>Primary Sources Access (Plan D) - Southeast</collection><collection>Primary Sources Access (Plan D) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Southeast</collection><collection>Primary Sources Access (Plan D) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - UK / I</collection><collection>Primary Sources Access (Plan D) - Canada</collection><collection>Primary Sources Access (Plan D) - EMEALA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - International</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - International</collection><collection>Primary Sources Access (Plan D) - West</collection><collection>Periodicals Index Online Segments 1-50</collection><collection>Primary Sources Access (Plan D) - APAC</collection><collection>Primary Sources Access (Plan D) - Midwest</collection><collection>Primary Sources Access (Plan D) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Canada</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - EMEALA</collection><collection>Primary Sources Access & Build (Plan A) - APAC</collection><collection>Primary Sources Access & Build (Plan A) - Canada</collection><collection>Primary Sources Access & Build (Plan A) - West</collection><collection>Primary Sources Access & Build (Plan A) - EMEALA</collection><collection>Primary Sources Access (Plan D) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - Midwest</collection><collection>Primary Sources Access & Build (Plan A) - North Central</collection><collection>Primary Sources Access & Build (Plan A) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - Southeast</collection><collection>Primary Sources Access (Plan D) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - APAC</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - MEA</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>Global News & ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>PAIS Index</collection><collection>Access via ABI/INFORM (ProQuest)</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>Politics Collection</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Politics Collection</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Professional Standard</collection><collection>ProQuest Biological Science Collection</collection><collection>ABI/INFORM Global</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Political Science Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Social Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PubMed Central (Full Participant 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> |
fulltext | fulltext |
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 |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1615273 |
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 |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T19%3A48%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Heroin%20use%20during%20methadone%20maintenance%20treatment:%20the%20importance%20of%20methadone%20dose%20and%20cocaine%20use&rft.jtitle=American%20journal%20of%20public%20health%20(1971)&rft.au=Hartel,%20D%20M&rft.date=1995-01-01&rft.volume=85&rft.issue=1&rft.spage=83&rft.epage=88&rft.pages=83-88&rft.issn=0090-0036&rft.eissn=1541-0048&rft.coden=AJPEAG&rft_id=info:doi/10.2105/AJPH.85.1.83&rft_dat=%3Cproquest_pubme%3E1514482%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=215111691&rft_id=info:pmid/7832267&rfr_iscdi=true |