Polysubstance Use among Patients Enrolling in Methadone Maintenance Treatment Program in a Vietnam Province with Drug-Driven HIV Epidemic
Methadone maintenance treatment (MMT) has been scaled up significantly in recent years. This study aimed to investigate the pattern of polysubstance use in 395 MMT patients and its contextualized associated factors. A cross-sectional study was performed in three outpatient MMT clinics in Nam Dinh Pr...
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| Veröffentlicht in: | International journal of environmental research and public health 2019-09, Vol.16 (18), p.3277 |
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| creator | Le, Tuan Anh Pham, Duyen T T Quek, Travis T C Vu, Giang Thu Hoang, Chi Linh Tran, Tung Thanh Nguyen, Cuong Tat Tran, Ninh Hai Thi Vuong, Quan Hoang Tran, Tung Hoang Tran, Bach Xuan Latkin, Carl A Ho, Cyrus S H Ho, Roger C M |
| description | Methadone maintenance treatment (MMT) has been scaled up significantly in recent years. This study aimed to investigate the pattern of polysubstance use in 395 MMT patients and its contextualized associated factors. A cross-sectional study was performed in three outpatient MMT clinics in Nam Dinh Province. Multivariate Poisson regression was used to identify factors associated with polysubstance use status. The mean MMT duration and the current MMT dose was 3.3 years and 69.2 mg, respectively. Among participants, 24.8% reported daily alcohol use, 68.6% smoked regularly, and 6% used illicit drugs. Peer pressure and MMT suboptimal adherence were found to associate with continual usage of drugs (47.8%). Participants who lived with a spouse/partner, were self-employed, and smoked were more likely to drink alcohol. Those who drink were also more likely to smoke, and vice versa. Recommendations for policymakers include community-based education and promotional programs aiming to decrease substance usage in the community as well as encouraging and supporting the private health sector in establishing private MMT services and clinics. Further longitudinal studies on polysubstance usage among MMT patients should also be conducted. |
| doi_str_mv | 10.3390/ijerph16183277 |
| format | Article |
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This study aimed to investigate the pattern of polysubstance use in 395 MMT patients and its contextualized associated factors. A cross-sectional study was performed in three outpatient MMT clinics in Nam Dinh Province. Multivariate Poisson regression was used to identify factors associated with polysubstance use status. The mean MMT duration and the current MMT dose was 3.3 years and 69.2 mg, respectively. Among participants, 24.8% reported daily alcohol use, 68.6% smoked regularly, and 6% used illicit drugs. Peer pressure and MMT suboptimal adherence were found to associate with continual usage of drugs (47.8%). Participants who lived with a spouse/partner, were self-employed, and smoked were more likely to drink alcohol. Those who drink were also more likely to smoke, and vice versa. Recommendations for policymakers include community-based education and promotional programs aiming to decrease substance usage in the community as well as encouraging and supporting the private health sector in establishing private MMT services and clinics. Further longitudinal studies on polysubstance usage among MMT patients should also be conducted.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph16183277</identifier><identifier>PMID: 31500107</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Acquired immune deficiency syndrome ; Adult ; AIDS ; Alcohol ; Alcohol Drinking ; Ambulatory Care Facilities ; Buprenorphine ; Clinics ; Cocaine ; Cross-Sectional Studies ; Drug abuse ; Drug use ; Epidemics ; Family income ; Female ; Health facilities ; Heroin ; HIV ; HIV Infections ; Human immunodeficiency virus ; Humans ; Intervention ; Maintenance ; Male ; Methadone ; Methadone - therapeutic use ; Middle Aged ; Narcotics ; Opiate Substitution Treatment ; Opioids ; Questionnaires ; Smoking ; Socioeconomic factors ; Studies ; Substance-Related Disorders - drug therapy ; Substance-Related Disorders - epidemiology ; Tobacco ; Vietnam - epidemiology</subject><ispartof>International journal of environmental research and public health, 2019-09, Vol.16 (18), p.3277</ispartof><rights>2019. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). 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This study aimed to investigate the pattern of polysubstance use in 395 MMT patients and its contextualized associated factors. A cross-sectional study was performed in three outpatient MMT clinics in Nam Dinh Province. Multivariate Poisson regression was used to identify factors associated with polysubstance use status. The mean MMT duration and the current MMT dose was 3.3 years and 69.2 mg, respectively. Among participants, 24.8% reported daily alcohol use, 68.6% smoked regularly, and 6% used illicit drugs. Peer pressure and MMT suboptimal adherence were found to associate with continual usage of drugs (47.8%). Participants who lived with a spouse/partner, were self-employed, and smoked were more likely to drink alcohol. Those who drink were also more likely to smoke, and vice versa. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Le, Tuan Anh</au><au>Pham, Duyen T T</au><au>Quek, Travis T C</au><au>Vu, Giang Thu</au><au>Hoang, Chi Linh</au><au>Tran, Tung Thanh</au><au>Nguyen, Cuong Tat</au><au>Tran, Ninh Hai Thi</au><au>Vuong, Quan Hoang</au><au>Tran, Tung Hoang</au><au>Tran, Bach Xuan</au><au>Latkin, Carl A</au><au>Ho, Cyrus S H</au><au>Ho, Roger C M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Polysubstance Use among Patients Enrolling in Methadone Maintenance Treatment Program in a Vietnam Province with Drug-Driven HIV Epidemic</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2019-09-06</date><risdate>2019</risdate><volume>16</volume><issue>18</issue><spage>3277</spage><pages>3277-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Methadone maintenance treatment (MMT) has been scaled up significantly in recent years. This study aimed to investigate the pattern of polysubstance use in 395 MMT patients and its contextualized associated factors. A cross-sectional study was performed in three outpatient MMT clinics in Nam Dinh Province. Multivariate Poisson regression was used to identify factors associated with polysubstance use status. The mean MMT duration and the current MMT dose was 3.3 years and 69.2 mg, respectively. Among participants, 24.8% reported daily alcohol use, 68.6% smoked regularly, and 6% used illicit drugs. Peer pressure and MMT suboptimal adherence were found to associate with continual usage of drugs (47.8%). Participants who lived with a spouse/partner, were self-employed, and smoked were more likely to drink alcohol. Those who drink were also more likely to smoke, and vice versa. 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| ispartof | International journal of environmental research and public health, 2019-09, Vol.16 (18), p.3277 |
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| language | eng |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; PubMed Central Open Access |
| subjects | Acquired immune deficiency syndrome Adult AIDS Alcohol Alcohol Drinking Ambulatory Care Facilities Buprenorphine Clinics Cocaine Cross-Sectional Studies Drug abuse Drug use Epidemics Family income Female Health facilities Heroin HIV HIV Infections Human immunodeficiency virus Humans Intervention Maintenance Male Methadone Methadone - therapeutic use Middle Aged Narcotics Opiate Substitution Treatment Opioids Questionnaires Smoking Socioeconomic factors Studies Substance-Related Disorders - drug therapy Substance-Related Disorders - epidemiology Tobacco Vietnam - epidemiology |
| title | Polysubstance Use among Patients Enrolling in Methadone Maintenance Treatment Program in a Vietnam Province with Drug-Driven HIV Epidemic |
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