Misconceptions toward methadone maintenance treatment (MMT) and associated factors among new MMT users in Guangzhou, China

Xu, Huifang; Gu, Jing; Lau, Joseph T. F.; Zhong, Ying; Liu, Fan; Zhao, Yongqiang; Hao, Chun; He, Wei; Ling, Wenhua

doi:10.1016/j.addbeh.2012.01.020

Cited by 20 publications

(21 citation statements)

References 25 publications

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“…The one-year follow-up results from the first eight MMT clinics in China also showed similar effects [22]. However, Yin et al [23] along with a meta-analysis study on the effect of interventions in MMT clinics in China by Xu et al [24] reported high drop-out rates in MMT clinics with one-year retention rates below 60%, and widespread illicit drug use in outpatients. Some of the most important issues regarding MMT in China involve reducing the drop-out rate, increasing the retention rate, and promoting the return of drug addicts to society.…”

Section: Introductionmentioning

confidence: 85%

“…The results showed that 92.3% of those surveyed thought methadone was a drug rehabilitation therapy, 64.2% thought addiction could be completely cured after two to three months of methadone use, 77.9% thought it was not necessary to continue lifelong methadone use, and 84.3% thought that methadone dosage needed to be gradually reduced to minimize harmful effects [24]. These general misconceptions may explain the high MMT drop-out rate.…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Effects of Methadone Maintenance Treatment with Different Psychosocial Intervention Models

et al. 2014

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This study evaluated the long-term effects of different psychosocial intervention models in methadone maintenance treatment (MMT) in Xi'an China. Patients from five MMT clinics were divided into three groups receiving MMT only, MMT with counseling psychology (CP) or MMT with contingency management (CM). A five-year follow-up was carried out with daily records of medication, monthly random urine morphine tests, and tests for anti-HIV and anti-HCV every six months. Drug use behavior was recorded six months after initial recruitment using a survey. Adjusted RRs and their 95% confidence intervals (CIs) were estimated using an unconditional logistic regression model or a Cox proportional hazard model. A total of 2662 patients were recruited with 797 in MMT, 985 in MMT with CP, and 880 in MMT with CM. Following six months of treatment, the injection rates of MMT with CP and MMT with CM groups were significantly lower than that of MMT (5.1% and 6.9% vs. 16.3%, x2 = 47.093 and 29.908, respectively; P<0.05). HIV incidences for MMT, MMT with CP and MMT with CM at the five year follow-up were 20.09, 0.00 and 10.02 per ten thousand person-years, respectively. HCV incidences were 18.35, 4.42 and 6.61 per hundred person-years, respectively, demonstrating that CP and CM were protective factors for HCV incidence (RR = 0.209 and 0.414, with range of 0.146 – 0.300 and 0.298 – 0.574, respectively). MMT supplemented with CP or CM can reduce heroin use and related risk behaviors, thereby reducing the incidence of HIV and HCV.

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Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Long-Term Effects of Methadone Maintenance Treatment with Different Psychosocial Intervention Models

et al. 2014

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“…However, the actual burden of opioid dependency in Hubei province may be much greater as under reporting is likely. In China, more than 30% of drug addicts use intravenous drugs, and at least 70% of IUD share syringes [19,20]. Although the drug abuse epidemic in Hubei province is moderate compared with other areas of China, drug control is particularly important because of Hubei province’s role as a traffic hub in China, as well as high population flow, relatively developed economy, and central location.…”

Section: Case Presentationmentioning

confidence: 99%

“…Most MMT in China is provided by public health institutions, unlike Western countries, where MMT is typically provided by private agencies. To gain a wider understanding of the challenges to MMT implementation globally, it is necessary to accumulate data on implementation of MMT policies under different health service systems [18-20]. Although sexual transmission is the main cause of HIV infection, China is now facing an ever-growing HIV/AIDS epidemic fuelled primarily by intravenous drug use (IDU).…”

Section: Introductionmentioning

confidence: 99%

Policy implementation of methadone maintenance treatment and HIV infection: evidence from Hubei province, China

Zhao

Liang

2013

Subst Abuse Treat Prev Policy

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To view methadone maintenance treatment (MMT) globally, it is necessary to accumulate data on MMT policy implementation under different health service systems. The aim of the current study is to provide empirical evidence about policy implementation of MMT and HIV infection control, as well as recommendations for improvement of MMT in the future. Based on China’s national policy framework of MMT, policy implementation of MMT in Hubei province has two objectives: 1) to create linkages between health and public security, and 2) to provide integrated services for management of drug abusers. From 2007 to 2011, following the establishment of MMT clinics that provide methadone as well as HIV prevention services, the proportion of HIV infection among drug abusers decreased relatively quickly (12.12% → 5.77% → 5.19% → 2.39% → 2.04%). However, high drop-out rate and poor information management have been identified as particular problems which now need to be addressed. Furthermore, client drop-out from MMT programs may reflect social issues the clients encounter, and consequently, sustainable MMT development requires incorporation of social measures that help MMT clients return to society without discrimination, especially through family cooperation and employment opportunities.

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“…We found that poorer attendance was associated with both re-entry and higher frequency of re-entry. The literature suggested that MMT-related misconceptions were very prevalent among newly recruited MMT clients in China, which eventually led to poor compliance and drop-outs (31,45). The primary reasons could be i) the clients regard MMT as a transient program for drug detoxification, and most of them did not want to remain on treatment once their addictive reactions are alleviated.…”

Section: Heroin Usementioning

confidence: 99%

Re-entry and related predictors among HIV-infected clients receiving methadone maintenance treatment in Guangdong province, China

Luo

Gong

Zhao

et al. 2017

BST

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Misconceptions toward methadone maintenance treatment (MMT) and associated factors among new MMT users in Guangzhou, China

Cited by 20 publications

References 25 publications

Long-Term Effects of Methadone Maintenance Treatment with Different Psychosocial Intervention Models

Long-Term Effects of Methadone Maintenance Treatment with Different Psychosocial Intervention Models

Policy implementation of methadone maintenance treatment and HIV infection: evidence from Hubei province, China

Re-entry and related predictors among HIV-infected clients receiving methadone maintenance treatment in Guangdong province, China

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