Predictors of methadone maintenance treatment utilization in a multisite cohort of illicit opioid users (OPICAN)

Fischer, Benedikt; Cruz, Michelle Firestone; Patra, Jayadeep; Rehm, J

doi:10.1016/j.jsat.2007.05.003

Cited by 15 publications

(13 citation statements)

References 31 publications

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“…Ottomanelli (1999) used the term alcoholism to encompass moderate to heavy drinking, harmful drinking, and alcohol dependence and reported a prevalence rate of 13% to 31% in patients undergoing methadone maintenance treatment (MMT). A recent study, using data from street illicit opioid and other drug users, reported a higher frequency of alcohol use among MMT users (Fischer et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Alcohol use problem among patients in methadone maintenance treatment in Taiwan

Chen

Chie

Hwu

et al. 2011

Journal of Substance Abuse Treatment

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Section: Introductionmentioning

confidence: 99%

Alcohol use problem among patients in methadone maintenance treatment in Taiwan

Chen

Chie

Hwu

et al. 2011

Journal of Substance Abuse Treatment

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“…27,40,41 Other barriers to women accessing treatment include stigma, 42 having a partner who also uses drugs, 43 and fearing partner retaliation or violence. 44,45 Given the range of issues that FSW-PWID face, including higher rates of both physical and mental health problems, drug treatment programs should identify and treat women's mental health needs, while building support structures for women in treatment. 27,46,47 To mitigate barriers related to loss of income due to regular MMTP visits, alternative treatment programs, such as Btake-home^doses, may also be beneficial for FSW-PWID populations who are already economically vulnerable.…”

Section: Discussionmentioning

confidence: 99%

“…32,44,45 For FSW at the US-Mexico border, a large majority have dependent children and financial responsibilities for them has frequently been cited as a key reason for entering sex work. 36,48 Previous studies by our group suggest, however, that FSW-PWID are less likely to report living with their children than other FSWs, 19, 49 perhaps because they have been apprehended by child welfare agencies.…”

Section: Discussionmentioning

confidence: 99%

Predictors of injection cessation and relapse among female sex workers who inject drugs in two Mexican-U.S. border cities

Strathdee

Abramovitz

Rangel

et al. 2014

Drug and Alcohol Dependence

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We know little about predictors of injection drug cessation and relapse among female sex workers who inject drugs (FSW-PWID) at the US-Mexico border. Among HIV-negative FSW-PWID taking part in a behavioral intervention study in Tijuana and Ciudad Juárez, Cox regression was used to identify predictors of time to first cessation of injection, which was defined as reporting not having injected drugs for a period of 4 months or longer, and among that subset, we examined predictors of time to injection relapse. Among 440 women, 84 (19 %) reported ceasing injection during follow-up (median time to cessation = 9.3 months); of these, 30 (35 %) reported relapse to injection (median time to relapse = 3.5 months). The rate of injection cessation was lower for women reporting trading sex prior to age 18 (adj. hazard ratio (HR) = 0.64, 95 % confidence interval (CI) = 0.41-1.01), ever being sexually abused (adj. HR = 0.44, 95 % CI = 0.27-0.71), and a higher number of vaginal sex acts with casual clients (adj. HR = 0.99 per transaction, 95 % CI = 0.98-1.00). The rate of cessation was higher for women who spent more hours on the streets on a typical day (adj. HR = 1.04/h, 95 % CI = 1.01-1.08) and who lived in Tijuana vs. Ciudad Juárez (adj. HR = 2.15, 95 % CI = 1.14-4.07). The rate of relapse was higher among women reporting regular drug use with clients (adj. HR = 2.17, 95 % CI = 0.96-4.89) and those scoring higher on a risk injection index (adj. HR = 2.04, 95 % CI = 1.15-3.61). The rate of relapse was lower for FSW-PWID with higher than average incomes (adj. HR = 0.40, 95 % CI = 0.18-0.89). These findings have important implications for the scale-up of methadone maintenance treatment programs (MMTPs) in Mexico and indicate a need for gender-specific programs that address sexual abuse experiences and economic vulnerabilities faced by FSW-PWID.

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“…For example, idu who are homeless are less likely to enrol in any form of addiction treatment and are less likely to attain legal employment ) compared to those who are stably housed. Furthermore, unstable housing status has been associated with a decreased uptake of methadone maintenance therapy (mmt) among opioid users in Canada (Fischer et al 2008). Homelessness has also been found to impact the types of addiction treatment most often accessed by people who inject drugs.…”

Section: Barriers To Housingmentioning

confidence: 99%