Misconceptions predict dropout and poor adherence prospectively among newly admitted first-time methadone maintenance treatment clients in Guangzhou, China

Addiction
Jing GuWenhua Ling

Abstract

To investigate the incidence of dropout and the prevalence of poor adherence among newly admitted first-time clients of methadone maintenance treatment (MMT) clinics, and the associations between MMT-related misconceptions and these two treatment outcomes. A cohort study (maximum follow-up period = 17.6 months) was conducted. Three of the nine MMT clinics in Guangzhou, China participated in the study. The sample included 158 newly admitted first-time MMT clients. Information collected included background characteristics, history of drug use, MMT-related misconceptions, dropout during the entire study period and poor adherence within the first 6 months since admission to MMT. Of all newly admitted MMT clients, 98.2% possessed at least one and 50.6% possessed all four types of MMT-related misconception; 51.3% had dropped out before the completion of the study [95% confidence interval (CI): 43.5-59.1%] and 62% exhibited poor adherence within the first 6 months since admission (95% CI: 54.2-69.6%). Adjusting for significant background variables, the number of misconceived responses predicted significantly both dropout [hazard ratio (HR) = 3.80 for two to three misconceived items, HR = 7.13 for four misconceived items, with zero to ...Continue Reading

References

Dec 1, 1977·The International Journal of the Addictions·J Szapocznik, R Ladner
Jan 1, 1993·Journal of Addictive Diseases·E GottheilS P Weinstein
Nov 5, 1999·The American Journal of Drug and Alcohol Abuse·T D'AunnoX Lin
Dec 7, 2002·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Sharon StancliffErnest Drucker
Apr 22, 2004·Drug and Alcohol Dependence·Robert E BoothSusan K Mikulich-Gilbertson
Sep 29, 2004·Journal of Substance Abuse Treatment·Lynne SiquelandBruce Liese
May 17, 2005·Addictive Behaviors·Carol J StrikeMargaret Millson
Jul 1, 2005·American Journal of Epidemiology·Donna Spiegelman, Ellen Hertzmark
Aug 17, 2005·Drug and Alcohol Dependence·G EncrenazM Auriacombe
Mar 21, 2007·Journal of Opioid Management·Ingrid DavstadAnders Romelsjö
Apr 22, 2008·Addiction·Uwe VertheinChristian Haasen
Apr 22, 2008·The Cochrane Database of Systematic Reviews·L GowingR Ali
Sep 5, 2008·The American Journal on Addictions·Robert P SchwartzBarry S Brown
Sep 23, 2008·The International Journal on Drug Policy·James A PetersonMichael H Agar
Oct 28, 2008·The International Journal on Drug Policy·Enwu LiuRoger Detels
Nov 11, 2008·Annals of the New York Academy of Sciences·Lin Lu, Xi Wang
Nov 20, 2008·JAMA : the Journal of the American Medical Association·Herbert D Kleber
Jan 20, 2009·The American Journal of Drug and Alcohol Abuse·Yan-Ping BaoLin Lu
May 15, 2009·International Journal of Environmental Research and Public Health·Nickolas D ZallerJosiah D Rich
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Richard P MattickMarina Davoli
Dec 18, 2009·Journal of Substance Abuse Treatment·Chunqing LinRoger Detels
Dec 9, 2010·International Journal of Epidemiology·Wenyuan YinZunyou Wu
May 17, 2011·Drug and Alcohol Dependence·Li LiWei Luo
Sep 29, 2011·Journal of Substance Abuse Treatment·Riza SarasvitaRobert Ali

❮ Previous
Next ❯

Citations

Dec 19, 2013·PloS One·Xiaobin CaoUNKNOWN National Methadone Maintenance Treatment Program Working Group
Feb 18, 2016·The International Journal on Drug Policy·Sophia Zamudio-HaasBarrot H Lambdin
Nov 26, 2015·Drug and Alcohol Dependence·Carla MarienfeldMarek C Chawarski
Jan 1, 2016·Journal of Addiction Medicine·Jiucheng ShenJianhua Li
Mar 24, 2016·International Journal of Environmental Research and Public Health·Xiaofeng LuoLi Ling
May 26, 2016·Journal of Psychoactive Drugs·Alethea DesrosiersMarek C Chawarski
May 15, 2020·PloS One·Aisling Máire O'ConnorFiona Boland

❮ Previous
Next ❯

Related Concepts

Related Feeds

Addiction

This feed focuses mechanisms underlying addiction and addictive behaviour including heroin and opium dependence, alcohol intoxication, gambling, and tobacco addiction.