Correlates of Homelessness Among Patients in Methadone Maintenance Treatment.
Correlates of Homelessness Among Patients in Methadone Maintenance Treatment.
复制标题
DOI：
10.1097/mlr.0000000000001414
复制
发表时间：
2020-11
期刊：
影响因子：
3
通讯作者：
Barry DT
中科院分区：
文献类型：
--
作者：
Gaeta M;Beitel M;Oberleitner LMS;Oberleitner DE;Madden LM;Tamberelli JF;Barry DT
虽然无家可归和阿片类药物使用障碍是重要的公共卫生问题，但很少有研究探讨它们的共同发生。本研究的目的是评估参加阿片类药物使用障碍低障碍美沙酮维持治疗（MMT）计划的患者中无家可归的相关性。通过自我报告对164例MMT患者的人口统计学、诊断相关和治疗相关因素进行了评估。过去一个月无家可归的相关因素进行了Logistic回归分析。24%的患者在过去一个月内报告无家可归。双变量分析最初确定了7个统计学显著（p<0.05）的无家可归相关因素：性别;拉丁种族;抑郁，焦虑和躯体化症状;自我批评; MMT的持续时间。在最终的逻辑回归模型中，包括来自双变量逻辑回归的显著自变量，MMT中无家可归（与无家可归）的患者更可能是男性（OR 2.54; CI 1.01-6.36），并报告更高的抑郁症状（OR 1.07; CI 1.01-1.15）。低障碍治疗计划可以吸引无家可归的阿片类药物使用障碍患者进入MMT。这些项目在解决无家可归者的抑郁症和阿片类药物使用障碍方面也发挥着重要的公共卫生作用。
Although homelessness and opioid use disorder are important public health issues, few studies have examined their co-occurrence. The aim of this study was to evaluate the correlates of homelessness among patients enrolled in low-barrier-to-treatment-access methadone maintenance treatment (MMT) programs for opioid use disorder. Demographic, diagnosis-related, and treatment-related correlates were assessed by self-report for one hundred and sixty-four patients in MMT. Correlates of past-month homelessness were investigated with logistic regression. 24% of patients reported homelessness in the past month. Bivariate analyses initially identified seven statistically significant (p<0.05) correlates of homelessness: gender; Latinx ethnicity; symptoms of depression, anxiety, and somatization; self-criticism; and duration of MMT. In the final logistic regression model, which included significant independent variables from the bivariate logistic regressions, patients in MMT who were homeless (versus domiciled) were more likely to be male (OR 2.54; CI 1.01–6.36) and report higher symptoms of depression (OR 1.07; CI 1.01–1.15). Low-barrier-to-treatment-access programs can attract people who are homeless with opioid use disorder into MMT. These programs also have an important public health role in addressing both depression and opioid use disorder among people who are homeless.