Correlates of retention on the South Australian Methadone Program 1981-91
Correlates of retention on the South Australian Methadone Program 1981-91
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DOI：
10.1111/j.1467-842x.1998.tb01491.x
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发表时间：
1998-12-01
影响因子：
3.5
通讯作者：
Ali, R
中科院分区：
文献类型：
--
作者：
Gaughwin, M;Solomon, P;Ali, R
目的：为了探讨相关的保留在南澳大利亚州美沙酮计划在1981年至1991年。设计：回顾性研究的非分层随机样本的229名HIV阴性的客户谁收到美沙酮在1981年1月至1991年6月。从229名HIV阴性患者的临床记录中收集数据，并从40名已知在十年期间感染HIV的患者中收集数据。结果：HIV阳性、接受较大最大剂量的美沙酮、从私人药房接受美沙酮以及在十年后期注册都与该计划的保留时间较长相关。这项研究支持了以前的研究结果，即美沙酮的最大剂量对美沙酮计划的保留至关重要，但即使考虑到最大剂量，从私人药房获得美沙酮也与计划的保留密切相关。十年后更“人性化”的诊所政策可能会增加保留和减少非法药物的使用。
Objectives: To investigate correlates of retention on the South Australian Methadone Program during 1981-91.Design: Retrospective study of a nonstratified random sample of 229 HIV-negative clients who received methadone between January 1981 and June 1991. Data were collected from clinical records of the 229 HIV-negative clients and also from the 40 clients known to be infected with HIV during the decade.Results: Being HIV positive, receiving larger maximum doses of methadone, receiving methadone from a private pharmacy and enrolling later in the decade were all associated with longer retention times on the program.Conclusions: This study supports the findings of previous studies, that maximum dose of methadone is crucial to retention in methadone programs, But even allowing for maximum dose, obtaining methadone from a private pharmacy was also strongly associated with retention on the program. The more 'humane' clinic policy later in the decade is likely to have increased retention and reduced illicit drug use also.