Referring heroin users from compulsory detoxification centers to community methadone maintenance treatment: a comparison of three models.

dc.contributor.author

Yan, Liping

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Liu, Enwu

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McGoogan, Jennifer M

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Duan, Song

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Wu, Li-Tzy

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Comulada, Scott

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Wu, Zunyou

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England

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2016-06-04T23:00:51Z

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2013-08-13

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BACKGROUND: Both compulsory detoxification treatment and community-based methadone maintenance treatment (MMT) exist for heroin addicts in China. We aim to examine the effectiveness of three intervention models for referring heroin addicts released from compulsory detoxification centers to community methadone maintenance treatment (MMT) clinics in Dehong prefecture, Yunnan province, China. METHODS: Using a quasi-experimental study design, three different referral models were assigned to four detoxification centers. Heroin addicts were enrolled based on their fulfillment to eligibility criteria and provision of informed consent. Two months prior to their release, information on demographic characteristics, history of heroin use, and prior participation in intervention programs was collected via a survey, and blood samples were obtained for HIV testing. All subjects were followed for six months after release from detoxification centers. Multi-level logistic regression analysis was used to examine factors predicting successful referrals to MMT clinics. RESULTS: Of the 226 participants who were released and followed, 9.7% were successfully referred to MMT(16.2% of HIV-positive participants and 7.0% of HIV-negative participants). A higher proportion of successful referrals was observed among participants who received both referral cards and MMT treatment while still in detoxification centers (25.8%) as compared to those who received both referral cards and police-assisted MMT enrollment (5.4%) and those who received referral cards only (0%). Furthermore, those who received referral cards and MMT treatment while still in detoxification had increased odds of successful referral to an MMT clinic (adjusted OR = 1.2, CI = 1.1-1.3). Having participated in an MMT program prior to detention (OR = 1.5, CI = 1.3-1.6) was the only baseline covariate associated with increased odds of successful referral. CONCLUSION: Findings suggest that providing MMT within detoxification centers promotes successful referral of heroin addicts to community-based MMT upon their release.

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http://www.ncbi.nlm.nih.gov/pubmed/23938171

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1471-2458-13-747

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1471-2458

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https://hdl.handle.net/10161/12090

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eng

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Springer Science and Business Media LLC

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BMC Public Health

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10.1186/1471-2458-13-747

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Adolescent

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Adult

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China

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Community Health Services

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Female

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HIV Seropositivity

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Heroin

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Heroin Dependence

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Humans

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Logistic Models

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Male

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Mandatory Programs

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Methadone

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Middle Aged

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Opiate Substitution Treatment

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Police

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Referral and Consultation

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Young Adult

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Referring heroin users from compulsory detoxification centers to community methadone maintenance treatment: a comparison of three models.

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Journal article

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Wu, Li-Tzy|0000-0002-5909-2259

pubs.author-url

http://www.ncbi.nlm.nih.gov/pubmed/23938171

pubs.begin-page

747

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Center for Child and Family Policy

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Clinical Science Departments

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Duke

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Duke Clinical Research Institute

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Duke Institute for Brain Sciences

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Institutes and Centers

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Institutes and Provost's Academic Units

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Medicine

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Medicine, General Internal Medicine

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Psychiatry & Behavioral Sciences

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Psychiatry & Behavioral Sciences, Social and Community Psychiatry

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Sanford School of Public Policy

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School of Medicine

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University Institutes and Centers

pubs.publication-status

Published online

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13

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