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Retention, HIV risk, and illicit drug use during treatment

Methadone dose and visit frequency

Bibliographic Data

ID11035681
AuthorsHoward M Rhoades (Substance Abuse and Mental Health Services Administration), D Creson, Daniel L Creson (The University of Texas at Austin), Ronith Elk (The University of Texas at Austin), Joy M Schmitz (0000-0002-3561-4614, The University of Texas at Austin), J Schmitz, J Grabowski (0000-0002-4215-4505)
Year1998
Volume88
Issue1
Pages34-39
Publication date1998-01-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.88.1.34
PMID9584030
OpenAlexW2094620626
LanguageEN
Citations received17
References cited11

OBJECTIVES: This study examined two major methadone treatment factors, visit frequency and methadone dose, posited to be important in reducing intravenous drug use and human immunodeficiency virus (HIV) transmission. METHODS: One hundred fifty opiate-dependent subjects randomly assigned to four groups received 50 or 80 mg of methadone and attended a clinic 2 or 5 days per week. RESULTS: Survival analysis indicated higher dropout rates for groups having five vs two visits per week (Chi2[1]=7.76). Higher proportions of opiate-positive results on urine screens were associated with lower methadone doses (F[1,91]=4.74). CONCLUSIONS: Receiving take-home doses early in treatment enhanced treatment retention. The 50-mg dose combined with five visits per week produced the worst outcome. Fewer visits enhanced retention at 50 mg, but opiate use rates were higher at this dose than they were for either 80-mg group. The HIV infection rate at entry was 9%. No subjects seroconverted during the study. Risk behaviors for acquired immunodeficiency syndrome declined over time regardless of group/dose assignment. These results have important implications for modification of regulatory and clinic policy changes

Anesthesia · Drug · Heroin · Human immunodeficiency virus (HIV) · Illicit drug · Methadone · Methadone maintenance · Opiate · Psychiatry · Sida · Substance abuse · Urine · Viral disease · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Immunology · Internal Medicine · Medicine · Substance Abuse Treatment and Outcomes

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Citations per year0.65
Citation span2000 - 2024 (25)
Highly citedNo

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