Characteristics and Outcome of Minority Group Patients in Methadone Maintenance Treatment

Bibliographic Data

ID13913784
AuthorsEinat Peles (Tel Aviv Sourasky Medical Center, corresponding author), Shaul Schreiber (0000-0003-2254-7771, Tel Aviv Sourasky Medical Center), Miriam Adelson (0009-0005-1649-6260, Tel Aviv University)
Year2014
Volume46
Issue4
Pages317-324
Publication date2014-08-08
Open AccessNo
TypeARTICLE
VenueJournal of Psychoactive Drugs (JOURNAL)
Journal identifiersISSN: 0279-1072 • E-ISSN: 2159-9777
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/02791072.2014.944289
PMID25188702
OpenAlexW2064940522
LanguageEN
Citations received2
References cited22

Minority status is associated with mental and physical morbidity, substance dependence, and poor outcomes. To compare characteristics and treatment outcomes between patients from two minority groups in Israel (Christians and Muslims) and patients from the majority population (Jews) in methadone maintenance treatment (MMT), we prospectively studied all patients admitted to our clinic between 1993 and 2012 and followed up until 2013; 655 Jews, 67 Christians, and 37 Muslims. Christian patients differed from Jews and Muslims by younger age at admission to MMT, greater prevalence of drug injectors, and a higher proportion of Hepatitis-C and HIV sera positive. Muslims had comparatively less education and a lower proportion of females. The three groups had similar rates of one-year retention (75.9%) and opiate abstinence (68.1%). They also did not differ in long-term retention (up to 20 years): Muslims 5.5 years (95%CI 3.6-7.4), Christians 7.5 years (95%CI 6-9.1), and Jews 7.6 years (95%CI 7-8.2, p = .3). The Hepatitis-C incidence, however, was higher among the 21 admitted Hepatitis-C seronegative minorities (5.0/100 person years) than the 207 Hepatitis-C seronegative non-minority patients (1.7/100 person years, p=0.03). All groups had good treatment outcomes, except for Hepatitis-C seroconversion, which necessitates a specific preventive intervention among the minority groups

Abstinence · Drug · Hepatitis · Hepatitis B · Hepatitis C · Heroin · Human immunodeficiency virus (HIV · Incidence (geometry · Methadone · Methadone maintenance · Population · Psychiatry · Seroconversion · Substance abuse · Demography · Hepatitis C virus research · HIV, Drug Use, Sexual Risk · Medicine · Migration, Health and Trauma · Immunology · Internal Medicine

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