AIMS: To examine the prevalence rate and predictors of alcohol use problems among patients undergoing methadone maintenance treatment (MMT). DESIGN: This was a prospective follow-up study. PARTICIPANTS: Study population included 438 patients who underwent more than 6 months of MMT. MEASUREMENTS: Demographic and clinical characteristics were collected for each patient prior to treatment, and treatment-related variables were collected during treatment process. Hazardous drinking, alcohol abuse, and dependence were measured using a Chinese version of the Alcohol Use Disorders Identification Test (AUDIT) and by measuring breath alcohol concentration. FINDINGS: The prevalence rates of alcohol use problems, indicated by hazardous drinking are 31.4%. The protective predictors of alcohol use problems among MMT patients include an attendance rate of more than 90% (odds ratio [OR] = 0.54, 95% confidence interval [CI] = 0.30-0.97) and being older than 36 years (OR = 0.48, 95% CI = 0.27-0.86), and alcohol drinking problem at intake of study is a risk factor (OR = 5.30, 95% CI = 2.87-9.76). CONCLUSIONS: High attendance rate, which is regarded as a component of clinical policy and a key component of therapeutic context, should be incorporated with brief interventions to lower alcohol use problems among MMT patients.
AIMS: To examine the prevalence rate and predictors of alcohol use problems among patients undergoing methadone maintenance treatment (MMT). DESIGN: This was a prospective follow-up study. PARTICIPANTS: Study population included 438 patients who underwent more than 6 months of MMT. MEASUREMENTS: Demographic and clinical characteristics were collected for each patient prior to treatment, and treatment-related variables were collected during treatment process. Hazardous drinking, alcohol abuse, and dependence were measured using a Chinese version of the Alcohol Use Disorders Identification Test (AUDIT) and by measuring breath alcohol concentration. FINDINGS: The prevalence rates of alcohol use problems, indicated by hazardous drinking are 31.4%. The protective predictors of alcohol use problems among MMTpatients include an attendance rate of more than 90% (odds ratio [OR] = 0.54, 95% confidence interval [CI] = 0.30-0.97) and being older than 36 years (OR = 0.48, 95% CI = 0.27-0.86), and alcohol drinking problem at intake of study is a risk factor (OR = 5.30, 95% CI = 2.87-9.76). CONCLUSIONS: High attendance rate, which is regarded as a component of clinical policy and a key component of therapeutic context, should be incorporated with brief interventions to lower alcohol use problems among MMTpatients.
Authors: Jan Klimas; Christopher Fairgrieve; Helen Tobin; Catherine-Anne Field; Clodagh Sm O'Gorman; Liam G Glynn; Eamon Keenan; Jean Saunders; Gerard Bury; Colum Dunne; Walter Cullen Journal: Cochrane Database Syst Rev Date: 2018-12-05
Authors: Bach Xuan Tran; Huong Lan Thi Nguyen; Quynh Ngoc Hoang Le; Hue Thi Mai; Chau Ngo; Canh Dinh Hoang; Hai Hong Nguyen; Hai Quan Le; Hung Van Nguyen; Huong Thi Le; Tho Dinh Tran; Nabil Zary; Carl A Latkin; Thuc Minh Thi Vu; Roger C M Ho; Melvyn W B Zhang Journal: Addict Behav Rep Date: 2017-11-20