TY - JOUR
KW - Adult
KW - China
KW - Employment
KW - Female
KW - HIV Infections/complications/epidemiology/transmission
KW - Humans
KW - Male
KW - Marital Status
KW - Methadone/therapeutic use
KW - Multivariate Analysis
KW - Needle Sharing
KW - Opiate Substitution Treatment
KW - Opioid-Related Disorders/complications/drug therapy
KW - Risk-Taking
KW - HIV
KW - Re-entry
KW - Methadone maintenance treatment (MMT)
AU - Xiaofeng Luo
AU - Xiao Gong
AU - Peizhen Zhao
AU - Xia Zou
AU - Wen Chen
AU - Li Ling
A1 - 
AB - This study examined the re-entry characteristics and related predictors among HIV-infected methadone maintenance treatment (MMT) clients in Guangdong, China. Data on HIV-infected MMT clients was obtained from the clinic MMT registration system in Guangdong. Of the 653 participants, only 9.0% remained in the MMT program until the end of the study. For the drop-outs, 70.0% returned to MMT at least once by the end of the study. Re-entry was independently associated with marital status (ORnever married = 2.24, 95% CI: 1.02-4.93; ORmarried currently = 2.34, 95% CI: 1.05-5.22), being unemployed (OR = 1.92, 95% CI: 1.12-3.27), lower positive percentages of urine tests (OR<40% = 4.08, 95% CI: 2.21-7.54; OR40%-80% = 2.52, 95% CI: 1.39-4.56), higher maintenance doses (OR = 3.78, 95% CI: 2.21-7.54)and poorer MMT attendance percentages (OR<20% = 282.02, 95% CI: 62.75-1268.11; OR20-49% = 20.75, 95% CI: 10.52-40.93; OR50-79% = 6.07, 95% CI: 3.44-10.73). A higher re-entry frequency was independently associated with lower education level (ORjunior high school = 0.49, 95% CI: 0.26-0.93), average drug use times less than twice (OR = 0.64, 95% CI: 0.41-1.00), lower positive percentages of urine tests (OR = 0.39, 95% CI: 0.22-0.70) and poorer percentages of MMT attendance (OR<20% = 7.24, 95% CI: 2.99-17.55; OR20-49% = 14.30, 95% CI: 5.94-34.42; OR50-79% = 6.15, 95% CI: 2.55-14.85). Re-entry and repeated re-entry were prevalent among HIV-infected MMT clients in Guangdong, underscoring the urgent needs of tailored interventions and health education programs for this population.
AD - Faculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University.; Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University.; Faculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University.; Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University.; Guangdong Provincial Center for Skin Disease and STI Control.; Faculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University.; Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University.; Faculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University.; Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University.; Faculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University.; Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University.
BT - Bioscience trends
C5 - Healthcare Disparities; Opioids & Substance Use
CP - 3
CY - Japan
DO - 10.5582/bst.2016.01236
IS - 3
JF - Bioscience trends
LA - eng
M1 - Journal Article
N2 - This study examined the re-entry characteristics and related predictors among HIV-infected methadone maintenance treatment (MMT) clients in Guangdong, China. Data on HIV-infected MMT clients was obtained from the clinic MMT registration system in Guangdong. Of the 653 participants, only 9.0% remained in the MMT program until the end of the study. For the drop-outs, 70.0% returned to MMT at least once by the end of the study. Re-entry was independently associated with marital status (ORnever married = 2.24, 95% CI: 1.02-4.93; ORmarried currently = 2.34, 95% CI: 1.05-5.22), being unemployed (OR = 1.92, 95% CI: 1.12-3.27), lower positive percentages of urine tests (OR<40% = 4.08, 95% CI: 2.21-7.54; OR40%-80% = 2.52, 95% CI: 1.39-4.56), higher maintenance doses (OR = 3.78, 95% CI: 2.21-7.54)and poorer MMT attendance percentages (OR<20% = 282.02, 95% CI: 62.75-1268.11; OR20-49% = 20.75, 95% CI: 10.52-40.93; OR50-79% = 6.07, 95% CI: 3.44-10.73). A higher re-entry frequency was independently associated with lower education level (ORjunior high school = 0.49, 95% CI: 0.26-0.93), average drug use times less than twice (OR = 0.64, 95% CI: 0.41-1.00), lower positive percentages of urine tests (OR = 0.39, 95% CI: 0.22-0.70) and poorer percentages of MMT attendance (OR<20% = 7.24, 95% CI: 2.99-17.55; OR20-49% = 14.30, 95% CI: 5.94-34.42; OR50-79% = 6.15, 95% CI: 2.55-14.85). Re-entry and repeated re-entry were prevalent among HIV-infected MMT clients in Guangdong, underscoring the urgent needs of tailored interventions and health education programs for this population.
PP - Japan
PY - 2017
SN - 1881-7823; 1881-7815
SP - 282
EP - 291
EP - 
T1 - Re-entry and related predictors among HIV-infected clients receiving methadone maintenance treatment in Guangdong province, China
T2 - Bioscience trends
TI - Re-entry and related predictors among HIV-infected clients receiving methadone maintenance treatment in Guangdong province, China
U1 - Healthcare Disparities; Opioids & Substance Use
U2 - 28420822
U3 - 10.5582/bst.2016.01236
VL - 11
VO - 1881-7823; 1881-7815
Y1 - 2017
Y2 - Jul 24
ER -