TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Alcohol Drinking/epidemiology
KW - Analgesics, Opioid/therapeutic use
KW - China/epidemiology
KW - Cross-Sectional Studies
KW - HIV Infections/epidemiology
KW - Hepatitis C, Chronic/epidemiology
KW - Humans
KW - Methadone/therapeutic use
KW - Middle Aged
KW - Opiate Substitution Treatment
KW - Opioid-Related Disorders/epidemiology/rehabilitation
KW - Tobacco Smoking
KW - Young Adult
KW - HIV
KW - Alcohol
KW - Methadone maintenance treatment (MMT)
KW - Prevalence
KW - Tobacco
AU - Song Duan
AU - Ziyi Jin
AU - Xing Liu
AU - Yuecheng Yang
AU - Runhua Ye
AU - Renhai Tang
AU - Meiyang Gao
AU - Yingying Ding
AU - Na He
A1 - 
AB - OBJECTIVE: To estimate the prevalence of ever, current and heavy tobacco and alcohol use and their correlates among patients undergoing methadone maintenance treatment (MMT). DESIGN: Cross-sectional study. SETTING: The study was conducted in all of the 5 MMT clinics in Dehong Prefecture, China. PARTICIPANTS: 2121 (81.6%) eligible MMT participants were included in the study population. ANALYSIS: Ordinal logistic regression was used to estimate the ORs and their 95% CIs. RESULTS: The overall prevalence of ever, current and heavy smoking was 98.6%, 97.8% and 66.3%, respectively; while that of ever, current and hazardous alcohol drinking was 86.6%, 58.6% and 16.6%, respectively. Among HIV-infected participants, the proportions of those experiencing harmful effects of tobacco and alcohol on AIDS were 53.6% and 72.5%, respectively, and 16.9% and 49.3% had ever tried to quit after diagnosis with HIV. After adjusting for potential confounders, heavier smokers and more hazardous drinkers were more likely to be men, older and less educated. Ethnic minorities were less likely to heavily smoke, but more likely to engage in hazardous drinking. In addition, hazardous drinking was negatively associated with longer years of MMT and HIV infection. Moreover, heavier smoking (OR>/=2=2.08, 95% CI 1.16 to 3.73) and more hazardous drinking (OR>/=2=2.46, 95% CI 1.53 to 3.97) were positively associated with having multiple sexual partners, and both were positively associated with each other. CONCLUSIONS: The prevalence of tobacco and alcohol consumption was extraordinarily high among MMT participants in China, suggesting the urgent need of enhancing MMT patients' awareness of the harmful effects of tobacco and alcohol consumption and implementing comprehensive education and effective intervention programmes.
AD - Dehong Prefecture Center for Disease Control and Prevention, Mangshi, Yunnan Province, China.; Department of Epidemiology at School of Public Health and The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China.; Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China.; Department of Epidemiology at School of Public Health and The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China.; Dehong Prefecture Center for Disease Control and Prevention, Mangshi, Yunnan Province, China.; Dehong Prefecture Center for Disease Control and Prevention, Mangshi, Yunnan Province, China.; Dehong Prefecture Center for Disease Control and Prevention, Mangshi, Yunnan Province, China.; Department of Epidemiology at School of Public Health and The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China.; Department of Epidemiology at School of Public Health and The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China.; Department of Epidemiology at School of Public Health and The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China.; Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China.
BT - BMJ open
C5 - Healthcare Disparities; Opioids & Substance Use
CP - 3
CY - England
DO - 10.1136/bmjopen-2016-014643
IS - 3
JF - BMJ open
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: To estimate the prevalence of ever, current and heavy tobacco and alcohol use and their correlates among patients undergoing methadone maintenance treatment (MMT). DESIGN: Cross-sectional study. SETTING: The study was conducted in all of the 5 MMT clinics in Dehong Prefecture, China. PARTICIPANTS: 2121 (81.6%) eligible MMT participants were included in the study population. ANALYSIS: Ordinal logistic regression was used to estimate the ORs and their 95% CIs. RESULTS: The overall prevalence of ever, current and heavy smoking was 98.6%, 97.8% and 66.3%, respectively; while that of ever, current and hazardous alcohol drinking was 86.6%, 58.6% and 16.6%, respectively. Among HIV-infected participants, the proportions of those experiencing harmful effects of tobacco and alcohol on AIDS were 53.6% and 72.5%, respectively, and 16.9% and 49.3% had ever tried to quit after diagnosis with HIV. After adjusting for potential confounders, heavier smokers and more hazardous drinkers were more likely to be men, older and less educated. Ethnic minorities were less likely to heavily smoke, but more likely to engage in hazardous drinking. In addition, hazardous drinking was negatively associated with longer years of MMT and HIV infection. Moreover, heavier smoking (OR>/=2=2.08, 95% CI 1.16 to 3.73) and more hazardous drinking (OR>/=2=2.46, 95% CI 1.53 to 3.97) were positively associated with having multiple sexual partners, and both were positively associated with each other. CONCLUSIONS: The prevalence of tobacco and alcohol consumption was extraordinarily high among MMT participants in China, suggesting the urgent need of enhancing MMT patients' awareness of the harmful effects of tobacco and alcohol consumption and implementing comprehensive education and effective intervention programmes.
PP - England
PY - 2017
SN - 2044-6055; 2044-6055
SP - e014643
T1 - Tobacco and alcohol use among drug users receiving methadone maintenance treatment: a cross-sectional study in a rural prefecture of Yunnan Province, Southwest China
T2 - BMJ open
TI - Tobacco and alcohol use among drug users receiving methadone maintenance treatment: a cross-sectional study in a rural prefecture of Yunnan Province, Southwest China
U1 - Healthcare Disparities; Opioids & Substance Use
U2 - 28363929
U3 - 10.1136/bmjopen-2016-014643
VL - 7
VO - 2044-6055; 2044-6055
Y1 - 2017
Y2 - Mar 30
ER -