Factors associated with drug treatment dropout among injection drug users in Puerto Rico
| Autor: | Tomás D. Matos, C. Amalia Marrero, Hardeo Sahai, Rafaela R. Robles, José M. Calderón, Juan C. Reyes, Elizabeth W. Shepard, Héctor M. Colón |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Drug Longitudinal study medicine.medical_specialty Patient Dropouts Adolescent media_common.quotation_subject education Motivational interviewing Medicine (miscellaneous) Rural Health Toxicology Cocaine-Related Disorders Social support Acquired immunodeficiency syndrome (AIDS) Intervention (counseling) mental disorders medicine Humans Longitudinal Studies Substance Abuse Intravenous Psychiatry Dropout (neural networks) media_common Speedball Heroin Dependence business.industry Puerto Rico Age Factors Patient Acceptance of Health Care medicine.disease Psychiatry and Mental health Clinical Psychology Socioeconomic Factors Ill-Housed Persons Female business Demography medicine.drug |
| Zdroj: | Addictive Behaviors. 30:397-402 |
| ISSN: | 0306-4603 |
| DOI: | 10.1016/j.addbeh.2004.05.024 |
| Popis: | This study examined factors associated with drug treatment dropout among injection drug users (IDUs) in Puerto Rico, a group that has contributed significantly to the self-sustaining AIDS epidemic in the island since the mid-1980s. A total of 557 IDUs were recruited from communities in a semirural region of Puerto Rico, as part of a longitudinal study testing the efficacy of a two-facet intervention model, based on motivational interviewing. Of 124 IDUs who had entered drug treatment at follow-up, 33 (26.6%) dropped out before completing all recommended sessions. Multiple logistic regression analysis showed that age, homelessness, and speedball use were significantly associated with drug treatment dropout. Conversely, participants who received the two-facet intervention were significantly less likely to drop out of drug treatment. Receiving psychiatric services also reduced the odds of treatment dropout. Improving adherence to drug treatment and reducing dropout rates are complex processes that need to be addressed at the individual behavioral and social support levels, as well as the program process and resource levels. |
| Databáze: | OpenAIRE |
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