Higher methadone dose reduces risky drug injecting behaviours among methadone clients in Myanmar

Autor: Sun Tun, B. Vicknasingam, Darshan Singh
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Emerging Trends in Drugs, Addictions, and Health, Vol 1, Iss , Pp 100025- (2021)
Druh dokumentu: article
ISSN: 2667-1182
DOI: 10.1016/j.etdah.2021.100025
Popis: Background: HIV prevalence rate among people who inject drugs (PWIDs) in Myanmar is marginally high (34.9%). HIV transmission can be reduced and prevented through harm reduction programs such as methadone maintenance treatment (MMT) and needle syringe exchange program (NSEP). We sought to determine the relationship between methadone dose and injecting behaviours among clients enrolled in the MMT program in Myanmar. Method: A total of 210 MMT clients, who had a minimum of six-month methadone treatment history, were recruited from five cities through stratified random sampling for this cross-sectional study. A semi-structured questionnaire with the timeline flow back (TLFB) scale was administered. Respondents were also screened for illicit drug use. Results: Almost two-thirds (63.5%, n=132) received less than or equal to 80mg/day of methadone dose, and 36.5% (n=76) received more than 80mg of methadone daily, while the sample average daily methadone dose in this study was 83mg (ranging from 20mg to 300mg per day). The results indicated that methadone dose was associated with having HIV infection, antiretroviral therapy (ART) and tuberculosis (TB) treatment history, heroin injection history in the last 30 days, needle sharing history, addiction severity on employment, as well as THC (cannabis) and benzodiazepine use history (p
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