Illicit Heroin and Methamphetamine Use among Methadone Maintenance Treatment Patients in Dehong Prefecture of Yunnan Province, China.

Methadone maintenance treatment (MMT) was introduced to China in 2004 to reduce the harm of injecting drug users (IDUs). However, little is known about continued drug use, especially methamphetamine (MAMP), among MMT patients.A survey was conducted among patients attending five major MMT clinics in...

Full description

Bibliographic Details
Main Authors: Rongrong Wang, Yingying Ding, Hongling Bai, Song Duan, Runhua Ye, Yuecheng Yang, Jibao Wang, Renhai Tang, Meiyang Gao, Na He
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4510060?pdf=render
_version_ 1811282503581827072
author Rongrong Wang
Yingying Ding
Hongling Bai
Song Duan
Runhua Ye
Yuecheng Yang
Jibao Wang
Renhai Tang
Meiyang Gao
Na He
author_facet Rongrong Wang
Yingying Ding
Hongling Bai
Song Duan
Runhua Ye
Yuecheng Yang
Jibao Wang
Renhai Tang
Meiyang Gao
Na He
author_sort Rongrong Wang
collection DOAJ
description Methadone maintenance treatment (MMT) was introduced to China in 2004 to reduce the harm of injecting drug users (IDUs). However, little is known about continued drug use, especially methamphetamine (MAMP), among MMT patients.A survey was conducted among patients attending five major MMT clinics in Dehong Prefecture in 2014 to investigate the heroin and MAMP use and their associated risk factors. Participants were administered with face-to-face interviews, and urine tests for morphine and MAMP.A total of 2,121 were eligible and participated in the study. Among them, 220 (10.4%) were only positive for morphine, 12.9% were only positive for MAMP, and 196 (9.2%) were positive for both morphine and MAMP. Compared with neither use of heroin nor MAMP during MMT, heroin use (not using MAMP) was associated with ethnicity, shorter duration of MMT, lower dose of methadone, and having had no more than two sex partners in the past year; MAMP use (not using heroin) was associated with ethnicity, longer duration of MMT, higher dose of methadone and being aged <30 years (vs. ≥50 years); use of both heroin and MAMP was associated with being Dai minority (vs. Han), a marital status of divorced or widowed, having used drugs for ≥10 years and shorter duration of MMT.These findings indicate the complexity in the treatment of heroin users and underscore the importance in prescribing appropriate methadone dosages in order to reduce both heroin and MAMP use.
first_indexed 2024-04-13T01:53:58Z
format Article
id doaj.art-737c3e3f5f674e3d94c5effabdadef09
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-13T01:53:58Z
publishDate 2015-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-737c3e3f5f674e3d94c5effabdadef092022-12-22T03:07:48ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01107e013343110.1371/journal.pone.0133431Illicit Heroin and Methamphetamine Use among Methadone Maintenance Treatment Patients in Dehong Prefecture of Yunnan Province, China.Rongrong WangYingying DingHongling BaiSong DuanRunhua YeYuecheng YangJibao WangRenhai TangMeiyang GaoNa HeMethadone maintenance treatment (MMT) was introduced to China in 2004 to reduce the harm of injecting drug users (IDUs). However, little is known about continued drug use, especially methamphetamine (MAMP), among MMT patients.A survey was conducted among patients attending five major MMT clinics in Dehong Prefecture in 2014 to investigate the heroin and MAMP use and their associated risk factors. Participants were administered with face-to-face interviews, and urine tests for morphine and MAMP.A total of 2,121 were eligible and participated in the study. Among them, 220 (10.4%) were only positive for morphine, 12.9% were only positive for MAMP, and 196 (9.2%) were positive for both morphine and MAMP. Compared with neither use of heroin nor MAMP during MMT, heroin use (not using MAMP) was associated with ethnicity, shorter duration of MMT, lower dose of methadone, and having had no more than two sex partners in the past year; MAMP use (not using heroin) was associated with ethnicity, longer duration of MMT, higher dose of methadone and being aged <30 years (vs. ≥50 years); use of both heroin and MAMP was associated with being Dai minority (vs. Han), a marital status of divorced or widowed, having used drugs for ≥10 years and shorter duration of MMT.These findings indicate the complexity in the treatment of heroin users and underscore the importance in prescribing appropriate methadone dosages in order to reduce both heroin and MAMP use.http://europepmc.org/articles/PMC4510060?pdf=render
spellingShingle Rongrong Wang
Yingying Ding
Hongling Bai
Song Duan
Runhua Ye
Yuecheng Yang
Jibao Wang
Renhai Tang
Meiyang Gao
Na He
Illicit Heroin and Methamphetamine Use among Methadone Maintenance Treatment Patients in Dehong Prefecture of Yunnan Province, China.
PLoS ONE
title Illicit Heroin and Methamphetamine Use among Methadone Maintenance Treatment Patients in Dehong Prefecture of Yunnan Province, China.
title_full Illicit Heroin and Methamphetamine Use among Methadone Maintenance Treatment Patients in Dehong Prefecture of Yunnan Province, China.
title_fullStr Illicit Heroin and Methamphetamine Use among Methadone Maintenance Treatment Patients in Dehong Prefecture of Yunnan Province, China.
title_full_unstemmed Illicit Heroin and Methamphetamine Use among Methadone Maintenance Treatment Patients in Dehong Prefecture of Yunnan Province, China.
title_short Illicit Heroin and Methamphetamine Use among Methadone Maintenance Treatment Patients in Dehong Prefecture of Yunnan Province, China.
title_sort illicit heroin and methamphetamine use among methadone maintenance treatment patients in dehong prefecture of yunnan province china
url http://europepmc.org/articles/PMC4510060?pdf=render
work_keys_str_mv AT rongrongwang illicitheroinandmethamphetamineuseamongmethadonemaintenancetreatmentpatientsindehongprefectureofyunnanprovincechina
AT yingyingding illicitheroinandmethamphetamineuseamongmethadonemaintenancetreatmentpatientsindehongprefectureofyunnanprovincechina
AT honglingbai illicitheroinandmethamphetamineuseamongmethadonemaintenancetreatmentpatientsindehongprefectureofyunnanprovincechina
AT songduan illicitheroinandmethamphetamineuseamongmethadonemaintenancetreatmentpatientsindehongprefectureofyunnanprovincechina
AT runhuaye illicitheroinandmethamphetamineuseamongmethadonemaintenancetreatmentpatientsindehongprefectureofyunnanprovincechina
AT yuechengyang illicitheroinandmethamphetamineuseamongmethadonemaintenancetreatmentpatientsindehongprefectureofyunnanprovincechina
AT jibaowang illicitheroinandmethamphetamineuseamongmethadonemaintenancetreatmentpatientsindehongprefectureofyunnanprovincechina
AT renhaitang illicitheroinandmethamphetamineuseamongmethadonemaintenancetreatmentpatientsindehongprefectureofyunnanprovincechina
AT meiyanggao illicitheroinandmethamphetamineuseamongmethadonemaintenancetreatmentpatientsindehongprefectureofyunnanprovincechina
AT nahe illicitheroinandmethamphetamineuseamongmethadonemaintenancetreatmentpatientsindehongprefectureofyunnanprovincechina