Effects of publicly funded and quality of life on attendance rate among methadone maintenance treatment patients in Taiwan: an 18-month follow-up studyReport as inadecuate




Effects of publicly funded and quality of life on attendance rate among methadone maintenance treatment patients in Taiwan: an 18-month follow-up study - Download this document for free, or read online. Document in PDF available to download.

Harm Reduction Journal

, 12:40

Harm Reduction in Asia and the Pacific

Abstract

BackgroundMethadone maintenance treatment programs MMTPs are important public health intervention to control the human immunodeficiency virus HIV and the drug use problems. For expanding treatment coverage, publicly funded programs may be necessary for heroin users with low socio-economic status. We evaluated the difference of demographics, clinical features, and quality of life QoL of heroin users enrolled in publicly funded and self-paid MMTP and explored determinants influencing their attendance rate, respectively, for these two groups.

MethodsA total of 234 heroin users enrolled in MMTP 129 in publicly funded and 105 in self-paid between 2006 and 2008 self-reported the Taiwan version of the World Health Organization Quality of Life Instrument, Brief Version WHOQOL-BREF at baseline. Data regarding demographic and clinical features were collected during baseline interview. Methadone per 3-month attendance rates up to 18 months were conducted for each participant beginning from the index date.

ResultsSelf-paid group had a better QoL but lower treatment adherence than did the publicly funded group. Male and living alone were positive predictors on attendance rate for publicly funded group, and age of first heroin use and hepatitis C virus HCV seropositive were negative predictors. However, predictors on attendance rate for self-paid group were different from publicly funded group: HCV seropositive was a positive predictor and social QoL was a negative predictor.

ConclusionsFindings of this study should be concerned with modifying original funding eligibility. Additional measures to explore what could impede treatment adherence are needed.

KeywordsMethadone maintenance treatment Publicly funded Quality of life Self-paid Substance abuse AbbreviationsCDCCenter for Disease Control

DSM-IVDiagnostic and statistical manual of mental disorders, fourth edition

GEEgeneralized estimating equation

HCVhepatitis C virus

HIVhuman immunodeficiency virus

MMTmethadone maintenance treatment

MMTPmethadone maintenance treatment program

NHINational Health Insurance

QoLquality of life

WHOQOL-BREFWorld Health Organization Quality of Life Assessment, brief version

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Author: Kun-Chia Chang - Chung-Ying Lin

Source: https://link.springer.com/







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