Factors influencing access to methadone maintenance treatment among injecting drug users attending antiretroviral treatment clinics in two counties, Yunnan province
10.3760/cma.j.issn.0254-6450.2016.01.014
- VernacularTitle:云南省两地抗病毒治疗门诊注射吸毒HIV感染者人组美沙酮维持治疗的影响因素分析
- Author:
Jun CHEN
1
,
2
;
Xiaobin CAO
;
Bo ZHANG
;
Ling WU
;
Guanming YAN
;
Zunyou WU
Author Information
1. 230032 合肥,安徽医科大学公共卫生学院
2. 102206 北京,中国疾病预防控制中心性病艾滋病预防控制中心预防干预室
- Keywords:
AIDS;
Methadone maintenance treatment;
Antiretroviral therapy;
Injecting drug users
- From:
Chinese Journal of Epidemiology
2016;37(1):68-71
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the demographic characteristics of HIV infected injecting drug users (IDUs) with access to antiretroviral therapy (ART) and to identify the factors influencing their access to methadone maintenance treatment (MMT).Methods Outpatients infected with HIV through injecting drug use were selected from the ART clinics in 2 counties in Yunnan province.They were divided into 2 groups,MMT group and non MMT group.Descriptive epidemiologic analysis was conducted on their demographic characteristics,disease history and high risk behaviors and logistic regression analysis was done to identify the factors associated with the access to MMT.Results Among 635 IDUs (536 males,99 females) surveyed,247 received MMT (38.9％),388 received no MMT(61.1％).The median age was 40.33 years and the median diagnosed HIV infection time was 6.08 years.Multivariate logistic regression indicated that being female (OR=2.40,95％CI:1.00-5.74),educational level of junior high school (OR =3.28,95％CI:1.75-6.14),educational level of senior high school or above (OR =7.10,95 ％CI:1.90-26.62),more than 6 years of diagnosed HIV infection history (OR=3.84,95％CI:2.11-6.98) and HCV positive (OR=6.21,95％CI:3.06-12.58) were the positive factors influencing IDUs' access to MMT.However,being married (OR=0.38,95％CI:0.20-0.72) or being employed (OR=0.01,95％CI:0.00-0.02) were the negative factors influencing IDUs' access to MMT.Conclusion The proportion of HIV infected IDUs who received MMT in ART clinics was still very low in the two counties,targeted intervention measures should be taken to increase the MMT coverage,especially among those who are married or employed.
