Club-based drug use and its associated risk factors among HIV-positive methadone maintenance treatment clients.

Haibo Jiang; Xiaobin Cao; Changhe Wang; Wei Luo; Keming Rou; Jianhua LI; Bo Zhang; Zunyou WU

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Club-based drug use and its associated risk factors among HIV-positive methadone maintenance treatment clients.

Author: Haibo JIANG ^{1
,

2} ; Xiaobin CAO ³ ; Changhe WANG ³ ; Wei LUO ³ ; Keming ROU ³ ; Jianhua LI ⁴ ; Bo ZHANG ⁴ ; Zunyou WU ¹ ;
Author Information

1. School of Public Health, Anhui Medical University, Hefei 230032, China
2. National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention.
3. National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention.
4. Yunnan Institute for Drug Abuse.
Publication Type:Journal Article
MeSH: Adult; China; epidemiology; Female; HIV Seropositivity; complications; drug therapy; Humans; Male; Methadone; therapeutic use; Middle Aged; Opiate Substitution Treatment; Risk Factors; Substance-Related Disorders; epidemiology
From: Chinese Journal of Epidemiology 2014;35(8):905-908
CountryChina
Language:Chinese
Abstract:
OBJECTIVETo describe club-based drug use and to explore the determinants on those HIV-positive methadone maintenance treatment (MMT) clients.
METHODSThis study was conducted in 5 MMT clinics in Yunnan province and 612 MMT clients who met the survey criteria were recruited for the study. Urine sample was tested as a biological marker to identify if heroin, methamphetamine, methylene-dioxy-methyl-amphetamine, buprenorphine or benzodiazepine had been used.
RESULTSThe average age among the 612 clients was 38.9 ± 6.3 years. Among these, 78.9% were males, with the average years of education as 8.0 ± 3.4 years. There were 60.5% clients who had good relationship with their families. 153 (25.0%) clients reported having used club-related drugs in the last 12 months. Results from the urine test showed that the positive rate on morphine was 14.4%, while the positive rate for club-related drugs was 26.6%. Factors as residential area, casual sexual partners, retention on MMT and occasionally use of heroin were associated with urine results on club-related drugs and the prevalence of self-reported club drug use (P < 0.05).
CONCLUSIONClub-related drug use was common among HIV-positive MMT clients. Inspection and supervision for club-related drugs and the education and intervention programs on related high risk behaviors should be strengthened.