Characteristics and outcome of minority group patients in methadone maintenance treatment.

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  • Author(s): Peles E;Peles E;Peles E; Schreiber S; Adelson M
  • Source:
    Journal of psychoactive drugs [J Psychoactive Drugs] 2014 Oct-Dec; Vol. 46 (4), pp. 317-24.
  • Publication Type:
    Comparative Study; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Taylor & Francis Country of Publication: United States NLM ID: 8113536 Publication Model: Print Cited Medium: Print ISSN: 0279-1072 (Print) Linking ISSN: 02791072 NLM ISO Abbreviation: J Psychoactive Drugs Subsets: MEDLINE
    • Publication Information:
      Publication: <1997- > : Boca Raton : Taylor & Francis
      Original Publication: San Francisco, Calif. : Published by Haight-Ashbury Publications in association with the Haight-Ashbury Free Medical Clinic, c1981-
    • Subject Terms:
    • Abstract:
      Abstract Minority status is associated with mental and physical morbidity, substance dependence, and poor outcomes. To compare characteristics and treatment outcomes between patients from two minority groups in Israel (Christians and Muslims) and patients from the majority population (Jews) in methadone maintenance treatment (MMT), we prospectively studied all patients admitted to our clinic between 1993 and 2012 and followed up until 2013; 655 Jews, 67 Christians, and 37 Muslims. Christian patients differed from Jews and Muslims by younger age at admission to MMT, greater prevalence of drug injectors, and a higher proportion of Hepatitis-C and HIV sera positive. Muslims had comparatively less education and a lower proportion of females. The three groups had similar rates of one-year retention (75.9%) and opiate abstinence (68.1%). They also did not differ in long-term retention (up to 20 years): Muslims 5.5 years (95%CI 3.6-7.4), Christians 7.5 years (95%CI 6-9.1), and Jews 7.6 years (95%CI 7-8.2, p = .3). The Hepatitis-C incidence, however, was higher among the 21 admitted Hepatitis-C seronegative minorities (5.0/100 person years) than the 207 Hepatitis-C seronegative non-minority patients (1.7/100 person years, p=0.03). All groups had good treatment outcomes, except for Hepatitis-C seroconversion, which necessitates a specific preventive intervention among the minority groups.
    • Contributed Indexing:
      Keywords: Hepatitis C; methadone maintenance treatment; minority; retention; sero-conversion
    • Accession Number:
      0 (Analgesics, Opioid)
      UC6VBE7V1Z (Methadone)
    • Publication Date:
      Date Created: 20140905 Date Completed: 20180123 Latest Revision: 20180123
    • Publication Date:
      20240104
    • Accession Number:
      10.1080/02791072.2014.944289
    • Accession Number:
      25188702