Document 0663
 DOCN  M9550663
 TI    Suspected determinants of enrollment into detoxification and methadone
       maintenance treatment among injecting drug users.
 DT    9505
 AU    Schutz CG; Rapiti E; Vlahov D; Anthony JC; National Institute on Drug
       Abuse/Intramural Research Program,; Etiology Branch, Baltimore, MD
       21224.
 SO    Drug Alcohol Depend. 1994 Oct;36(2):129-38. Unique Identifier : AIDSLINE
       MED/95154180
 AB    Our primary aim in this study has been to evaluate selected conditions
       thought to influence the entry of injecting drug users (IDU) into
       detoxification and methadone maintenance programs, making use of a
       prospective study design to strengthen a cross-sectional investigation
       of these conditions. To begin our investigation, we analyzed
       cross-sectionally gathered data on 2879 IDUs who had been recruited
       through extensive community outreach efforts and who were interviewed at
       the time of recruitment. We then tested our hypotheses about suspected
       determinants of entry into treatment by analyzing prospectively gathered
       data on 1039 active drug users who had no recent history of being
       treated for drug problems. Among these 1039 IDUs (a subset of the
       initial cross-sectional sample), 144 entered a detoxification program
       between their recruitment interview and their next follow-up interview,
       conducted about six months after recruitment (range: 3.5-9.5 months) and
       64 entered a methadone maintenance program during that observation
       interval. Using multiple logistic regression analyses, we found that a
       recent drug overdose, relatively higher frequency of injecting drugs,
       and a history of prior arrest or treatment were independent predictors
       of entry into detoxification. Being married or living with a partner,
       being female, a lengthy duration of drug use (> 10 years), and a history
       of prior treatment were independent predictors of entry into methadone
       maintenance. These findings shed light on what appears to be a different
       profile of suspected determinants of entry into a detoxification
       treatment versus methadone maintenance treatment, and help to clarify
       some potential differences between treated and untreated drug users that
       ought to be considered when evaluating results of investigations with
       IDU participants recruited solely from treatment settings.
 DE    Adolescence  Adult  Amphetamine  Baltimore/EPIDEMIOLOGY  Cocaine
       Cross-Sectional Studies  Female  Follow-Up Studies  Heroin
       Dependence/EPIDEMIOLOGY/PSYCHOLOGY/REHABILITATION  Human  HIV
       Infections/PREVENTION & CONTROL/TRANSMISSION  Male
       Methadone/*THERAPEUTIC USE  Middle Age  Narcotic
       Dependence/EPIDEMIOLOGY/PSYCHOLOGY/REHABILITATION  *Patient Acceptance
       of Health Care  Patient Admission/STATISTICS & NUMER DATA  Prospective
       Studies  Risk Factors  Social Environment  Substance Abuse,
       Intravenous/EPIDEMIOLOGY/PSYCHOLOGY/  *REHABILITATION  Substance
       Dependence/EPIDEMIOLOGY/PSYCHOLOGY/REHABILITATION  Support, U.S. Gov't,
       P.H.S.  *Urban Population/STATISTICS & NUMER DATA  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).