title: Structural-level factors affecting implementation of the methadone maintenance therapy program in China.
abstract: This study identifies structural-level factors influencing methadone maintenance therapy (MMT) program implementation in China. Twenty-eight service providers and 560 randomly selected clients from 28 MMT clinics in the study area underwent face-to-face interviews. Number of clients, retention rate, coverage, and structural-level factors were collected from a survey of service providers. Individual-level factors and self-reported illicit drug use information were obtained from clients. Urine specimens were collected from the client participants to test for heroin use. Clinics affiliated with the local Centers for Disease Control and Prevention (CDC) had more clients, higher retention rates, and broader coverage than those not affiliated with the CDC. Longer operating hours, incentive for compliant clients, and comprehensive services were positively associated with client recruitment and coverage. Comprehensive services and incentives for compliant clients were negatively associated with concurrent illicit drug use. Comprehensive services should be incorporated into the MMT program. Extended operating hours and incentives for compliant clients should be implemented.
authors.affiliation: Department of Epidemiology, School of Public Health, University of California at Los Angeles, Los Angeles, CA 90024, USA. chunqinglin@hotmail.com
authors.forename: Chunqing
authors.initials: C
authors.lastname: Lin
authors.forename: Zunyou
authors.initials: Z
authors.lastname: Wu
authors.forename: Keming
authors.initials: K
authors.lastname: Rou
authors.forename: Wenyuan
authors.initials: W
authors.lastname: Yin
authors.forename: Changhe
authors.initials: C
authors.lastname: Wang
authors.forename: Steven
authors.initials: S
authors.lastname: Shoptaw
authors.forename: Roger
authors.initials: R
authors.lastname: Detels
mesh_terms: D000328:Adult; D000368:Aged; D002681:China; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D008875:Middle Aged; D016017:Odds Ratio; D009293:Opioid-Related Disorders / Q000188:drug therapy* / Q000534:rehabilitation; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D015397:Program Evaluation; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*; D011795:Surveys and Questionnaires
chemical_list: D008691:Methadone