[A cross-sectional survey of receiving no methadone maintenance treatment in HIV infected injecting drug users in Dehong Dai and Jingpo autonomous prefecture, Yunnan province].
Objective:To understand the current status of receiving no methadone maintenance treatment (MMT) and influencing factors in HIV infected injecting drug users (IDUs) in Dehong Dai and Jingpo autonomous prefectures, Yunnan province.Methods:Data of survival of IDUs with AIDS in Dehong were collected from " Chinese National Comprehensive HIV/AIDS and Care Information System" in December, 2014.Results:There were 987 IDUs who should receive MMT, the majority of them were males (94.6%, 934/987), aged 35-44 years (53.0%, 523/987) and farmers (77.2%, 762/987). Among the 987 IDUs, 60.2% (592/987) received no MMT. Multivariate logistic regression analysis showed that being female (OR=2.66, 95%CI: 1.21-5.87), in Jingpo ethnic group (OR=3.05, 95% CI: 1.97-4.71) were the major risk factors for receiving no MMT; not being farmers (OR=0.46, 95%CI: 0.31-0.70), in Dai ethnic group (OR=0.53, 95%CI: 0.36-0.79), diagnosed HIV infection history ≥10 years (OR=0.60, 95%CI: 0.45-0.81) were the major protective factors for receiving no MMT. The reasons for receiving no MMT included long distance journey (289,48.8%), fear of exposure (124, 20.9%), poor daily medication compliance (59, 10.0%), fear of side effects (47, 7.9%), others (73, 12.3%).Conclusions:The proportion of receiving no MMT in IDUs with AIDS in Dehong was high. Being female and farmer, in Jingpo ethnic group, low educational level, short diagnosed HIV infection history were influencing factors for receiving no MMT. The effective intervention measures should be taken to further improve MMT coverage according to the different characteristics of the patients.
Dehong Prefecture Center for Disease Control and Prevention, Mangshi 678400, China.
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RH
Tang
Dehong Prefecture Center for Disease Control and Prevention, Mangshi 678400, China.
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RH
Ye
Dehong Prefecture Center for Disease Control and Prevention, Mangshi 678400, China.
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YC
Yang
Dehong Prefecture Center for Disease Control and Prevention, Mangshi 678400, China.
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ST
Yao
Dehong Prefecture Center for Disease Control and Prevention, Mangshi 678400, China.
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JB
Wang
Mangshi County Center for Disease Control and Prevention, Mangshi 678400, China.
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RM
Zhang
Yingjiang County Center for Disease Control and Prevention, Yingjiang 679300, China.
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LF
Luo
Ruili County Center for Disease Control and Prevention, Ruili 678600, China.
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ZL
Wu
Longchuan County Center for Disease Control and Prevention, Longchuan 678700, China.
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YC
Long
Lianghe County Center for Disease Control and Prevention, Lianghe 679200, China.
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MS
Yin
Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China.
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He
Dehong Prefecture Center for Disease Control and Prevention, Mangshi 678400, China.
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Duan
D000328:Adult; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D055030:Drug Users / Q000523:psychology / Q000706:statistics & numerical data*; D005006:Ethnicity; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000453:epidemiology; D006297:Health Services Accessibility; D054625:Healthcare Disparities; D006801:Humans; D016015:Logistic Models; D008297:Male; D055118:Medication Adherence; D008691:Methadone / Q000627:therapeutic use; D015999:Multivariate Analysis; D058850:Opiate Substitution Treatment; D012307:Risk Factors; D015819:Substance Abuse, Intravenous / Q000523:psychology / Q000534:rehabilitation*; D011795:Surveys and Questionnaires
D008691:Methadone
AIDS; Injecting drug user; Methadone maintenance treatment