OMT patients who use needle exhange services - Do they still benefit from treatment?
description
Transcript of OMT patients who use needle exhange services - Do they still benefit from treatment?
![Page 1: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/1.jpg)
OMT PATIENTS WHO USE NEEDLE EXHANGE SERVICES-Do they still benefit from treatment?
Linn Gjersing & Anne Line Bretteville-Jensen
![Page 2: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/2.jpg)
OPIOID MAINTENANCE TREATMENT
Administration of opioidsEffective
Improve somatic health Reduce
Opioid useMortality risk Criminal activity
![Page 3: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/3.jpg)
OBJECTIVESOMT pts who continue drug use
Benefit from treatment?Differ from other opioid users?
Previous OMT pts Never in OMT?
![Page 4: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/4.jpg)
METHODS
Cross-sectional study (2002-2011)Needle-exchange programInterviews
![Page 5: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/5.jpg)
DESCRIPTION OF SAMPLEN=1,827
1,102 Never in OMT34.6 yrs
358 Current OMT pts37.4 yrs
367 Previous OMT pts37.6 yrs
1/3 women
70% methadone
30% subutex/subuxone
![Page 6: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/6.jpg)
Never Current Previous0 %
10 %
20 %
30 %
40 %
50 %
60 %
70 %
80 %
90 %
100 %House/apartement Institution, hospits Homeless
![Page 7: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/7.jpg)
HEROIN USE
Never in OMTN=1,102
Current OMT pts
N=358
Previous OMT pts
N=367
Injection days per month 21 days 13 days 25 days
Total per month 87 injections 52 injections 93 injections
Amount per month* 6 g 4 g 7 g
![Page 8: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/8.jpg)
AMPHETAMINE USE
Never in OMTN=1,102
Current OMT ptsN=358
Previous OMT pts
N=367
Injection days per month 11 days 8 days 10 days
Total per month 62 injections 45 injections 56 injections
Amount per month* 10 g 6 g 7 g
![Page 9: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/9.jpg)
TOTAL INJECTIONS PER MONTH 2002-2011 N=1795
b 95% CI P>|t|
Current OMT pts -35 -44; -26 <0.01
Previous OMT pts 14 6; 23 <0.01
Homeless or shelter user 29 21; 37 <0.01
Total number of drugs 12 9; 15 <0.01
Pills- Daily or almost daily 12 5; 19 <0.01
Alcohol- Daily or almost daily -25 -37; -14 <0.01*Linear regression analysis
![Page 10: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/10.jpg)
ILLEGAL ACTIVITES
Income sources
Never in OMTN=1,102
Current OMT pts
N=358
Previous OMT pts
N=367
Theft 13% 7% 11%
Dealing 38% 29% 40%
![Page 11: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/11.jpg)
THEFT 2002-2011 N=1795
OR 95% CI P>|z|
Male 2.4 1.6; 3.5 <0.01
>40 years 0.4 0.2; 0.6 <0.01
Heroin- Daily or almost daily 1.7 1.2; 2.4 <0.01
Total number of drugs 1.2 1.1; 1.3 <0.01
*Logistic regression analysis
![Page 12: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/12.jpg)
OVERDOSES
Never in OMTN=1,101
Current OMT pts
N=358
Previous OMT pts
N=367
Ever 62% 68% 77%
Previous month 9% 4% 10%
Previous year 24% 15% 26%
![Page 13: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/13.jpg)
OVERDOSE PREVIOUS MONTH 2002-2011 N=1795
Overdoses OR 95% CI P>|z|
Current OMT pts 0.6 0.3; 1.0 0.05
Male 0.7 0.5; 1.0 0.06
Homeless or shelter user 1.4 1.0; 2.1 0.05
Total number of drugs 1.2 1.1; 1.4 <0.01
*Logistic regression analysis
![Page 14: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/14.jpg)
OVERDOSE PREVIOUS MONTH 2006-2011 N=930
Overdoses OR 95% CI P>|z|
Homeless or shelter user 2.0 1.2; 3.3 <0.01
Methadone-daily or almost daily 0.1 0.03; 0.7 <0.02
*Logistic regression analysis
![Page 15: OMT patients who use needle exhange services - Do they still benefit from treatment?](https://reader036.fdocuments.in/reader036/viewer/2022062520/568160fa550346895dd038ee/html5/thumbnails/15.jpg)
SUMMARY OMT pts
Higher proportion with long-term accomodationLess
Homeless Heroin and amphetamine Injections Illegal activites Overdoses previous month
Methadone Less overdoses
OMT pts who continue to use drugs and inject still benefit from treatment