https://scholars.lib.ntu.edu.tw/handle/123456789/373327
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | MING-CHIN YANG | en |
dc.creator | Chen, C.-Y.;Ting, S.-Y.;Tan, H.K.-L.;Yang, M.-C. | - |
dc.date.accessioned | 2018-09-10T09:23:37Z | - |
dc.date.available | 2018-09-10T09:23:37Z | - |
dc.date.issued | 2012 | - |
dc.identifier.uri | http://www.scopus.com/inward/record.url?eid=2-s2.0-84862920056&partnerID=MN8TOARS | - |
dc.identifier.uri | http://scholars.lib.ntu.edu.tw/handle/123456789/373327 | - |
dc.description.abstract | Objective: This study evaluated the direct and interactive effects of regional-level and individual-level characteristics on methadone maintenance treatment (MMT), after considering the individual characteristics in Taiwan. Methods: This study utilized a survey research method. Opioid-dependent patients who participated in the outpatient MMT program in 2009 and met the eligibility criteria were recruited from five hospitals. The impact of MMT on self-perceived health was assessed by using questionnaires. This study assessed the participants' quality of life and treatment outcomes during 3-month follow-up visits, before evaluating the direct effects of regional and individual characteristics. Multilevel linear models were used to estimate whether regional levels influenced individual behavior and treatment outcomes. Results: Three hundred thirty-four opioid-dependent patients agreed to participate in this study. After the follow-up period, 127 participants completed the study (completion rate = 38%). Participants receiving MMT demonstrated significant improvements in psychological state, HIV risk-taking behavior, social functioning, and health. Regional characteristics, such as the lower than junior high school rate, low-income family rate, and related crime rates, of the study regions were negatively associated with improvements in drug abuse behavior. Conclusions: This study shows that MMT can significantly improve the HIV risk-taking behavior and health of the study participants. Disadvantaged regions, however, exhibit poor treatment outcomes. This study suggests actions to minimize the treatment variations between regions. © 2012 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). | - |
dc.language | en | en |
dc.relation.ispartof | Value in Health | - |
dc.subject | methadone maintenance treatment; multilevel analysis; neighborhood disadvantage; treatment outcome | - |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.classification | [SDGs]SDG16 | - |
dc.subject.other | methadone; adult; conference paper; crime; drug abuse; drug effect; educational status; female; follow up; health status; high risk behavior; human; income; maintenance therapy; major clinical study; male; methadone maintenance treatment; multilevel analysis; opiate addiction; patient compliance; priority journal; quality of life; questionnaire; social interaction; Taiwan; treatment outcome; Adult; Female; Health Status; Humans; Interpersonal Relations; Male; Mental Health; Methadone; Middle Aged; Narcotics; Opiate Substitution Treatment; Opioid-Related Disorders; Risk-Taking; Sexual Behavior; Socioeconomic Factors; Taiwan | - |
dc.title | A multilevel analysis of regional and individual effects on methadone maintenance treatment in Taiwan | - |
dc.type | journal article | en |
dc.identifier.doi | 10.1016/j.jval.2011.11.010 | - |
dc.relation.journalvolume | 15 | - |
dc.relation.journalissue | 1 SUPPL. | - |
item.openairetype | journal article | - |
item.fulltext | no fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
crisitem.author.dept | Health Policy and Management | - |
crisitem.author.dept | Public Health | - |
crisitem.author.orcid | 0000-0001-7326-8671 | - |
crisitem.author.parentorg | College of Public Health | - |
crisitem.author.parentorg | College of Public Health | - |
顯示於: | 公共衛生學系 |
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