TITLE

Effects of Long-Term, Medically Supervised, Drug-Free Treatment and Methadone Maintenance Treatment on Drug Users' Emergency Department Use and Hospitalization

AUTHOR(S)
Turner, Barbara J.; Laine, Christine; Yang, Chuya P.; Hauck, Walter W.
PUB. DATE
December 2003
SOURCE
Clinical Infectious Diseases;12/15/2003 Supplement 5, Vol. 37, pS457
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
We examined the effect of drug treatment in 1996 on repeated ( 2) emergency department visits and hospitalization in 1997 in a cohort of New York State Medicaid-enrolled human immunodeficiency virus (HIV)- positive and HIV-negative drug users. In HIV-positive drug users, the adjusted odds of repeated emergency department visits were increased for those receiving no long-term treatment (odds ratio [OR], 1.65; 95% confidence interval [CI], 1.04-2.75), whereas the adjusted odds for those receiving methadone treatment and those receiving drug-free treatment for ≥ 6 months did not differ. The adjusted odds of hospitalization in the HIV-positive group were higher for those receiving long-term methadone treatment (OR, 1.69; 95% CI, 1.14- 2.55) and for those receiving no long-term treatment (OR, 1.91; 95% CI, 1.29-2.88), compared with those receiving drug-free treatment. In the HIV-negative group, these associations were similar but weaker. For both HIV-positive and HIV-negative drug users, long-term drug-free treatment was at least as effective as long-term methadone treatment in reducing use of services indicative of poorer access to care and/or poorer health.
ACCESSION #
11791110

 

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