Patterns of alcohol use among men receiving treatment for heroin and/or cocaine use in England, Brazil and Spain. A cross-country analysis

Radcliffe, Polly; Canfield, Martha; d’Oliveira, Ana Flávia Pires Lucas; Finch, Emily; Segura, Lídia; Torrens, Marta; Gilchrist, Gail

doi:10.1080/09687637.2019.1658715

Cited by 4 publications

(5 citation statements)

References 45 publications

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“…study findings byRadcliffe et al (2019) suggest that MAT patients' history of hepatitis C and seropositive health issues were the causal factors for the harmful polydrug alcohol use in England, Spain and Brazil). The study findings agree withMimiaga's et al (2019) results on the strong relationship between polydrug use and HIV among men who have sex with men.…”

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confidence: 90%

Factors Influencing Polydrug Use Among Methadone-Assisted Therapy Patients in Selected Clinics in Nairobi, Kenya

Kiiru¹,

Waithima²,

Mwangi³

2022

JSIC

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Polydrug use is caused by multiple factors within the polydrug users’ ecological system resulting in polydrug dependency, a complex behavioural disease with chronic features. This paper, guided by the social learning theory, seeks to examine some of the causal factors that lead patients undergoing therapy in Methadone assisted Therapy [MAT] clinics in Nairobi County to polydrug use. The study uses a mixed methods approach utilizing both quantitative and qualitative data collection methods in a quasi-experiment. The experiment entailed pre and post-strategy for the experimental group at site A and the control group at site B, where both groups underwent baseline and end-line assessment for MAT treatment. The study population consisted of 2121 patients drawing a sample size of 120 respondents through random sampling. The end-line assessment was done using the same tools after three months during follow-up. Data analysis was done descriptively and by inferential statistics to correlate the various factors. The findings are presented in tables and indicate that biological factors, history of polydrug use within MAT patients’ families, spiritual and existential factors, and MAT patients’ missing Methadone dosage were statistically significant to polydrug use.

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confidence: 90%

Factors Influencing Polydrug Use Among Methadone-Assisted Therapy Patients in Selected Clinics in Nairobi, Kenya

Kiiru¹,

Waithima²,

Mwangi³

2022

JSIC

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“…The social learning theory supports that polydrug use is learned through observation and modelling, hence MAT patients may observe polydrug use and polydrug use reduction behaviors from others and adopt similar strategies. According to Laland and Rendell (2019) (Radcliffe et al, 2019;NIDA, 2020). The effect of the route of administration influences its choice such that, the faster the illicit psychoactive drug hits the brain, the greater and more reinforcing its effects on the users.…”

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confidence: 99%

“…While various polydrug substances are used by MAT patients as a stimulant, depressants are used for reduction in arousal and stimulation. The result fromRadcliffe et al (2019) revealed harmful alcohol use by MAT patients from England. The study on patterns of alcohol polydrug use among men receiving MAT for heroin and/or cocaine use in England, clinic treatment and intervention strategies.…”

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confidence: 99%

“…Some of the common psychoactive polydrugs used include stimulants, opioids, depressants and hallucinogens (UNODC, 2019d; Drug policy network, 2017; Ministry of Health[MoH], 2017). The study byRadcliffe et al (2019) reported that MAT patients had used various polydrug namely; heroin, cocaine, Amphetamine, methamphetamines, hallucinogens, benzodiazepines, novel psychoactive drugs or NPS and cannabis in the past 30 days. The common routes of administration included swallowing, snorting smoking, inhaling fumes, intramuscular injection, subcutaneous injection, intravenous injection, tropical and sublingual, among others…”

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confidence: 99%

“…Other consequences of heroin use include patterns of polydrug use, sexual risk of HIV, Hepatitis C, increasing psychiatry mental illness, heroin injection and increasing HIV epidemics and MAT uptake(Wambugu et al, 2019;Rhodes & Rhodes, 2018), as well as increasing criminal activity and illicit sex(CDC, 2020b). Therefore, among other benefits of Methadone, like Naltrexone and buprenorphine, is Brazil and Spain were found to be high in prevalence, in spite of the harmful effects of alcohol polydrug use(Radcliffe et al, 2019). Results showed that 41% of the men in the MAT treatment met the criteria for harmful alcohol drinking and among them, 28% were not receiving treatment for alcohol.…”

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confidence: 99%

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Prevalence of Polydrug Use in Patients Undergoing Methadone Assisted Therapy in Nairobi County

Rose N. Kiiru,

Charity W. Waithima,

Peterson K. Mwangi

2022

Kabarak j. res. innov.

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Polydrug Use (PDU) among Methadone Assisted Therapy (MAT) continues to be a global concern with users engaging in concurrent intake of more than one psychoactive substance. However, due to the increased risks of drug abuse in society today, polydrug users are now seeking opioids use disorder (OUD) treatment in Methadone Assisted Therapy (MAT) which is undoubtedly associated with withdrawal and craving challenges. This paper therefore evaluates the prevalence of polydrug use among MAT patients in Nairobi County Kenya. Guided by the social learning theory, this study used a mixed methods approach comprising both quantitative and qualitative data. The target population comprised 2121 patients from two MAT clinics in the county from which a sample of 120 respondents was drawn through random sampling technique with 60 in treatment group and 60 in control group. A quasi-experimental research design with pre and post strategy was utilized in experimental group site 1 and control group site 2. Both treatment and control group received baseline and endline assessment and MAT treatment. The experimental group receive MI with instant assessment and feedback through engaging, focusing, evoking and planning and assessment for readiness to reduce polydrug use through self-rating readiness ruler. Control group received Zero MI treatment. Base line assessment was done for 5 to 10 minutes using TimeLine Fallback for polydrug use while End line assessment was done using the same tools after 3 months. Data analysis was descriptively conducted to determine the prevalence of polydrug use among MAT patients used with findings presented in tables and charts.

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Parental status and characteristics of women in substance use treatment services: Analysis of electronic patient records

Canfield

Norton

Downs

et al. 2021

Journal of Substance Abuse Treatment

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Patterns of alcohol use among men receiving treatment for heroin and/or cocaine use in England, Brazil and Spain. A cross-country analysis

Cited by 4 publications

References 45 publications

Factors Influencing Polydrug Use Among Methadone-Assisted Therapy Patients in Selected Clinics in Nairobi, Kenya

Factors Influencing Polydrug Use Among Methadone-Assisted Therapy Patients in Selected Clinics in Nairobi, Kenya

Prevalence of Polydrug Use in Patients Undergoing Methadone Assisted Therapy in Nairobi County

Parental status and characteristics of women in substance use treatment services: Analysis of electronic patient records

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