Factors associated with HCV risk practices in methadone-maintained patients: the importance of considering the couple in prevention interventions
Identifieur interne : 000345 ( Main/Exploration ); précédent : 000344; suivant : 000346Factors associated with HCV risk practices in methadone-maintained patients: the importance of considering the couple in prevention interventions
Auteurs : Perrine Roux [France] ; Caroline Lions [France] ; Laurent Michel [France] ; Marion Mora [France] ; Jean-Pierre Daulouède [France] ; Fabienne Marcellin [France] ; Bruno Spire [France] ; Alain Morel [France] ; Patrizia M. Carrieri [France]Source :
- Substance Abuse Treatment, Prevention, and Policy [ 1747-597X ] ; 2014.
Abstract
One important public health issue associated with opioid use today is the risk of hepatitis C (HCV) infection. Although methadone maintenance may help to decrease HCV-related risk practices, HCV risk behaviors persist and are strongly associated with specific substance use patterns, mental status and social context. The ANRS-Methaville study gave us the opportunity to better disentangle the different relationships between these various factors and HCV risk practices.
The ANRS-Methaville multisite randomized trial was designed to assess the feasibility of initiating methadone in primary care by comparing it with methadone initiation in specialized centers. This study recruited 195 participants initiating methadone maintenance and followed up for 12 months. Longitudinal data from this trial was used to acquire a greater understanding of HCV risk practices and their pattern of correlates in this population. We selected 176 patients who had data on HCV risk practices at M0 and M12, accounting for 312 visits. HCV risk practices were defined as follows: sharing needles or syringes, sharing drug paraphernalia, getting a tattoo or having a piercing in a non-professional context, sharing toiletry items. To identify factors associated with HCV risk practices, we performed a mixed logistic regression analysis.
HCV risk practices were reported by 19% and 15% of participants at baseline and M12, respectively. After adjustment for age, cocaine use and alcohol dependence as well as suicidal risk, living in a couple with a non-drug user and in a couple with a drug user were both independent predictors of HCV risk practices (OR[CI95%] = 4.16 [1.42-12.12]; OR[CI95%] = 9.85 [3.13-31.06], respectively).
Identifying individuals at risk of HCV transmission during methadone treatment such as stimulant users, alcohol dependent individuals, and those at suicidal risk is necessary to optimize response to treatment. Innovative prevention approaches tailored to couples are also urgently needed and could decrease HCV-risk in this population.
The trial is registered with the French Agency of Pharmaceutical Products (ANSM) under the number 2008-A0277-48, the European Union Drug Regulating Authorities Clinical Trials. Number Eudract 2008-001338-28, the ClinicalTrials.gov Identifier: NCT00657397 and the International Standard Randomised Controlled Trial Number Register ISRCTN31125511.
Url:
DOI: 10.1186/1747-597X-9-37
PubMed: 25209306
PubMed Central: 4237940
Affiliations:
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Le document en format XML
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<affiliation wicri:level="1"><nlm:aff id="I1">INSERM U912 (SESSTIM), Marseille, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U912 (SESSTIM), Marseille</wicri:regionArea>
<placeName><settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="I2">Université Aix Marseille, IRD, UMR-S912, Marseille, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Université Aix Marseille, IRD, UMR-S912, Marseille</wicri:regionArea>
<placeName><settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="I3">ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d’Azur, Marseille, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d’Azur, Marseille</wicri:regionArea>
<placeName><settlement type="city">Marseille</settlement>
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</analytic>
<series><title level="j">Substance Abuse Treatment, Prevention, and Policy</title>
<idno type="eISSN">1747-597X</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
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<profileDesc><textClass></textClass>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>One important public health issue associated with opioid use today is the risk of hepatitis C (HCV) infection. Although methadone maintenance may help to decrease HCV-related risk practices, HCV risk behaviors persist and are strongly associated with specific substance use patterns, mental status and social context. The ANRS-Methaville study gave us the opportunity to better disentangle the different relationships between these various factors and HCV risk practices.</p>
</sec>
<sec><title>Methods</title>
<p>The ANRS-Methaville multisite randomized trial was designed to assess the feasibility of initiating methadone in primary care by comparing it with methadone initiation in specialized centers. This study recruited 195 participants initiating methadone maintenance and followed up for 12 months. Longitudinal data from this trial was used to acquire a greater understanding of HCV risk practices and their pattern of correlates in this population. We selected 176 patients who had data on HCV risk practices at M0 and M12, accounting for 312 visits. HCV risk practices were defined as follows: sharing needles or syringes, sharing drug paraphernalia, getting a tattoo or having a piercing in a non-professional context, sharing toiletry items. To identify factors associated with HCV risk practices, we performed a mixed logistic regression analysis.</p>
</sec>
<sec><title>Results</title>
<p>HCV risk practices were reported by 19% and 15% of participants at baseline and M12, respectively. After adjustment for age, cocaine use and alcohol dependence as well as suicidal risk, living in a couple with a non-drug user and in a couple with a drug user were both independent predictors of HCV risk practices (OR[CI95%] = 4.16 [1.42-12.12]; OR[CI95%] = 9.85 [3.13-31.06], respectively).</p>
</sec>
<sec><title>Conclusions</title>
<p>Identifying individuals at risk of HCV transmission during methadone treatment such as stimulant users, alcohol dependent individuals, and those at suicidal risk is necessary to optimize response to treatment. Innovative prevention approaches tailored to couples are also urgently needed and could decrease HCV-risk in this population.</p>
<p>The trial is registered with the French Agency of Pharmaceutical Products (ANSM) under the number 2008-A0277-48, the European Union Drug Regulating Authorities Clinical Trials. Number Eudract 2008-001338-28, the ClinicalTrials.gov Identifier: NCT00657397 and the International Standard Randomised Controlled Trial Number Register ISRCTN31125511.</p>
</sec>
</div>
</front>
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</biblStruct>
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</biblStruct>
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<author><name sortKey="Gilbert, L" uniqKey="Gilbert L">L Gilbert</name>
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<biblStruct><analytic><author><name sortKey="Pouget, Er" uniqKey="Pouget E">ER Pouget</name>
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<biblStruct><analytic><author><name sortKey="Darke, S" uniqKey="Darke S">S Darke</name>
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</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>France</li>
</country>
<region><li>Provence-Alpes-Côte d'Azur</li>
</region>
<settlement><li>Bayonne</li>
<li>Marseille</li>
<li>Paris</li>
</settlement>
</list>
<tree><country name="France"><noRegion><name sortKey="Roux, Perrine" sort="Roux, Perrine" uniqKey="Roux P" first="Perrine" last="Roux">Perrine Roux</name>
</noRegion>
<name sortKey="Carrieri, Patrizia M" sort="Carrieri, Patrizia M" uniqKey="Carrieri P" first="Patrizia M" last="Carrieri">Patrizia M. Carrieri</name>
<name sortKey="Carrieri, Patrizia M" sort="Carrieri, Patrizia M" uniqKey="Carrieri P" first="Patrizia M" last="Carrieri">Patrizia M. Carrieri</name>
<name sortKey="Carrieri, Patrizia M" sort="Carrieri, Patrizia M" uniqKey="Carrieri P" first="Patrizia M" last="Carrieri">Patrizia M. Carrieri</name>
<name sortKey="Daulouede, Jean Pierre" sort="Daulouede, Jean Pierre" uniqKey="Daulouede J" first="Jean-Pierre" last="Daulouède">Jean-Pierre Daulouède</name>
<name sortKey="Lions, Caroline" sort="Lions, Caroline" uniqKey="Lions C" first="Caroline" last="Lions">Caroline Lions</name>
<name sortKey="Lions, Caroline" sort="Lions, Caroline" uniqKey="Lions C" first="Caroline" last="Lions">Caroline Lions</name>
<name sortKey="Lions, Caroline" sort="Lions, Caroline" uniqKey="Lions C" first="Caroline" last="Lions">Caroline Lions</name>
<name sortKey="Marcellin, Fabienne" sort="Marcellin, Fabienne" uniqKey="Marcellin F" first="Fabienne" last="Marcellin">Fabienne Marcellin</name>
<name sortKey="Marcellin, Fabienne" sort="Marcellin, Fabienne" uniqKey="Marcellin F" first="Fabienne" last="Marcellin">Fabienne Marcellin</name>
<name sortKey="Marcellin, Fabienne" sort="Marcellin, Fabienne" uniqKey="Marcellin F" first="Fabienne" last="Marcellin">Fabienne Marcellin</name>
<name sortKey="Michel, Laurent" sort="Michel, Laurent" uniqKey="Michel L" first="Laurent" last="Michel">Laurent Michel</name>
<name sortKey="Michel, Laurent" sort="Michel, Laurent" uniqKey="Michel L" first="Laurent" last="Michel">Laurent Michel</name>
<name sortKey="Michel, Laurent" sort="Michel, Laurent" uniqKey="Michel L" first="Laurent" last="Michel">Laurent Michel</name>
<name sortKey="Mora, Marion" sort="Mora, Marion" uniqKey="Mora M" first="Marion" last="Mora">Marion Mora</name>
<name sortKey="Mora, Marion" sort="Mora, Marion" uniqKey="Mora M" first="Marion" last="Mora">Marion Mora</name>
<name sortKey="Mora, Marion" sort="Mora, Marion" uniqKey="Mora M" first="Marion" last="Mora">Marion Mora</name>
<name sortKey="Morel, Alain" sort="Morel, Alain" uniqKey="Morel A" first="Alain" last="Morel">Alain Morel</name>
<name sortKey="Roux, Perrine" sort="Roux, Perrine" uniqKey="Roux P" first="Perrine" last="Roux">Perrine Roux</name>
<name sortKey="Roux, Perrine" sort="Roux, Perrine" uniqKey="Roux P" first="Perrine" last="Roux">Perrine Roux</name>
<name sortKey="Roux, Perrine" sort="Roux, Perrine" uniqKey="Roux P" first="Perrine" last="Roux">Perrine Roux</name>
<name sortKey="Spire, Bruno" sort="Spire, Bruno" uniqKey="Spire B" first="Bruno" last="Spire">Bruno Spire</name>
<name sortKey="Spire, Bruno" sort="Spire, Bruno" uniqKey="Spire B" first="Bruno" last="Spire">Bruno Spire</name>
<name sortKey="Spire, Bruno" sort="Spire, Bruno" uniqKey="Spire B" first="Bruno" last="Spire">Bruno Spire</name>
</country>
</tree>
</affiliations>
</record>
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