Characteristics and the Effect of Methadone Maintenance Dose on Therapy Retention at H. Adam Malik General Hospital, Medan, North Sumatera


Dian Natalya Simangunsong, Juanita, Kintoko Rochadi

 

Masters Program in Public Health, Universitas Sumatera Utara

 

ABSTRACT

Background: Methadone maintenance treatment (MMT) has been used successfully to reduce the morbidity and criminality associated with heroin abuse. It permits imp­ro­vements in social engagement and vocational productivity, and prevents the spread of blood borne diseases. Some systematic reviews have shown that retention is associated with on-site dosing and that higher rates of dropout are associated with lower doses of methadone. The purpose of this study was to determine characteristics and the effect of methadone maintenance dose on therapy retention at H. Adam Malik General Hospital, Medan, North Sumatera.

Subjects and Method: This was a cross sectional study conducted at H. Adam Malik Hospital in Medan. A sample of 63 drug abuse patients were selected for this study. The de­pendent variable was retention on MMT. The independent variables were age, edu­ca­tion status, occupation, resident, and average maintenance dose. The data were obtai­ned from the medical records. The data were analyzed by multiple logistic regression.

Results: Retention on MMT increased with average maintenance dose ≥60 mg (OR= 5.94; CI 95% 1.06 to 33.18; p= 0.042).

Conclusion: Retention on MMT increases with average maintenance dose ≥60 mg.

Keywords: retention, methadone maintenance treatment, patient characteristic, main­tenance dose

Correspondence: Dian Natalya Simangunsong, Masters in Public health, Universitas Sumatera Utara, Jl. Jahe 7 No. 14 Simalingkar A, Kec. Medan Tuntungan, Kota Medan, Email: dian_nata­lia2006­@yahoo.co.id Hp. 0821-1133-5324

DOI: https://doi.org/10.26911/theicph.2019.05.06

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