Modeling the impact of place on individual methadone treatment outcomes in a national longitudinal cohort study

Hdl Handle:
http://hdl.handle.net/10147/332796
Title:
Modeling the impact of place on individual methadone treatment outcomes in a national longitudinal cohort study
Authors:
Murphy, Emma; Comiskey, Catherine M.
Citation:
Murphy E, Comiskey CM. Modeling the impact of place on individual methadone treatment outcomes in a national longitudinal cohort study. Subst Use & Misuse. 2014:[published online 7 October 2014]
Publisher:
Substance Use & Misuse
Journal:
Substance Use & Misuse
Issue Date:
Oct-2014
URI:
http://hdl.handle.net/10147/332796
DOI:
10.3109/10826084.2014.958860
Additional Links:
http://informahealthcare.com/doi/abs/10.3109/10826084.2014.958860
Item Type:
Article
Language:
en
Description:
Background : Little has been published on the effect of geography on methadone treatment outcomes. Objective : To measure the effect of place on longi- tudinal outcomes Methods : From 2003 to 2006, 215 clients were recruited to a cohort study of methadone treatment. Participants had their address and clinic geocoded. Treatment outcomes were measured at intake, at one and three years posttreatment using the Maudsley Addiction Profile instrument. Spider diagrams and buffer rings were used to visually map clinics and clients. Regression models were used to measure the effect of place. Results : Client’s accommo- dation and social and criminal problems in the region had a medium to large effect on heroin use. Analysis of buffer rings revealed that clients located within a 10- km radius of a major clinic demonstrated poorer out- comes in terms of heroin use. Conclusion/Importance : Findings illustrated the relevance of geography on drug treatment outcomes and the planning of services.
Keywords:
DRUGS MISUSE; DRUG POLICY
ISSN:
1082-6084; 1532-2491

Full metadata record

DC FieldValue Language
dc.contributor.authorMurphy, Emmaen_GB
dc.contributor.authorComiskey, Catherine M.en_GB
dc.date.accessioned2014-10-16T10:58:20Z-
dc.date.available2014-10-16T10:58:20Z-
dc.date.issued2014-10-
dc.identifier.citationMurphy E, Comiskey CM. Modeling the impact of place on individual methadone treatment outcomes in a national longitudinal cohort study. Subst Use & Misuse. 2014:[published online 7 October 2014]en_GB
dc.identifier.issn1082-6084-
dc.identifier.issn1532-2491-
dc.identifier.doi10.3109/10826084.2014.958860-
dc.identifier.urihttp://hdl.handle.net/10147/332796-
dc.descriptionBackground : Little has been published on the effect of geography on methadone treatment outcomes. Objective : To measure the effect of place on longi- tudinal outcomes Methods : From 2003 to 2006, 215 clients were recruited to a cohort study of methadone treatment. Participants had their address and clinic geocoded. Treatment outcomes were measured at intake, at one and three years posttreatment using the Maudsley Addiction Profile instrument. Spider diagrams and buffer rings were used to visually map clinics and clients. Regression models were used to measure the effect of place. Results : Client’s accommo- dation and social and criminal problems in the region had a medium to large effect on heroin use. Analysis of buffer rings revealed that clients located within a 10- km radius of a major clinic demonstrated poorer out- comes in terms of heroin use. Conclusion/Importance : Findings illustrated the relevance of geography on drug treatment outcomes and the planning of services.en_GB
dc.language.isoenen
dc.publisherSubstance Use & Misuseen_GB
dc.relation.urlhttp://informahealthcare.com/doi/abs/10.3109/10826084.2014.958860en_GB
dc.rightsArchived with thanks to Substance Use & Misuseen_GB
dc.subjectDRUGS MISUSEen_GB
dc.subjectDRUG POLICYen_GB
dc.titleModeling the impact of place on individual methadone treatment outcomes in a national longitudinal cohort studyen_GB
dc.typeArticleen
dc.identifier.journalSubstance Use & Misuseen_GB
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