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Factors Associated with Sustained Remission among Chronic Opioid Users
BACKGROUND: Chronic opioid use is a major public health problem with significant morbidity. The aim of this study was to investigate factors associated with sustained remission among a sample of Iranian chronic opioid users in Shiraz, Iran. METHODS: This was a cross-sectional study to evaluate susta...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kerman University of Medical Sciences
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494988/ https://www.ncbi.nlm.nih.gov/pubmed/31069032 http://dx.doi.org/10.22122/ahj.v10i2.569 |
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author | Shiraly, Ramin Taghva, Maryam |
author_facet | Shiraly, Ramin Taghva, Maryam |
author_sort | Shiraly, Ramin |
collection | PubMed |
description | BACKGROUND: Chronic opioid use is a major public health problem with significant morbidity. The aim of this study was to investigate factors associated with sustained remission among a sample of Iranian chronic opioid users in Shiraz, Iran. METHODS: This was a cross-sectional study to evaluate sustained remission among chronic opiate users aged 20-60 years. Participants included two groups: 365 people who have been in sustained remission for the past year, and 187 persons who did not achieve remission for the past one year. Then, demographic and factors related to drug use pattern and previous treatments were compared between two groups. Pearson chi-square test was used for univariate analysis and backward stepwise logistic regression was used to estimate adjusted odds ratios (AORs). FINDINGS: Our findings showed that sustained remission was associated with Narcotic Anonymous (NA) participation [AOR = 3.28, 95% confidence interval (CI): 2.19-4.89, P < 0.001], male gender (AOR = 2.53, 95% CI: 1.45-4.43, P = 0.001), younger age of onset (AOR = 1.63, 95% CI: 1.03-2.58, P = 0.037), higher total years of opioid use (AOR = 2.13, 95% CI: 1.42-3.19, P < 0.001), no history of imprisonment (AOR = 2.11, 95% CI: 1.16-3.85, P = 0.015), and family support (AOR = 2.58, 95% CI: 1.33-5.01, P = 0.005). CONCLUSION: Participation in self-help groups can be a suitable alternative in predicting sustained remission among chronic opiate users. Chronic opioid users should be encouraged by the physicians who are involved in the treatment of drug addiction to participate in NA programs. |
format | Online Article Text |
id | pubmed-6494988 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Kerman University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-64949882019-05-08 Factors Associated with Sustained Remission among Chronic Opioid Users Shiraly, Ramin Taghva, Maryam Addict Health Original Article BACKGROUND: Chronic opioid use is a major public health problem with significant morbidity. The aim of this study was to investigate factors associated with sustained remission among a sample of Iranian chronic opioid users in Shiraz, Iran. METHODS: This was a cross-sectional study to evaluate sustained remission among chronic opiate users aged 20-60 years. Participants included two groups: 365 people who have been in sustained remission for the past year, and 187 persons who did not achieve remission for the past one year. Then, demographic and factors related to drug use pattern and previous treatments were compared between two groups. Pearson chi-square test was used for univariate analysis and backward stepwise logistic regression was used to estimate adjusted odds ratios (AORs). FINDINGS: Our findings showed that sustained remission was associated with Narcotic Anonymous (NA) participation [AOR = 3.28, 95% confidence interval (CI): 2.19-4.89, P < 0.001], male gender (AOR = 2.53, 95% CI: 1.45-4.43, P = 0.001), younger age of onset (AOR = 1.63, 95% CI: 1.03-2.58, P = 0.037), higher total years of opioid use (AOR = 2.13, 95% CI: 1.42-3.19, P < 0.001), no history of imprisonment (AOR = 2.11, 95% CI: 1.16-3.85, P = 0.015), and family support (AOR = 2.58, 95% CI: 1.33-5.01, P = 0.005). CONCLUSION: Participation in self-help groups can be a suitable alternative in predicting sustained remission among chronic opiate users. Chronic opioid users should be encouraged by the physicians who are involved in the treatment of drug addiction to participate in NA programs. Kerman University of Medical Sciences 2018-04 /pmc/articles/PMC6494988/ /pubmed/31069032 http://dx.doi.org/10.22122/ahj.v10i2.569 Text en © 2018 Kerman University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly. |
spellingShingle | Original Article Shiraly, Ramin Taghva, Maryam Factors Associated with Sustained Remission among Chronic Opioid Users |
title | Factors Associated with Sustained Remission among Chronic Opioid Users |
title_full | Factors Associated with Sustained Remission among Chronic Opioid Users |
title_fullStr | Factors Associated with Sustained Remission among Chronic Opioid Users |
title_full_unstemmed | Factors Associated with Sustained Remission among Chronic Opioid Users |
title_short | Factors Associated with Sustained Remission among Chronic Opioid Users |
title_sort | factors associated with sustained remission among chronic opioid users |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494988/ https://www.ncbi.nlm.nih.gov/pubmed/31069032 http://dx.doi.org/10.22122/ahj.v10i2.569 |
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