Correlates of methamphetamine use severity among patients receiving methadone maintenance treatment for opioid use disorder in Vietnam

Le Minh Giang, Michael J. Li, Chukwuemeka N. Okafor, Nguyen Bich Diep, Steven J. Shoptaw

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Objectives: To assess the severity of methamphetamine use among methadone maintenance treatment (MMT) patients in Vietnam with opioid use disorder and concurrent methamphetamine use, and to identify risk factors associated with higher severity of methamphetamine use. Methods: We used survey data and medical record abstractions from 428 people with opioid use disorder who also use methamphetamine while partaking in methadone treatment in five clinics in Hanoi, Vietnam. We used multinomial logistic regression to assess other risk factors and problems associated with high methamphetamine use severity. Results: Those who reported injecting heroin in the past 3 months (AOR = 4.05, 95% CI [1.30, 12.55], p = 0.02), having a longer history of lifetime heroin use (AOR = 1.13, 95% CI [1.03, 1.24], p < 0.01), and having higher cravings (AOR = 1.97, 95% CI [1.31, 2.98], p < 0.01) and fatigue (AOR = 1.25, 95% CI [0.96, 1.61], p = 0.09) related to methamphetamine withdrawal had greater odds of high methamphetamine use severity. One of five clinics had a significantly higher percentage of methamphetamine use severity than others. Conclusion: Successful MMT in patients with opioid use disorder in Vietnam may additionally require methamphetamine-focused screening and intervention.

Original languageEnglish (US)
Article number108461
JournalJournal of Substance Abuse Treatment
Volume132
DOIs
StatePublished - Jan 2022

Keywords

  • Heroin
  • Methadone maintenance treatment
  • Methamphetamine
  • Opioid
  • Polysubstance use
  • Vietnam

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

Fingerprint

Dive into the research topics of 'Correlates of methamphetamine use severity among patients receiving methadone maintenance treatment for opioid use disorder in Vietnam'. Together they form a unique fingerprint.

Cite this