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Gender Differences in Patterns and Correlates of Continued Substance Use among Patients in Methadone Maintenance Treatment.

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Title: Gender Differences in Patterns and Correlates of Continued Substance Use among Patients in Methadone Maintenance Treatment.
Authors: Arnold, Tomorrow D. (AUTHOR), Lin, Lewei (Allison) (AUTHOR), Cotton, Brandi P. (AUTHOR), Bryson, William C. (AUTHOR), Polenick, Courtney A. (AUTHOR)
Source: Substance Use & Misuse. 2021, Vol. 56 Issue 4, p529-538. 10p. 6 Charts, 1 Graph.
Subjects: Methadone treatment programs, Substance abuse, Cross-sectional method, Individualized medicine, Sex distribution, Sex discrimination, Descriptive statistics, Employment, Homelessness
Abstract: Continued substance use is common during opioid use disorder (OUD) treatment. There are still inconsistencies in how continued substance use and concurrent patterns of substance use among patients with OUD varies by gender. There is still more to learn regarding how factors associated with continued and concurrent use might differ for men and women in methadone maintenance treatment (MMT). Methods: This cross-sectional study examined predictors of concurrent substance use subgroups among patients receiving MMT. The sample included 341 (n = 161 women) MMT patients aged 18 and older from opioid treatment programs in Southern New England and the Pacific Northwest. Patients completed a survey assessing sociodemographic and clinical characteristics including past-month substance use. Latent class analyses were conducted by gender to identify groups based on substance use and determine predictors of those classes. Results: Three-class solutions were the optimal fit for both men and women. For both genders, the first subgroup was characterized as Unlikely Users (59.8% women, 52.8% men). Classes 2 and 3 among women were Cannabis/Opioid Users (23.7%) and Stimulant/Opioid Users (13.0%). Among men, Classes 2 and 3 consisted of Alcohol/Cannabis Users (21.9%) and Cannabis/Stimulant/Opioid Users (25.3%). Ever using Suboxone (buprenorphine/naloxone) and depression/anxiety symptoms were significantly linked to substance use group among women, whereas homelessness and employment status were significantly associated with substance use group among men. Conclusions: This study furthers understanding of gender differences in factors associated with continued substance use and distinctive patterns of concurrent substance use that may guide tailored treatments among patients MMT. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Gender Differences in Patterns and Correlates of Continued Substance Use among Patients in Methadone Maintenance Treatment.
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  Data: <searchLink fieldCode="AR" term="%22Arnold%2C+Tomorrow+D%2E%22">Arnold, Tomorrow D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lin%2C+Lewei+%28Allison%29%22">Lin, Lewei (Allison)</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cotton%2C+Brandi+P%2E%22">Cotton, Brandi P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bryson%2C+William+C%2E%22">Bryson, William C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Polenick%2C+Courtney+A%2E%22">Polenick, Courtney A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2021, Vol. 56 Issue 4, p529-538. 10p. 6 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Methadone+treatment+programs%22">Methadone treatment programs</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Individualized+medicine%22">Individualized medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+discrimination%22">Sex discrimination</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Employment%22">Employment</searchLink><br /><searchLink fieldCode="DE" term="%22Homelessness%22">Homelessness</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Continued substance use is common during opioid use disorder (OUD) treatment. There are still inconsistencies in how continued substance use and concurrent patterns of substance use among patients with OUD varies by gender. There is still more to learn regarding how factors associated with continued and concurrent use might differ for men and women in methadone maintenance treatment (MMT). Methods: This cross-sectional study examined predictors of concurrent substance use subgroups among patients receiving MMT. The sample included 341 (n = 161 women) MMT patients aged 18 and older from opioid treatment programs in Southern New England and the Pacific Northwest. Patients completed a survey assessing sociodemographic and clinical characteristics including past-month substance use. Latent class analyses were conducted by gender to identify groups based on substance use and determine predictors of those classes. Results: Three-class solutions were the optimal fit for both men and women. For both genders, the first subgroup was characterized as Unlikely Users (59.8% women, 52.8% men). Classes 2 and 3 among women were Cannabis/Opioid Users (23.7%) and Stimulant/Opioid Users (13.0%). Among men, Classes 2 and 3 consisted of Alcohol/Cannabis Users (21.9%) and Cannabis/Stimulant/Opioid Users (25.3%). Ever using Suboxone (buprenorphine/naloxone) and depression/anxiety symptoms were significantly linked to substance use group among women, whereas homelessness and employment status were significantly associated with substance use group among men. Conclusions: This study furthers understanding of gender differences in factors associated with continued substance use and distinctive patterns of concurrent substance use that may guide tailored treatments among patients MMT. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/10826084.2021.1887242
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        Text: English
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        Type: general
      – SubjectFull: Substance abuse
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      – SubjectFull: Cross-sectional method
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      – SubjectFull: Individualized medicine
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      – SubjectFull: Sex discrimination
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Employment
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      – SubjectFull: Homelessness
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      – TitleFull: Gender Differences in Patterns and Correlates of Continued Substance Use among Patients in Methadone Maintenance Treatment.
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              Text: 2021
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