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Factors Associated with Sustained Remission among Chronic Opioid Users
Ramin Shiraly1, Maryam Taghva2
1Assistant Professor, Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Addiction & Health
|May 10, 2019
Summary
Participation in Narcotic Anonymous (NA) programs significantly predicts sustained remission in chronic opioid users. Encouraging physician referrals to NA can improve treatment outcomes for opioid addiction.
Area of Science:
- Public Health
- Addiction Medicine
- Psychiatry
Background:
- Chronic opioid use presents a significant public health challenge with substantial morbidity.
- Investigating factors for sustained remission is crucial for effective addiction treatment strategies.
Purpose of the Study:
- To identify factors associated with sustained remission among chronic opioid users in Shiraz, Iran.
- To compare demographic, drug use, and treatment history between individuals in remission and those not in remission.
Main Methods:
- A cross-sectional study involving 552 chronic opioid users (aged 20-60).
- Participants were divided into two groups: 365 in sustained remission and 187 not in remission.
- Univariate analysis (Pearson chi-square) and backward stepwise logistic regression were employed to determine predictors of remission.
Main Results:
- Narcotic Anonymous (NA) participation strongly predicted sustained remission (AOR = 3.28).
- Other significant predictors included male gender, younger age of onset, longer duration of opioid use, no history of imprisonment, and family support.
- These findings highlight multifactorial influences on opioid addiction recovery.
Conclusions:
- Self-help group participation, particularly NA, is a valuable predictor of sustained remission in chronic opioid users.
- Physicians treating addiction should actively encourage patients to engage in NA programs for improved recovery outcomes.
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