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Published on: January 22, 2016
Exploring Nicotine Dependence Among People Using Methamphetamine During Methadone Maintenance Treatment in Vietnam.
Nguyen Truong Giang1, Nguyen Bich Diep1, Nguyen Thu Trang1
1Center for Training and Research on Substance Abuse and HIV, Hanoi Medical University, Vietnam.
High nicotine dependence is common in methamphetamine users undergoing methadone treatment. Managing withdrawal symptoms and offering smoking cessation support can improve quitting outcomes for these individuals.
Area of Science:
- Addiction Medicine
- Public Health
- Clinical Psychology
Background:
- Cigarette smoking is highly prevalent among individuals with substance use disorders, particularly those using methamphetamine.
- Nicotine dependence can complicate smoking cessation efforts, especially for those in methadone maintenance treatment (MMT).
- Understanding factors associated with nicotine dependence in this population is crucial for developing effective interventions.
Purpose of the Study:
- To examine nicotine dependence levels among methamphetamine users in MMT in Vietnam.
- To identify psychosocial and behavioral factors associated with high nicotine dependence in this cohort.
Main Methods:
- Cross-sectional analysis of baseline data from 667 participants in the STAR-OM trial.
- Nicotine dependence assessed using the Fagerström Test for Nicotine Dependence (FTND).
- Logistic regression used to determine associations between nicotine dependence and covariates.
Main Results:
- 96.7% of participants were current smokers; 38.3% had high nicotine dependence (FTND score ≥ 6).
- Increased severity of methamphetamine withdrawal symptoms and high risk of depression/anxiety/stress were associated with higher odds of nicotine dependence.
- Older age at methamphetamine use onset was linked to lower odds of high nicotine dependence.
Conclusions:
- High prevalence of smoking and nicotine dependence exists among methamphetamine users in MMT.
- Integrated smoking cessation support, alongside management of methamphetamine withdrawal, is recommended to improve quit rates.
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