Author/Authors :
Abousaidi، Hamid نويسنده Department of Infectious Disease, Rafsanjan University of Medical Sciences, Rafsanjan, IR Iran , , Rezahosseini، Omid نويسنده General Physician, Rafsanjan University of Medical Sciences, Rafsanjan, Iran Rezahosseini, Omid , Bidaki، Reza نويسنده Department of Psychiatry, Rafsanjan University of Medical Sciences, Rafsanjan, Iran Bidaki, Reza , Sheikh Fathollahi، Mahmood نويسنده , , Goodarzi Nejad، Hamid Reza نويسنده Tehran Heart Center, Tehran University of Medical Sciences, Tehran, IR Iran , , Hassan Shahi، Golam Hossein نويسنده Department of Hematology, Rafsanjan University of Medical Sciences, Rafsanjan, IR Iran , , Sahraei، Maryam نويسنده School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, IR Iran , , Jalalpoor، Shila نويسنده Young Researchers Club, Shahreza Branch, Islamic Azad University, Shahreza, IR Iran , , Abousaidi، Mina نويسنده Department of Accounting, Kerman Branch, Islamic Azad University, Kerman, IR Iran ,
Abstract :
Methadone maintenance therapy (MMT) is currently widely accepted as the treatment of choice for opioid replacement therapy. The aim of this study was to determine the prevalence of HBV, HCV, and HIV infections as well as psychiatric disorders in our MMT cases. Using a cross-sectional study design, we studied patients treated for opioid abuse or addiction who attended MMT programs in Rafsanjan, Iran, from March to June 2012. HIV, HBV, and HCV test reports were recorded from MMT clients’ documents (ELISA and Western blotting results), and psychiatric disorders were diagnosed by two trained psychology interviewers according to the DSM-IV criteria. Of the 1,825 patients included in this study, 1,737 (95.2%) were men with a mean age of 28.00 ± 7.69 years (range: 18 - 52 years). In total, 64 (3.5%) subjects showed symptoms of depression and 21 (1.2%) had anxiety. The prevalence of HBV, HCV, and HIV were 4 (0.2%), 31 (1.7%), and 18 (1.0%), respectively. The association between psychiatric disorders and chronic diseases did not reach a statistically significant level (Fisher’s exact test, P = 0.193). The prevalence of HBV, HIV, and psychiatric disorders in our study group was lower than in previous reports. This may be because we entered participants from private MMT centers. Therefore, our results are not generalizable to other populations. Nevertheless, HCV prevalence was higher, and our results lead us to recommend that training programs be planned to prevent the outbreak of these viral infections.
