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Factors associated with buprenorphine compared to amphetamine abuse among clients seeking treatment in Finland

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dc.contributor.authorUosukainen, H.
dc.contributor.authorIlomaki, J.
dc.contributor.authorKauhanen, J.
dc.contributor.authorTacke, U.
dc.contributor.authorFohr, J.
dc.contributor.authorTiihonen, J.
dc.contributor.authorBell, S.J.
dc.date.issued2014
dc.description.abstractAbuse of prescription opioids is becoming increasingly widespread. This study compared the social, health and treatment-related factors associated with buprenorphine and amphetamine abuse in Finland. Structured clinical interviews were conducted with clients seeking treatment for buprenorphine (n = 670) or amphetamine (n = 557) abuse in Helsinki from January 2001 to August 2008. Unadjusted and adjusted odds ratios (ORs) with 95% confidence intervals (CIs) were computed for factors associated with buprenorphine compared to amphetamine abuse. In multivariate analyses, buprenorphine abuse was associated with male gender (OR 1.57, 95%CI 1.17–2.09), daily abuse (OR 5.45, 95%CI 4.14–7.18), no drug free months during the last year (OR 1.68, 95%CI 1.23–2.29), and inversely associated with increasing age (OR 0.95, 95%CI 0.93–0.97 per year) and psychotic symptoms (OR 0.33, 95%CI 0.24–0.45). Despite more intense abuse patterns, clients seeking treatment for buprenorphine abuse shared similar characteristics to amphetamine clients. These characteristics were different to characteristics of those who abuse prescription opioids in North America. This is important for developing and targeting intervention programs.
dc.identifier.citationJournal of Substance Abuse Treatment, 2014; 46(5):561-566
dc.identifier.doi10.1016/j.jsat.2014.01.004
dc.identifier.issn1873-6483
dc.identifier.urihttps://hdl.handle.net/11541.2/118186
dc.language.isoen
dc.publisherElsevier
dc.relation.fundingAcademy of Finland 118584
dc.relation.fundingOrion Farmos Research Foundation
dc.relation.fundingGraduate School in Pharmaceutical Research, Finland
dc.rightsCopyright 2014 Elsevier
dc.source.urihttps://doi.org/10.1016/j.jsat.2014.01.004
dc.subjectbuprenorphine
dc.subjectmental disorders
dc.subjectsocioeconomic factors
dc.subjectsubstance abuse
dc.subjecttreatment seeking
dc.titleFactors associated with buprenorphine compared to amphetamine abuse among clients seeking treatment in Finland
dc.typeJournal article
pubs.publication-statusPublished
ror.mmsid9916027301101831

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