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Opioid Crisis Along Mexico's Northern Border: Treatment Needs Mexican Opioid Crisis

dc.creatorFleiz, Claraes_ES
dc.creatorVillatoro, Jorgees_ES
dc.creatorDominguez, Marioes_ES
dc.creatorBustos, Marycarmenes_ES
dc.creatorMedina-Mora, María Elenaes_ES
dc.date2019
dc.date.accessioned2023-09-27T17:46:57Z
dc.date.available2023-09-27T17:46:57Z
dc.date.issued2019
dc.identifierJC44DIEP20es_ES
dc.identifier.issn0188-4409
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7773
dc.identifier.urihttps://doi.org/10.1016/j.arcmed.2019.12.013
dc.descriptionBackground: Heroin production for external markets and low rates of use in Mexico have had a long history. A recent shift toward an increase in use and related problems calls for the evaluation of treatment needs in order to draw recommendations for policies. Methods: The objectives were to identify predictors of choice of treatment and barriers to care among persons that had been with no treatment. The study included a convenience sample of 600 face-to-face interviews of people 18 years of age and older and a rapid HIV and HCV tests in three cities on Mexico's Northern Border: Ciudad Juárez, San Luis Río Colorado and Tijuana. The choice of treatment (methadone, other pubic or private treatments with no experience with methadone maintenance and only self-help or religious care), was analyzed though a multiple logistic multimodal regression analysis. Informed consents to be interviewed and for HIC and HIV were signed by interviewers. Results: The majority of persons interviewed were males (89.7%) with an average age of 40. Having emigrated to the United States and a greater length of heroin use predicted seeking methadone treatment versus public or private treatment or informal care. The most important barriers to care were lack of information and stigma. HIC, HIV and other infectious and chronic diseases including depression were often unattended. Conclusions: There is a need to reform treatment policies in order to cover this w emerging and demanding problem.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.relation50(8):527-534
dc.rightsAcceso Cerradoes_ES
dc.titleOpioid Crisis Along Mexico's Northern Border: Treatment Needs Mexican Opioid Crisises_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDirección de Investigaciones Epidemiológicas y Psicosociales, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, Mexico.
dc.contributor.emailmedinam@imp.edu.mx (María Elena Medina-Mora)
dc.relation.jnabreviadoARCH MED RES
dc.relation.journalArchives of Medical Research
dc.identifier.placeEstados Unidos
dc.date.published2019
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1873-5487
dc.identifier.doi10.1016/j.arcmed.2019.12.013
dc.subject.kwHeroin
dc.subject.kwMexico
dc.subject.kwTreatment needs
dc.subject.kwUS border


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