Magura S, Kang S Y, Nwakeze P C, Demsky S
National Development and Research Institutes, Inc., New York, New York 10048, USA.
Subst Use Misuse. 1998 Oct;33(12):2441-67. doi: 10.3109/10826089809059334.
A sample of 1,038 patients newly admitted to 15 methadone clinics in New York City were studied for up to three years in treatment or until discharge. Cluster analysis identified distinct patient groups with very different heroin and cocaine usage patterns during treatment. About 80% either started in or transitioned to a low heroin use group and 50% either started in or transitioned to a low cocaine use group during treatment. One-third of patients used cocaine extensively during treatment. Other "high risk" groups, such as those not recently employed, younger, or involved with criminal justice, could benefit from special interventions very early in treatment.
对纽约市15家美沙酮诊所新收治的1038名患者进行了为期三年的治疗研究，或直至出院。聚类分析确定了治疗期间海洛因和可卡因使用模式截然不同的不同患者群体。约80%的患者在治疗期间开始或转入低海洛因使用组，50%的患者在治疗期间开始或转入低可卡因使用组。三分之一的患者在治疗期间大量使用可卡因。其他“高危”群体，如近期未就业、较年轻或涉及刑事司法的群体，可在治疗早期从特殊干预措施中受益。
