Self-Efficacy and HIV risk behaviors among heroin users in Taiwan

Nai-Ying Ko, Peng Wei Wang, Hung Chi Wu, Chia Nan Yen, Su Ting Hsu, Yi Chun Yeh, Kuan Sheng Chung, Cheng Fang Yen

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: This study examined the predictors of self-efficacy in reducing risky injection behaviors among heroin users receiving methadone maintenance treatment (MMT). Method: The Methadone Maintenance Treatment Outcome Study was an 18-month prospective study from March 2007 to July 2008. Data collection was conducted in the substance use disorders treatment outpatient clinics of three hospitals in southern Taiwan. A total of 368 opioid-dependent heroin users (13.6% women) were interviewed at baseline and at 3-, 6-, 9-, 12-, 15-and 18-month follow-ups. The level of self-efficacy in reducing risky injection behaviors was repeatedly assessed using the Self-Efficacy Scale for HIV Risk Behaviors. Demographic and substance use characteristics, HIV serostatus, family function, depression, and pros and cons of heroin use were collected at baseline, and methadone dosage at each follow-up interview and the duration of retention in the MMT program were also recorded. Results: The results of the generalized estimating equation indicated that a lower educational level, concurrent methamphetamine use, a younger age at first heroin use, a lower methadone dosage, a higher level of depression, and a shorter duration of retention in the MMT program were predictive of a lower level of self-efficacy in reducing risky injection behaviors. Conclusions: This study found that personal and MMT-related factors were predictive of a lower level of self-efficacy among heroin users receiving MMT. Programs implemented to promote a higher level of self-efficacy should be provided to heroin users in the MMT program.

Original languageEnglish
Pages (from-to)469-476
Number of pages8
JournalJournal of Studies on Alcohol and Drugs
Volume73
Issue number3
DOIs
Publication statusPublished - 2012 Jan 1

Fingerprint

Methadone
Heroin
Self Efficacy
Risk-Taking
Taiwan
risk behavior
self-efficacy
HIV
Therapeutics
outpatient clinic
Injections
Hospital Outpatient Clinics
Depression
Methamphetamine
Opioid Analgesics
Substance-Related Disorders
interview
Demography
Outcome Assessment (Health Care)
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Toxicology
  • Psychiatry and Mental health

Cite this

Ko, N-Y., Wang, P. W., Wu, H. C., Yen, C. N., Hsu, S. T., Yeh, Y. C., ... Yen, C. F. (2012). Self-Efficacy and HIV risk behaviors among heroin users in Taiwan. Journal of Studies on Alcohol and Drugs, 73(3), 469-476. https://doi.org/10.15288/jsad.2012.73.469
Ko, Nai-Ying ; Wang, Peng Wei ; Wu, Hung Chi ; Yen, Chia Nan ; Hsu, Su Ting ; Yeh, Yi Chun ; Chung, Kuan Sheng ; Yen, Cheng Fang. / Self-Efficacy and HIV risk behaviors among heroin users in Taiwan. In: Journal of Studies on Alcohol and Drugs. 2012 ; Vol. 73, No. 3. pp. 469-476.
@article{0dc2819c375b4ac3ba7cc5859d69b3f1,
title = "Self-Efficacy and HIV risk behaviors among heroin users in Taiwan",
abstract = "Objective: This study examined the predictors of self-efficacy in reducing risky injection behaviors among heroin users receiving methadone maintenance treatment (MMT). Method: The Methadone Maintenance Treatment Outcome Study was an 18-month prospective study from March 2007 to July 2008. Data collection was conducted in the substance use disorders treatment outpatient clinics of three hospitals in southern Taiwan. A total of 368 opioid-dependent heroin users (13.6{\%} women) were interviewed at baseline and at 3-, 6-, 9-, 12-, 15-and 18-month follow-ups. The level of self-efficacy in reducing risky injection behaviors was repeatedly assessed using the Self-Efficacy Scale for HIV Risk Behaviors. Demographic and substance use characteristics, HIV serostatus, family function, depression, and pros and cons of heroin use were collected at baseline, and methadone dosage at each follow-up interview and the duration of retention in the MMT program were also recorded. Results: The results of the generalized estimating equation indicated that a lower educational level, concurrent methamphetamine use, a younger age at first heroin use, a lower methadone dosage, a higher level of depression, and a shorter duration of retention in the MMT program were predictive of a lower level of self-efficacy in reducing risky injection behaviors. Conclusions: This study found that personal and MMT-related factors were predictive of a lower level of self-efficacy among heroin users receiving MMT. Programs implemented to promote a higher level of self-efficacy should be provided to heroin users in the MMT program.",
author = "Nai-Ying Ko and Wang, {Peng Wei} and Wu, {Hung Chi} and Yen, {Chia Nan} and Hsu, {Su Ting} and Yeh, {Yi Chun} and Chung, {Kuan Sheng} and Yen, {Cheng Fang}",
year = "2012",
month = "1",
day = "1",
doi = "10.15288/jsad.2012.73.469",
language = "English",
volume = "73",
pages = "469--476",
journal = "Journal of Studies on Alcohol and Drugs",
issn = "1937-1888",
publisher = "Alcohol Research Documentation, Inc.",
number = "3",

}

Ko, N-Y, Wang, PW, Wu, HC, Yen, CN, Hsu, ST, Yeh, YC, Chung, KS & Yen, CF 2012, 'Self-Efficacy and HIV risk behaviors among heroin users in Taiwan', Journal of Studies on Alcohol and Drugs, vol. 73, no. 3, pp. 469-476. https://doi.org/10.15288/jsad.2012.73.469

Self-Efficacy and HIV risk behaviors among heroin users in Taiwan. / Ko, Nai-Ying; Wang, Peng Wei; Wu, Hung Chi; Yen, Chia Nan; Hsu, Su Ting; Yeh, Yi Chun; Chung, Kuan Sheng; Yen, Cheng Fang.

In: Journal of Studies on Alcohol and Drugs, Vol. 73, No. 3, 01.01.2012, p. 469-476.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Self-Efficacy and HIV risk behaviors among heroin users in Taiwan

AU - Ko, Nai-Ying

AU - Wang, Peng Wei

AU - Wu, Hung Chi

AU - Yen, Chia Nan

AU - Hsu, Su Ting

AU - Yeh, Yi Chun

AU - Chung, Kuan Sheng

AU - Yen, Cheng Fang

PY - 2012/1/1

Y1 - 2012/1/1

N2 - Objective: This study examined the predictors of self-efficacy in reducing risky injection behaviors among heroin users receiving methadone maintenance treatment (MMT). Method: The Methadone Maintenance Treatment Outcome Study was an 18-month prospective study from March 2007 to July 2008. Data collection was conducted in the substance use disorders treatment outpatient clinics of three hospitals in southern Taiwan. A total of 368 opioid-dependent heroin users (13.6% women) were interviewed at baseline and at 3-, 6-, 9-, 12-, 15-and 18-month follow-ups. The level of self-efficacy in reducing risky injection behaviors was repeatedly assessed using the Self-Efficacy Scale for HIV Risk Behaviors. Demographic and substance use characteristics, HIV serostatus, family function, depression, and pros and cons of heroin use were collected at baseline, and methadone dosage at each follow-up interview and the duration of retention in the MMT program were also recorded. Results: The results of the generalized estimating equation indicated that a lower educational level, concurrent methamphetamine use, a younger age at first heroin use, a lower methadone dosage, a higher level of depression, and a shorter duration of retention in the MMT program were predictive of a lower level of self-efficacy in reducing risky injection behaviors. Conclusions: This study found that personal and MMT-related factors were predictive of a lower level of self-efficacy among heroin users receiving MMT. Programs implemented to promote a higher level of self-efficacy should be provided to heroin users in the MMT program.

AB - Objective: This study examined the predictors of self-efficacy in reducing risky injection behaviors among heroin users receiving methadone maintenance treatment (MMT). Method: The Methadone Maintenance Treatment Outcome Study was an 18-month prospective study from March 2007 to July 2008. Data collection was conducted in the substance use disorders treatment outpatient clinics of three hospitals in southern Taiwan. A total of 368 opioid-dependent heroin users (13.6% women) were interviewed at baseline and at 3-, 6-, 9-, 12-, 15-and 18-month follow-ups. The level of self-efficacy in reducing risky injection behaviors was repeatedly assessed using the Self-Efficacy Scale for HIV Risk Behaviors. Demographic and substance use characteristics, HIV serostatus, family function, depression, and pros and cons of heroin use were collected at baseline, and methadone dosage at each follow-up interview and the duration of retention in the MMT program were also recorded. Results: The results of the generalized estimating equation indicated that a lower educational level, concurrent methamphetamine use, a younger age at first heroin use, a lower methadone dosage, a higher level of depression, and a shorter duration of retention in the MMT program were predictive of a lower level of self-efficacy in reducing risky injection behaviors. Conclusions: This study found that personal and MMT-related factors were predictive of a lower level of self-efficacy among heroin users receiving MMT. Programs implemented to promote a higher level of self-efficacy should be provided to heroin users in the MMT program.

UR - http://www.scopus.com/inward/record.url?scp=84859476606&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84859476606&partnerID=8YFLogxK

U2 - 10.15288/jsad.2012.73.469

DO - 10.15288/jsad.2012.73.469

M3 - Article

VL - 73

SP - 469

EP - 476

JO - Journal of Studies on Alcohol and Drugs

JF - Journal of Studies on Alcohol and Drugs

SN - 1937-1888

IS - 3

ER -