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首页> 外文期刊>Norsk Epidemiologi >The influence of programme differences on crime reduction in opioid maintenance treatment. An analysis of regional patterns in Norway
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The influence of programme differences on crime reduction in opioid maintenance treatment. An analysis of regional patterns in Norway

机译：程序差异对阿片类药物维持治疗中减少犯罪的影响。挪威的区域格局分析

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Aims: Design: Official national criminal records were cross linked with all patients who started opioid maintenance treatment in Norway from 1997-2003 (n=3221), including patients from four different health regions in Norway; the Eastern region (n=1717), the Southern region (n=751), the Western region (n=586) and the Central-Northern region (n=167). Patients in each region were divided into separate groups according to whether they were retained or not retained in continuous treatment.Findings: During opioid maintenance treatment, patients in all four treatment regions had a considerable reduction in criminal convictions compared to pre-treatment levels. Criminal convictions during treatment were associated with retention in treatment. Among patients in continuous treatment, significant differences were found in levels of criminal convictions among the four treatment regions during treatment. Compared to patients in the Eastern region, patients in the Southern and the Central-Northern region had respectively 44 and 81 percent less criminal convictions during treatment, and patients in the Western region had 60 percent more convictions. For patients not in continuous treatment, no statistically significant differences were found between the four regions during treatment.Conclusions: Differences in criminal convictions during treatment may be related to regional differences in treatment practice within the national OMT system. In all regions, criminal convictions during OMT were higher for patients dropping out of treatment. It is suggested that clinical staff should offer more support to patients at risk of dropping out of treatment.Background: Reduced criminal activity is an important outcome for opioid maintenance treatment (OMT).
机译：目的：设计：国家官方犯罪记录与所有从1997年至2003年在挪威开始使用阿片类药物维持治疗的患者（n = 3221）相互关联，其中包括来自挪威四个不同健康地区的患者;东部地区（n = 1717），南部地区（n = 751），西部地区（n = 586）和中北部地区（n = 167）。根据是否继续治疗，将每个地区的患者分为不同的组。发现：在阿片类药物维持治疗期间，与治疗前相比，所有四个治疗地区的患者的刑事定罪率均大大降低。治疗期间的刑事定罪与保留治疗有关。在接受连续治疗的患者中，在治疗期间四个治疗区域之间的刑事定罪水平存在显着差异。与东部地区的患者相比，南部地区和中北部地区的患者在治疗期间的刑事定罪分别减少了44％和81％，而西部地区的患者的定罪率则增加了60％。对于未接受连续治疗的患者，在治疗期间四个区域之间未发现统计学上的显着差异。结论：治疗期间的刑事定罪差异可能与国家OMT系统内治疗实践的区域差异有关。在所有地区，退出治疗的患者在OMT期间的刑事定罪率更高。建议临床工作人员应为可能退出治疗的患者提供更多支持。背景：减少犯罪活动是阿片类药物维持治疗（OMT）的重要结果。

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