Methadone Maintenance after Prison Release Reduces HIV Injection-Risk Behaviors but Not Sex-Risk Behaviors
This study analyzed HIV risk behaviors of 211 adult men with opioid dependence after release from prison in Baltimore, MD. Subjects were randomly assigned to 1 of 3 treatment conditions: counseling only (CO), counseling + opioid agonist treatment (OAT) after release (CR), or counseling + OAT initiated while in prison (CM). The primary outcome measure was self-reported participation in drug- and sex-risk behaviors as measured by Texas Christian University’s AIDS Risk Assessment (ARA) administered at baseline (30-day recall prior to incarceration) and at several intervals up to 12 months post-release.
- In the entire cohort, there was a significant decline in overall ARA sex-risk score but not in drug-risk score.
- When comparing the 3 treatment conditions, participants in the CR and CM groups had significantly lower drug-risk scores than those in the CO group. Those in the CM group had lower scores than those in the CR group, but the difference was not statistically significant.
- There was no significant difference in post-release sex-risk scores between the 3 groups.