Shin Sunny Hyucksun, Lundgren Lena, Chassler Deborah
School of Social Work, Boston University. Boston, Massachusetts 02215, USA.
Am J Drug Alcohol Abuse. 2007;33(2):217-25. doi: 10.1080/00952990601174774.
Using a longitudinal state data base, 1996-2002, of all Injection Drug Users (IDU) (n = 37,227) admissions to all state-licensed drug treatment programs, this study examined differences in drug treatment entry patterns between younger IDUs (ages 18-25) compared to middle-age IDUs (ages 26-39) and older IDUs (over 40 years of age). Most of the younger IDUs were male, unemployed, and dependent on heroin. After controlling for factors known to affect type of drug treatment entered, younger IDUs were significantly more likely than their older counterparts to only use detoxification services and not enter additional treatment. Further, younger IDUs were significantly less likely to enter methadone maintenance and significantly more likely to enter residential treatment compared to older IDUs. Development of strategies to promote transition from detoxification to more comprehensive treatments and especially to methadone maintenance treatment is warranted.
本研究利用1996年至2002年所有注射吸毒者（IDU）（n = 37227）进入所有州立许可药物治疗项目的纵向状态数据库，考察了年轻注射吸毒者（18至25岁）与中年注射吸毒者（26至39岁）及老年注射吸毒者（40岁以上）在药物治疗进入模式上的差异。大多数年轻注射吸毒者为男性，失业，且依赖海洛因。在控制了已知会影响进入的药物治疗类型的因素后，年轻注射吸毒者比年长的注射吸毒者仅使用戒毒服务而不接受额外治疗的可能性显著更高。此外，与年长的注射吸毒者相比，年轻注射吸毒者进入美沙酮维持治疗的可能性显著更低，而进入住院治疗的可能性显著更高。有必要制定策略，以促进从戒毒向更全面治疗的过渡，尤其是向美沙酮维持治疗的过渡。
