Nyamathi Adeline, Smith Donna McNeese, Shoptaw Steven, Mutere Malaika, Cohen Allan, Amrani Israel, Morales Louis, de Castro Viviane
School of Nursing, University of California, Los Angeles, USA.
Prog Community Health Partnersh. 2007 Winter;1(4):301-9. doi: 10.1353/cpr.2007.0032.
Among substance users, health seeking remains a major challenge for which few data are available.
We sought to investigate the perceptions of methadone-maintained heroin users who are also problem or heavy drinkers, their barriers and facilitators to seeking help for substance and general and chronic care treatment.
A qualitative design using a semistructured focus group approach was conducted with a convenience sample of 41 adult clients of a methadone maintenance facility in Los Angeles.
Findings revealed that discrimination was a major challenge experienced as a result of their methadone status. Lack of primary care providers, limited access to health care facilities and access barriers were pervasive. Focus group participants expressed a desire for nonjudgemental and empathetic care that would foster respect and facilitate help-seeking behaviors through a comprehensive support system.
The need to design culturally relevant training programs was evident which included an integration of treatment, communication and societal issues.
在药物使用者中，寻求健康治疗仍然是一项重大挑战，目前相关数据很少。
我们试图调查同时存在问题饮酒或重度饮酒情况的美沙酮维持治疗的海洛因使用者的看法，以及他们在寻求药物、一般和慢性病护理治疗帮助方面的障碍和促进因素。
采用半结构化焦点小组方法进行定性设计，对洛杉矶一家美沙酮维持治疗机构的41名成年客户进行了便利抽样。
研究结果显示，因其美沙酮治疗状态而遭受的歧视是一个主要挑战。缺乏初级保健提供者、获得医疗保健设施的机会有限以及获取障碍普遍存在。焦点小组参与者表示希望获得无偏见且富有同理心的护理，这种护理将通过全面的支持系统促进尊重并推动求助行为。
显然有必要设计与文化相关的培训项目，其中包括整合治疗、沟通和社会问题。
