Denver Public Health Department, Denver, CO, USA.
J Subst Abuse Treat. 2011 Jul;41(1):30-6. doi: 10.1016/j.jsat.2011.01.009. Epub 2011 Mar 2.
Clients' perceptions and attitudes toward methadone treatment programs are frequently overlooked in substance abuse research. Given the importance of methadone maintenance as a harm-reduction strategy and clients' concerns about treatment, it is essential to understand perceptions and attitudes toward existing programs. Using data from the 2009 National HIV Behavioral Surveillance system with injection drug users in Denver, CO, we evaluated participants' experiences with methadone clinics and examined predictive factors associated with ever being a client of a methadone clinic. Costs of services, perceptions of staff not caring about the client, and attitudes toward the counseling services seemed to be the major barriers to program retention. Besides heroin use, previous attempt at self-detoxification and being infected with hepatitis C were the strongest predictors of ever being on methadone treatment. Addressing the barriers to program retention and encouraging treatment engagement are essential to embracing methadone maintenance as a harm-reduction strategy for injection drug users.
在物质滥用研究中，经常忽略了客户对美沙酮治疗计划的看法和态度。鉴于美沙酮维持治疗作为一种减少伤害的策略的重要性，以及客户对治疗的关注，了解他们对现有治疗计划的看法和态度至关重要。我们使用了 2009 年科罗拉多州丹佛市全国艾滋病毒行为监测系统中注射吸毒者的数据，评估了参与者在美沙酮诊所的经历，并研究了与曾经接受美沙酮诊所治疗相关的预测因素。服务费用、对工作人员不关心客户的看法以及对咨询服务的态度似乎是阻碍计划保留的主要因素。除了海洛因使用外，之前尝试自行戒毒和感染丙型肝炎是曾经接受美沙酮治疗的最强预测因素。解决计划保留的障碍和鼓励治疗参与对于将美沙酮维持治疗作为注射吸毒者减少伤害的策略至关重要。
