Ningbo University School of Medicine, 818 Fenghua Street, Jiangbei District, Ningbo, Zhejiang, China.
Subst Abuse Treat Prev Policy. 2013 Aug 4;8:29. doi: 10.1186/1747-597X-8-29.
In China, the Compulsory Detoxification Centres are the main response for people who use illegal drugs. Due to high relapse rates among people released from the Compulsory Detoxification Centres, it is likely that they may seek medical help, including Methadone Maintenance Treatment (MMT) services, at some point. Therefore, better understanding of the attitudes and beliefs of people in the Compulsory Detoxification Centres can help to provide more adequate response to opioid dependence.
In total, 329 detained heroin users and 112 active MMT clients were recruited from a local Compulsory Detoxification Centre and MMT clinic, respectively. The survey contained specific questions relating to attitudes and beliefs regarding MMT.
Participants at the Compulsory Detoxification Centre and the MMT clinic expressed different opinions, regarding positive and negative attitudes and beliefs towards MMT. In addition, participants from both sites hold certain negative attitudes and beliefs about methadone despite their acknowledgement of the positive effects of MMT. Finally, participants at the Compulsory Detoxification Centre and the MMT clinic reported distinctive treatment preferences, with the former preferring community-based treatment and the latter MMT.
Developing targeted education about MMT for people at the Compulsory Detoxification Centres could help improve access to accurate and evidence-based health and treatment information. The study may also help providers understand and adjust services needed for target population in the future.
在中国,强制戒毒所是应对吸毒者的主要机构。由于从强制戒毒所释放的人复吸率很高,他们很可能会在某个时候寻求医疗帮助,包括美沙酮维持治疗(MMT)服务。因此,更好地了解强制戒毒所内人员的态度和信念,可以帮助对阿片类药物依赖提供更充分的应对。
共招募了 329 名被拘留的海洛因使用者和 112 名当地强制戒毒所和美沙酮维持治疗诊所的美沙酮维持治疗门诊活跃患者。调查包含了与美沙酮维持治疗的态度和信念相关的具体问题。
来自强制戒毒所和美沙酮维持治疗门诊的参与者对美沙酮维持治疗的态度和信念有不同的看法,包括积极和消极的看法。此外,尽管参与者都承认美沙酮维持治疗的积极作用,但他们对美沙酮仍持有某些消极态度和信念。最后,来自强制戒毒所和美沙酮维持治疗门诊的参与者报告了不同的治疗偏好,前者更喜欢社区为基础的治疗,后者更喜欢美沙酮维持治疗。
为强制戒毒所内的人员开展关于美沙酮维持治疗的针对性教育,可以帮助改善获得准确和基于证据的健康和治疗信息的机会。该研究还可以帮助提供者了解和调整未来目标人群所需的服务。