Fox Aaron D, Chamberlain Adam, Sohler Nancy L, Frost Taeko, Cunningham Chinazo O
Albert Einstein College of Medicine, Bronx, NY 10461, USA; Montefiore Medical Center, Bronx, NY 10467, USA.
Albert Einstein College of Medicine, Bronx, NY 10461, USA.
J Subst Abuse Treat. 2015 Jan;48(1):112-6. doi: 10.1016/j.jsat.2014.07.015. Epub 2014 Aug 7.
Poor access to buprenorphine maintenance treatment (BMT) may contribute to illicit buprenorphine use. This study investigated illicit buprenorphine use and barriers to BMT among syringe exchange participants. Computer-based interviews conducted at a New York City harm reduction agency determined: prior buprenorphine use; barriers to BMT; and interest in BMT. Of 102 opioid users, 57 had used illicit buprenorphine and 32 had used prescribed buprenorphine. When illicit buprenorphine users were compared to non-users: barriers to BMT ("did not know where to get treatment") were more common (64 vs. 36%, p<0.01); mean levels of interest in BMT were greater (3.37 ± 1.29 vs. 2.80 ± 1.34, p=0.03); and more participants reported themselves likely to initiate treatment (82 vs. 50%, p<0.01). Illicit buprenorphine users were interested in BMT but did not know where to go for treatment. Addressing barriers to BMT could reduce illicit buprenorphine use.
丁丙诺啡维持治疗（BMT）的可及性差可能会导致丁丙诺啡的非法使用。本研究调查了注射器交换项目参与者中丁丙诺啡的非法使用情况以及接受BMT的障碍。在纽约市一家减少伤害机构进行的基于计算机的访谈确定了：既往丁丙诺啡使用情况；接受BMT的障碍；以及对BMT的兴趣。在102名阿片类药物使用者中，57人曾使用过非法丁丙诺啡，32人曾使用过处方丁丙诺啡。将非法丁丙诺啡使用者与非使用者进行比较时发现：接受BMT的障碍（“不知道何处接受治疗”）更为常见（64%对36%，p<0.01）；对BMT的平均兴趣水平更高（3.37±1.29对2.80±1.34，p=0.03）；并且更多参与者表示自己可能开始治疗（82%对50%，p<0.01）。非法丁丙诺啡使用者对BMT感兴趣，但不知道去哪里接受治疗。解决接受BMT的障碍可能会减少丁丙诺啡的非法使用。
