Bazzi Angela R, Syvertsen Jennifer L, Rolón María Luisa, Martinez Gustavo, Rangel Gudelia, Vera Alicia, Amaro Hortensia, Ulibarri Monica D, Hernandez Daniel O, Strathdee Steffanie A
Department of Community Health Sciences, Boston University School of Public Health, 801 Massachusetts Avenue, 4th floor, Boston, MA 02118, USA.
Department of Anthropology, The Ohio State University, 4046 Smith Laboratory, 174W. 18th Avenue, Columbus OH 43210, USA.
J Subst Abuse Treat. 2016 Feb;61:26-33. doi: 10.1016/j.jsat.2015.08.007. Epub 2015 Sep 21.
Available drug treatment modalities may inadequately address social and structural contexts surrounding recovery efforts.
This mixed methods analysis drew on (1) surveys with female sex workers and their intimate male partners and (2) semi-structured interviews with a subsample of 41 couples (n=82 individuals, 123 total interviews) in Northern Mexico. Descriptive and content analyses examined drug cessation and treatment experiences.
Perceived need for drug treatment was high, yet only 35% had ever accessed services. Financial and institutional barriers (childcare needs, sex-segregated facilities) prevented partners from enrolling in residential programs together or simultaneously, leading to self-treatment attempts. Outpatient methadone was experienced more positively, yet financial constraints limited access and treatment duration. Relapse was common, particularly when one partner enrolled alone while the other continued using drugs.
Affordable, accessible, evidence-based drug treatment and recovery services that acknowledge social and structural contexts surrounding recovery are urgently needed for drug-involved couples.
现有的药物治疗方式可能无法充分应对康复过程中的社会和结构背景。
这项混合方法分析采用了（1）对女性性工作者及其亲密男性伴侣的调查，以及（2）对墨西哥北部41对夫妇（82人，共进行123次访谈）的子样本进行的半结构化访谈。描述性分析和内容分析考察了戒毒及治疗经历。
对药物治疗的需求感知很高，但只有35%的人曾使用过相关服务。经济和机构障碍（儿童保育需求、性别隔离设施）阻碍了伴侣双方一起或同时参加住院治疗项目，导致他们尝试自行治疗。门诊美沙酮治疗的体验较好，但经济限制影响了治疗的可及性和疗程。复吸很常见，尤其是当一方独自参加治疗而另一方继续吸毒时。
对于涉毒夫妇而言，迫切需要提供经济实惠、可及且基于证据的药物治疗及康复服务，同时要考虑到康复过程中的社会和结构背景。
