Jiading Mental Health Center, Shanghai, China.
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Harm Reduct J. 2017 Nov 2;14(1):71. doi: 10.1186/s12954-017-0197-3.
The purpose of this study was to document the prevalence of hepatitis C among MMT patients, hepatitis C virus (HCV) knowledge of patients and MMT staff members, and the barriers preventing them from receiving or delivering HCV-related services in MMT clinics of China.
Data were collected from 240 MMT patients and 58 staff members in Shanghai MMT clinics. Structured questionnaires (HCV Knowledge Scale and Alcohol Use Disorders Identification Test) and several self-developed questionnaires were used to assess (1) patient and staff HCV knowledge, (2) attitudes toward HCV-related services in MMT clinics, and (3) what type of HCV-related services the staff members have provided in their routine work. The HCV test results were based on the patients' medical records.
The HCV seropositive rate was high (70%), and both patients and staff had limited HCV knowledge. The mean score of patient HCV knowledge was 6.8 out of 20 (SD = 3.7), whereas the mean score of staff HCV knowledge was 10.9 out of 20 (SD = 3.1). For HCV-positive patients, only 13.7% had accessed HCV medical treatment. Barriers included the cost of medical treatment, lack of HCV knowledge, lack of professional training for patients to receive HCV-related services from individuals or MMT clinics, and lack of an adequate policy-making system.
HCV infection remains an important problem among MMT patients in China. Barriers to HCV-related services are attributable to individual, clinical, and policy-related factors. This study may provide evidence-based information for future work to optimize the resources of MMT clinics.
ClinicalTrials.gov NCT01647191 . Registered 17 April 2012.
本研究旨在记录中国美沙酮维持治疗（MMT）诊所内 MMT 患者、患者和 MMT 工作人员对丙型肝炎（HCV）的认知水平，以及阻碍他们在 MMT 诊所接受或提供 HCV 相关服务的因素。
数据来源于上海 MMT 诊所的 240 名 MMT 患者和 58 名工作人员。采用结构式问卷（HCV 知识量表和酒精使用障碍识别测试）和几个自设问卷，评估（1）患者和工作人员对 HCV 的认知水平，（2）他们对 MMT 诊所内 HCV 相关服务的态度，以及（3）工作人员在日常工作中提供了哪些类型的 HCV 相关服务。HCV 检测结果基于患者的病历。
HCV 血清阳性率较高（70%），患者和工作人员对 HCV 的了解都很有限。患者 HCV 知识的平均得分为 20 分中的 6.8 分（标准差=3.7），而工作人员 HCV 知识的平均得分为 20 分中的 10.9 分（标准差=3.1）。对于 HCV 阳性患者，仅有 13.7%接受了 HCV 治疗。阻碍因素包括治疗费用、缺乏 HCV 知识、缺乏对患者接受个体或 MMT 诊所 HCV 相关服务的专业培训，以及缺乏完善的政策制定体系。
HCV 感染仍然是中国 MMT 患者面临的一个重要问题。阻碍 HCV 相关服务的因素可归因于个人、临床和政策相关因素。本研究可为未来优化 MMT 诊所资源的工作提供循证信息。
ClinicalTrials.gov NCT01647191。于 2012 年 4 月 17 日注册。
