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中国江苏美沙酮维持治疗门诊服务提供者的工作满意度:一项横断面调查。

Job Satisfaction Among Methadone Maintenance Treatment Clinic Service Providers in Jiangsu, China: A Cross-sectional Survey.

机构信息

Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China (GC, YC, XL, XH); Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles, Los Angeles, CA (CL, LL, SL); National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (XC, JMM, ZW); Department of Epidemiology, Fielding School of Public Health, University of California at Los Angeles, Los Angeles, CA (ZW).

出版信息

J Addict Med. 2020 Jan/Feb;14(1):12-17. doi: 10.1097/ADM.0000000000000530.

Abstract

OBJECTIVE

Service providers' job satisfaction is critical to the stability of the work force and thereby the effectiveness of methadone maintenance treatment (MMT) programs. This study aimed to explore MMT clinic service providers' job satisfaction and associated factors in Jiangsu, China.

METHODS

This secondary study used baseline data of a randomized interventional trial implemented in Jiangsu, China. A survey was conducted among 76 MMT service providers using the computer-assisted self-interview (CASI) method. Job satisfaction responses were assessed via a 30-item scale, with a higher score indicating a higher level of job satisfaction. Perceived institutional support and perceived stigma due to working with drug users were measured using a 9-item scale. Correlation and multiple linear regression analyses were performed to identify factors associated with job satisfaction.

RESULTS

Correlation analyses found a significant association between job satisfaction and having professional experience in the prevention and control of HIV, other sexually transmitted infections, or other infectious diseases (P = 0.046). Multiple regression analyses revealed that working at MMT clinics affiliated with Center for Disease Control and Prevention sites was associated with a lower level of job satisfaction (P = 0.014), and perception of greater institutional support (P = 0.001) was associated with a higher level of job satisfaction.

CONCLUSION

Job satisfaction among MMT clinic service providers was moderate in our study. Our findings suggest that institutional support for providers should be improved, and that acquisition of additional expertise should be encouraged.

摘要

目的

服务提供者的工作满意度对于劳动力的稳定性至关重要,进而对美沙酮维持治疗(MMT)项目的效果产生影响。本研究旨在探讨中国江苏省 MMT 诊所服务提供者的工作满意度及其相关因素。

方法

本研究使用了在中国江苏省实施的一项随机干预试验的基线数据。采用计算机辅助自访谈(CASI)方法对 76 名 MMT 服务提供者进行了调查。工作满意度的反应通过 30 项量表进行评估,得分越高表示工作满意度越高。机构支持感和因与吸毒者一起工作而产生的污名化感知通过 9 项量表进行测量。进行了相关分析和多元线性回归分析,以确定与工作满意度相关的因素。

结果

相关性分析发现,工作满意度与预防和控制艾滋病毒、其他性传播感染或其他传染病方面的专业经验显著相关(P=0.046)。多元回归分析显示,在隶属于疾病预防控制中心站点的 MMT 诊所工作与较低的工作满意度相关(P=0.014),而机构支持感越强(P=0.001)与更高的工作满意度相关。

结论

在我们的研究中,MMT 诊所服务提供者的工作满意度处于中等水平。研究结果表明,应加强对提供者的机构支持,并鼓励他们获得更多专业知识。

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