Barriers to accessing drug treatment in Russia: a qualitative study among, injecting drug users in two cities
Barriers to accessing drug treatment in Russia: a qualitative study among, injecting drug users in two cities
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DOI：
10.1016/s0376-8716(06)80010-4
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发表时间：
2006-05-01
影响因子：
4.2
通讯作者：
Maksimova, Svetlana
中科院分区：
文献类型：
--
作者：
Bobrova, Natalia;Rhodes, Tim;Maksimova, Svetlana
目的：为了评估影响注射毒品使用者（IDUs）在两个Russian countries.Methods：八十六个定性访谈进行了注射毒品使用者在沃尔戈格勒和巴诺尔在2003年之间获得药物治疗的因素。IDUs招募通过当地的药物治疗服务，针头交换，和吸毒者networks.Results：三个主要障碍，治疗访问确定：财政限制，害怕登记为吸毒者，并认为现有的治疗服务的低效率。吸毒者登记与失业、违反保密规定和耻辱有关。有些与会者不认为药物治疗服务可以适当和有效地回应他们的treatment needs.Conclusions：这些研究结果突出了环境因素在调解注射吸毒者获得药物治疗，这可能表明需要社会和结构性干预的重要性。应当通过减少戒毒治疗的经济负担和尽量减少与吸毒者登记有关的耻辱感来增加获得戒毒治疗服务的机会。俄罗斯应该从高度医学化的治疗模式转向更全面的方法，承认注射吸毒者治疗需求的多样性。鉴于迫切需要将戒毒治疗纳入俄罗斯更广泛的艾滋病毒预防对策，这些优先事项特别及时。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
Objectives: To assess factors influencing access to drug treatment among injecting drug users (IDUs) in two Russian cities.Methods: Eighty-six qualitative interviews were conducted with IDUs in Volgograd and Barnaul in 2003. IDUs were recruited through local drug treatment services, needle exchanges, and drug user networks.Results: Three main barriers to treatment access were identified: financial constraints, fear of registration as a drug user, and perceived low efficacy of available treatment services. Registration of drug users was associated with loss of employment, breaches in confidentiality, and stigma. Some participants did not think that drug treatment services could respond appropriately and effectively to their treatment needs.Conclusions: These findings highlight the importance of environmental factors in mediating IDUs' access to drug treatment, which might suggest the need for social and structural interventions. Access to drug treatment services should be enhanced by reducing the financial burdens of drug treatment and minimizing the stigma associated with drug user registration. Russia should shift from a highly medicalised model of treatment toward a more holistic approach that recognises the diversity of treatment needs among IDUs. These priorities are especially timely given the urgent need to integrate drug treatment as part of wider HIV prevention responses in Russia. (c) 2006 Elsevier Ireland Ltd. All rights reserved.