Addiction and treatment experiences among active methamphetamine users recruited from a township community in Cape Town, South Africa: A mixed-methods study.
Addiction and treatment experiences among active methamphetamine users recruited from a township community in Cape Town, South Africa: A mixed-methods study.
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DOI：
10.1016/j.drugalcdep.2015.04.016
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发表时间：
2015-07-01
影响因子：
4.2
通讯作者：
Pieterse, Desiree
中科院分区：
文献类型：
--
作者：
Meade, Christina S.;Towe, Sheri L.;Watt, Melissa H.;Lion, Ryan R.;Myers, Bronwyn;Skinner, Donald;Kimani, Stephen;Pieterse, Desiree
自2000年以来，南非的甲基苯丙胺使用量急剧增加，但人们对停止治疗使用者的经历知之甚少。这种混合方法的研究描述了物质使用史，成瘾症状，并在开普敦社区招募的甲基苯丙胺用户的样本的治疗经验。使用受访者驱动的抽样，360甲基苯丙胺用户（44%女性）完成了结构化的临床访谈，以评估药物滥用和治疗史和计算机化的调查，以评估与药物有关的风险。30名参与者的子样本完成了深入访谈，以定性探索甲基苯丙胺使用和药物治疗的经验。参与者平均使用甲基苯丙胺7.06年（SD=3.64）。他们报告在过去30天中平均使用甲基苯丙胺23.49（SD=8.90）; 60%每天使用。大多数（90%）符合ICD-10的依赖标准，许多人报告了严重的社会，经济和法律的后果。虽然只有10%的人曾经接受过药物治疗，但90%的人报告说他们想要治疗。在定性访谈中，参与者报告了治疗的多重障碍，包括认为治疗无效，复发在其社会背景下是不可避免的。他们还确定了重要的动机，包括希望远离毒品和改善家庭功能。这项研究为更有效地应对南非和其他中低收入国家新出现的甲基苯丙胺流行病提供了宝贵的信息。增加循证服务利用的干预措施必须积极寻找吸毒者，建立治疗动机，并提供持续护理服务以防止复吸。还需要开展社区教育活动。
Since 2000, there has been a dramatic increase in methamphetamine use in South Africa, but little is known about the experiences of out-of-treatment users. This mixed-methods study describes the substance use histories, addiction symptoms, and treatment experiences of a community-recruited sample of methamphetamine users in Cape Town. Using respondent driven sampling, 360 methamphetamine users (44% female) completed structured clinical interviews to assess substance abuse and treatment history and computerized surveys to assess drug-related risks. A sub-sample of 30 participants completed in-depth interviews to qualitatively explore experiences with methamphetamine use and drug treatment. Participants had used methamphetamine for an average of 7.06 years (SD=3.64). They reported using methamphetamine on an average of 23.49 of the past 30 days (SD=8.90); 60% used daily. The majority (90%) met ICD-10 criteria for dependence, and many reported severe social, financial, and legal consequences. While only 10% had ever received drug treatment, 90% reported that they wanted treatment. In the qualitative interviews, participants reported multiple barriers to treatment, including beliefs that treatment is ineffective and relapse is inevitable in their social context. They also identified important motivators, including desires to be drug free and improve family functioning. This study yields valuable information to more effectively respond to emerging methamphetamine epidemics in South Africa and other low- and middle-income countries. Interventions to increase uptake of evidence-based services must actively seek out drug users and build motivation for treatment, and offer continuing care services to prevent relapse. Community education campaigns are also needed.
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DOI：
10.1186/1747-597x-6-3
发表时间：
2011-02-14
期刊：
Substance abuse treatment, prevention, and policy
影响因子：
--
作者：
Kenny P;Harney A;Lee NK;Pennay A
通讯作者：
Pennay A
影响因子：
4.2
作者：
Meade, Christina S.;Watt, Melissa H.;Sikkema, Kathleen J.;Deng, Lisa X.;Ranby, Krista W.;Skinner, Donald;Pieterse, Desiree;Kalichmann, Seth C.
通讯作者：
Kalichmann, Seth C.
影响因子：
4.2
作者：
McKetin, Rebecca;Kelly, Erin;McLaren, Jennifer
通讯作者：
McLaren, Jennifer
在使用甲基苯丙胺治疗后复发的时间：对模式和预测因子的长期观点。
影响因子：
4.2
作者：
Brecht ML;Herbeck D
通讯作者：
Herbeck D
影响因子：
168.9
作者：
Coovadia, Hoosen;Jewkes, Rachel;McIntyre, Diane
通讯作者：
McIntyre, Diane