Understanding prolonged cessation from heroin use: findings from a community-based sample.
Understanding prolonged cessation from heroin use: findings from a community-based sample.
复制标题
了解长期戒除海洛因使用：基于社区的样本的发现。
DOI：
10.1080/02791072.2014.890765
复制
发表时间：
2014
影响因子：
2.8
通讯作者：
Vlahov,David
中科院分区：
文献类型：
--
作者：
Weiss,Linda;Gass,Jonathon;Egan,JamesE;Ompad,DanielleC;Trezza,Claudia;Vlahov,David
Background:There is abundant literature describing heroin initiation, co-morbidities, and treatment. Few studies focus on cessation, examining the factors that motivate and facilitate it.Methods:The CHANGE study utilized mixed methods to investigate heroin cessation among low-income New York City participants. This paper describes findings from qualitative interviews with 20 former and 11 current heroin users. Interviews focused on background and current activities, supports, drug history, cessation attempts, and motivators and facilitators to cessation.Results:Participants found motivation for cessation in improved quality of life, relationships, and fear of illness, incarceration and/or death. Sustained cessation required some combination of treatment, strategic avoidance of triggers, and engagement in alternative activities, including support groups, exercise, and faith-based practice. Several reported that progress toward goals served as motivators that increased confidence and facilitated cessation. Ultimatums were key motivators for some participants. Beyond that, they could not articulate factors that distinguished successful from unsuccessful cessation attempts, although data suggest that those who were successful could describe more individualized and concrete—rather than general—motivators and strategies.Conclusions:Our findings indicate that cessation may be facilitated by multifaceted and individualized strategies, suggesting a need for personal and comprehensive approaches to treatment.
