Why People Who Inject Drugs Voluntarily Transition Off Methadone in Ukraine
Why People Who Inject Drugs Voluntarily Transition Off Methadone in Ukraine
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DOI：
10.1177/1049732317732307
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发表时间：
2017-11-01
影响因子：
3.2
通讯作者：
Altice, Frederick L.
中科院分区：
文献类型：
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作者：
Rozanova, Julia;Marcus, Ruthanne;Altice, Frederick L.
美沙酮维持治疗（MMT）治疗注射毒品（PWID）人群中的阿片类药物使用障碍。为了理解为什么PWID可能会自愿停止MMT，我们分析了2013年2月至4月在乌克兰5个城市进行的25个焦点小组的数据，其中199名参与者目前，以前或从未接受过MMT。使用常数比较方法，我们发现了三个主题来解释为什么PWID从MMT过渡：（a）有目的地抵制与MMT如何提供相关的严格社会控制以及提供者-患者关系中的权力不对称，（B）PWID受伤身份的自我管理，这在社会污名化和身体疾病的人中很常见MMT作为他们疾病的提醒，以及（c）寻求不受MMT日常现场访问、骚扰、时间效率低下、资源和社会资本干扰的正常生活。注重康复的整体原则将改善乌克兰和全球的成瘾治疗和艾滋病毒预防。
Methadone maintenance therapy (MMT) treats opioid use disorder among people who inject drugs (PWID). To understand why PWID may voluntarily discontinue MMT, we analyzed data from 25 focus groups conducted in five Ukrainian cities from February to April 2013 with 199 participants who were currently, previously, or never on MMT. Using constant comparison method, we uncovered three themes explaining why PWID transition off MMT: (a) purposeful resistance to rigid social control associated with how MMT is delivered and to power asymmetries in provider-patient relationships, (b) self-management of a PWID's wounded identity that is common in socially stigmatized and physically sick personsMMT serves as a reminder of their illness, and (c) the quest for a normal life uninterrupted by daily MMT site visits, harassment, and time inefficiencies, resources, and social capital. Focusing on holistic principles of recovery would improve addiction treatment and HIV prevention in Ukraine and globally.