Knowledge and stigma regarding methadone maintenance treatment among personnel of methadone maintenance treatment and non-methadone maintenance treatment addiction facilities in Israel
Knowledge and stigma regarding methadone maintenance treatment among personnel of methadone maintenance treatment and non-methadone maintenance treatment addiction facilities in Israel
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以色列美沙酮维持治疗和非美沙酮维持治疗成瘾设施人员对美沙酮维持治疗的了解和耻辱
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
E. Peles
中科院分区：
文献类型：
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作者：
Lia Shidlansik;M. Adelson;E. Peles
摘要美沙酮维持治疗中的污名是很常见的。这篇文章的目的是评估耻辱的存在及其与美沙酮维持治疗知识程度的关系。作者对来自以色列不同治疗中心的美沙酮维持治疗和非美沙酮维持治疗成瘾治疗师进行了调查，包括美沙酮维持治疗诊所(卫生部)和非美沙酮维持治疗成瘾设施(社会服务部)，采用匿名问卷调查美沙酮维持治疗的耻辱和知识。有63名美沙酮维持治疗诊所的治疗师(63%)及46名来自社会服务署非美沙酮维持治疗戒毒所的治疗师(9.2%)作出回应。与社会服务部门相比，美沙酮维持治疗的人员年龄更大(42.712.8vs37.5士8.2a；p=0.03)，女性更少(48vs75%；p=0.006)，50%是社会工作者，而社会服务组的社会工作者为100%(p<；0.0005)。美沙酮维持治疗人员的污名得分低于社会服务部门人员(3±2.5vs5.0±3.5p=0.0001)，而美沙酮维持治疗人员的美沙酮维持治疗知识得分较高(10.3vs.7.7±2.8p<；0.0005)。在控制了年龄、性别和职业后，污名和知识得分的差异仍然显著。美沙酮维持治疗组(R=-0.0005.5，P<0.0 1)和社会服务部人员(R=-0.33，P=0.0 3)的污名与知识得分呈负相关。这些结果显示，耻辱的存在与美沙酮维持治疗的教育程度和知识之间存在显著的相关性，社会服务部门人员对美沙酮维持治疗的无知和耻辱更为明显。教育干预，特别是在社会服务部门工作人员中，可能会使使用阿片类药物的人受益，并提高以色列阿片成瘾治疗的整体质量。
ABSTRACT Stigma attached to methadone maintenance treatment is very common. The objective of the current article is to evaluate the presence of stigma and its relation to the extent of knowledge about methadone maintenance treatment. The authors conducted a survey among methadone maintenance treatment and non-methadone maintenance treatment addiction therapists from different treatment centers in Israel, including methadone maintenance treatment clinics (Ministry of Health) and non-methadone maintenance treatment addiction facilities (Ministry of Social Services), using an anonymous questionnaire about methadone maintenance treatment stigma and knowledge. There were 63 therapists from methadone maintenance treatment clinics (63%) and 46 therapists from the social services department (SSD) non-methadone maintenance treatment addiction facilities (9.2%) who responded. Methadone maintenance treatment versus social services department personnel were older (42.7 ± 12.8 versus 37.5 ± 8.2 years; p = 0.03), with fewer females (48 versus 75%; p = 0.006), and 50% were social workers compared to 100% social workers in the SSD group (p < 0.0005). Stigma score was lower among methadone maintenance treatment personnel compared to the social services department personnel (3 ± 2.5 versus 5.0 ± 3.5; p = 0.0001), while the knowledge score about methadone maintenance treatment was higher among the methadone maintenance treatment personnel (10.3 ± 2.9 versus 7.7 ± 2.8; p < 0.0005). The difference in both the stigma and knowledge scores remained significant after controlling for age, gender, and profession. There was a negative correlation between the stigma and knowledge scores among both the methadone maintenance treatment (R = –0.5, p < 0.0005) and the social services department personnel (R = –0.33, p = 0.03). These results revealed a significant correlation between the presence of stigma and the extent of education and knowledge about methadone maintenance treatment, with ignorance and stigma against methadone maintenance treatment being more pronounced among social services department personnel. An educational intervention, especially among social services department personnel, may benefit people who use opioids and improve the overall quality of treatment for opioid addiction in Israel.