Family Related Factors and Concurrent Heroin Use in Methadone Maintenance Treatment in China.
Family Related Factors and Concurrent Heroin Use in Methadone Maintenance Treatment in China.
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DOI：
10.1080/10826084.2018.1424913
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发表时间：
2018-08-24
影响因子：
2
通讯作者：
Li L
中科院分区：
文献类型：
--
作者：
Feng N;Lin C;Hsieh J;Rou K;Li L
在美沙酮维持治疗（MMT）期间使用海洛因是一个具有挑战性的问题，导致治疗结果不佳。家庭可能在解决MMT期间同时使用海洛因方面发挥重要作用，特别是在中国这样的集体主义社会。在本研究中，我们探讨了家庭相关因素与中国MMT期间同时使用海洛因的关系。本研究在中国5个省的6800家MMT诊所进行。在分析中有244.6 MMT客户。采用横断面调查法收集人口统计信息、MMT用量、家庭成员海洛因使用情况、家庭对MMT的支持、家庭问题和自述海洛因使用情况。阿片类药物使用的最新尿液分析来自临床记录。在2446名参与者中，533名（21.79%）自我报告在过去7天内使用海洛因或在诊所记录中尿检结果呈阳性。家庭成员使用海洛因的参与者在治疗期间同时使用海洛因的可能性高出1.59倍（95% CI: 1.17-, 2.15）。家庭成员完全支持MMT的患者使用MMT的可能性较小（AOR: 0.75, 95% CI: 0.60, 0.94）。家庭问题较多与同时使用海洛因呈正相关（AOR: 2.01, 95% CI: 1.03, 3.93）。结果强调了家庭在MMT项目中同时使用海洛因的重要性。这项研究的发现可能会对以家庭为基础的干预措施产生影响，以解决同时使用海洛因的问题。
The use of heroin during Methadone Maintenance Treatment (MMT) is a challenging problem that contributes to poor treatment outcomes. Families may play an important role in addressing concurrent heroin use during MMT, especially in collectivist societies such as China. In this study, we explored the relationship between family-related factors and concurrent heroin use during MMT in China. This study was conducted at 68 MMT clinics in five provinces of China. There were 2,446 MMT clients in the analysis. Demographic information, MMT dosage, family members’ heroin use status, family support of MMT, family problem and self-reported heroin use were collected in a cross-sectional survey. The most recent urinalysis of opiate use was obtained from clinical records. Of the 2,446 participants, 533 (21.79%) self-reported heroin use in the previous seven days or had a positive urine morphine test result in the clinic record. Participants whose family member[s] used heroin were 1.59 times (95% CI: 1.17-, 2.15) more likely to use concurrently during treatment. Those with family members who totally support them on the MMT were less likely to use (AOR: 0.75, 95% CI: 0.60, 0.94). Having more family problems was positively associated with concurrent heroin use (AOR: 2.01, 95% CI: 1.03, 3.93). The results highlight the importance of the family’s role in concurrent heroin use during MMT programs. The study’s findings may have implications for family-based interventions that address concurrent heroin use.
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影响因子：
4.5
作者：
Liu H;Li J;Lu Z;Liu W;Zhang Z
通讯作者：
Zhang Z
影响因子：
4.2
作者：
Raffa, Jesse D.;Grebely, Jason;Conway, Brian
通讯作者：
Conway, Brian
影响因子：
6
作者：
Mattick, RP;Ali, R;Danz, C
通讯作者：
Danz, C
DOI：
10.3390/ijerph13030305
发表时间：
2016-03-09
影响因子：
--
作者：
Luo X;Zhao P;Gong X;Zhang L;Tang W;Zou X;Chen W;Ling L
通讯作者：
Ling L
影响因子：
3.9
作者：
Sullivan SG;Wu Z;Cao X;Liu E;Detels R;National Methadone Maintenance Treatment Working Group
通讯作者：
National Methadone Maintenance Treatment Working Group