Perceptions of methadone maintained clients about barriers and facilitators to help-seeking behavior.
Perceptions of methadone maintained clients about barriers and facilitators to help-seeking behavior.
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DOI：
10.1353/cpr.2007.0032
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发表时间：
2007-01-01
期刊：
影响因子：
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通讯作者：
de Castro, Viviane
中科院分区：
文献类型：
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作者：
Nyamathi, Adeline;Smith, Donna McNeese;de Castro, Viviane
背景：在药物使用者中，寻求健康仍然是一个主要挑战，但可用的数据很少。目的：我们试图调查美沙酮维持海洛因使用者的认知，他们也是问题或重度饮酒者，他们寻求物质和一般和慢性护理治疗帮助的障碍和促进因素。方法：采用半结构化焦点小组方法对洛杉矶美沙酮维持设施的41名成年客户进行了定性设计。结果：研究结果显示，歧视是他们的美沙酮状态所经历的主要挑战。缺乏初级保健提供者、利用保健设施的机会有限以及使用障碍普遍存在。焦点小组的参与者表达了对非评判性和移情关怀的愿望，这将通过一个全面的支持系统培养尊重和促进寻求帮助的行为。结论：有必要设计与文化相关的培训方案，包括治疗、沟通和社会问题的整合。
BACKGROUND: Among substance users, health seeking remains a major challenge for which few data are available.OBJECTIVES: We sought to investigate the perceptions of methadone-maintained heroin users who are also problem or heavy drinkers, their barriers and facilitators to seeking help for substance and general and chronic care treatment.METHODS: A qualitative design using a semistructured focus group approach was conducted with a convenience sample of 41 adult clients of a methadone maintenance facility in Los Angeles.RESULTS: Findings revealed that discrimination was a major challenge experienced as a result of their methadone status. Lack of primary care providers, limited access to health care facilities and access barriers were pervasive. Focus group participants expressed a desire for nonjudgemental and empathetic care that would foster respect and facilitate help-seeking behaviors through a comprehensive support system.CONCLUSIONS: The need to design culturally relevant training programs was evident which included an integration of treatment, communication and societal issues.