The relationship between treatment accessibility and preference amongst out-of-treatment individuals who engage in non-medical prescription opioid use.
The relationship between treatment accessibility and preference amongst out-of-treatment individuals who engage in non-medical prescription opioid use.
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DOI：
10.1016/j.drugalcdep.2017.08.019
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发表时间：
2017-11-01
影响因子：
4.2
通讯作者：
Dunn KE
中科院分区：
文献类型：
--
作者：
Huhn AS;Tompkins DA;Dunn KE
对于从事非医疗处方阿片类药物使用的个人对药物辅助治疗（MAT）和其他治疗选择的看法知之甚少。这项研究调查了滥用阿片类药物的治疗外个体，以更好地了解如何感知获得治疗的方式塑造治疗偏好。参与者（n=357）是在Amazon Mechanical Turk平台上注册为工人的未接受治疗的成年人，他们报告目前使用非医疗处方阿片类药物。对参与者进行了人口统计学，保险状况，对阿片类药物使用障碍（OUD）治疗的态度以及自我报告的OUD症状的调查。男性参与者，没有健康保险，并且知道当地可以提供咨询服务，最有可能首次尝试咨询/排毒治疗（χ2（6）= 30.19，p<.001）。符合严重OUD标准的参与者，在过去30天内使用海洛因，知道他们的保险涵盖MAT，并知道当地可用的MAT提供者最有可能首次尝试MAT（χ2（4）= 26.85，p<.001）。有保险和知道当地医生的参与者最有可能在没有MAT明确目的的情况下尝试医生访问（χ2（3）= 24.75，p<0.001）。脱离治疗的类阿片使用者对可从初级保健医生处获得的咨询服务和医疗护理特别感兴趣。结果表明，保险覆盖范围和感知获得OUD治疗方式的影响，在治疗阿片类药物使用者可能首先寻求治疗;了解的因素，形成治疗偏好是至关重要的，在设计早期干预措施，以有效地达到这一人群。
Relatively little is known regarding the perception of medication-assisted treatments (MATs) and other treatment options amongst individuals that engage in non-medical prescription opioid use. This study surveyed out-of-treatment individuals that misuse opioids to better understand how perceived access to treatment shapes treatment preference. Participants (n=357) were out-of-treatment adults registered as workers on the Amazon Mechanical Turk platform who reported current non-medical prescription opioid use. Participants were surveyed regarding demographics, insurance status, attitudes toward opioid use disorder (OUD) treatments, and self-reported symptoms of OUD. Participants who were male, did not have health insurance, and knew that counseling-type services were locally available were most likely to first attempt counseling/detox treatments (χ2(6) = 30.19, p<.001). Participants who met criteria for severe OUD, used heroin in the last 30 days, knew their insurance covered MAT, and knew of locally available MAT providers were most likely to first attempt MAT (χ2(4) = 26.85, p<.001). Participants with insurance and who knew of locally available physicians were most likely to attempt physician visits without the expressed purpose of MAT (χ2(3) = 24.75, p<.001). Out-of-treatment opioid users were particularly interested in counseling-based services and medical care that could be attained from a primary-care physician. Results suggest that insurance coverage and perceived access to OUD treatment modalities influences where out-of-treatment opioid users might first seek treatment; understanding the factors that shape treatment preference is critical in designing early interventions to effectively reach this population.
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影响因子：
7.4
作者：
Tompkins DA;Johnson PS;Smith MT;Strain EC;Edwards RR;Johnson MW
通讯作者：
Johnson MW
影响因子：
4.2
作者：
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影响因子：
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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