Uses of Diverted Methadone and Buprenorphine by Opioid-Addicted Individuals in Baltimore, Maryland
Uses of Diverted Methadone and Buprenorphine by Opioid-Addicted Individuals in Baltimore, Maryland
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DOI：
10.3109/10550490903077820
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发表时间：
2009-01-01
影响因子：
3.7
通讯作者：
Schwartz, Robert P.
中科院分区：
文献类型：
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作者：
Mitchell, Shannon Gwin;Kelly, Sharon M.;Schwartz, Robert P.
这项研究调查了从美沙酮项目新入院的阿片类成瘾个体和从街头招募的未接受治疗的个体中转移的美沙酮和丁丙诺啡的使用情况。关于转移的自我报告数据来自调查和半结构化定性访谈。大约16% （n=84）的总样本（n= 515）报告在过去一个月内每周使用转移（街头）美沙酮2 - 3次，持续6个月或更长时间，平均7.8天（SD = 10.3）。与未报告终生使用转移美沙酮的组相比，报告终生使用转移美沙酮的组在入院前30天内使用海洛因和可卡因的可能性较低（p < 0.01）， ASI药物综合评分较低（p < 0.05）。我们定性子样本的参与者（n = 22）表明，街头美沙酮的使用比街头丁丙诺啡更广泛，而且这两种药物主要被用作解毒和戒断症状的自我药物。参与者报告使用低剂量，没有任何药物注射的报告。（Am J Addict; 2009; 18: 346-355）
This study examined the uses of diverted methadone and buprenorphine among opiate-addicted individuals recruited from new admissions to methadone programs and from out-of-treatment individuals recruited from the streets. Self-report data regarding diversion were obtained from surveys and semi-structured qualitative interviews. Approximately 16% (n=84) of the total sample (N=515) reported using diverted (street) methadone two-three times per week for six months or more, and for an average of 7.8 days (SD = 10.3) within the past month. The group reporting lifetime use of diverted methadone as compared to the group that did not report such use was less likely to use heroin and cocaine in the 30 days prior to admission (ps < .01) and had lower ASI Drug Composite scores (p < .05). Participants in our qualitative sub-sample (n = 22) indicated that street methadone was more widely used than street buprenorphine and that both drugs were largely used as self-medication for detoxification and withdrawal symptoms. Participants reported using low dosages and no injection of either medication was reported. (Am J Addict 2009; 18: 346-355)