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海洛因成瘾者社区美沙酮维持治疗脱失和保持的定性研究
引用本文:陈康林,郝春,阮玉华,谢联智,巫俊林,夏耀文,张亚峰,张万里,张朝品,秦光明,邵一鸣. 海洛因成瘾者社区美沙酮维持治疗脱失和保持的定性研究[J]. 中国药物滥用防治杂志, 2006, 12(6): 315-319
作者姓名:陈康林  郝春  阮玉华  谢联智  巫俊林  夏耀文  张亚峰  张万里  张朝品  秦光明  邵一鸣
作者单位:1. 四川省凉山州西昌市皮肤病性病防治站,西昌,615000
2. 中国疾病预防控制中心性病艾滋病预防控制中心和传染病预防控制国家重点实验室,北京,100050
3. 四川省疾病预防控制中心,成都,610041
基金项目:国家自然科学基金项目(30571612),国家十五科技攻关项目(2004BA719A01),卫生部艾滋病防治应用性研究项目(WA2003-13)
摘    要:目的:了解四川省西昌市海洛因成瘾者社区美沙酮维持治疗脱失和保持情况及其影响因素。方法:2005年12月-2006年1月,从四川省西昌市美沙酮维持治疗社区中分别选取87名参加维持治疗的吸毒者和50名相关社区人员进行美沙酮维持治疗脱失和保持情况及影响因素的个人深入访谈。结果:西昌市参加社区美沙酮维持治疗的吸毒者脱失的主要原因是因偷吸而被强制戒毒和外出;保持的主要影响因素是参加治疗的吸毒者主动与吸毒伙伴减少来往和积极工作。社区对美沙酮的主要影响因素是美沙酮维持治疗的知晓和了解程度低、对参加治疗的吸毒者仍存在偏见。结论:应对美沙酮维持治疗的参加者开展干预服务提高保持率,同时加大社区宣传减少社会偏见。

关 键 词:美沙酮维持治疗  脱失  保持  吸毒者  定性研究
收稿时间:2006-07-10
修稿时间:2006-07-10

Qualitative Study of Factors Contributed to Retention in a Community based Methadone Maintenance Treatment among Heroin Users
CHEN Kanglin,HAO Chun,RUAN Yuhua,XIE Lianzhi,WU Junlin,XIA Yaowen,ZHANG Yafeng,ZHANG Wangli,ZHANG Chaopin,QIN Guangming,SHAO Yiming. Qualitative Study of Factors Contributed to Retention in a Community based Methadone Maintenance Treatment among Heroin Users[J]. Chinese Magazine of Drug Abuse Prevention and Treatment, 2006, 12(6): 315-319
Authors:CHEN Kanglin  HAO Chun  RUAN Yuhua  XIE Lianzhi  WU Junlin  XIA Yaowen  ZHANG Yafeng  ZHANG Wangli  ZHANG Chaopin  QIN Guangming  SHAO Yiming
Affiliation:Xichang Center for STD and Leprosy Control, Xichang 615000, China
Abstract:Objective: To identify factors contributed to retention in a community-based methadone maintenance treatment (MMT) among heroin users in Xichang county, Sichuan province. Methods:From December, 2005 to January, 2006, eighty-seven drug users and fifty residents were recruited from a MMT community. In-depth interview was used to collect information about factors that related to retention during MMT. Results:Among drug users, incarceration in detoxification and education centers because of using drug and outgoing during treatment were the main reasons of drop-out; factors contributed to retention included less contacting with the drug using peer and finding job. Factors that can affect MMT had low level of MMT knowledge and prejudice to MMT patients in the community. Conclusion:Intervention service and education should be provided to MMT patients to increase retention and to community to reduce discrimination, respectively.
Keywords:Methadone maintenance treatment  Drop out  Retention  Drug users  Qualitative study  
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