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首页> 外文期刊>International Journal of Environmental Research and Public Health >Attitudes toward Methadone among Out-of-Treatment Minority Injection Drug Users: Implications for Health Disparities
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Attitudes toward Methadone among Out-of-Treatment Minority Injection Drug Users: Implications for Health Disparities

机译:在治疗不足的少数族裔注射吸毒者中对美沙酮的态度:对健康差异的影响

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Injection drug use (IDU) continues to be a significant public health issue in the U.S. and internationally, and there is evidence to suggest that the burden of injection drug use and associatedmorbidity and mortality falls disproportionately on minority communities. IDU is responsible for a significant portion of new and existing HIV/AIDS cases in many parts of the world. In the U.S., the prevalence of HIV and hepatitis C virus is higher among populations of African-American and Latino injection drug users (IDUs) than among white IDUs. Methadone maintenance therapy (MMT) has been demonstrated to effectively reduce opiate use, HIV risk behaviors and transmission, general mortality and criminal behavior, but opiate-dependent minorities are less likely to access MMT than whites. A better understanding of the obstacles minority IDUs face accessing treatment is needed to engage racial and ethnic disparities in IDU as well as drug-related morbidity and mortality. In this study, we explore knowledge, attitudes and beliefs about methadone among 53 out-of-treatment Latino and African-American IDUs in Providence, RI. Our findings suggest that negative perceptions of methadone persist among racial and ethnic minority IDUs in Providence, including beliefs that methadone is detrimental to health and that people should attempt to discontinue methadone treatment. Additional potential obstacles to entering methadone therapy include cost and the difficulty of regularly attending a methadone clinic as well as the belief that an individual on MMT is not abstinent from drugs. Substance use researchers and treatment professionals should engage minority communities, particularly Latino communities, in order to better understand the treatment needs of a diverse population, develop culturally appropriate MMT programs, and raise awareness of the benefits of MMT.
机译:在美国和国际上,注射吸毒(IDU)仍然是一个重要的公共卫生问题,并且有证据表明,注射吸毒的负担以及相关的发病率和死亡率在少数族裔中所占比例不成比例。在世界许多地方,毒品和犯罪问题办公室负责大量新的和现有的艾滋病毒/艾滋病病例。在美国,非裔美国人和拉丁裔注射吸毒者(IDU)人群中的HIV和丙型肝炎病毒的感染率高于白人吸毒者。美沙酮维持疗法(MMT)已被证明可以有效减少鸦片使用,艾滋病毒的危险行为和传播,一般死亡率和犯罪行为,但与鸦片有关的少数群体比白人更不可能接受MMT。需要更好地了解少数注射毒品者面临的治疗障碍,以使注射毒品者中的种族和族裔差异以及与毒品有关的发病率和死亡率增加。在这项研究中,我们探索了位于罗德岛州普罗维登斯市的53名未经治疗的拉丁裔和非裔美国毒品使用者中有关美沙酮的知识,态度和信念。我们的发现表明,在普罗维登斯的种族和少数民族吸毒者中,对美沙酮的消极看法仍然存在,包括认为美沙酮对健康有害,人们应该尝试中止美沙酮治疗。参加美沙酮治疗的其他潜在障碍包括费用和定期去美沙酮诊所就诊的困难,以及认为接受MMT治疗的人不会戒毒的信念。物质使用的研究人员和治疗专家应与少数群体,尤其是拉丁裔社区互动,以更好地了解不同人群的治疗需求,制定适合当地文化的MMT计划,并提高人们对MMT益处的认识。

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