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首页> 外文期刊>The International journal of drug policy >A qualitative inquiry into methadone maintenance treatment for opioid-dependent prisoners in Tehran, Iran
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A qualitative inquiry into methadone maintenance treatment for opioid-dependent prisoners in Tehran, Iran

机译：对伊朗德黑兰依赖阿片类药物的囚犯美沙酮维持治疗的定性研究

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Background: This study aimed to investigate the context in which methadone maintenance treatment (MMT) is provided for opioid-dependent prisoners, and to identify barriers against further scale-up of MMT in Ghezel Hesar prison in Tehran. Methods: This was a cross-sectional qualitative study using field observations, focus group discussions, and individual interviews. In total, 30 prisoners and 15 prison staff and health policymakers participated in this study in November 2006. Results: The rate of drug injecting in the prison unit was unanimously reported to have decreased drastically since introducing the MMT program. In addition to the health benefits to MMT recipients, interview data indicates that MMT has had positive effects on socio-economic status of prisoners' families. Nevertheless, several impediments to the provision of MMT services and to its further expansion were also identified, including staff shortages, some degree of methadone diversion, widespread concerns over the possible side effects of methadone, and the stigma attached to methadone treatment. Conclusion: MMT constitutes one of the main components of the Iran Prison Organization's comprehensive HIV prevention package and is becoming increasingly accessible to opioid-dependent prisoners in Iran. Our findings indicate that the MMT program in Ghezel Hesar prison has been helpful for many opioid-dependent prisoners to reduce their risk of drug-related harm and to ease social and financial burden over their families. Meanwhile, existing barriers against provision of MMT should be properly addressed before further scale up of the program.
机译：背景：本研究旨在调查为阿片类药物依赖的囚犯提供美沙酮维持治疗（MMT）的背景，并确定在德黑兰Ghezel Hesa​​r监狱中进一步扩大MMT的障碍。方法：这是一项横断面定性研究，使用现场观察，焦点小组讨论和个人访谈进行。 2006年11月，总共有30名囚犯，15名监狱工作人员和卫生政策制定者参加了这项研究。结果：据一致报道，自从实行MMT计划以来，监狱单位的毒品注射率已经急剧下降。除了对MMT接收者的健康益处外，访谈数据还表明，MMT对囚犯家庭的社会经济地位产生了积极影响。然而，还发现了提供MMT服务及其进一步扩展的一些障碍，包括人员短缺，美沙酮某种程度上的转移，对美沙酮可能产生的副作用的广泛关注以及美沙酮治疗的污名化。结论：MMT构成了伊朗监狱组织全面的艾滋病毒预防计划的主要组成部分之一，并且在伊朗，阿片类药物依赖的囚犯越来越容易获得该工具。我们的发现表明，Ghezel Hesa​​r监狱的MMT计划对许多依赖阿片类药物的囚犯有所帮助，以减少他们与毒品有关的伤害风险并减轻其家庭的社会和经济负担。同时，在进一步扩大该计划之前，应适当解决阻碍提供MMT的现有障碍。

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