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首页> 外文期刊>Journal of substance abuse treatment >The relationship between diversion-related attitudes and sharing and selling buprenorphine
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The relationship between diversion-related attitudes and sharing and selling buprenorphine

机译：导流相关态度与分享和销售Buprenorphine之间的关系

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Abstract Objective Buprenorphine medication-assisted treatment (B-MAT) is an efficacious and popular outpatient treatment for opioid use disorder. However, the likelihood of buprenorphine diversion is a public health concern. We examined the relationship between attitudes toward diversion as predictors of both sharing and selling buprenorphine. Method Participants ( n = 476) were patients undergoing short-term inpatient opioid detoxification. Multinomial logistic regression was used to estimate the adjusted association of sharing and selling buprenorphine with demographics, substance use behaviors, and attitudes toward sharing and selling buprenorphine. Results Among the two hundred persons who had ever been prescribed buprenorphine (73.4% male, 89% heroin users), 50.5% reported they had shared buprenorphine and 28.0% reported they had sold buprenorphine. Controlling for other covariates, the odds of sharing buprenorphine were 3.17 (95% CI 1.21; 8.32) times higher for persons who agreed that it was “right to share buprenorphine with dope sick friends” than for those who did not agree with this attitude. Attitudes toward selling (OR 2.92; 95% CI 1.35; 6.21) and sharing (OR 4.12; 95% CI 1.64; 10.32) buprenorphine were the only significant correlates of selling, with the odds of selling exponentially greater among persons with favorable attitudes toward sharing or selling buprenorphine. Conclusions Although considered diversion, sharing B-MAT is normative among B-MAT patients. Assessing B-MAT patients' attitudes about diversion may help identify patients requiring enhanced oversight, education, or intervention aimed at modifying attitudes to reduce their likelihood to share or sell buprenorphine. Highlights ? Positive diversion-related attitudes were associated with sharing and selling buprenorphine. ? Economic deprivation, illicit drug use, and IDU were not associated with likelihood to divert. ? Varied reasons for diversion included altruism and monetary incentive. ? Sharing B-MAT was normative among B-MAT patients.
机译：摘要目的丁甲啡药物辅助治疗（B-MAT）是对阿片类药物使用障碍的有效和流行的门诊治疗。然而，Buprenorphine转移的可能性是公共卫生问题。我们审查了转移态度之间的关系，作为共享和销售Buprenorphine的预测因子。方法参与者（n = 476）是接受短期存入性阿片类药物排毒的患者。多项式逻辑回归用于估算与人口统计学，物质使用行为以及对共享和销售Buprenorphine的态度的分享和销售Buprenorphine的调整后的共享协会。结果曾在曾举行的丁丙诺啡（73.4％的男性，89％海洛因用户）中的两百人之间，据报道，他们已分享Buprenorphine和28.0％据报道，他们已出售Buprenorphine。对其他协变量的控制，分享丁丙诺啡的几率为3.17（95％CI 1.21; 8.32），他们认为这是“有权分享福丙胺与沉重生病的朋友”，而不是那些不同意这种态度的人。销售的态度（或2.92; 95％CI 1.35; 6.21）和共享（或4.12; 95％CI 1.64; 10.32）Buprenorphine是销售的唯一显着相关性，在对分享有利态度的人们中，销售的几率更大的几率更大或卖丁丙诺啡。结论虽然被认为是转移，共享B-MAT是B-MAT患者的规范性。评估B-MAT患者对转移的态度可能有助于识别需要加强监督，教育或干预的患者，旨在修改态度，以减少其分享或出售Buprenorphine的可能性。强调 ？积极的转移相关的态度与共享和销售丁丙诺啡有关。还经济剥夺，非法药物使用和IDU与转移的可能性无关。还转移的不同原因包括利他主义和货币激励。还共享B-MAT是B-MAT患者的规范性。

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