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Assessment of attitudes towards methadone maintenance treatment between heroin users at a compulsory detoxification centre and methadone maintenance clinic in Ningbo, China.

Liu Y, Li L, Zhang Y, Zhang L, Shen W, Xü H, Wang G, Lü W, Zhou W - Subst Abuse Treat Prev Policy (2013)

Bottom Line: The survey contained specific questions relating to attitudes and beliefs regarding MMT.In addition, participants from both sites hold certain negative attitudes and beliefs about methadone despite their acknowledgement of the positive effects of MMT.The study may also help providers understand and adjust services needed for target population in the future.

View Article: PubMed Central - HTML - PubMed

Affiliation: Ningbo University School of Medicine, 818 Fenghua Street, Jiangbei District, Ningbo, Zhejiang, China.

ABSTRACT

Background: In China, the Compulsory Detoxification Centres are the main response for people who use illegal drugs. Due to high relapse rates among people released from the Compulsory Detoxification Centres, it is likely that they may seek medical help, including Methadone Maintenance Treatment (MMT) services, at some point. Therefore, better understanding of the attitudes and beliefs of people in the Compulsory Detoxification Centres can help to provide more adequate response to opioid dependence.

Methods: In total, 329 detained heroin users and 112 active MMT clients were recruited from a local Compulsory Detoxification Centre and MMT clinic, respectively. The survey contained specific questions relating to attitudes and beliefs regarding MMT.

Results: Participants at the Compulsory Detoxification Centre and the MMT clinic expressed different opinions, regarding positive and negative attitudes and beliefs towards MMT. In addition, participants from both sites hold certain negative attitudes and beliefs about methadone despite their acknowledgement of the positive effects of MMT. Finally, participants at the Compulsory Detoxification Centre and the MMT clinic reported distinctive treatment preferences, with the former preferring community-based treatment and the latter MMT.

Conclusions: Developing targeted education about MMT for people at the Compulsory Detoxification Centres could help improve access to accurate and evidence-based health and treatment information. The study may also help providers understand and adjust services needed for target population in the future.

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Related in: MedlinePlus

Positive attitudes toward MMT between participants at the Compulsory Detoxification Centre (black bars) and MMT patients (grey bars). Points represent the percentage of total participants agreed, didn’t know or disagreed each item of the questionnaire. (A): Methadone help me live a normal life; (B): Methadone help attenuate craving; (C): Methadone help reduce the consumption of illicit drugs. Asterisk (*) denotes a significant difference between Compulsory Detoxification and MMT patients, p < 0.05.
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Figure 1: Positive attitudes toward MMT between participants at the Compulsory Detoxification Centre (black bars) and MMT patients (grey bars). Points represent the percentage of total participants agreed, didn’t know or disagreed each item of the questionnaire. (A): Methadone help me live a normal life; (B): Methadone help attenuate craving; (C): Methadone help reduce the consumption of illicit drugs. Asterisk (*) denotes a significant difference between Compulsory Detoxification and MMT patients, p < 0.05.

Mentions: Participants’ responses to the “positive” attitudes towards MMT are summarized in Figure 1. A majority of MMT patients reported “positive” attitudes towards MMT, including believing that entering the MMT programme could help them with “living a normal life” (80.2%), “craving attenuation” (87.4%), “reducing illegal drug consumption (91.9%), and “preventing HCV and HIV/AIDS” (62.2%). In contrast, a lower percentage of participants at the Compulsory Detoxification Centre believed that MMT could help them with “living a normal life” (57.9%), “craving attenuation” (69.9%), “reducing consumption of illegal drugs (62.5%), “preventing HCV/HIV/AIDS” (45.9%).


Assessment of attitudes towards methadone maintenance treatment between heroin users at a compulsory detoxification centre and methadone maintenance clinic in Ningbo, China.

Liu Y, Li L, Zhang Y, Zhang L, Shen W, Xü H, Wang G, Lü W, Zhou W - Subst Abuse Treat Prev Policy (2013)

Positive attitudes toward MMT between participants at the Compulsory Detoxification Centre (black bars) and MMT patients (grey bars). Points represent the percentage of total participants agreed, didn’t know or disagreed each item of the questionnaire. (A): Methadone help me live a normal life; (B): Methadone help attenuate craving; (C): Methadone help reduce the consumption of illicit drugs. Asterisk (*) denotes a significant difference between Compulsory Detoxification and MMT patients, p < 0.05.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750876&req=5

Figure 1: Positive attitudes toward MMT between participants at the Compulsory Detoxification Centre (black bars) and MMT patients (grey bars). Points represent the percentage of total participants agreed, didn’t know or disagreed each item of the questionnaire. (A): Methadone help me live a normal life; (B): Methadone help attenuate craving; (C): Methadone help reduce the consumption of illicit drugs. Asterisk (*) denotes a significant difference between Compulsory Detoxification and MMT patients, p < 0.05.
Mentions: Participants’ responses to the “positive” attitudes towards MMT are summarized in Figure 1. A majority of MMT patients reported “positive” attitudes towards MMT, including believing that entering the MMT programme could help them with “living a normal life” (80.2%), “craving attenuation” (87.4%), “reducing illegal drug consumption (91.9%), and “preventing HCV and HIV/AIDS” (62.2%). In contrast, a lower percentage of participants at the Compulsory Detoxification Centre believed that MMT could help them with “living a normal life” (57.9%), “craving attenuation” (69.9%), “reducing consumption of illegal drugs (62.5%), “preventing HCV/HIV/AIDS” (45.9%).

Bottom Line: The survey contained specific questions relating to attitudes and beliefs regarding MMT.In addition, participants from both sites hold certain negative attitudes and beliefs about methadone despite their acknowledgement of the positive effects of MMT.The study may also help providers understand and adjust services needed for target population in the future.

View Article: PubMed Central - HTML - PubMed

Affiliation: Ningbo University School of Medicine, 818 Fenghua Street, Jiangbei District, Ningbo, Zhejiang, China.

ABSTRACT

Background: In China, the Compulsory Detoxification Centres are the main response for people who use illegal drugs. Due to high relapse rates among people released from the Compulsory Detoxification Centres, it is likely that they may seek medical help, including Methadone Maintenance Treatment (MMT) services, at some point. Therefore, better understanding of the attitudes and beliefs of people in the Compulsory Detoxification Centres can help to provide more adequate response to opioid dependence.

Methods: In total, 329 detained heroin users and 112 active MMT clients were recruited from a local Compulsory Detoxification Centre and MMT clinic, respectively. The survey contained specific questions relating to attitudes and beliefs regarding MMT.

Results: Participants at the Compulsory Detoxification Centre and the MMT clinic expressed different opinions, regarding positive and negative attitudes and beliefs towards MMT. In addition, participants from both sites hold certain negative attitudes and beliefs about methadone despite their acknowledgement of the positive effects of MMT. Finally, participants at the Compulsory Detoxification Centre and the MMT clinic reported distinctive treatment preferences, with the former preferring community-based treatment and the latter MMT.

Conclusions: Developing targeted education about MMT for people at the Compulsory Detoxification Centres could help improve access to accurate and evidence-based health and treatment information. The study may also help providers understand and adjust services needed for target population in the future.

Show MeSH
Related in: MedlinePlus