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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

Negative 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 under “negative attitude” category. (A): Methadone is addictive (B): it is more difficult to stop using methadone; (C): Methadone is bad for health. Asterisk (*) denotes a significant difference between Compulsory Detoxification and MMT patients, p < 0.05.
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Figure 2: Negative 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 under “negative attitude” category. (A): Methadone is addictive (B): it is more difficult to stop using methadone; (C): Methadone is bad for health. Asterisk (*) denotes a significant difference between Compulsory Detoxification and MMT patients, p < 0.05.

Mentions: Participants’ negative attitudes towards MMT were summarized in Figure 2. Participants at the Compulsory Detoxification Centre and the MMT clinic reported negative attitudes towards MMT in a similar manner. That is, a large percentage of the participants, regardless of treatment approaches, agreed that “Methadone is addictive” (Compulsory Detoxification: 64.4%; MMT: 56.8%), “Methadone is more difficult to stop using” (Compulsory Detoxification: 36.4%; MMT: 53.0%), “MMT patients would be looked down upon by non-methadone maintained patients” (Compulsory Detoxification: 15.2%; MMT:19.6%), “Methadone is bad for health” (Compulsory Detoxification: 44.0%; MMT: 54.5%). In addition, approximately one third of participants from both sites reported that “family members would feel shame if they knew I was in MMT” (Compulsory Detoxification, 36.4%; MMT: 28.8%).


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)

Negative 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 under “negative attitude” category. (A): Methadone is addictive (B): it is more difficult to stop using methadone; (C): Methadone is bad for health. 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 2: Negative 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 under “negative attitude” category. (A): Methadone is addictive (B): it is more difficult to stop using methadone; (C): Methadone is bad for health. Asterisk (*) denotes a significant difference between Compulsory Detoxification and MMT patients, p < 0.05.
Mentions: Participants’ negative attitudes towards MMT were summarized in Figure 2. Participants at the Compulsory Detoxification Centre and the MMT clinic reported negative attitudes towards MMT in a similar manner. That is, a large percentage of the participants, regardless of treatment approaches, agreed that “Methadone is addictive” (Compulsory Detoxification: 64.4%; MMT: 56.8%), “Methadone is more difficult to stop using” (Compulsory Detoxification: 36.4%; MMT: 53.0%), “MMT patients would be looked down upon by non-methadone maintained patients” (Compulsory Detoxification: 15.2%; MMT:19.6%), “Methadone is bad for health” (Compulsory Detoxification: 44.0%; MMT: 54.5%). In addition, approximately one third of participants from both sites reported that “family members would feel shame if they knew I was in MMT” (Compulsory Detoxification, 36.4%; MMT: 28.8%).

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