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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

Sources of MMT information and treatment preference among participants at the Compulsory Detoxification Centre and MMT patients.(A) sources of MMT information; (B) Treatment preferences. Asterisk (*) denotes a significant difference between Compulsory Detoxification and MMT patients, p < 0.05.
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Figure 3: Sources of MMT information and treatment preference among participants at the Compulsory Detoxification Centre and MMT patients.(A) sources of MMT information; (B) Treatment preferences. Asterisk (*) denotes a significant difference between Compulsory Detoxification and MMT patients, p < 0.05.

Mentions: Patients reported their initial sources of MMT information and treatment preferences in the survey and these results are summarized in Figure 3. “Other people who use drugs” (Compulsory Detoxification: 26.8%; MMT: 29.5%) and physicians (Compulsory Detoxification: 31.4%; MMT: 39.0%) were both common initial sources of information about MMT for participants. In addition, the Compulsory Detoxification Centre was the initial source of MMT information for 26.8% of the detainees; whereas TV was the initial source for 15.2% of the interviewed MMT patients. When asked to indicate their “most preferred” treatment, the most common response of detainees at the Compulsory Detoxification Centre was “community treatment” (41.3%), followed by inpatient treatment (26.0%), “self-detoxification” (19.0%), and then MMT (6.8%). In contrast, when given the same choices, almost two thirds of MMT patients preferred MMT (61.5%), followed by inpatient treatment (10.4%) and community treatment (8.6%). Compulsory Detoxification (10.8%) and self Detoxification (6.7%) were less popular choices. When asked their biggest concern to enter MMT programme, MMT patients reported “methadone is more difficult to stop using than other opioids” (41.7%), followed by “methadone is more addictive than other opioids”(19.4%), “receiving treatment at MMT clinics is inconvenient” (11.2%), and finally “methadone is bad for health” (3.7%).


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)

Sources of MMT information and treatment preference among participants at the Compulsory Detoxification Centre and MMT patients.(A) sources of MMT information; (B) Treatment preferences. 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 3: Sources of MMT information and treatment preference among participants at the Compulsory Detoxification Centre and MMT patients.(A) sources of MMT information; (B) Treatment preferences. Asterisk (*) denotes a significant difference between Compulsory Detoxification and MMT patients, p < 0.05.
Mentions: Patients reported their initial sources of MMT information and treatment preferences in the survey and these results are summarized in Figure 3. “Other people who use drugs” (Compulsory Detoxification: 26.8%; MMT: 29.5%) and physicians (Compulsory Detoxification: 31.4%; MMT: 39.0%) were both common initial sources of information about MMT for participants. In addition, the Compulsory Detoxification Centre was the initial source of MMT information for 26.8% of the detainees; whereas TV was the initial source for 15.2% of the interviewed MMT patients. When asked to indicate their “most preferred” treatment, the most common response of detainees at the Compulsory Detoxification Centre was “community treatment” (41.3%), followed by inpatient treatment (26.0%), “self-detoxification” (19.0%), and then MMT (6.8%). In contrast, when given the same choices, almost two thirds of MMT patients preferred MMT (61.5%), followed by inpatient treatment (10.4%) and community treatment (8.6%). Compulsory Detoxification (10.8%) and self Detoxification (6.7%) were less popular choices. When asked their biggest concern to enter MMT programme, MMT patients reported “methadone is more difficult to stop using than other opioids” (41.7%), followed by “methadone is more addictive than other opioids”(19.4%), “receiving treatment at MMT clinics is inconvenient” (11.2%), and finally “methadone is bad for health” (3.7%).

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