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Family support, quality of life and concurrent substance use among methadone maintenance therapy clients in China.

机译:美沙酮维持治疗客户中的家庭支持,生活质量和同时使用药物。

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OBJECTIVES: The methadone maintenance therapy (MMT) programme has been scaled up rapidly in China. This study explored the family support perceived by MMT clients and its association with their quality of life and concurrent illicit drug use. STUDY DESIGN: Cross-sectional study. METHODS: Five hundred and sixty MMT clients were selected at random from 28 MMT clinics and services in Zhejiang and Jiangxi Provinces, China for participation in a face-to-face interview study. The participants' perceived family support and quality of life were measured through face-to-face structured interviews conducted by trained interviewers. Self-reported information about illicit drug use was obtained from clients. Urine specimens were collected from the participants to test for heroin use. RESULTS: Among the 560 participants, 471 (84.1%) were male and 168 (30.0%) were unemployed at the time of the study. In total, 398 (71.1%) were injecting drug users and 309 (55.2%) had a history of drug use of more than 10 years. Around one-third (n = 211, 37.7%) of the participants reported concurrent illicit drug use or had a positive urine test. Perceived family support was associated with increased physical health, psychological health, environmental health and social health. In addition, perceived family support was negatively correlated with concurrent substance use. CONCLUSIONS: Drug use and MMT is a family issue in China. Based on the findings of this study, it is suggested that involving family members in recruitment and interventions of the MMT programme will achieve higher rates of participation and compliance.
机译:目标:美沙酮维持疗法(MMT)计划在中国已迅速扩大规模。这项研究探讨了MMT客户所感知的家庭支持及其与他们的生活质量和同时使用非法药物的关系。研究设计:横断面研究。方法:从中国浙江省和江西省的28家MMT诊所和服务中随机选择了560名MMT客户,以参加面对面访谈研究。参与者通过训练有素的访谈员进行的面对面结构化访谈来衡量他们对家庭的支持和生活质量。有关客户使用毒品的自我报告信息是从客户那里获得的。从参与者那里收集尿液样本以测试海洛因的使用。结果:560名参与者中,有471名(84.1%)是男性,而168名(30.0%)在研究时处于失业状态。共有398人(占71.1%)的注射吸毒者,309人(占55.2%)的吸毒史超过10年。大约三分之一(n = 211,37.7%)的参与者报告了同时使用非法药物或尿液测试阳性。可以感觉到的家庭支持与身体健康,心理健康,环境健康和社会健康的增加有关。另外,家庭支持感与同时使用药物负相关。结论:吸毒和MMT在中国是一个家庭问题。根据这项研究的结果,建议让家庭成员参与MMT计划的招募和干预将获得更高的参与率和遵守率。

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