Why People Who Inject Drugs Voluntarily Transition Off Methadone in Ukraine.
Qual Health Res
; 27(13): 2057-2070, 2017 Nov.
Article
en En
| MEDLINE
| ID: mdl-28942704
ABSTRACT
Methadone maintenance therapy (MMT) treats opioid use disorder among people who inject drugs (PWID). To understand why PWID may voluntarily discontinue MMT, we analyzed data from 25 focus groups conducted in five Ukrainian cities from February to April 2013 with 199 participants who were currently, previously, or never on MMT. Using constant comparison method, we uncovered three themes explaining why PWID transition off MMT (a) purposeful resistance to rigid social control associated with how MMT is delivered and to power asymmetries in provider-patient relationships, (b) self-management of a PWID's "wounded identity" that is common in socially stigmatized and physically sick persons-MMT serves as a reminder of their illness, and (c) the quest for a "normal life" uninterrupted by daily MMT site visits, harassment, and time inefficiencies, resources, and social capital. Focusing on holistic principles of recovery would improve addiction treatment and HIV prevention in Ukraine and globally.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Aceptación de la Atención de Salud
/
Abuso de Sustancias por Vía Intravenosa
/
Tratamiento de Sustitución de Opiáceos
/
Metadona
/
Trastornos Relacionados con Opioides
Tipo de estudio:
Clinical_trials
/
Qualitative_research
País/Región como asunto:
Europa
Idioma:
En
Revista:
Qual Health Res
Año:
2017
Tipo del documento:
Article
País de afiliación:
Estados Unidos