Correlates of Perceived Discrimination Related to Substance Use Disorders Among Patients in Methadone Maintenance Treatment.

IF 2.1 4区 医学 Q2 PSYCHOLOGY, CLINICAL Journal of psychoactive drugs Pub Date : 2024-09-01 Epub Date: 2023-07-03 DOI:10.1080/02791072.2023.2230571
Uzoji Nwanaji-Enwerem, Mark Beitel, David E Oberleitner, Marina Gaeta Gazzola, Kathryn F Eggert, Lindsay M S Oberleitner, Oluwole Jegede, Xiaoying Zheng, Nancy S Redeker, Lynn M Madden, Declan T Barry
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Abstract

This study sought to examine demographic, treatment-related, and diagnosis-related correlates of substance use disorder (SUD)-related perceived discrimination among patients receiving methadone maintenance treatment (MMT). Participants were 164 patients at nonprofit, low-barrier-to-treatment-access MMT programs. Participants completed measures of demographics, diagnosis-related characteristics (Brief Symptom Inventory (BSI-18) and Depressive Experiences Questionnaire (DEQ)), and treatment-related characteristics. Perceived discrimination was measured on a seven-point Likert-type scale ranging from 1 ("Not at all") to 7 ("Extremely") in response to the item: "I often feel discriminated against because of my substance abuse." Given the variable's distribution, a median split was used to categorize participants into "high" and "low" discrimination groups. Correlates of high and low discrimination were analyzed with bivariate and logistic regression models. Ninety-four participants (57%) reported high SUD-related perceived discrimination. Bivariate analyses identified six statistically significant correlates of SUD-related perceived discrimination (P < .05): age, race, age of onset of opioid use disorder, BSI-18 Depression, DEQ Dependency, and DEQ Self-Criticism. In the final logistic regression model, those with high (versus low) SUD-related perceived discrimination were more likely to report depressive symptoms and be self-critical. Patients in MMT with high compared to low SUD-related perceived discrimination may be more likely to report being depressed and self-critical.

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美沙酮维持治疗患者中与药物使用障碍有关的认知歧视的相关因素。
本研究旨在考察接受美沙酮维持治疗(MMT)的患者中与药物使用障碍(SUD)相关的歧视感知的人口统计学、治疗相关性和诊断相关性。研究对象是 164 名非营利性、治疗门槛低的美沙酮维持治疗项目的患者。受试者完成了人口统计学、诊断相关特征(简明症状量表 (BSI-18) 和抑郁经历问卷 (DEQ))以及治疗相关特征的测量。对于 "我经常感到自己受到歧视,因为我觉得我的家人和朋友都在歧视我 "这一项目,采用李克特(Likert)七分量表进行测量,量表范围从 1("完全没有")到 7("非常严重"):"我经常因为滥用药物而感到受到歧视"。考虑到变量的分布情况,我们采用中位数分割法将参与者分为 "高 "和 "低 "歧视组。我们使用双变量和逻辑回归模型分析了 "高 "和 "低 "歧视的相关因素。94 名参与者(57%)报告了与 SUD 相关的高感知歧视。双变量分析确定了与 SUD 相关的感知歧视的六个具有统计学意义的相关因素(P
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来源期刊
CiteScore
5.30
自引率
7.10%
发文量
62
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