Historique
Article de Périodique
Heroin-dependent inmates' experiences with buprenorphine or methadone maintenance (2010)
Auteur(s) :
AWGU, E. ;
MAGURA, S. ;
ROSENBLUM, A.
Année
2010
Page(s) :
339-346
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
PRISON
;
HEROINE
;
TRAITEMENT DE MAINTENANCE
;
BUPRENORPHINE
;
METHADONE
;
SUBSTITUTION
;
SATISFACTION
;
PERCEPTION
Résumé :
Methadone and buprenorphine are both efficacious treatments for opioid dependency, but they also have different pharmacological properties and clinical delivery methods that can affect their acceptability to patients. This study was intended to increase our knowledge of heroin-dependent individuals' perceptions of methadone vs. buprenorphine maintenance based on actual experiences with each. The study sample consists of heroin-dependent men at the Rikers Island jail in New York City who were voluntarily randomly assigned to methadone or buprenorphine maintenance in jail. Methadone patients were more likely to report feeling uncomfortable the first few days, having side/withdrawal effects during treatment, and being concerned about continued dependency on medication after release. In contrast, buprenorphine patients' main issue was the bitter taste. All of the buprenorphine patients stated that they would recommend the medication to others, with almost all preferring it to methadone. Ninety-three percent of buprenorphine vs. 44% of methadone patients intended to enroll in those respective treatments after release, with an added one-quarter of the methadone patients intending to enroll in buprenorphine instead. These results reinforce the importance of increasing access to buprenorphine treatment in the community for indigent heroin-dependent offenders.
Affiliation :
Interdisciplinary Doctoral Program in Evaluation, The Evaluation Center, Western Michigan University, 1903 W. Michigan Ave, Kalamazoo, MI, 49008-5237, United States / Etats-Unis