Why People Who Inject Drugs Voluntarily Transition Off Methadone in Ukraine
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,...
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Published in | Qualitative health research Vol. 27; no. 13; pp. 2057 - 2070 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
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Los Angeles, CA
SAGE Publications
01.11.2017
SAGE PUBLICATIONS, INC |
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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. |
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AbstractList | 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. |
Author | Rozanova, Julia Bojko, Martha J. Farnum, Scott O. Mazhnaya, Alyona Dvoriak, Sergii Taxman, Faye S. Altice, Frederick L. Madden, Lynn Marcus, Ruthanne |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28942704$$D View this record in MEDLINE/PubMed |
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Snippet | Methadone maintenance therapy (MMT) treats opioid use disorder among people who inject drugs (PWID). To understand why PWID may voluntarily discontinue MMT, we... |
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SubjectTerms | Addictions Adult Drug addiction Drug Users - psychology Drugs Female Focus Groups Harassment Health psychology Health technology assessment HIV Human immunodeficiency virus Humans Identity Illnesses Male Methadone Methadone - administration & dosage Methadone - therapeutic use Opiate Substitution Treatment - psychology Opioid-Related Disorders - drug therapy Opioids Patient Acceptance of Health Care - psychology Power Prevention Prevention programs Preventive medicine Professional-Patient Relations Qualitative research Recovery Recovery (Medical) Resistance Self image Self-Management Selfmanagement Social capital Social control Stigma Substance abuse treatment Substance Abuse, Intravenous - drug therapy Substance Abuse, Intravenous - psychology Ukraine |
Title | Why People Who Inject Drugs Voluntarily Transition Off Methadone in Ukraine |
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