Attitudes Toward Addiction, Methadone Treatment, and Recovery Among HIV-Infected Ukrainian Prisoners Who Inject Drugs: Incarceration Effects and Exploration of Mediators
| Autor: | Sergii Dvoryak, Tetiana Kiriazova, Jacob M. Izenberg, Julia Rozanova, Frederick L. Altice, Lyuba Azbel, Maxim Polonsky, Chethan Bachireddy |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Drug medicine.medical_specialty Social Psychology media_common.quotation_subject Aftercare 030508 substance abuse HIV Infections Prison Intention Article 03 medical and health sciences 0302 clinical medicine Optimism Interview Psychological mental disorders Opiate Substitution Treatment medicine Humans Prospective Studies 030212 general & internal medicine Substance Abuse Intravenous Psychiatry media_common business.industry Prisoners Addiction Public health Public Health Environmental and Occupational Health Middle Aged Health psychology Infectious Diseases Attitude Female Ukraine 0305 other medical science business Methadone Follow-Up Studies Clinical psychology medicine.drug |
| Zdroj: | AIDS and Behavior. 20:2950-2960 |
| ISSN: | 1573-3254 1090-7165 |
| DOI: | 10.1007/s10461-016-1375-0 |
| Popis: | In this study, we use data from a survey conducted in Ukraine among 196 HIV-infected people who inject drugs, to explore attitudes toward drug addiction and methadone maintenance therapy (MMT), and intentions to change drug use during incarceration and after release from prison. Two groups were recruited: Group 1 (n = 99) was currently incarcerated and Group 2 (n = 97) had been recently released from prison. This paper's key finding is that MMT treatment and addiction recovery were predominantly viewed as mutually exclusive processes. Group comparisons showed that participants in Group 1 (pre-release) exhibited higher optimism about changing their drug use, were less likely to endorse methadone, and reported higher intention to recover from their addiction. Group 2 participants (post-release), however, reported higher rates of HIV stigma. Structural equation modeling revealed that in both groups, optimism about recovery and awareness of addiction mediated the effect of drug addiction severity on intentions to recover from their addiction. |
| Databáze: | OpenAIRE |
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