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Strengths, weaknesses, opportunities and threats (SWOT) analysis of reinitiation into methamphetamine abusers: qualitative findings from an exploration of methamphetamine abusers in Shanghai, China 被引量:10
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作者 Youwei Zhu Na Zhong +8 位作者 Hang Su Xiaolu Ruan jiayi bao Lei Zhang Jiang Du Ding Xu Rongjie Ding Ke Xiao Min Zhao 《General Psychiatry》 CSCD 2019年第3期137-145,共9页
Background Despite high relapse rate among methamphetamine (MA) abusers, there still have been little empirical data to date detecting the risk factors related to craving and relapse from the perspective of MA abusers... Background Despite high relapse rate among methamphetamine (MA) abusers, there still have been little empirical data to date detecting the risk factors related to craving and relapse from the perspective of MA abusers. Therefore, the aim of this study was to use qualitative research methods exploring the strengths, weaknesses, opportunities and threat factors that could facilitate or impede individuals' abstinence in a real-life context from the perspectives of MA abusers. Aim To use qualitative research methods exploring the strengths, weaknesses, opportunities and threat factors relating to individuals' abstinence in a real-life context. Method Semistructured interviews were conducted with 32 MA abusers recruited in Shanghai guided by open-ended questions on narrating the real-life catalysts and inhibitors related to craving, initiation, relapse and abstinence. All data were transcribed verbatim and analysed using a strengths, weaknesses, opportunities and threats (SWOT) analysis. Results The results of the SWOT analysis revealed that contextual factors including peer influence, prevalence and availability of MA, familiar venue of MA use, discrimination, sexual behaviours, alcohol, emotional states and their attitudes towards smoking MA were important factors that contribute to reinitiation and relapse. Surveillance systems, antidrug social workers, vocational skills trainings, moving to another city and family responsibility might serve as counter measures targeti叩 those mentioned weaknesses and threats above. Conclusion This SWOT analysis highlights the complex nature of relapse. Comprehensive interventions strengtheni叩 coping skills such as virtual reality techniques are desperately needed to facilitate individuals1 sustained abstinence. 展开更多
关键词 Strengths weaknesses OPPORTUNITIES
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2005-2016年间上海市美沙酮维持治疗门诊状况调查(英文) 被引量:6
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作者 宝家怡 张蕾 +3 位作者 宁镇 傅洁 赵敏 杜江 《上海精神医学》 CSCD 2017年第6期343-351,共9页
背景:美沙酮维持治疗(Methadone Maintenance Treatment,MMT)是控制海洛因成瘾者滥用毒品、预防艾滋病,以及改善其家庭和社会功能的有效措施,而近些年相关调查显示,我国美沙酮维持门诊治疗人数呈现下降趋势。目的 :了解自开诊以来,上海... 背景:美沙酮维持治疗(Methadone Maintenance Treatment,MMT)是控制海洛因成瘾者滥用毒品、预防艾滋病,以及改善其家庭和社会功能的有效措施,而近些年相关调查显示,我国美沙酮维持门诊治疗人数呈现下降趋势。目的 :了解自开诊以来,上海市美沙酮维持治疗门诊患者治疗维持率的变化趋势及脱失原因。方法 :研究为回顾性调查,数据来自中国疾病预防控制中心艾滋病综合防治数据信息管理系统,采用描述性统计方法对2005.5-2016.6全市接受MMT患者的人口学资料、治疗维持率和新增人数进行描述,并就脱失原因进行分析。结果:2005.5-2016.6期间,上海市接受MMT的患者共计7181人,患者以男性(男女比例约为3:1)、青壮年(25-54岁占90%以上)为主,初中及以下文化水平居多(65.4%)、单身(未婚、离异或丧偶占63.1%)居多,多为无业或待业(81.5%)。MMT患者日均服用美沙酮的剂量从2008年起呈上升趋势,于2013年达到最高峰后逐渐下降,历年平均服用美沙酮的剂量为56(2.75)ml/d。新增治疗人数在2007和2008年急剧增加(均超过1500人),继而逐年降低。治疗人数在2005-2011年间不断增加,于2011年达到峰值(3840人)后逐渐下降。治疗维持率自2010年起稳定在80%以上。患者退出治疗的主要原因包括:(1)因与毒品无关的刑事案件被逮捕(19.89%),(2)因偶吸被强制隔离戒毒(16.06%),(3)身体原因(疾病/怀孕/死亡,11.80%)。结论 :上海市MMT门诊开展以来维持率较好,在治患者人数呈现先增长后下降的变化趋势,患者脱失原因主要与"犯罪"和"复吸"有关。后续研究需开展相关调查,从不同层面深入了解造成上述变化和患者脱失的原因,促使MMT门诊更好开展。 展开更多
关键词 美沙酮维持治疗 海洛因依赖 维持率
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