美沙酮维持治疗病人与社区海洛因吸食者家庭环境及社会支持情况比较  

The survey of family environment and social support between methadone maintenance treatment patients and community herion users

作　　者：罗莉[1] 刘普林[1] 刘聪[1] 姚中兆[1] 周旺[1] 

机构地区：[1]武汉市疾病预防控制中心,武汉430015

出　　处：《中国艾滋病性病》2014年第7期537-539,共3页Chinese Journal of Aids & STD

摘　　要：目的比较武汉市美沙酮维持治疗（MMT）病人及社区海洛因吸食者的家庭环境和社会支持情况,评价家庭环境及社会支持对MMT病人毒品使用的影响。方法采用分层随机抽样的方法抽取病人,使用《家庭环境量表》、《社会支持量表》及自行设计的问卷进行调查。比较MMT病人与社区吸毒者的家庭环境及社会支持的差异,采用相关分析评价家庭环境和社会支持与病人能否采取MMT的相关性。结果 MMT病人293人,男性205人（70.0%）,女性88人（30.0%）;平均年龄（37.41±6.875）岁（18~54岁）;社区海洛因成瘾者59人,男性41人（69.5%）,女性18人（30.5%）,平均年龄（38.10±9.224）岁（21~55岁）。MMT病人,在亲密度（6.33±2.84）和情感表达（6.09±3.74）两个维度得分明显高于社区海洛因吸食者（5.63±3.32与5.03±2.91）,差异有统计学意义（P〈0.05）;社会支持总分和客观支持得分明显高于社区吸毒者（P〈0.05）。MMT病人的家庭环境、社会支持总分均与最近1个月毒品使用次数明显相关（r=-0.36,P=0.03;r=-0.14,P=0.02）。结论 MMT病人其家庭环境和社会支持情况好于社区吸毒者;良好的家庭环境与社会支持可降低病人的毒品偷吸次数。Objective To compare the family environment and social support between methadone maintenance treatment （MMT） patients and community herion users （CHU） in Wuhan City, and evaluate the effect of family environment and social support on herion use. Methods Participants were enrolled by stratified random sampling method. Family environment scale, social support scale and self-designed questionnaire were used in the study to compare the differences of family environment and social support between metadone maintenance treatment patients and community herion users. Correlation analysis was used to evaluate the association of family environment and so cial support with metadone maintenance treatment. Results There were 293 MMT patients, with 205 （70.0%） males, 88 （30.0%） females and the average age of 37.41 ± 6. 875 years old （range, 18 to 54 years old）. There were 59 CHUs with 41 （69.5%） males, 18 （30.5%） females, and the average age of 38.10 ±9. 224 years old （ range, 21 to 55 years old）. The scores of cohesion and expressiveness were significantly higher in MMT patients （6.33 ± 2.84 and 6.09 ± 3.74） than those in CHUs （5.63 ± 3.32 and 5.03 ± 2.91）, with statistical difference （P 〈0.05）. The scores of social support and objective support in MMT patients were also higher than those in CHUs （P 〈0.05）. The total scores of family environment and social support in MMT patients were correlated with the times of drug use in last month （r= 0.36, P=0.30; and r=-0.14, P=0.02, respectively）. Conclusions The condition of family environment and social support is better in MMT patients than that in CHUs. Good family environment and social support can reduce the times of drug use.

关 键 词：美沙酮维持治疗病人 社区海洛因吸食者 家庭环境 社会支持 

分 类 号：C913.8[经济管理]