Attitudes toward medication-assisted treatment among fishermen in Kuantan, Malaysia, who inject drugs

作者：Brown Shan Estelle^*; Wickersham Jeffrey A; Pelletier Alyssa R; Marcus Ruthanne M; Erenrich Rebecca; Kamarulzaman Adeeba; Altice Frederick L

来源：Journal of Ethnicity in Substance Abuse, 2017, 16(3): 363-379.

DOI：10.1080/15332640.2016.1196632

• Buprenorphine
• fishermen
• injection drug use
• Malaysia
• medication-assisted treatment
• methadone

Fishermen who inject drugs represent an understudied group at high risk for HIV in Malaysia. This study describes fishing, drug use, and attitudes toward medication-assisted treatment (MAT) for opioid use disorders. Thirty-four male ethnic Malay fishermen completed semistructured interviews analyzed by content analysis. Analysis revealed four themes surrounding opioids, which they called ubat ("medicine"): (a) the fishing lifestyle facilitating substance use, (b) previous unsuccessful attempts to quit, (c) categorizing substances as haram or halal, and (d) attitudes toward MAT. Fishermen's environment permits substance use, including injecting drugs on boats. Fishermen expressed more positive attitudes toward methadone and negative attitudes toward buprenorphine.

• 出版日期2017