An exploration of self-perceived non-problematic use as a barrier to professional support for methamphetamine users

Quinn, Brendan; Stoové, Mark; Papanastasiou, Cerissa; Dietze, Paul

doi:10.1016/j.drugpo.2013.05.015

Cited by 26 publications

(25 citation statements)

References 14 publications

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“…cost of GP attendances, unstable housing, involvement in crime or criminal sanctions), may also impact on people's capacity to seek help, while the stimulant effects of methamphetamine could mask symptoms of health conditions (e.g. fatigue, depression) resulting in a lower perceived need for health care .…”

Section: Discussionmentioning

confidence: 99%

Health service utilisation attributable to methamphetamine use in Australia: Patterns, predictors and national impact

McKetin

Degenhardt

Shanahan

et al. 2017

Drug and Alcohol Review

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Frequent methamphetamine use has a significant impact on emergency medical and psychiatric services. Better provision of non-acute health care services to address the multiple health and social needs of dependent methamphetamine users may reduce the burden on these acute care services. [McKetin R, Degenhardt L, Shanahan M, Baker AL, Lee NK, Lubman DI. Health service utilisation attributable to methamphetamine use in Australia: patterns, predictors and national impact. Drug Alcohol Rev 2017;00:000-000].

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Section: Discussionmentioning

confidence: 99%

Health service utilisation attributable to methamphetamine use in Australia: Patterns, predictors and national impact

McKetin

Degenhardt

Shanahan

et al. 2017

Drug and Alcohol Review

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“…The few studies that have examined this vulnerable population are concentrated in high-income countries (Kenny et al, 2011; MacMaster, 2013; Quinn et al, 2013), and the extent to which findings can be extrapolated to LMICs with newer ATS problems is unknown. Our prior qualitative work in this setting has demonstrated the ubiquity of methamphetamine use and the negative impacts associated with it, including adverse effects at the individual, interpersonal, and community levels (Watt et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Addiction and treatment experiences among active methamphetamine users recruited from a township community in Cape Town, South Africa: A mixed-methods study

Meade

Towe

Watt

et al. 2015

Drug and Alcohol Dependence

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Background Since 2000, there has been a dramatic increase in methamphetamine use in South Africa, but little is known about the experiences of out-of-treatment users. This mixed-methods study describes the substance use histories, addiction symptoms, and treatment experiences of a community-recruited sample of methamphetamine users in Cape Town. Methods Using respondent driven sampling, 360 methamphetamine users (44% female) completed structured clinical interviews to assess substance abuse and treatment history and computerized surveys to assess drug-related risks. A sub-sample of 30 participants completed in-depth interviews to qualitatively explore experiences with methamphetamine use and drug treatment. Results Participants had used methamphetamine for an average of 7.06 years (SD=3.64). They reported using methamphetamine on an average of 23.49 of the past 30 days (SD=8.90); 60% used daily. The majority (90%) met ICD-10 criteria for dependence, and many reported severe social, financial, and legal consequences. While only 10% had ever received drug treatment, 90% reported that they wanted treatment. In the qualitative interviews, participants reported multiple barriers to treatment, including beliefs that treatment is ineffective and relapse is inevitable in their social context. They also identified important motivators, including desires to be drug free and improve family functioning. Conclusion This study yields valuable information to more effectively respond to emerging methamphetamine epidemics in South Africa and other low- and middle-income countries. Interventions to increase uptake of evidence-based services must actively seek out drug users and build motivation for treatment, and offer continuing care services to prevent relapse. Community education campaigns are also needed.

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“…Third, the neurocognitive effects of methamphetamine [40] may limit women’s insight into how methamphetamine impairs psychosocial functioning. This in turn may negatively influence decision-making about the need for substance use treatment [39]. Regardless of the reason for these findings, our failure to find variables associated with perceived need for treatment among women who use methamphetamine point to the need for additional research in this population.…”

Section: Discussionmentioning

confidence: 97%

“…Among the enabling variables, income was significantly (albeit weakly) associated with perceived need for treatment for the overall sample, with the likelihood of recognizing a need for treatment increasing as income decreased. This is probably because income is a proxy indicator for socioeconomic stability [17,39] and socioeconomic instability related to substance use may lead to help-seeking [17,39]. Yet when the sample was stratified by methamphetamine use, this variable was only associated with treatment need among participants who tested negative for methamphetamine.…”

Section: Discussionmentioning

confidence: 99%

“…Having family members with drug problems might normalize drug use within the family system, thereby diminishing individuals’ awareness of their own problematic drug use [39] and reducing the likelihood that family members will encourage and support help seeking for drug use [41]. As previous studies have noted that a lack of emotional and tangible social support for treatment-seeking impacts negatively on treatment initiation [11,30,42], interventions that provide women with emotional support for changing their drug use and tangible support (such as assisting with childcare and providing transport to appointments) could potentially address barriers to treatment entry [11] and enhance women’s perceived need for drug treatment, although this hypothesis requires testing.…”

Section: Discussionmentioning

confidence: 99%

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Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa

et al. 2014

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BackgroundInitiation of treatment for substance use disorders is low among young women from disadvantaged communities in Cape Town, South Africa. Yet little is known about the factors that influence perceived need for treatment (a determinant of treatment entry) within this population.MethodsBaseline data on 720 young, drug-using women, collected as part of a randomized field experiment were analyzed to identify predisposing, enabling and health need factors associated with perceived need for treatment.ResultsOverall, 46.0% of our sample perceived a need for treatment. Of these participants, 92.4% wanted treatment for their substance use problems but only 50.1% knew where to access services. In multivariable logistic regression analyses, we found significant main effects for ethnicity (AOR = 1.54, 95% CI = 1.05-1.65), income (AOR = 0.96, 95% CI = 0.93-0.99), anxiety (AOR = 1.22, 95% CI = 1.05-1.45), and not having family members with drug problems (AOR = 1.45, 95% CI = 1.05-2.04) on perceived need for treatment. When the sample was stratified by methamphetamine use, income (AOR = 0.87, 95% CI = 0.79-0.96), awareness of treatment services (AOR =1.84, 95% CI = 1.03-3.27), anxiety (AOR =1.41, 95% CI = 1.06-1.87) and physical health status (AOR = 6.29, 95% CI = 1.56-25.64) were significantly associated with perceived need for treatment among those who were methamphetamine-negative. No variables were significantly associated with perceived need for treatment among participants who were methamphetamine-positive.ConclusionsA sizeable proportion of young women who could benefit from substance use treatment do not believe they need treatment, highlighting the need for interventions that enhance perceived need for treatment in this population. Findings also show that interventions that link women who perceive a need for treatment to service providers are needed. Such interventions should address barriers that limit young women’s use of services for substance use disorders.

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An exploration of self-perceived non-problematic use as a barrier to professional support for methamphetamine users

Cited by 26 publications

References 14 publications

Health service utilisation attributable to methamphetamine use in Australia: Patterns, predictors and national impact

Health service utilisation attributable to methamphetamine use in Australia: Patterns, predictors and national impact

Addiction and treatment experiences among active methamphetamine users recruited from a township community in Cape Town, South Africa: A mixed-methods study

Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa

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