Motivations for methamphetamine cessation among young people in northern Thailand

German, Danielle; Sherman, Susan G.; Sirirojn, Bangorn; Thomson, Nick; Aramrattana, Apinun; Celentano, David D.

doi:10.1111/j.1360-0443.2006.01490.x

Cited by 32 publications

(31 citation statements)

References 30 publications

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“…In Thailand, German et al (2006) has examined the impact of "community stigma" on a purposeful sample of 48 Thai users of methamphetamine and, while finding some influence on cessation motivation, the researchers cautioned that this strategy may interfere with users' ability and willingness to access support services or treatment. Notably, McLellan (2002) advocates an approach to drug user treatment that could eventually address stigmatization by changing the way the public views drug use and addiction.…”

Section: Stigma and Addictionmentioning

confidence: 98%

Evaluation of the Therapeutic Community Treatment Model in Thailand: Policy Implications for Compulsory and Prison-Based Treatment

Johnson

Young

Shamblen

et al. 2012

Substance Use & Misuse

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This study, conducted in 2005 to 2007, presents results that are based on a proscriptive cohort design. The sample consisted of 769 residents in 22 drug user treatment programs who stayed in treatment for at least 30 days to one year; 510 former residents (66%) from 21 programs (95%) were interviewed again at a 6-month post-treatment follow-up assessment. A majority of the participants were male, lived with family or relatives, had completed only primary school, and had a full-time or a part-time job prior to entering treatment. The participating therapeutic community (TC) programs were a mixture of volunteer, compulsory-probation, and prison-based programs. In-person interview data and urine testing showed that the self-reported drug use prevalence rates are reliable. The results show large positive treatment effects on 30-day and 6-month illegal drug use and small to medium effects on the severity of alcohol use and related problems. A multilevel regression analysis suggests that residents' reduced stigma, adaptation of the TC model, and frequency of alcohol and drug use-related consequences partially predict treatment success. Study limitations and policy implications are discussed.

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Section: Stigma and Addictionmentioning

confidence: 98%

Evaluation of the Therapeutic Community Treatment Model in Thailand: Policy Implications for Compulsory and Prison-Based Treatment

Johnson

Young

Shamblen

et al. 2012

Substance Use & Misuse

View full text Add to dashboard Cite

show abstract

“…Many studies have showed association between new type of drug use and risky sexual behaviors, such as unprotected sexual behaviors and sex with multiple concurrent partners [12][13][14][15][16]. The combination of using these new types of drugs and engaging in commercial sex could be a major potential driving force for the continued expansion of the HIV and other STDs epidemics in China.…”

Section: Introductionmentioning

confidence: 97%

Dual Epidemics of Drug Use and Syphilis Among Chinese Female Sex Workers: Results of Eight Consecutive Cross-Sectional Surveys from 2006 to 2013 in Qingdao, China

Liao

Yan

et al. 2015

AIDS Behav

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Eight consecutive annual cross-sectional surveys were conducted to examine the trend of the prevalence of HIV, syphilis, drug use and their correlates among female sex workers (FSWs) in Qingdao, China. Among sampled FSWs over the 8 years, a higher proportion of older, married or cohabited, higher education levels and more on-call FSWs were observed in recent years. The syphilis prevalence increased significantly from 1.0 % in 2006 to 13.5 % in 2013, with illicit drug use rate ranging from 21.8 % in 2007 to 55.5 % in 2010. Multivariate logistic regression analyses showed that drug use, syphilis and unprotected vaginal sex predicted each other. The dual epidemics of illicit drug use and syphilis among FSWs underscore the urgency to implement a tailored intervention to curb the dual epidemics while also preventing an HIV epidemic in the context of diversified commercial sex dynamic.

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“…Research on addiction recovery indicates there are multiple pathways to achieving sustained abstinence, with influences varying across individuals, substances and contexts; and although drug treatment may be an important contributing factor, it represents only one of the paths to recovery (German et al 2006; Laudet,Savage & Mahmood 2002). Klingemann (2012) suggests recovery from alcohol dependence appears over time as an interplay between individual actions, societal reactions and positive and negative life events, while subjective accounts of recovery maintenance are being continuously constructed and reconstructed.…”

mentioning

confidence: 99%

A Qualitative Study of Methamphetamine Users’ Perspectives on Barriers and Facilitators of Drug Abstinence

Herbeck

Brecht

Christou

et al. 2014

Journal of Psychoactive Drugs

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To better understand methamphetamine (MA) use patterns and the process of recovery, qualitative interviews were conducted with adult MA users (n=20), comparing a sample that received substance abuse treatment with those who had not received treatment. Respondents provided detailed information on why and how they changed from use to abstinence, and factors they considered to be barriers to abstinence. Audio recordings and transcripts were reviewed for common themes. Participants reported a range of mild/moderate to intensely destructive problems, including loss of important relationships and profound changes to who they felt they were at their core, e.g., “I didn’t realize how dark and mean I was... I was like a different person.” Initial abstinence was often facilitated by multiple external forces (e.g., drug testing, child custody issues, prison, relocation), but sustained abstinence was attributed to shifts in thinking and salient realizations about using. The treatment group reported using more and different resources to maintain their abstinence than the no treatment group. Findings indicate individualized interventions and multiple, simultaneous approaches and resources were essential in reaching stable abstinence. Understanding long-term users’ experiences with MA use, addiction and abstinence can inform strategies for engaging and sustaining MA users in treatment and recovery.

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Motivations for methamphetamine cessation among young people in northern Thailand

Cited by 32 publications

References 30 publications

Evaluation of the Therapeutic Community Treatment Model in Thailand: Policy Implications for Compulsory and Prison-Based Treatment

Evaluation of the Therapeutic Community Treatment Model in Thailand: Policy Implications for Compulsory and Prison-Based Treatment

Dual Epidemics of Drug Use and Syphilis Among Chinese Female Sex Workers: Results of Eight Consecutive Cross-Sectional Surveys from 2006 to 2013 in Qingdao, China

A Qualitative Study of Methamphetamine Users’ Perspectives on Barriers and Facilitators of Drug Abstinence

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