海洛因及安非他命使用者之藥物戒除經驗及求助管道之相關因子

The Factors Related to the Experiences of Abstaining from Drug Use and Seeking Help from Medical Services in Taiwanese Heroin and Methamphetamine Users

顏嘉男(Chia-Nan Yen)

指導教授 ： 顏正芳

高雄醫學大學/健康科學院/行為科學研究所/碩士(2007年)

https://doi.org/10.6832/KMU.2007.00034

摘要

目的：本研究的目的，在於比較曾經嘗試戒除海洛因和安非他命使用者和完全不曾嘗試戒除者，以及曾經求助於醫療院所尋求戒除使用毒品者和自行戒毒者之間，在社會人口學變項、毒品的使用型態及戒毒動機等各因子的差別。方法：本研究邀請196位海洛因及226位安非他命使用者參加，研究者依據研究問卷藉由會談瞭解毒品使用者過去戒毒的經驗、戒毒時的求助管道、社會人口學變項、毒品的使用型態，並邀請個案填寫問卷以了解其戒毒動機，再以Chi-squire test、t-test、Mann-Whitney U test比較曾經嘗試戒除海洛因和安非他命使用者和完全不曾嘗試戒除者，以及曾經求助於醫療院所尋求戒除使用毒品者和自行戒毒者之間，在社會人口學變項、毒品的使用型態及戒毒動機等各因子的差別。結果：曾經嘗試戒除海洛因使用者比不曾嘗試戒除海洛因使用者使用海洛因的時間較長、購買海洛因的花費較大、有較多與毒品相關的犯罪紀錄、因毒品被勒戒或服刑的時間較長。曾經嘗試戒除安非他命使用者比不曾戒除安非他命使用者較多為女性、使用安非他命的時間較長、購買安非他命的花費較大。與自行戒毒者比較，曾經求助於醫療院所尋求戒毒協助者年齡較大、較多為海洛因使用者、購買毒品的花費較大、較多過去有戒毒經驗、較會因家人關係、經濟壓力、未來前途等動機而嘗試戒毒。結論：曾經嘗試戒除毒品使用和完全不曾嘗試戒除者，以及曾經求助於醫療院所尋求戒除使用毒品者和自行戒毒者之間，存在社會人口學變項、毒品的使用型態及戒毒動機等各因子的差別。

關鍵字

戒癮 ； 海洛因 ； 安非他命 ； 求助行為

並列摘要

Aim: To examine the factors related to the experiences of abstaining from heroin and methamphetamine (MAMP) use and to seeking help from medical services in Taiwanese drug users. Methods: A total of 196 heroin users and 226 MAMP users were recruited in this study. Their experience of previous abstinence from drug use and the routes to seek help for abstinence were determined at interview. Demographic data, characteristics of drug use and reasons to abstain from drug use were compared between the subjects who had and who had never tried to abstain from drug use before, as well as between the subjects who had ever sought help from medical services and who had tried to abstain from drug use by themselves. Results: Those who had ever tried to abstain from heroin use had longer duration of heroin use, spent more money on getting heroin, were more likely to have a criminal record of illicit drug use and had longer duration of being detained due to illicit drug use than those who had never tried to abstain heroin use. Those who had ever tried to abstain from MAMP use were less likely to be male, had longer duration of MAMP use, and spent more money on getting MAMP than those who have never tried to abstain from MAMP use. Those who had sought help from medical services for abstinence were more likely to be older and be heroin users, spend more money on getting illicit drugs, had more experiences of previous abstinence of drug use and tried to abstain through concerns about relationships with family, economic stress, and concerning the future. Conclusion: Demographic data, characteristics of drug use and reasons to abstain from drug use were different between drug users who had different experiences of abstinence.

並列關鍵字

Abstinence ； heroin ； methamphetamine ； seek help

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