کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1075134 1486295 2014 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Spatial accessibility of drug treatment facilities and the effects on locus of control, drug use, and service use among heroin-injecting Mexican American men
ترجمه فارسی عنوان
دسترسی مکانی به امکانات درمانی مواد مخدر و تأثیر آن بر محل کنترل، مصرف مواد مخدر و استفاده از خدمات در میان مردان آمریکایی مکزیکی هروئین تزریق
کلمات کلیدی
آمریکایی های مکزیکی، مصرف تزریق هروئین، دسترسی فضایی، جغرافیا برنامه های درمان دارویی، استفاده از درمان
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
چکیده انگلیسی

BackgroundThis study explores the spatial accessibility of outpatient drug treatment facilities and the potential relationship with drug use-related outcomes among Mexican American heroin users.MethodsSecondary data on 219 current and former heroin-injecting Mexican American men aged 45 and older were drawn from a research study in Houston, Texas. We used geographic information systems (GIS) to derive two spatial accessibility measures: distance from one's place of residence to the closest drug treatment facility (in minutes); and the number of facilities within a 10-minute driving distance from one's place of residence. Exploratory logistic regression analyses examined the association between the spatial accessibility of drug treatment facilities and several drug use-related outcomes: internal locus of control (LOC); perceived chances and worries of injecting in the next six months; treatment utilization; and location of last heroin purchase.ResultsParticipants with greater spatial access to treatment programs were more likely to report a higher chance of injecting in the near future. However, while current heroin users were more worried about injecting in the next six months, greater spatial access to treatment programs seemed to have a buffering effect. Finally, those who lived closer to a treatment programs were more likely to have last purchased heroin inside the neighborhood versus outside the neighborhood. Spatial accessibility was not associated with internal LOC or treatment utilization.ConclusionThe findings showed that the presence of outpatient treatment facilities—particularly services in Spanish—may influence perceived risk of future heroin use and purchasing behaviors among Mexican American men. Implications for future spatially-informed drug use research and the planning of culturally and linguistically responsive drug treatment programs are discussed.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Drug Policy - Volume 25, Issue 3, May 2014, Pages 598–607
نویسندگان
, , , , ,