title: Attitudes Toward Addiction, Methadone Treatment, and Recovery Among HIV-Infected Ukrainian Prisoners Who Inject Drugs: Incarceration Effects and Exploration of Mediators.
abstract: In this study, we use data from a survey conducted in Ukraine among 196 HIV-infected people who inject drugs, to explore attitudes toward drug addiction and methadone maintenance therapy (MMT), and intentions to change drug use during incarceration and after release from prison. Two groups were recruited: Group 1 (n = 99) was currently incarcerated and Group 2 (n = 97) had been recently released from prison. This paper's key finding is that MMT treatment and addiction recovery were predominantly viewed as mutually exclusive processes. Group comparisons showed that participants in Group 1 (pre-release) exhibited higher optimism about changing their drug use, were less likely to endorse methadone, and reported higher intention to recover from their addiction. Group 2 participants (post-release), however, reported higher rates of HIV stigma. Structural equation modeling revealed that in both groups, optimism about recovery and awareness of addiction mediated the effect of drug addiction severity on intentions to recover from their addiction.
authors.affiliation: Section of Infectious Diseases, Yale University School of Medicine, 135 College St. Suite 323, New Haven, CT, 06510-2283, USA. maxim.polonsky@yale.edu.
authors.forename: Maxim
authors.initials: M
authors.lastname: Polonsky
authors.affiliation: Section of Infectious Diseases, Yale University School of Medicine, 135 College St. Suite 323, New Haven, CT, 06510-2283, USA.
authors.forename: Julia
authors.initials: J
authors.lastname: Rozanova
authors.affiliation: London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: Lyuba
authors.initials: L
authors.lastname: Azbel
authors.affiliation: Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
authors.forename: Chethan
authors.initials: C
authors.lastname: Bachireddy
authors.affiliation: Department of Psychiatry, University of California San Francisco School of Medicine, San Francisco, CA, USA.
authors.forename: Jacob
authors.initials: J
authors.lastname: Izenberg
authors.affiliation: Ukrainian Institute on Public Health Policy, Kiev, Ukraine.
authors.forename: Tetiana
authors.initials: T
authors.lastname: Kiriazova
authors.affiliation: Ukrainian Institute on Public Health Policy, Kiev, Ukraine.
authors.forename: Sergii
authors.initials: S
authors.lastname: Dvoryak
authors.affiliation: Section of Infectious Diseases, Yale University School of Medicine, 135 College St. Suite 323, New Haven, CT, 06510-2283, USA.|Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.|University of Malaya, Centre of Excellence on Research in AIDS (CERiA), Kuala Lumpur, Malaysia.
authors.forename: Frederick L
authors.initials: FL
authors.lastname: Altice
mesh_terms: D000328:Adult; D000359:Aftercare / Q000523:psychology; D001290:Attitude; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000523:psychology* / Q000534:rehabilitation*; D006801:Humans; D033182:Intention; D007406:Interview, Psychological; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D008875:Middle Aged; D058850:Opiate Substitution Treatment / Q000523:psychology*; D000067656:Optimism; D011329:Prisoners / Q000523:psychology*; D011446:Prospective Studies; D015819:Substance Abuse, Intravenous / Q000523:psychology* / Q000534:rehabilitation*; D014455:Ukraine
chemical_list: D008691:Methadone
keywords: Addiction; HIV; Methadone; Opioid Agonist Therapies; Prisoners; Structural Equation Modeling; Ukraine