Stigma and level of familiarity with opioid maintenance treatment (OMT) among specialist physicians in Israel

Harm Reduction Journal

Research

Sason Anat¹  Adelson Miriam¹  Weinstein Marsha¹  Rozner Lihi²  Shoshan Stacy³  Peles Einat³  Schreiber Shaul⁴  Brill Silviu⁵  Delayahu Yael⁶ 

[1] Adelson Clinic for Drug Abuse Treatment and Research, Tel Aviv Sourasky Medical Center, 10 Dafna Street, 6492805, Tel Aviv, Israel;Department of Psychiatry, Maayenei Hayeshua Medical Center, Bnei Brak, Israel;Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;Adelson Clinic for Drug Abuse Treatment and Research, Tel Aviv Sourasky Medical Center, 10 Dafna Street, 6492805, Tel Aviv, Israel;Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;Adelson Clinic for Drug Abuse Treatment and Research, Tel Aviv Sourasky Medical Center, 10 Dafna Street, 6492805, Tel Aviv, Israel;Division of Psychiatry, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel;Pain Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel;Psychiatry, Abarbanel Mental Health Center, Bat Yam, Israel;Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;

关键词: Opioids;    Stigma;    Approach;    Knowledge;    Opioid maintenance treatment;    Opioid use disorder;   

DOI  :  10.1186/s12954-023-00869-9

 received in 2023-07-09, accepted in 2023-09-07,  发布年份 2023

来源: Springer

【 摘 要 】

ContextOpioid use disorder (OUD) poses significant public health problems that have increased dramatically, resulting in high rates of morbidity and mortality.ObjectivesTo minimize the risk of an opioid epidemic in Israel and be prepared, we evaluated physicians’ objective knowledge, level of stigma, and approach to prescribing opioids, risk factors, and identification of patients with substance use disorder (SUD), as well as their knowledge about opioid maintenance treatment (OMT) for OUD.MethodsAnonymous computerized questionnaires were distributed nationally to physicians by the Israel Medical Association. Knowledge, stigma, and approach were scored.ResultsOf only 249 responders, 58.6% prescribe opioids, 32.1% prescribe cannabis, and 18.5% daily encounter patients with SUD. Logistic regression found the high knowledge group had daily encounters with SUD (Odds Ratio (OR) = 3.5, 95% CI 1.7–7.1) and were familiar with OMT (OR = 10.1, 95% CI 3.5–29.0). The high stigma group was characterized by physicians who prescribe opioids (OR = 1.7, 95% CI 1.0–2.9), but who self-reported having limited knowledge regarding OMT (OR = 2, 95% CI 1.1–3.7). The high approach group was characterized by those who prescribe opioids (OR = 11.7, 95% CI 4.9–28), prescribe cannabis (OR = 2.1, 95% CI 1.0–4.3), self-report having limited knowledge regarding OMT (OR = 11.2, 95% CI 1.4–89) and self-report identifying SUD (OR = 32.5, 95% CI 4.1–260).ConclusionHigh stigma was most evident among physicians who prescribe opioids but, importantly, who had limited knowledge specifically regarding OMT. Gaps in knowledge and approach were observed. An educational intervention is highly recommended to reduce stigma and increase referrals of patients for OMT, the most effective treatment for opioid use disorder.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 7