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However, concerns remain that geographical, financial and other hidden barriers may hinder access to MMT<\/jats:styled-content>, especially in rural areas where health services are limited. The objective of this study was to determine factors associated with utilisation of MMT<\/jats:styled-content> by injection drug users (IDU<\/jats:styled-content>s) living in S<\/jats:styled-content>ongkhla province.<\/jats:p><\/jats:sec>Design and Methods<\/jats:title>A cross\u2010sectional study among 159 IDU<\/jats:styled-content>s in S<\/jats:styled-content>ongkhla province of southern T<\/jats:styled-content>hailand was conducted. Participants were recruited using a snowball technique. Data were collected from J<\/jats:styled-content>uly 2013 to J<\/jats:styled-content>anuary 2014 via face\u2010to\u2010face interviews.<\/jats:p><\/jats:sec>Results<\/jats:title>Around one\u2010forth (24.5%) of participants had difficulties travelling to MMT<\/jats:styled-content> clinics because of the long distance, long travelling time and lack of a private vehicle. Twenty\u2010four percent faced difficulties with the clinic's opening hours and 28% faced difficulties paying for the cost of travel. IDU<\/jats:styled-content>s who utilised the MMT<\/jats:styled-content> perceived risks of injection drug use differently compared with those who did not. Younger or M<\/jats:styled-content>uslim IDU<\/jats:styled-content>s were less likely to attend MMT<\/jats:styled-content>. IDU<\/jats:styled-content>s who perceived that MMT<\/jats:styled-content> was effective were more likely to utilise MMT<\/jats:styled-content>.<\/jats:p><\/jats:sec>Discussion and Conclusions<\/jats:title>Physical accessibility, affordability and acceptability play an essential role in MMT<\/jats:styled-content> utilisation. Developing alternatives that reduce the travelling time, costs for IDU<\/jats:styled-content>s and more convenient operation hours to suit their lifestyles may increase the utilisation of MMT<\/jats:styled-content>. Intensive consultation before starting MMT<\/jats:styled-content> is highly recommended. [Khampang R, Assanangkornchai S, Teerawattananon Y. Perceived barriers to utilise methadone maintenance therapy among male injection drug users in rural areas of southern Thailand. 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