Methadone Maintenance Treatment Reduces the Vulnerability of Drug Users on HIV/AIDS in Vietnamese Remote Settings: Assessing the Changes in HIV Knowledge, Perceived Risk, and Testing Uptake after a 12-Month Follow-Up

被引:8
作者
Tam Minh Thi Nguyen [1 ]
Bach Xuan Tran [2 ,3 ]
Fleming, Mercerdes [4 ]
Manh Duc Pham [1 ]
Long Thanh Nguyen [1 ]
Huong Thi Le [1 ,2 ]
Anh Lan Thi Nguyen [5 ]
Huong Thi Le [1 ,2 ]
Thang Huu Nguyen [2 ]
Van Hai Hoang [2 ]
Xuan Thanh Thi Le [2 ]
Quan Hoang Vuong [6 ,7 ]
Manh Tung Ho [8 ]
Van Nhue Dam [9 ]
Thu Trang Vuong [10 ]
Ha Ngoc Do [11 ]
Vu Nguyen [12 ]
Huong Lan Thi Nguyen [13 ]
Huyen Phuc Do [14 ]
Phuong Linh Doan [14 ]
Hai Hong Nguyen [1 ,14 ]
Latkin, Carl A. [3 ]
Ho, Cyrus S. H. [15 ]
Ho, Roger C. M. [16 ,17 ]
机构
[1] Minist Hlth, Vietnam Author HIV AIDS Control, Hanoi 100000, Vietnam
[2] Hanoi Med Univ, Inst Prevent Med & Publ Hlth, Hanoi 100000, Vietnam
[3] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD 21205 USA
[4] Univ Coll Dublin, Sch Med & Med Sci, Dublin D04 V1W8, Ireland
[5] Natl Inst Hyg & Epidemiol, Hanoi 100000, Vietnam
[6] Thanh Tay Univ, Ctr Interdisciplinary Social Res, Hanoi 100000, Vietnam
[7] Univ Libre Bruxelles, Ctr Emile Bernheim, Solvay Brussels Sch Econ & Management, B-1050 Brussels, Belgium
[8] Vietnam Acad Social Sci, Inst Philosophy, Hanoi 100000, Vietnam
[9] Natl Econ Univ, Fac Grad Studies, Hanoi 100000, Vietnam
[10] Sci Po Paris, Campus Dijon, F-21000 Dijon, France
[11] Ho Chi Minh Communist Youth Union, Youth Res Inst, Hanoi 100000, Vietnam
[12] Hanoi Med Univ Hosp, Dept Neurosurg Spine Surg, Hanoi 100000, Vietnam
[13] Duy Tan Univ, Inst Global Hlth Innovat, Danang 550000, Vietnam
[14] Nguyen Tat Thanh Univ, Ctr Excellence Evidence Based Med, Ho Chi Minh City 700000, Vietnam
[15] Natl Univ Singapore Hosp, Dept Psychol Med, Singapore 119074, Singapore
[16] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Psychol Med, Singapore 119228, Singapore
[17] Nguyen Tat Thanh Univ, Ctr Excellence Behav Med, Ho Chi Minh 700000, Vietnam
关键词
knowledge; attitudes and practices; Vietnam; methadone maintenance; HIV/AIDS; HEALTH; IMPACT;
D O I
10.3390/ijerph15112567
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Methadone Maintenance Treatment (MMT) program has been considered a medium through which human immunodeficiency virus (HIV) risks assessment and prevention on drug use/HIV-infected population can be effectively conducted. Studies concerning the implementation of such idea on patients in remote, under-developed areas, however, have been limited. Having the clinics established in three mountainous provinces of Vietnam, this study aimed to evaluate the changes in knowledge of HIV, perceived risk, and HIV testing uptake of the patients. A longitudinal study was conducted at six MMT clinics in three provinces with a pre- and post-assessments among 300 patients. Outcomes of interest were compared between baseline and after 12 months. The magnitude of changes was extrapolated. The proportion of participants reporting that their HIV knowledge was not good fell by 4.4% (61.3% at the baseline vs. 56.8% at 12 months). The significant improvement seen was in the knowledge that needle sharing was a mode of transmission (82.7% vs. 89.6%). Nevertheless, the majority of participants reportedly considered mosquitoes/insect and eating with the HIV-infected patient were the route of transmission at both time points (84.7% vs. 89.1%, 92.2% vs. 93.3%, respectively). This study found a limited improvement in HIV knowledge and testing uptake among MMT patients following a 12-month period. It also highlighted some shortcomings in the knowledge, attitudes and practices (KAP) of these patients, in particular, incorrect identification of HIV transmission routes, among patients both at program initiation and follow-up. The findings lent support to the argument for enhancing education and counseling efforts at MMT clinics regarding HIV, as well as for improving access to preventive and health care services through the integration of MMT/HIV services.
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页数:9
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