Factors Associated with Substance Use and Sexual Behavior among Drug Users in Three Mountainous Provinces of Vietnam

被引:9
作者
Bach Xuan Tran [1 ,2 ,3 ]
Hue Thi Mai [1 ]
Fleming, Mercedes [4 ]
Ha Ngoc Do [5 ]
Tam Minh Thi Nguyen [6 ]
Quan Hoang Vuong [7 ,8 ]
Manh Tung Ho [9 ]
Nhue Van Dam [10 ]
Thu Trang Vuong [11 ]
Giang Hai Ha [12 ]
Nu Thi Truong [12 ]
Latkin, Carl A. [2 ]
Ho, Cyrus S. H. [13 ]
Ho, Roger C. M. [14 ]
机构
[1] Hanoi Med Univ, Inst Prevent Med & Publ Hlth, Hanoi 100000, Vietnam
[2] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD 21205 USA
[3] Vietnam Young Phys Assoc, Hanoi 100000, Vietnam
[4] Univ Coll Dublin, Sch Med & Med Sci, Dublin D04 V1W8, Ireland
[5] Vietnam YRI Ho Chi Minh Communist Youth Union, Youth Res Inst, Hanoi 100000, Vietnam
[6] Vietnam Author HIV AIDS Control, Minist Hlth, Hanoi 100000, Vietnam
[7] Thanh Tay Univ, Ctr Interdisciplinary Social Res, Hanoi 100000, Vietnam
[8] Univ Libre Bruxelles, Ctr Emile Bernheim, Solvay Brussels Sch Econ & Management, B-1050 Brussels, Belgium
[9] Vietnam Acad Social Sci, Inst Philosophy, Hanoi 100000, Vietnam
[10] Natl Econ Univ, Fac Grad Studies, Hanoi 100000, Vietnam
[11] Sciences Po Paris, Campus Dijon, F-21000 Dijon, France
[12] Duy Tan Univ, Inst Global Hlth Innovat, Da Nang 550000, Vietnam
[13] Natl Univ Singapore Hosp, Dept Psychol Med, Singapore 119074, Singapore
[14] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Psychol Med, Singapore 119228, Singapore
关键词
HIV/AIDS; risk behaviors; illicit drug users; methadone maintenance treatment; METHADONE-MAINTENANCE TREATMENT; NORTHERN VIETNAM; RISK BEHAVIOR; USE DISORDERS; HIV; ABUSE; ALCOHOL; AREA;
D O I
10.3390/ijerph15091885
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Due to their geographical characteristics, the mountainous areas of Vietnam are particularly vulnerable to illicit drug use. Drug users in remote areas are also more likely to engage in risky sexual behaviors. This study aimed to describe the prevalence and characteristics of substance use and sexual behaviors and explored their related factors among newly admitted drug users in three mountainous provinces of Vietnam. A cross-sectional study was conducted on 300 newly-admitted drug users registering for Methadone Maintenance Treatment (MMT) at 6 clinics in three provinces: Dien Bien, Lai Chau and Yen Bai from October 2014 to December 2015. Information about the socio-demographic characteristics, history of substance use, and sexual behaviors were collected. The multivariate logistic regression model was used to identify potential predictors of four outcomes, which included: drug injection, re-use of needles, using condoms during the last time of having sex, and having sexual intercourse with female sex workers. The proportion of injecting drug users was 68.3%; of those 9% never re-used needles. Of note, 69% of those who reported having sex with female sex workers in the last month did not use condoms. Regression models showed that those who injected drugs and had health problems in last 30 days had greater odds of having sex with female sex workers. Drug users in mountainous settings acknowledged the high prevalence of human immunodeficiency virus (HIV)-related risk behaviors and a demand for physical and psychological care. Scaling up MMT services is key to approaching this high-risk group; however, at the same time, comprehensive harm-reduction interventions, counseling, and health care services should also be made accessible and effective in this setting.
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页数:10
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