Stigma as a barrier to integrated substance use and HIV care in Vietnam
A qualitative examination of patient and provider perspectives
Bibliographic Data
| ID | 15414970 |
|---|---|
| Authors | Nguyễn Thu Trang (0000-0002-6164-6329, Hanoi Medical University), Thi Thanh Dinh (Hanoi Medical University), Diep Nguyen Bich (Hanoi Medical University), Kim Hoffman (0000-0003-3063-7881, Oregon Health & Science University, corresponding author), Hang Nguyen Thu (0000-0002-6695-729X, Hanoi Medical University), Andrew Edsall (Gundersen Health System), Gavin Bart (0000-0001-6127-8530, Hennepin Healthcare Research Institute), P Todd Korthuis (0000-0001-5556-3597, Oregon Health & Science University), Le Minh Giang (0000-0003-2385-5362), Giang Minh Le (0000-0003-3370-4453, Hanoi Medical University) |
| Year | 2022 |
| Volume | 23 |
| Issue | 1 |
| Pages | 182-197 |
| Publication date | 2022-05-30 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Ethnicity in Substance Abuse (JOURNAL) |
| Journal identifiers | ISSN: 1533-2640 • E-ISSN: 1533-2659 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/15332640.2022.2080785 |
| PMID | 35635379 |
| OpenAlex | W4281700854 |
| Language | EN |
| Citations received | 4 |
| References cited | 48 |
Integration of substance use disorder (SUD) treatment and HIV care can increase antiretroviral therapy coverage among people with opioid use disorder (OUD). However, implementation of integrated treatment models remains limited. Stigma towards people with OUD poses a barrier to initiation of, and adherence to, HIV treatment. We sought to understand the extent of stigma towards SUD and HIV among people with OUD in Vietnam, and the effect of stigma on integrated OUD and HIV treatment services utilization. Between 2013 and 2015, we conducted in-depth interviews with 43 patients and 43 providers at 7 methadone clinics and 8 HIV clinics across 4 provinces in Vietnam. We used thematic analysis with a mixed deductive and inductive approach at the semantic level to analyze key topics. Two main themes were identified: (1) Confidentiality concerns about HIV status make patients reluctant to receive integrated care at HIV clinics, given the requirements for daily buprenorphine dosing at HIV clinics. (2) Provider stigma existed mostly toward people with OUD and seemed to center on the belief that substance use causes a deterioration in one's morals, and was most frequently manifested in the form of providers' apprehensive approach towards patients. Concerns regarding stigmatization may cause patients to feel reluctant to receive treatment for both OUD and HIV at a single integrated clinic. Interventions to reduce stigma at the clinic and policy levels may thus serve to improve initiation of and adherence to integrated care
Buprenorphine · Confidentiality · Family medicine · Human immunodeficiency virus (HIV · Methadone · Opioid · Opioid use disorder · Psychiatry · Psychological intervention · Qualitative research · Social stigma · Stigma (botany · Substance abuse · Thematic analysis · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Sex work and related issues
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| Unique citing works | 4 |
|---|---|
| Citations per year | 2 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |