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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

Bibliographic Data

ID15515830
AuthorsNguyen Minh Tam (0000-0002-8505-677X, Hanoi Medical University), Tam Minh Thi Nguyen (Vietnam Authority of HIV/AIDS Control, Ministry of Health, Hanoi 100000, Vietnam), Bach Xuan Tran (0000-0002-2191-3947, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam, corresponding author), Mercerdes Fleming (University College Dublin), Manh Duc Pham (Ministry of Health), Long Thanh Nguyen (0000-0002-0061-9941, Ministry of Health), Huong Thi Le (0000-0001-6442-8100, Hanoi Medical University), Anh Lan Thi Nguyen (National Institute Of Hygiene And Epidemiology), Thang Huu Nguyen (Hanoi Medical University), Van Hai Hoang (0000-0003-2645-3545, Hanoi Medical University), Xuan Thanh Thi Le (Hanoi Medical University), Q H Vuong (0000-0003-0790-1576, Université Libre de Bruxelles), T M Ho (0000-0002-4432-9081, Vietnam Academy of Social Sciences), Manh Tung Ho (Vietnam Academy of Social Sciences), Nhue Van Dam (0000-0002-2823-1068, National Economics University), Thu-Trang Vuong (0000-0002-7262-9671, Institut d'Etudes Politiques de Paris), Thu Trang Vuong (Sciences Po Paris, Campus de Dijon, 21000 Dijon, France), Ha Ngoc Do (0000-0002-1975-529X, Youth Research Institute, Ho Chi Minh Communist Youth Union, Hanoi 100000, Vietnam), Vu Nguyen (0000-0002-1604-9066, Hanoi Medical University Hospital), Huong Lan Thi Nguyen (0000-0001-9017-1978, Duy Tan University), Huyen Phuc (0000-0003-0461-7529, Trường ĐH Nguyễn Tất Thành), Huyen Phuc Do (Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam), Phuong L Doan (0000-0003-1361-2068, Trường ĐH Nguyễn Tất Thành), Hai Hong Nguyen (0000-0003-1623-4007, Duy Tan University), Carl Latkin (0000-0002-7931-2116, Johns Hopkins University), Cyrus S H Ho (0000-0002-7092-9566, National University Hospital), Roger C M Ho (0000-0001-9629-4493, National University of Singapore)
Year2018
Volume15
Issue11
Pages2567-2567
Publication date2018-11-16
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph15112567
PMID30453555
OpenAlexW2900800589
LanguageEN
Citations received3
References cited19

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

Environmental health · Family medicine · Human immunodeficiency virus (HIV · Methadone · Methadone maintenance · Needle sharing · Population · Psychiatry · Syphilis · Transmission (telecommunications · Vietnamese · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine

  • Changes in Substance Abuse and HIV Risk Behaviors over 12-Month Methadone Maintenance Treatment among Vietnamese Patients in Mountainous Provinces

    Open Access•Bach Xuan Tran, Mercy Fleming et al.•International Journal of…•2019

  • We Need Gentleness”

    Open Access•Teresa Filipowicz, Tran Viet Ha et al.•AIDS and Behavior•2025

  • Satisfaction Amongst Drug-dependent Population with Methadone Maintenance Treatment Services, A Comparison between Public and Private Clinics

    Open Access•Le Anh Tuan, Tuan Anh Le et al.•AIDS and Behavior•2024

  • New Effect Size Rules of Thumb

    Open Access•Shlomo S Sawilowsky•Journal of Modern Applied…•2009

  • Methadone maintenance therapy versus no opioid replacement therapy for opioid dependence

    Richard P Mattick, Courtney Breen et al.•Cochrane Database of Systematic…•2009

  • Medication-Assisted Treatment of Opioid Use Disorder

    Hilary S Connery•Harvard Review of Psychiatry•2015

  • Drug injecting and HIV risk among injecting drug users in Hai Phong, Vietnam

    Open Access•Tanvir Ahmed, Thanh Nguyen Long et al.•BMC Public Health•2015

  • Changes in drug use are associated with health-related quality of life improvements among methadone maintenance patients with HIV/Aids

    Open Access•Bach Xuan Tran, Arto Ohinmaa et al.•Quality of Life Research•2011

Citations per year0.43
Citation span2019 - 2025 (7)
Highly citedNo

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