Next Article in Journal
Spatio-Temporal Differences in Nitrogen Reduction Rates under Biotic and Abiotic Processes in River Water of the Taihu Basin, China
Previous Article in Journal
Breaking up Sedentary Time in Overweight/Obese Adults on Work Days and Non-Work Days: Results from a Feasibility Study
Article Menu
Issue 11 (November) cover image

Export Article

Open AccessArticle

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

1
Vietnam Authority of HIV/AIDS Control, Ministry of Health, Hanoi 100000, Vietnam
2
Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
3
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
4
School of Medicine and Medical Science, University College Dublin, Belfield, D04 V1W8 Dublin, Ireland
5
National Institute of Hygiene and Epidemiology, Hanoi 100000, Vietnam
6
Center for Interdisciplinary Social Research, Thanh Tay University, Hanoi 100000, Vietnam
7
Solvay Brussels School of Economics and Management, Centre Emile Bernheim, Université Libre de Bruxelles, B-1050 Brussels, Belgium
8
Institute of Philosophy, Vietnam Academy of Social Sciences, Hanoi 100000, Vietnam
9
Faculty of Graduate Studies, National Economics University, Hanoi 100000, Vietnam
10
Sciences Po Paris, Campus de Dijon, 21000 Dijon, France
11
Youth Research Institute, Ho Chi Minh Communist Youth Union, Hanoi 100000, Vietnam
12
Department of Neurosurgery Spine-Surgery, Hanoi Medical University Hospital, Hanoi 100000, Vietnam
13
Institute for Global Health Innovations, Duy Tan University, Danang 550000, Vietnam
14
Center of Excellence in Evidence-Based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
15
Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore
16
Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
17
Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh 700000, Vietnam
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(11), 2567; https://doi.org/10.3390/ijerph15112567
Received: 9 October 2018 / Revised: 2 November 2018 / Accepted: 12 November 2018 / Published: 16 November 2018
  |  
PDF [305 KB, uploaded 16 November 2018]

Abstract

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. View Full-Text
Keywords: knowledge; attitudes and practices; Vietnam; methadone maintenance; HIV/AIDS knowledge; attitudes and practices; Vietnam; methadone maintenance; HIV/AIDS
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Nguyen, T.M.T.; Tran, B.X.; Fleming, M.; Pham, M.D.; Nguyen, L.T.; Le, H.T.; Nguyen, A.L.T.; Le, H.T.; Nguyen, T.H.; Hoang, V.H.; Le, X.T.T.; Vuong, Q.H.; Ho, M.T.; Dam, V.N.; Vuong, T.T.; Do, H.N.; Nguyen, V.; Nguyen, H.L.T.; Do, H.P.; Doan, P.L.; Nguyen, H.H.; Latkin, C.A.; Ho, C.S.; Ho, R.C. 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. Int. J. Environ. Res. Public Health 2018, 15, 2567.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top