Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas

Bach Xuan Tran, Huong Lan Thi Nguyen, Quynh Ngoc Hoang Le, Hue Thi Mai, Chau Ngo, Canh Dinh Hoang, Hai Hong Nguyen, Hai Quan Le, Hung Van Nguyen, Huong Thi Le, Tho Dinh Tran, Nabil Zary, Carl A. Latkin, Thuc Minh Thi Vu, Roger C.M. Ho, Melvyn W.B. Zhang

Research output: Contribution to journalArticle

Abstract

Introduction The expansion of methadone maintenance treatment (MMT) program requires more data about the factors affecting the effectiveness of treatment, especially behavioral data such as smoking and alcohol use among patients. This study aimed to examine the prevalence of tobacco and alcohol consumption and identify related factors among MMT patients in the Vietnamese rural mountainside. Methods We interviewed 241 MMT patients in two clinics in Tuyen Quang, a mountainous province in Vietnam. Patients were asked to report the smoking status (current smoker or not), nicotine dependence (by Fagerström test for nicotine dependence - FTND) and alcohol use (by using the Alcohol Use Disorders Identification Test – AUDIT-C). EuroQol-5 dimensions-5 levels (EQ-5D-5L) and EQ-Visual analogue scale (EQ-VAS) were employed to measure health-related quality of life. Multivariate logistic and Tobit regressions were used to identify the associated factors. Results The majority of respondents were current smokers (75.7%) and a low proportion were hazardous drinkers (18.3%). People receiving treatment in a rural clinic (OR = 0.45; 95%CI = 0.22–0.92) and had problems in usual activities (OR = 0.20; 95%CI = 0.06–0.70) were less likely to be smokers. Q-VAS score (Coef. = 0.03; 95%CI = 0.02–0.05) and having problems in mobility (Coef. = 0.72; 95%CI = 0.03–1.42) was found to be associated with the increase of nicotine dependence. In terms of alcohol drinking, people with other jobs were more likely to drink hazardously compared to unemployed patients (OR = 2.86; 95%CI = 1.20–6.82). Similarly, patients having higher duration of MMT had higher likelihood of being hazardous drinkers (OR = 1.07; 95%CI = 1.01–1.13). Conclusions This study highlights the low rate of alcohol abusers but a considerably high proportion of current smokers among MMT patients in the rural mountainside area. Alcohol and tobacco counseling programs combined with social and family support also play an essential role in alcohol and tobacco control. In addition, implementing mass community-based behavioral change campaigns to reduce drug addiction-related stigmatization should also be prioritized.

LanguageEnglish (US)
Pages19-25
Number of pages7
JournalAddictive Behaviors Reports
Volume7
DOIs
StatePublished - Jun 1 2018

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Methadone
Tobacco Use
Alcohols
Tobacco Use Disorder
Alcohol Drinking
Tobacco
Therapeutics
Smoking
Stereotyping
Vietnam
Visual Analog Scale
Substance-Related Disorders
Counseling
Logistic Models
Quality of Life

Keywords

  • Alcohol
  • Drug use
  • Methadone maintenance treatment
  • Tobacco

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Tran, B. X., Nguyen, H. L. T., Le, Q. N. H., Mai, H. T., Ngo, C., Hoang, C. D., ... Zhang, M. W. B. (2018). Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas. Addictive Behaviors Reports, 7, 19-25. DOI: 10.1016/j.abrep.2017.11.005

Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas. / Tran, Bach Xuan; Nguyen, Huong Lan Thi; Le, Quynh Ngoc Hoang; Mai, Hue Thi; Ngo, Chau; Hoang, Canh Dinh; Nguyen, Hai Hong; Le, Hai Quan; Van Nguyen, Hung; Le, Huong Thi; Tran, Tho Dinh; Zary, Nabil; Latkin, Carl A.; Vu, Thuc Minh Thi; Ho, Roger C.M.; Zhang, Melvyn W.B.

In: Addictive Behaviors Reports, Vol. 7, 01.06.2018, p. 19-25.

Research output: Contribution to journalArticle

Tran, BX, Nguyen, HLT, Le, QNH, Mai, HT, Ngo, C, Hoang, CD, Nguyen, HH, Le, HQ, Van Nguyen, H, Le, HT, Tran, TD, Zary, N, Latkin, CA, Vu, TMT, Ho, RCM & Zhang, MWB 2018, 'Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas' Addictive Behaviors Reports, vol. 7, pp. 19-25. DOI: 10.1016/j.abrep.2017.11.005
Tran BX, Nguyen HLT, Le QNH, Mai HT, Ngo C, Hoang CD et al. Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas. Addictive Behaviors Reports. 2018 Jun 1;7:19-25. Available from, DOI: 10.1016/j.abrep.2017.11.005
Tran, Bach Xuan ; Nguyen, Huong Lan Thi ; Le, Quynh Ngoc Hoang ; Mai, Hue Thi ; Ngo, Chau ; Hoang, Canh Dinh ; Nguyen, Hai Hong ; Le, Hai Quan ; Van Nguyen, Hung ; Le, Huong Thi ; Tran, Tho Dinh ; Zary, Nabil ; Latkin, Carl A. ; Vu, Thuc Minh Thi ; Ho, Roger C.M. ; Zhang, Melvyn W.B./ Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas. In: Addictive Behaviors Reports. 2018 ; Vol. 7. pp. 19-25
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abstract = "Introduction The expansion of methadone maintenance treatment (MMT) program requires more data about the factors affecting the effectiveness of treatment, especially behavioral data such as smoking and alcohol use among patients. This study aimed to examine the prevalence of tobacco and alcohol consumption and identify related factors among MMT patients in the Vietnamese rural mountainside. Methods We interviewed 241 MMT patients in two clinics in Tuyen Quang, a mountainous province in Vietnam. Patients were asked to report the smoking status (current smoker or not), nicotine dependence (by Fagerstr{\"o}m test for nicotine dependence - FTND) and alcohol use (by using the Alcohol Use Disorders Identification Test – AUDIT-C). EuroQol-5 dimensions-5 levels (EQ-5D-5L) and EQ-Visual analogue scale (EQ-VAS) were employed to measure health-related quality of life. Multivariate logistic and Tobit regressions were used to identify the associated factors. Results The majority of respondents were current smokers (75.7{\%}) and a low proportion were hazardous drinkers (18.3{\%}). People receiving treatment in a rural clinic (OR = 0.45; 95{\%}CI = 0.22–0.92) and had problems in usual activities (OR = 0.20; 95{\%}CI = 0.06–0.70) were less likely to be smokers. Q-VAS score (Coef. = 0.03; 95{\%}CI = 0.02–0.05) and having problems in mobility (Coef. = 0.72; 95{\%}CI = 0.03–1.42) was found to be associated with the increase of nicotine dependence. In terms of alcohol drinking, people with other jobs were more likely to drink hazardously compared to unemployed patients (OR = 2.86; 95{\%}CI = 1.20–6.82). Similarly, patients having higher duration of MMT had higher likelihood of being hazardous drinkers (OR = 1.07; 95{\%}CI = 1.01–1.13). Conclusions This study highlights the low rate of alcohol abusers but a considerably high proportion of current smokers among MMT patients in the rural mountainside area. Alcohol and tobacco counseling programs combined with social and family support also play an essential role in alcohol and tobacco control. In addition, implementing mass community-based behavioral change campaigns to reduce drug addiction-related stigmatization should also be prioritized.",
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AU - Tran,Bach Xuan

AU - Nguyen,Huong Lan Thi

AU - Le,Quynh Ngoc Hoang

AU - Mai,Hue Thi

AU - Ngo,Chau

AU - Hoang,Canh Dinh

AU - Nguyen,Hai Hong

AU - Le,Hai Quan

AU - Van Nguyen,Hung

AU - Le,Huong Thi

AU - Tran,Tho Dinh

AU - Zary,Nabil

AU - Latkin,Carl A.

AU - Vu,Thuc Minh Thi

AU - Ho,Roger C.M.

AU - Zhang,Melvyn W.B.

PY - 2018/6/1

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N2 - Introduction The expansion of methadone maintenance treatment (MMT) program requires more data about the factors affecting the effectiveness of treatment, especially behavioral data such as smoking and alcohol use among patients. This study aimed to examine the prevalence of tobacco and alcohol consumption and identify related factors among MMT patients in the Vietnamese rural mountainside. Methods We interviewed 241 MMT patients in two clinics in Tuyen Quang, a mountainous province in Vietnam. Patients were asked to report the smoking status (current smoker or not), nicotine dependence (by Fagerström test for nicotine dependence - FTND) and alcohol use (by using the Alcohol Use Disorders Identification Test – AUDIT-C). EuroQol-5 dimensions-5 levels (EQ-5D-5L) and EQ-Visual analogue scale (EQ-VAS) were employed to measure health-related quality of life. Multivariate logistic and Tobit regressions were used to identify the associated factors. Results The majority of respondents were current smokers (75.7%) and a low proportion were hazardous drinkers (18.3%). People receiving treatment in a rural clinic (OR = 0.45; 95%CI = 0.22–0.92) and had problems in usual activities (OR = 0.20; 95%CI = 0.06–0.70) were less likely to be smokers. Q-VAS score (Coef. = 0.03; 95%CI = 0.02–0.05) and having problems in mobility (Coef. = 0.72; 95%CI = 0.03–1.42) was found to be associated with the increase of nicotine dependence. In terms of alcohol drinking, people with other jobs were more likely to drink hazardously compared to unemployed patients (OR = 2.86; 95%CI = 1.20–6.82). Similarly, patients having higher duration of MMT had higher likelihood of being hazardous drinkers (OR = 1.07; 95%CI = 1.01–1.13). Conclusions This study highlights the low rate of alcohol abusers but a considerably high proportion of current smokers among MMT patients in the rural mountainside area. Alcohol and tobacco counseling programs combined with social and family support also play an essential role in alcohol and tobacco control. In addition, implementing mass community-based behavioral change campaigns to reduce drug addiction-related stigmatization should also be prioritized.

AB - Introduction The expansion of methadone maintenance treatment (MMT) program requires more data about the factors affecting the effectiveness of treatment, especially behavioral data such as smoking and alcohol use among patients. This study aimed to examine the prevalence of tobacco and alcohol consumption and identify related factors among MMT patients in the Vietnamese rural mountainside. Methods We interviewed 241 MMT patients in two clinics in Tuyen Quang, a mountainous province in Vietnam. Patients were asked to report the smoking status (current smoker or not), nicotine dependence (by Fagerström test for nicotine dependence - FTND) and alcohol use (by using the Alcohol Use Disorders Identification Test – AUDIT-C). EuroQol-5 dimensions-5 levels (EQ-5D-5L) and EQ-Visual analogue scale (EQ-VAS) were employed to measure health-related quality of life. Multivariate logistic and Tobit regressions were used to identify the associated factors. Results The majority of respondents were current smokers (75.7%) and a low proportion were hazardous drinkers (18.3%). People receiving treatment in a rural clinic (OR = 0.45; 95%CI = 0.22–0.92) and had problems in usual activities (OR = 0.20; 95%CI = 0.06–0.70) were less likely to be smokers. Q-VAS score (Coef. = 0.03; 95%CI = 0.02–0.05) and having problems in mobility (Coef. = 0.72; 95%CI = 0.03–1.42) was found to be associated with the increase of nicotine dependence. In terms of alcohol drinking, people with other jobs were more likely to drink hazardously compared to unemployed patients (OR = 2.86; 95%CI = 1.20–6.82). Similarly, patients having higher duration of MMT had higher likelihood of being hazardous drinkers (OR = 1.07; 95%CI = 1.01–1.13). Conclusions This study highlights the low rate of alcohol abusers but a considerably high proportion of current smokers among MMT patients in the rural mountainside area. Alcohol and tobacco counseling programs combined with social and family support also play an essential role in alcohol and tobacco control. In addition, implementing mass community-based behavioral change campaigns to reduce drug addiction-related stigmatization should also be prioritized.

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KW - Drug use

KW - Methadone maintenance treatment

KW - Tobacco

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