Changes in quality of life and its associated factors among illicit drug users in Vietnamese mountainous provinces: A 12-month follow-up study

Bach Xuan Tran, Mackenzie Moir, Tam Minh Thi Nguyen, Ha Ngoc Do, Giang Thu Vu, Anh Kim Dang, Giang Hai Ha, Trang Huyen Thi Nguyen, Hoang Quan Vuong, Tung Manh Ho, Nhue Van Dam, Trang Thu Vuong, Carl A. Latkin, Cyrus S.H. Ho, Roger C.M. Ho

Research output: Contribution to journalArticle

Abstract

Background: Sustainability of methadone maintenance treatment (MMT) program involves regularly assessing its impact on health and social outcomes of drug users in different settings, particularly in disadvantaged areas. In this study, we evaluated the change in quality of life (QoL), and identified associated factors amongst drug users over the course of 12-month MMT in Vietnamese mountainous provinces. Methods: We conducted a longitudinal study among patients from 6 MMT clinics in three mountainous provinces of Vietnam. At baseline, we screened 300 participants and after a 12-month treatment, 244 participants remained to involve in the study. World Health Organization Quality of Life short form instrument (WHOQOL-BREF) was used to measure the QoL of patients. The magnitude of the changes was extrapolated. Results: There were significant changes in all four dimensions of quality of life measured by WHOQoL-BREF between baseline and 12 months with the effect size ranged from 0.21 to 0.24. Increased age, being workers compared to unemployment and having health problems or comorbidities were positively related to reduced scores of QoL. Conclusions: To conclude, we observed a significant increase in the QoL level regarding physical, psychological, social relationships and environmental aspects among people who used drug after 12 months of MMT. Findings from this study emphasize the role of continuously receiving MMT treatment among people using drugs to enhance their QoL.

Original languageEnglish (US)
Article number23
JournalSubstance Abuse: Treatment, Prevention, and Policy
Volume15
Issue number1
DOIs
StatePublished - Mar 18 2020

Keywords

  • Drug abuse
  • Health-related quality of life
  • Injection drug use
  • Methadone maintenance therapy
  • Vietnam
  • WHOQoL-BREF

ASJC Scopus subject areas

  • Health Policy
  • Psychiatry and Mental health

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    Tran, B. X., Moir, M., Nguyen, T. M. T., Do, H. N., Vu, G. T., Dang, A. K., Ha, G. H., Nguyen, T. H. T., Vuong, H. Q., Ho, T. M., Van Dam, N., Vuong, T. T., Latkin, C. A., Ho, C. S. H., & Ho, R. C. M. (2020). Changes in quality of life and its associated factors among illicit drug users in Vietnamese mountainous provinces: A 12-month follow-up study. Substance Abuse: Treatment, Prevention, and Policy, 15(1), [23]. https://doi.org/10.1186/s13011-020-00265-7