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

Tam Minh Thi Nguyen, Bach Xuan Tran, Mercerdes Fleming, Manh Duc Pham, Long Thanh Nguyen, Huong Thi Le, Anh Lan Thi Nguyen, Huong Thi Le, Thang Huu Nguyen, Van Hai Hoang, Xuan Thanh Thi Le, Quan Hoang Vuong, Manh Tung Ho, Van Nhue Dam, Thu Trang Vuong, Ha Ngoc Do, Vu Nguyen, Huong Lan Thi Nguyen, Huyen Phuc Do, Phuong Linh DoanHai Hong Nguyen, Carl A Latkin, Cyrus Sh Ho, Roger Cm Ho

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number11
DOIs
StatePublished - Nov 16 2018

Fingerprint

Methadone
Drug Users
Acquired Immunodeficiency Syndrome
HIV
Preventive Health Services
Therapeutics
Needle Sharing
Health Knowledge, Attitudes, Practice
Health Services Accessibility
Vietnam
Culicidae
Longitudinal Studies
Insects
Counseling
Eating
Education

Keywords

  • attitudes and practices
  • HIV/AIDS
  • knowledge
  • methadone maintenance
  • Vietnam

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

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. / Nguyen, Tam Minh Thi; Tran, Bach Xuan; Fleming, Mercerdes; Pham, Manh Duc; Nguyen, Long Thanh; Le, Huong Thi; Nguyen, Anh Lan Thi; Le, Huong Thi; Nguyen, Thang Huu; Hoang, Van Hai; Le, Xuan Thanh Thi; Vuong, Quan Hoang; Ho, Manh Tung; Dam, Van Nhue; Vuong, Thu Trang; Do, Ha Ngoc; Nguyen, Vu; Nguyen, Huong Lan Thi; Do, Huyen Phuc; Doan, Phuong Linh; Nguyen, Hai Hong; Latkin, Carl A; Ho, Cyrus Sh; Ho, Roger Cm.

In: International Journal of Environmental Research and Public Health, Vol. 15, No. 11, 16.11.2018.

Research output: Contribution to journalArticle

Nguyen, TMT, Tran, BX, Fleming, M, Pham, MD, Nguyen, LT, Le, HT, Nguyen, ALT, Le, HT, Nguyen, TH, Hoang, VH, Le, XTT, Vuong, QH, Ho, MT, Dam, VN, Vuong, TT, Do, HN, Nguyen, V, Nguyen, HLT, Do, HP, Doan, PL, Nguyen, HH, Latkin, CA, Ho, CS & Ho, RC 2018, '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', International Journal of Environmental Research and Public Health, vol. 15, no. 11. https://doi.org/10.3390/ijerph15112567
Nguyen, Tam Minh Thi ; Tran, Bach Xuan ; Fleming, Mercerdes ; Pham, Manh Duc ; Nguyen, Long Thanh ; Le, Huong Thi ; Nguyen, Anh Lan Thi ; Le, Huong Thi ; Nguyen, Thang Huu ; Hoang, Van Hai ; Le, Xuan Thanh Thi ; Vuong, Quan Hoang ; Ho, Manh Tung ; Dam, Van Nhue ; Vuong, Thu Trang ; Do, Ha Ngoc ; Nguyen, Vu ; Nguyen, Huong Lan Thi ; Do, Huyen Phuc ; Doan, Phuong Linh ; Nguyen, Hai Hong ; Latkin, Carl A ; Ho, Cyrus Sh ; Ho, Roger Cm. / 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. In: International Journal of Environmental Research and Public Health. 2018 ; Vol. 15, No. 11.
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T2 - Assessing the Changes in HIV Knowledge, Perceived Risk, and Testing Uptake after a 12-Month Follow-Up

AU - Nguyen, Tam Minh Thi

AU - Tran, Bach Xuan

AU - Fleming, Mercerdes

AU - Pham, Manh Duc

AU - Nguyen, Long Thanh

AU - Le, Huong Thi

AU - Nguyen, Anh Lan Thi

AU - Le, Huong Thi

AU - Nguyen, Thang Huu

AU - Hoang, Van Hai

AU - Le, Xuan Thanh Thi

AU - Vuong, Quan Hoang

AU - Ho, Manh Tung

AU - Dam, Van Nhue

AU - Vuong, Thu Trang

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AU - Nguyen, Vu

AU - Nguyen, Huong Lan Thi

AU - Do, Huyen Phuc

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