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
| Autor: | Cyrus S.H. Ho, Carl A. Latkin, Xuan Thanh Thi Le, Manh Duc Pham, Thu-Trang Vuong, Hai Hong Nguyen, Vu Nguyen, Ha Ngoc Do, Manh Tung Ho, Long Thanh Nguyen, Tam Minh Thi Nguyen, Huong Thi Le, Anh Lan Thi Nguyen, Huong Lan Thi Nguyen, Quan-Hoang Vuong, Roger C.M. Ho, Mercedes Fleming, Bach Xuan Tran, Van Nhue Dam, Thang Huu Nguyen, Phuong Linh Doan, Huyen Phuc Do, Van Hai Hoang |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Counseling
Male Longitudinal study Health Knowledge Attitudes Practice knowledge Health Toxicology and Mutagenesis 030508 substance abuse lcsh:Medicine HIV Infections Santé publique attitudes and practices Drug Users 0302 clinical medicine methadone maintenance Health care Methadone maintenance Medicine 030212 general & internal medicine Longitudinal Studies education.field_of_study Transmission (medicine) Middle Aged Knowledge Vietnam HIV/AIDS 0305 other medical science Adult medicine.medical_specialty Substance-Related Disorders Population Article 03 medical and health sciences Acquired immunodeficiency syndrome (AIDS) Opiate Substitution Treatment Humans education Needle sharing Mutagenèse et technologie génétique Attitudes and practices business.industry lcsh:R Public Health Environmental and Occupational Health medicine.disease Risk perception Family medicine Rural Health Services business Methadone Follow-Up Studies |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 15, Iss 11, p 2567 (2018) International Journal of Environmental Research and Public Health Volume 15 Issue 11 International Journal of Environmental Research and Public Health, 15 (11 |
| ISSN: | 1660-4601 |
| Popis: | 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. SCOPUS: ar.j info:eu-repo/semantics/published |
| Databáze: | OpenAIRE |
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