Substance Abuse Journal
Background: Patients report that familial support can facilitate initiation and maintenance of antiretroviral therapy (ART) and medications for opioid use disorder (MOUD). However, providing such support can create pressure and additional burdens for families of people with opioid use disorder (OUD) and HIV. We examined perspectives of people with HIV receiving treatment for OUD in Vietnam and their family members. Methods: Between 2015 and 2018, we conducted face-to-face qualitative interviews with 44 patients and 30 of their family members in Hanoi, Vietnam. Participants were people living with HIV and OUD enrolled in the BRAVO study comparing HIV clinic-based buprenorphine with referral to methadone treatment at 4 HIV clinics and their immediate family members (spouses or parents). Interviews were professionally transcribed, coded in Vietnamese, and analyzed using a semantic, inductive approach to qualitative thematic analysis. Results: Family members of people with OUD and HIV in Vietnam reported financially and emotionally supporting MOUD initiation and maintenance as well as actively participating in treatment. Family members described the burdens of supporting patients during opioid use, including financial costs and secondary stigma. Conclusions: Describing the role of family support in the lives of people living with OUD and HIV in the context of Vietnam enriches our understanding of their experiences and will support future treatment efforts targeting the family unit.
Tạp chí Y học dự phòng
Non - communicable diseases (NCDs) are the leading causes of death and disability globally. In Vietnam, NCDs account for 77% of all deaths. The purpose of this systematic review is to describe the patterns of mortality associated with NCDs in Vietnam from 2006 to 2016. We included 25 studies that reported on health impacts especially on mortality NCDs in Vietnam. From 2008 to 2012, NCDs deaths decreased by 2% (75% vs 73%) and from 2012 to 2016, it increased by 4% (73% vs 77%). The probability of premature deaths of NCDs in 2010, 2012 and 2016 were at 17.5%, 17.4% and 17.0%, respectively. Though the mortality patterns seem to decline over the years, it is not significant enough to conclude, and the probability of dying prematurely is still very high in the country. The percentage of deaths for male was 26.4% (2008), 54.3% (2012), 23.0% (2016) higher than those for female 19.4% (2008), 30.0% (2012), 11.0% (2016). Worldwide, 41 millions people die from non-communicable diseases each year with 15 millions people die between 30 - 69. Cardiovascular diseases remained the main leading cause of NCDs deaths, cancer was the second leading cause of NCDs deaths and projected to increase further in subsequent reports.
BMC Public Health
Journal of Behavioral Health Services & Research
This study aimed to describe mental health service utilization and examine associated factors among students in Vietnam. Data were collected at eight universities in Hanoi, Vietnam, in 2018 using an administered questionnaire. The total number of participants was 9,120 (95.1% response rate). Among stu dents participating in our survey, 12.5% (95% CI: 10.9–14.1) with depression and/or anxiety symptoms used mental health service in the last 12 months. In the multivariable regression models, significant factors associated with mental health ser vice utilization were marital status, types of housemate, men tal health problems, physical activity, smoking status, and alcohol drinking. Our study made recommendations to stake holders for improving mental health services utilization among students in Vietnam. These findings had important implica tions for future research on factors associated with mental health service utilization among university students.
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