Tobacco consumption, as a worldwide problem, is a risk factor for several types of cancer. In Vietnam, tobacco consumption in the form of waterpipe tobacco smoking is common. This prospective cohort study aimed to study the association between waterpipe tobacco smoking and gastric cancer mortality in Northern Vietnam. A total of 25,619 eligible participants were followed up between 2008 and 2019. Waterpipe tobacco and cigarette smoking data were collected; semi-quantitative food frequency and lifestyle questionnaires were also utilized. Gastric cancer mortality was determined via medical records available at the state health facilities. A Cox proportional hazards model was used to estimate hazard ratios (HR) and 95% confdence intervals (95% CI). During 314,992.8 person-years of followup, 55 men and 25 women deaths due to gastric cancer were identifed. With never-smokers as the reference, the risk of gastric cancer mortality was signifcantly increased in participants who were ever-smoking (HR=2.43, 95% CI=1.35–4.36). The positive risk was also observed in men but was not signifcantly increased in women. By types of tobacco use, exclusive waterpipe smokers showed a signifcantly increased risk of gastric cancer mortality (HR=3.22, 95% CI=1.67–6.21) but that was not signifcantly increased in exclusive cigarette smokers (HR=1.90, 95% CI=0.88– 4.07). There was a signifcant positive association between tobacco smoking and gastric cancer death for indicators of longer smoking duration, higher frequency per day, and cumulative frequency of both waterpipe and cigarette smoking. Waterpipe tobacco smoking would signifcantly increase the risk of gastric cancer mortality in the Vietnamese population. Further studies are required to understand the waterpipe tobacco smoking-driven gastric cancer burden and promote necessary interventions.
Xian Liang Sun, Rie Okamoto, Teruhiko Kido, Seijiro Honma, Ho Dung Manh, Hoang Viet Nguyen, Le Thai Anh, Hoang Duc Phuc, Nguyen Thi Phuong Oanh, Shoko Maruzeni, Hideaki Nakagawa, Shoji F. Nakayama, Dang Duc Nhu, Dao Van Tung, Ngo Thi Minh Tan, Le Minh Giang
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.
Le Nguyen Minh Hoa, Sheena G. Sullivan, Le Quynh Mai, Arseniy Khvorov, Hoang Vu Mai Phuong, Nguyen Le Khanh Hang, Pham Quang Thai, Le Thi Thanh, Louise Carolan, Dang Duc Anh, Tran Nhu Duong, Juliet E. Bryant, H. Rogier van Doorn, Heiman F. L. Wertheim, Peter Horby, Annette Fox
The Journal of Infectious Diseases
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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