Tropical Medicine & International Health
Objectives: In March 2020, a COVID-19 outbreak in a major referral hospital in Hanoi, Vietnam led to 7,664 patients and staff being sent into lockdown for two weeks, and more than 52,200 persons across 49 provinces being quarantined. We assessed SARS-CoV-2 transmission patterns during this to-date largest hospital outbreak in Vietnam using social network analysis (SNA). Methods: We constructed a directed relational network and calculated network metrics for ‘degree’, ‘betweenness’, ‘closeness’, and ‘eigenvector’ centrality to understand individual-level transmission patterns. We analysed network components and modularity to identify sub-network structures with disproportionately big effects. Results: We detected 68 connections between 46 confirmed cases, of whom 27 (58.7%) were ancillary support staff, seven (15.2%) caregivers, six (13%) patients, and two (4.4%) nurses. Among the ten most important cases selected by each SNA network metric, transmission dynamics clustered in 17 cases, of whom 12 (70.6%) cases were ancillary support staff. Ancillary support staff also constituted 71.1% of cases in the dominant sub-network and 68.8% of cases in the three largest sub-communities. Conclusions: We identified non-clinical ancillary support staff, who are responsible for room service and food distribution in hospital wards in Vietnam, as a group with disproportionally big impacts on transmission dynamics during this outbreak. Our findings call for a holistic approach to nosocomial outbreak prevention and response that includes both clinical and non-clinical hospital staff. Our work also shows the potential of SNA as a complementary outbreak investigation method to better understand infection patterns in hospitals and similar settings
Huong Thien Ngoc Cai, Hang Thi Tran, Yen Hong Thi Nguyen, Giao Quynh Thi Vu, Thao Phuong Tran, Phuong Bich Bui, Huong Thi Thu Nguyen, Thai Quang Pham, Anh Tuan Lai, Jennifer Ilo Van Nuil, Sonia Lewycka
Frontiers in Public Health
Antibiotic use in the community for humans and animals is high in Vietnam, driven by easy access to over-the counter medicines and poor understanding of the role of antibiotics. This has contributed to antibiotic resistance levels that are amongst the highest in the world. To address this problem, we developed a participatory learning and action (PLA) intervention. Here we describe challenges and lessons learned while developing and testing this intervention in preparation for a large-scale One Health trial in northern Vietnam. We tested the PLA approach using community-led photography, and then reflected on how this approach worked in practice. We reviewed and discussed implementation documentation and developed and refined themes. Five main themes were identified related to challenges and lessons learned: understanding the local context, stakeholder relationship development, participant recruitment, building trust and motivation, and engagement with the topic of antibiotics and antimicrobial resistance (AMR). Partnerships with national and local authorities provided an important foundation for building relationships with communities, and enhanced visibility and credibility of activities. Partnership development required managing relationships, clarifying roles, and accommodating different management styles. When recruiting participants, we had to balance preferences for top-down and bottom-up approaches. Building trust and motivation took time and was challenged by limited study team presence in the community. Open discussions around expectations and appropriate incentives were re-visited throughout the process. Financial incentives provided initial motivation to participate, while less tangible benefits like collective knowledge, social connections, desire to help the community, and new skills, sustained longer-term motivation. Lack of awareness and perceived importance of the problem of AMR, affected initial motivation. Developing mutual understanding through use of common and simplified language helped when discussing the complexities of this topic. A sense of ownership emerged as the study progressed and participants understood more about AMR, how it related to their own concerns, and incorporated their own ideas into activities. PLA can be a
powerful way of stimulating community action and bringing people together to tackle a
common problem. Understanding the nuances of local power structures, and allowing
time for stakeholder relationship development and consensus-building are important
considerations when designing engagement projects
Ha-Linh Quach, Thai Quang Pham, Ngoc Anh Hoang, Dinh Cong Phung, Viet Cuong Nguyen, Son Hong Le, Thanh Cong Le, Dang Hai Le, Anh Duc Dang, Duong Nhu Tran, Nghia Duy Ngu, Florian Vogt, Cong Khanh Nguyen
Healthcare Informatics Research
Objectives: Online misinformation has reached unprecedented levels during the coronavirus disease 2019 (COVID-19) pandemic. This study analyzed the magnitude and sentiment dynamics of misinformation and unverified information about public health interventions during a COVID-19 outbreak in Da Nang, Vietnam, between July and September 2020. Methods: We analyzed user-generated online information about five public health interventions during the Da Nang outbreak. We compared the volume, source, sentiment polarity, and engagements of online posts before, during, and after the outbreak using negative binomial and logistic regression, and assessed the content validity of the 500 most influential posts. Results: Most of the 54,528 online posts included were generated during the outbreak (n = 46,035; 84.42%) and by online newspapers (n = 32,034; 58.75%). Among the 500 most influential posts, 316 (63.20%) contained genuine information, 10 (2.00%) contained misinformation, 152 (30.40%) were non-factual opinions, and 22 (4.40%) contained unverifiable information. All misinformation posts were made during the outbreak, mostly on social media, and were predominantly negative. Higher levels of engagement were observed for information that was unverifiable (incidence relative risk [IRR] = 2.83; 95% confidence interval [CI], 1.33–0.62), posted during the outbreak (before: IRR = 0.15; 95% CI, 0.07–0.35; after: IRR = 0.46; 95% CI, 0.34-0.63), and with negative sentiment (IRR = 1.84; 95% CI, 1.23–2.75). Negatively toned posts were more likely to be misinformation (odds ratio [OR] = 9.59; 95% CI, 1.20–76.70) or unverified (OR = 5.03; 95% CI, 1.66–15.24). Conclusions: Misinformation and unverified information during the outbreak showed clustering, with social media being particularly affected. This indepth assessment demonstrates the value of analyzing online “infodemics” to inform public health responses.
Ha-Linh Quach, Thai Quang Pham, Ngoc-Anh Hoang, Dinh Cong Phung, Viet Cuong Nguyen, Son Hong Le, Thanh Cong Le, Thu Minh Thi Bui, Dang Hai Le, Anh Duc Dang, Duong Nhu Tran, Nghia Duy Ngu, Florian Vogt, Cong Khanh Nguyen
Background Trends in the public perception and awareness of COVID-19 over time are poorly understood. We conducted a longitudinal study to analyze characteristics and trends of online information during a major COVID-19 outbreak in Da Nang province, Vietnam in July-August 2020 to understand public awareness and perceptions during an epidemic. Methods We collected online information on COVID-19 incidence and mortality from online platforms in Vietnam between 1 July and 15 September, 2020, and assessed their trends over time against the epidemic curve. We explored the associations between engagement, sentiment polarity, and other characteristics of online information with different outbreak phases using Poisson regression and multinomial logistic regression analysis. We assessed the frequency of keywords over time, and conducted a semantic analysis of keywords using word segmentation Results
We found a close association between collected online information and the evolution of the
COVID-19 situation in Vietnam. Online information generated higher engagements during
compared to before the outbreak. There was a close relationship between sentiment polarity
and posts’ topics: the emotional tendencies about COVID-19 mortality were significantly
more negative, and more neutral or positive about COVID-19 incidence. Online newspaper
reported significantly more information in negative or positive sentiment than online forums
or social media. Most topics of public concern followed closely the progression of the
COVID-19 situation during the outbreak: development of the global pandemic and vaccination; the unfolding outbreak in Vietnam; and the subsiding of the outbreak after two months.
Conclusion
This study shows how online information can reflect a public health threat in real time, and
provides important insights about public awareness and perception during different outbreak
phases. Our findings can help public health decision makers in Vietnam and other low and
middle income countries with high internet penetration rates to design more effective communication strategies during critical phases of an epidemic
Ha-Linh Quach, Thai Quang Pham, Duong Nhu Tran, Mai Thi Quynh Le, Hung Thai Do, Chien Chinh Vien, Lan Trong Phan, Nghia Duy Ngu, Tu Anh Tran, Dinh Cong Phung, Quang Dai Tran, Tan Quang Dang, Duc-Anh Dang, Florian Vogt
International Journal of Infectious Diseases
Background: Vietnam implemented various public health interventions such as contact tracing and testing, mandatory quarantine, and lockdowns in response to coronavirus disease 2019 (COVID-19). However, the effects of these measures on the epidemic remain
Zoonoses and Public Health
The study aimed to determine the status of neutralizing antibodies and rabies virus infection in dogs at slaughterhouses in Hanoi city from 2015 to 2017. A total of 2,376 pairs of blood and brain samples were collected from dogs at 92 slaughterhouses (8 l
Frontiers in Public Health
Since the initial phases of the COVID-19 outbreak, international recommendations for disease control have been readily available. However, blind implementation of these recommendations without grassroot-level support could result in public distrust and lo
Little evidence is available about structural factors associated with the retention in care for people living with HIV/AIDS (PLWH) in Vietnam. This retrospective longitudinal study was conducted among PLWH initiating antiretroviral therapy (ART) in 62 ART
International Journal of Disaster Risk Reduction
The study presents a cross-sectional analysis via a web-based survey to assess the awareness and experiences of Vietnamese health professionals and community workers on climate and epidemic changes and their impacts on society. Health professionals, medic
Thao Thanh Nguyen, Xuan Thi Thanh Le, Nguyen Thao Thi Nguyen, Quang Nhat Nguyen, Huong Thi Le, Quan Thi Pham, Nhung Kim Thi Ta, Quynh Thi Nguyen, Anh Ngoc Nguyen, Hai Quang Pham, Linh Gia Vu, Anh Mai Luong, David Koh, Trang Ha Nguyen, Bach Xuan Tran, Carl A.Latkin, Cyrus S.H.Ho, Roger C.M.
Frontiers in Psychiatry
Xuan Thi Thanh Le, Anh Kim Dang, Jayson Toweh, Quang Nhat Nguyen, Huong Thi Le, Toan Thi Thanh Do, Hanh Bich Thi Phan, Thao Thanh Nguyen, Quan Thi Pham, Nhung Kim Thi Ta, Quynh Thi Nguyen, Anh Ngoc Nguyen, Quan Van Duong, Hai Quang Pham, Linh Gia Vu, Bach Xuan Tran, Carl A.Latkin, Cyrus S.
Frontiers in Psychiatry
Huong Thi Le, Andre Jun Xian Lai, Jiaqian Sun, Linh Gia Vu, Hai Quang Pham, Trang Ha Nguyen, Bach Xuan Tran, Carl A.Latkin, Xuan Thi Thanh Le, Thao Thanh Nguyen, Quan Thi Pham, Nhung Thi Kim Ta, Quynh Thi Nguyen, Roger C.M.Ho, Cyrus S.H.Ho
Front. Public Health
Anh Kim Dang, Xuan Thi Thanh Le, Huong Thi Le, Bach Xuan Tran, Toan Thi Thanh Do, Hanh Thi Bich Phan, Thao Thanh Nguyen, Quan Thi Pham, Nhung Thi Kim Ta, Quynh Thi Nguyen, Quan Van Duong, Men Thi Hoang, Hai Quang Pham, Trang Ha Nguyen, Linh Gia Vu, Carl A. Latkin, Cyrus SH Ho and Roger C. M. Ho
Annals of Global health
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.
Bach Xuan Tran, Hien Thi Nguyen, Huong Thi Le, Carl A. Latkin, Hai Quang Pham, Linh Gia Vu, Xuan Thi Thanh Le, Thao Thanh Nguyen, Quan Thi Pham, Nhung Thi Kim Ta, Quynh Thi Nguyen, Cyrus S. H. Ho, Roger C. M. Ho
Frontiers in psychology
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.
Bach Xuan Tran, Anh Kim Dang, Phong Khanh Thai, Huong Thi Le, Xuan Thanh Thi Le, Toan Thanh Thi Do, Tu Huu Nguyen, Hai Quang Pham Hai Thanh Phan, Giang Thu Vu, Dung Tri Phung, Son Hong Nghiem, Thu Ha Nguyen, Trung Dinh Tran, Khanh Nam Do, Dat Van Truong, Giap Van Vu, Carl A. Latkin, Roger C.M. Ho Cyrus S.H. Ho
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.
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.
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.
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.
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.
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.
Lê Thị Hương, Andre Jun Xian Lai, Jiaqian Sun, Men Thi Hoang, Linh Gia Vu, Hai Quang Pham, Trang Ha Nguyen, Bach Xuan Tran, Carl A. Latkin, Xuan Thi Thanh Le, Thao Thanh Nguyen, Quan Thi Pham, Nhung Thi Kim Ta, Quynh Thi Nguyen, Roger C. M. Ho, Cyrus S. H. Ho
Front. Public Health
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.
Đặng Kim Anh, Anh Kim Dang, Xuan Thi Thanh Le, Huong Thi Le, Bach Xuan Tran, Toan Thi ThanhDo, Hanh Thi Bich Phan, Thao Thanh Nguyen, Quan Thi Pham, Nhung Thi Kim Ta, Quynh Thi Nguyen, Quan Van Duong, Men Thi Hoang, Hai Quang Pham, Trang HaNguyen, Linh Gia Vu, Carl A. Latkin, Cyrus SH Ho and Roger C. M. Ho
Ann Glob Health
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.
Xuan Thi Thanh Le, Anh Kim Dang, Jayson Toweh, Quang Nhat Nguyen, Huong Thi Le, Toan Thi Thanh Do, Hanh Bich Thi Phan, Thao Thanh Nguyen, Quan Thi Pham, Nhung Kim Thi Ta, Quynh Thi Nguyen, Anh Ngoc Nguyen, Quan Van Duong, Men Thi Hoang, Hai Quang Pham, Linh Gia Vu, Bach Xuan Tran, Carl A. Latkin, Cyrus S. H. Ho, Roger C. M. Ho
Frontiers in Psychiatry
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.
|