Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas
Introduction: The expansion of methadone maintenance treatment (MMT) program requires more data about the factors affecting the effectiveness of treatment, especially behavioral data such as smoking and alcohol use among patients. This study aimed to examine the prevalence of tobacco and alcohol con...
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Elsevier
2018-06-01
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Series: | Addictive Behaviors Reports |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2352853217301062 |
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DOAJ |
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English |
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Article |
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DOAJ |
author |
Bach Xuan Tran Huong Lan Thi Nguyen Quynh Ngoc Hoang Le Hue Thi Mai Chau Ngo Canh Dinh Hoang Hai Hong Nguyen Hai Quan Le Hung Van Nguyen Huong Thi Le Tho Dinh Tran Nabil Zary Carl A. Latkin Thuc Minh Thi Vu Roger C.M. Ho Melvyn W.B. Zhang |
spellingShingle |
Bach Xuan Tran Huong Lan Thi Nguyen Quynh Ngoc Hoang Le Hue Thi Mai Chau Ngo Canh Dinh Hoang Hai Hong Nguyen Hai Quan Le Hung Van Nguyen Huong Thi Le Tho Dinh Tran Nabil Zary Carl A. Latkin Thuc Minh Thi Vu Roger C.M. Ho Melvyn W.B. Zhang Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas Addictive Behaviors Reports |
author_facet |
Bach Xuan Tran Huong Lan Thi Nguyen Quynh Ngoc Hoang Le Hue Thi Mai Chau Ngo Canh Dinh Hoang Hai Hong Nguyen Hai Quan Le Hung Van Nguyen Huong Thi Le Tho Dinh Tran Nabil Zary Carl A. Latkin Thuc Minh Thi Vu Roger C.M. Ho Melvyn W.B. Zhang |
author_sort |
Bach Xuan Tran |
title |
Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas |
title_short |
Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas |
title_full |
Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas |
title_fullStr |
Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas |
title_full_unstemmed |
Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areas |
title_sort |
alcohol and tobacco use among methadone maintenance patients in vietnamese rural mountainside areas |
publisher |
Elsevier |
series |
Addictive Behaviors Reports |
issn |
2352-8532 |
publishDate |
2018-06-01 |
description |
Introduction: The expansion of methadone maintenance treatment (MMT) program requires more data about the factors affecting the effectiveness of treatment, especially behavioral data such as smoking and alcohol use among patients. This study aimed to examine the prevalence of tobacco and alcohol consumption and identify related factors among MMT patients in the Vietnamese rural mountainside. Methods: We interviewed 241 MMT patients in two clinics in Tuyen Quang, a mountainous province in Vietnam. Patients were asked to report the smoking status (current smoker or not), nicotine dependence (by Fagerström test for nicotine dependence - FTND) and alcohol use (by using the Alcohol Use Disorders Identification Test – AUDIT-C). EuroQol-5 dimensions-5 levels (EQ-5D-5L) and EQ-Visual analogue scale (EQ-VAS) were employed to measure health-related quality of life. Multivariate logistic and Tobit regressions were used to identify the associated factors. Results: The majority of respondents were current smokers (75.7%) and a low proportion were hazardous drinkers (18.3%). People receiving treatment in a rural clinic (OR=0.45; 95%CI=0.22–0.92) and had problems in usual activities (OR=0.20; 95%CI=0.06–0.70) were less likely to be smokers. Q-VAS score (Coef.=0.03; 95%CI=0.02–0.05) and having problems in mobility (Coef.=0.72; 95%CI=0.03–1.42) was found to be associated with the increase of nicotine dependence. In terms of alcohol drinking, people with other jobs were more likely to drink hazardously compared to unemployed patients (OR=2.86; 95%CI=1.20–6.82). Similarly, patients having higher duration of MMT had higher likelihood of being hazardous drinkers (OR=1.07; 95%CI=1.01–1.13). Conclusions: This study highlights the low rate of alcohol abusers but a considerably high proportion of current smokers among MMT patients in the rural mountainside area. Alcohol and tobacco counseling programs combined with social and family support also play an essential role in alcohol and tobacco control. In addition, implementing mass community-based behavioral change campaigns to reduce drug addiction-related stigmatization should also be prioritized. Keywords: Alcohol, Tobacco, Drug use, Methadone maintenance treatment |
url |
http://www.sciencedirect.com/science/article/pii/S2352853217301062 |
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doaj-0377a0401d65436793c52c7d8fc584202020-11-24T23:44:22ZengElsevierAddictive Behaviors Reports2352-85322018-06-0171925Alcohol and tobacco use among methadone maintenance patients in Vietnamese rural mountainside areasBach Xuan Tran0Huong Lan Thi Nguyen1Quynh Ngoc Hoang Le2Hue Thi Mai3Chau Ngo4Canh Dinh Hoang5Hai Hong Nguyen6Hai Quan Le7Hung Van Nguyen8Huong Thi Le9Tho Dinh Tran10Nabil Zary11Carl A. Latkin12Thuc Minh Thi Vu13Roger C.M. Ho14Melvyn W.B. Zhang15Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Viet Nam; Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United StatesInstitute for Global Health Innovations, Duy Tan University, Da Nang, Viet Nam; Corresponding author at: 71 Hoang Cau Street, Hanoi, Viet NamFaculty of Pharmacy, Duy Tan Univeristy, Da Nang, Viet NamInstitute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Viet NamJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, United StatesAuthority of HIV/AIDS Control, Ministry of Health, Hanoi, Viet NamAuthority of HIV/AIDS Control, Ministry of Health, Hanoi, Viet NamProvincial AIDS Center, Tuyen Quang, Viet NamInstitute for Global Health Innovations, Duy Tan University, Da Nang, Viet NamInstitute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Viet NamDepartment of Hepatobiliary Surgery, Vietnam-Germany Hospital, Hanoi, Viet NamLee Kong Chian School of Medicine, Nanyang Technological University, SingaporeJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, United StatesDepartment of Immunology and Allergy, National Otolaryngology Hospital, Hanoi, Viet NamDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, SingaporeBiomedical Global Institute of Healthcare Research & Technology (BIGHEART), National University of Singapore, SingaporeIntroduction: The expansion of methadone maintenance treatment (MMT) program requires more data about the factors affecting the effectiveness of treatment, especially behavioral data such as smoking and alcohol use among patients. This study aimed to examine the prevalence of tobacco and alcohol consumption and identify related factors among MMT patients in the Vietnamese rural mountainside. Methods: We interviewed 241 MMT patients in two clinics in Tuyen Quang, a mountainous province in Vietnam. Patients were asked to report the smoking status (current smoker or not), nicotine dependence (by Fagerström test for nicotine dependence - FTND) and alcohol use (by using the Alcohol Use Disorders Identification Test – AUDIT-C). EuroQol-5 dimensions-5 levels (EQ-5D-5L) and EQ-Visual analogue scale (EQ-VAS) were employed to measure health-related quality of life. Multivariate logistic and Tobit regressions were used to identify the associated factors. Results: The majority of respondents were current smokers (75.7%) and a low proportion were hazardous drinkers (18.3%). People receiving treatment in a rural clinic (OR=0.45; 95%CI=0.22–0.92) and had problems in usual activities (OR=0.20; 95%CI=0.06–0.70) were less likely to be smokers. Q-VAS score (Coef.=0.03; 95%CI=0.02–0.05) and having problems in mobility (Coef.=0.72; 95%CI=0.03–1.42) was found to be associated with the increase of nicotine dependence. In terms of alcohol drinking, people with other jobs were more likely to drink hazardously compared to unemployed patients (OR=2.86; 95%CI=1.20–6.82). Similarly, patients having higher duration of MMT had higher likelihood of being hazardous drinkers (OR=1.07; 95%CI=1.01–1.13). Conclusions: This study highlights the low rate of alcohol abusers but a considerably high proportion of current smokers among MMT patients in the rural mountainside area. Alcohol and tobacco counseling programs combined with social and family support also play an essential role in alcohol and tobacco control. In addition, implementing mass community-based behavioral change campaigns to reduce drug addiction-related stigmatization should also be prioritized. Keywords: Alcohol, Tobacco, Drug use, Methadone maintenance treatmenthttp://www.sciencedirect.com/science/article/pii/S2352853217301062 |