Quality of life and healthcare service utilization among methadone maintenance patients in a mountainous area of Northern Vietnam
Abstract Background The expansion of methadone maintenance treatment in mountainous areas in still limited and little is known about its health impacts on drug users. This study aimed to examine health-related quality of life (HRQOL) and health care access among patients engaging in methadone mainte...
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doaj-4bad0c5f1fa14ebb9e68e245ee36c3a02020-11-24T21:56:32ZengBMCHealth and Quality of Life Outcomes1477-75252017-04-011511910.1186/s12955-017-0633-9Quality of life and healthcare service utilization among methadone maintenance patients in a mountainous area of Northern VietnamLong Hoang Nguyen0Lan Huong Thi Nguyen1Victoria L. Boggiano2Canh Dinh Hoang3Hung Van Nguyen4Huong Thi Le5Hai Quan Le6Tho Dinh Tran7Bach Xuan Tran8Carl A. Latkin9Nabil Zary10Minh Thuc Thi Vu11School of Medicine and Pharmacy, Vietnam National UniversityInstitute for Global Health Innovations, Duy Tan UniversityUniversity of California, Berkeley School of Public HealthAuthority of HIV/AIDS Control, Ministry of HealthAuthority of HIV/AIDS Control, Ministry of HealthInstitute for Preventive Medicine and Public Health, Hanoi Medical UniversityProvincial AIDS CenterDepartment of Hepatobiliary Surgery, Vietnam-Germany HospitalInstitute for Preventive Medicine and Public Health, Hanoi Medical UniversityJohns Hopkins Bloomberg School of Public Health, BaltimoreLee Kong Chian School of Medicine, Nanyang Technological UniversityDepartment of Immunology and Allergy, National Otolaryngology HospitalAbstract Background The expansion of methadone maintenance treatment in mountainous areas in still limited and little is known about its health impacts on drug users. This study aimed to examine health-related quality of life (HRQOL) and health care access among patients engaging in methadone maintenance treatment (MMT) in Tuyen Quang, a mountainous province in Vietnam. Methods We conducted a cross-sectional survey with 241 patients conveniently recruited in two MMT clinics (Son Duong and Tuyen Quang). EuroQol-5 Dimensions – 5 levels (EQ-5D-5 L) and Visual analogue scale (VAS) were employed to measure HRQOL. Multivariate logistic and tobit regressions were used to determine the factors associated with HRQOL and health care utilization. Results The overall mean score of the EQ-5D index and EQ-VAS were 0.88 (SD = 0.20) and 81.8% (SD = 15.27%), respectively. Only 8.7% utilized inpatient services, and 14.9% used outpatient services. Being more highly educated, suffering acute diseases, and using health service within the last 12 months were associated with a decreased EQ-5D index. Individuals who were multiple substance abusers and those who recently had inpatient care were more likely to have a lower VAS. Older respondents, those taking their medications at the more impoverished clinic, substance abusers, and individuals who were struggling with anxiety/depression or their usual daily activities were more likely to use both inpatient and outpatient care. Conclusions In summary, we observed good HRQOL, but high prevalence of anxiety/depression and low rates of service utilization among MMT patients in Tuyen Quang province. To improve the outcomes of MMT services in mountainous areas, it is necessary to introduce personalized and integrative services models with counseling and interventions on multiple substance use.http://link.springer.com/article/10.1186/s12955-017-0633-9Quality of lifeHealth serviceUtilizationMethadoneMMTVietnam |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Long Hoang Nguyen Lan Huong Thi Nguyen Victoria L. Boggiano Canh Dinh Hoang Hung Van Nguyen Huong Thi Le Hai Quan Le Tho Dinh Tran Bach Xuan Tran Carl A. Latkin Nabil Zary Minh Thuc Thi Vu |
spellingShingle |
Long Hoang Nguyen Lan Huong Thi Nguyen Victoria L. Boggiano Canh Dinh Hoang Hung Van Nguyen Huong Thi Le Hai Quan Le Tho Dinh Tran Bach Xuan Tran Carl A. Latkin Nabil Zary Minh Thuc Thi Vu Quality of life and healthcare service utilization among methadone maintenance patients in a mountainous area of Northern Vietnam Health and Quality of Life Outcomes Quality of life Health service Utilization Methadone MMT Vietnam |
author_facet |
Long Hoang Nguyen Lan Huong Thi Nguyen Victoria L. Boggiano Canh Dinh Hoang Hung Van Nguyen Huong Thi Le Hai Quan Le Tho Dinh Tran Bach Xuan Tran Carl A. Latkin Nabil Zary Minh Thuc Thi Vu |
author_sort |
Long Hoang Nguyen |
title |
Quality of life and healthcare service utilization among methadone maintenance patients in a mountainous area of Northern Vietnam |
title_short |
Quality of life and healthcare service utilization among methadone maintenance patients in a mountainous area of Northern Vietnam |
title_full |
Quality of life and healthcare service utilization among methadone maintenance patients in a mountainous area of Northern Vietnam |
title_fullStr |
Quality of life and healthcare service utilization among methadone maintenance patients in a mountainous area of Northern Vietnam |
title_full_unstemmed |
Quality of life and healthcare service utilization among methadone maintenance patients in a mountainous area of Northern Vietnam |
title_sort |
quality of life and healthcare service utilization among methadone maintenance patients in a mountainous area of northern vietnam |
publisher |
BMC |
series |
Health and Quality of Life Outcomes |
issn |
1477-7525 |
publishDate |
2017-04-01 |
description |
Abstract Background The expansion of methadone maintenance treatment in mountainous areas in still limited and little is known about its health impacts on drug users. This study aimed to examine health-related quality of life (HRQOL) and health care access among patients engaging in methadone maintenance treatment (MMT) in Tuyen Quang, a mountainous province in Vietnam. Methods We conducted a cross-sectional survey with 241 patients conveniently recruited in two MMT clinics (Son Duong and Tuyen Quang). EuroQol-5 Dimensions – 5 levels (EQ-5D-5 L) and Visual analogue scale (VAS) were employed to measure HRQOL. Multivariate logistic and tobit regressions were used to determine the factors associated with HRQOL and health care utilization. Results The overall mean score of the EQ-5D index and EQ-VAS were 0.88 (SD = 0.20) and 81.8% (SD = 15.27%), respectively. Only 8.7% utilized inpatient services, and 14.9% used outpatient services. Being more highly educated, suffering acute diseases, and using health service within the last 12 months were associated with a decreased EQ-5D index. Individuals who were multiple substance abusers and those who recently had inpatient care were more likely to have a lower VAS. Older respondents, those taking their medications at the more impoverished clinic, substance abusers, and individuals who were struggling with anxiety/depression or their usual daily activities were more likely to use both inpatient and outpatient care. Conclusions In summary, we observed good HRQOL, but high prevalence of anxiety/depression and low rates of service utilization among MMT patients in Tuyen Quang province. To improve the outcomes of MMT services in mountainous areas, it is necessary to introduce personalized and integrative services models with counseling and interventions on multiple substance use. |
topic |
Quality of life Health service Utilization Methadone MMT Vietnam |
url |
http://link.springer.com/article/10.1186/s12955-017-0633-9 |
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