Sexual behaviors among methadone maintenance patients in a mountainous area in northern Vietnam
Abstract Background Methadone maintenance treatment (MMT) improves patients’ ability to access HIV-related services and reduces needle sharing and other risky HIV-related behaviors. However, patients may continue to engage in risky sexual practices. In this study, we evaluate sexual behaviors of MMT...
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doaj-b4daf460451a43488a3d2f7eae515e692020-11-25T00:13:23ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2017-08-011211710.1186/s13011-017-0123-4Sexual behaviors among methadone maintenance patients in a mountainous area in northern VietnamVictoria L. Boggiano0Huong Lan Thi Nguyen1Long Hoang Nguyen2Tho Dinh Tran3Hung Van Nguyen4Huong Thi Le5Hai Quan Le6Canh Dinh Hoang7Cuong Tat Nguyen8Bach Xuan Tran9Carl A. Latkin10Nabil Zary11Thuc Minh Thi Vu12Berkeley School of Public Health, University of CaliforniaInstitute for Global Health Innovations, Duy Tan UniversitySchool of Medicine and Pharmacy, Vietnam National UniversityDepartment of Hepatobiliary Surgery, Vietnam-Germany HospitalAuthority of HIV/AIDS Control, Ministry of HealthInstitute for Preventive Medicine and Public Health, Hanoi Medical UniversityTuyen Quang Provincial AIDS CenterAuthority of HIV/AIDS Control, Ministry of HealthInstitute for Global Health Innovations, Duy Tan UniversityInstitute for Preventive Medicine and Public Health, Hanoi Medical UniversityJohns Hopkins Bloomberg School of Public HealthLee Kong Chian School of Medicine, Nanyang Technological UniversityDepartment of Immunology and Allergy, National Otolaryngology HospitalAbstract Background Methadone maintenance treatment (MMT) improves patients’ ability to access HIV-related services and reduces needle sharing and other risky HIV-related behaviors. However, patients may continue to engage in risky sexual practices. In this study, we evaluate sexual behaviors of MMT patients in a mountainous province in Northern Vietnam. Methods We explored the health status, MMT and substance use history, and sexual practices of 241 male MMT patients in Tuyen Quang province. Health status was investigated using the EuroQOL-5 Dimensions-5 Levels (EQ-5D-5 L). Multivariate logistic regression was employed to assess associated factors. Results Most patients (66.4%) reported having at least one sexual partner within the previous twelve months. Most of these partners were spouses or primary partners (72.6%). About 8.3% of patients had casual partners, and 5.8% had visited sex workers; of those who engaged in casual sexual relationships, 90.9% reported using condoms. Current drug use and living in a remote area were associated with an increased odd of having two or more sexual partners, while anxiety or depression was associated with lower odds. Conclusion This study highlights a low proportion of having sexual risk behaviors among MMT patients in Vietnamese mountainous settings. Integrating education about safe sexual practices into MMT services, along with providing medical care and ensuring methadone treatment adherence, is an important component in HIV risk reduction for these patients who were at risk of unsafe sexual practices.http://link.springer.com/article/10.1186/s13011-017-0123-4MethadoneMMTSexual behaviorsVietnam |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Victoria L. Boggiano Huong Lan Thi Nguyen Long Hoang Nguyen Tho Dinh Tran Hung Van Nguyen Huong Thi Le Hai Quan Le Canh Dinh Hoang Cuong Tat Nguyen Bach Xuan Tran Carl A. Latkin Nabil Zary Thuc Minh Thi Vu |
spellingShingle |
Victoria L. Boggiano Huong Lan Thi Nguyen Long Hoang Nguyen Tho Dinh Tran Hung Van Nguyen Huong Thi Le Hai Quan Le Canh Dinh Hoang Cuong Tat Nguyen Bach Xuan Tran Carl A. Latkin Nabil Zary Thuc Minh Thi Vu Sexual behaviors among methadone maintenance patients in a mountainous area in northern Vietnam Substance Abuse Treatment, Prevention, and Policy Methadone MMT Sexual behaviors Vietnam |
author_facet |
Victoria L. Boggiano Huong Lan Thi Nguyen Long Hoang Nguyen Tho Dinh Tran Hung Van Nguyen Huong Thi Le Hai Quan Le Canh Dinh Hoang Cuong Tat Nguyen Bach Xuan Tran Carl A. Latkin Nabil Zary Thuc Minh Thi Vu |
author_sort |
Victoria L. Boggiano |
title |
Sexual behaviors among methadone maintenance patients in a mountainous area in northern Vietnam |
title_short |
Sexual behaviors among methadone maintenance patients in a mountainous area in northern Vietnam |
title_full |
Sexual behaviors among methadone maintenance patients in a mountainous area in northern Vietnam |
title_fullStr |
Sexual behaviors among methadone maintenance patients in a mountainous area in northern Vietnam |
title_full_unstemmed |
Sexual behaviors among methadone maintenance patients in a mountainous area in northern Vietnam |
title_sort |
sexual behaviors among methadone maintenance patients in a mountainous area in northern vietnam |
publisher |
BMC |
series |
Substance Abuse Treatment, Prevention, and Policy |
issn |
1747-597X |
publishDate |
2017-08-01 |
description |
Abstract Background Methadone maintenance treatment (MMT) improves patients’ ability to access HIV-related services and reduces needle sharing and other risky HIV-related behaviors. However, patients may continue to engage in risky sexual practices. In this study, we evaluate sexual behaviors of MMT patients in a mountainous province in Northern Vietnam. Methods We explored the health status, MMT and substance use history, and sexual practices of 241 male MMT patients in Tuyen Quang province. Health status was investigated using the EuroQOL-5 Dimensions-5 Levels (EQ-5D-5 L). Multivariate logistic regression was employed to assess associated factors. Results Most patients (66.4%) reported having at least one sexual partner within the previous twelve months. Most of these partners were spouses or primary partners (72.6%). About 8.3% of patients had casual partners, and 5.8% had visited sex workers; of those who engaged in casual sexual relationships, 90.9% reported using condoms. Current drug use and living in a remote area were associated with an increased odd of having two or more sexual partners, while anxiety or depression was associated with lower odds. Conclusion This study highlights a low proportion of having sexual risk behaviors among MMT patients in Vietnamese mountainous settings. Integrating education about safe sexual practices into MMT services, along with providing medical care and ensuring methadone treatment adherence, is an important component in HIV risk reduction for these patients who were at risk of unsafe sexual practices. |
topic |
Methadone MMT Sexual behaviors Vietnam |
url |
http://link.springer.com/article/10.1186/s13011-017-0123-4 |
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