Alcohol Use, HIV Treatment Adherence, and Sexual Risk Among People with a History of Injecting Drug Use in Vietnam

Li, Li; Luo, Sitong; Lan, Chiao-Wen; Lin, Chunqing; Tuấn, Lê Anh; Feng, Nan; Tuấn, Nguyễn Anh

doi:10.1007/s10461-017-1860-0

Cited by 10 publications

(6 citation statements)

References 46 publications

(52 reference statements)

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“…Of our PLH participants, nearly all (95.4%) were on ART and received HIV treatment separately at the same clinic. These findings support research documenting the co-occurrence of substance use disorders and HIV in Vietnam [ 25 ].…”

Section: Discussionsupporting

confidence: 88%

Examining common mental health disorders in people living with HIV on methadone maintenance therapy in Hanoi, Vietnam

Mughal

Stockton

Bui³

et al. 2021

Harm Reduct J

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Background Injection drug use drives HIV transmission in Southeast Asia, where around a quarter of users are living with HIV. Vietnam developed Methadone Maintenance Therapy (MMT) programs to reduce unsafe drug abuse. Common mental health disorders (CMD), including depression, anxiety and post-traumatic stress disorder (PTSD), can worsen MMT outcomes and are highly prevalent among people living with HIV (PLH). We aimed to characterize HIV and CMD among MMT patients and assess the impact of HIV and CMD on MMT engagement outcomes in Hanoi, Vietnam. Methods This cross-sectional study was conducted at an urban MMT clinic in Hanoi. Participants were screened for CMD with the relevant sections of the Mini International Neuropsychiatric Interview (MINI). Tabular comparisons and regression models were used to understand the association of HIV and CMD with substance use and methadone compliance. Results Of the 400 MMT participants, 22% were living with HIV, 11% a CMD, 27% reported injection drug use, and 27% reported methadone noncompliance. Around 17% of those with HIV also had a CMD. Reporting non injection and injection drug use were each higher among those with CMD regardless of HIV status. In addition, reporting any drug use was much higher among those with both HIV and CMD than among those with neither (73% vs 31%, p value 0.001). While methadone noncompliance was lower among PLH than among those without HIV (16.3% vs 30.1%, p value 0.010), noncompliance was higher among those with CMD than among those without (40.5% vs 25.6%, p value 0.045). Among those without HIV, noncompliance was higher among those with CMD than among those without, but among those with HIV, the opposite relationship was observed. Conclusion There is complex overlap between substance use and methadone noncompliance among MMT patients living with HIV, CMD or both. In this population, we found a high prevalence of CMD and substance use among PLH, and a high prevalence of substance use and methadone noncompliance among those with CMD. Prioritizing provision of mental health care services to MMT patients living with HIV can help improve engagement with substance use disorder treatment and reduce the risk of HIV transmission.

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Section: Discussionsupporting

confidence: 88%

Examining common mental health disorders in people living with HIV on methadone maintenance therapy in Hanoi, Vietnam

Mughal

Stockton

Bui³

et al. 2021

Harm Reduct J

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“… 2 In low-income and middle-income countries, hazardous alcohol use among PWH is common, with 20% to 46% of PWH reporting hazardous alcohol use. 3 , 4 , 5 , 6 , 7 , 8 , 9 Alcohol use has been associated with decreased adherence to antiretroviral therapy (ART) 10 , 11 , 12 and decreased viral suppression. 13 Alcohol use is also associated with elevated sexual and injection risk behaviors that increase the likelihood of HIV transmission.…”

Section: Introductionmentioning

confidence: 99%

“… 13 Alcohol use is also associated with elevated sexual and injection risk behaviors that increase the likelihood of HIV transmission. 7 , 14 , 15 , 16 Despite the known adverse health consequences of alcohol use, there is a lack of evidence-based interventions for PWH, 17 , 18 , 19 , 20 , 21 and hazardous and heavy alcohol consumption are frequently not addressed in HIV health care settings.…”

Section: Introductionmentioning

confidence: 99%

Effect of 2 Integrated Interventions on Alcohol Abstinence and Viral Suppression Among Vietnamese Adults With Hazardous Alcohol Use and HIV

Hutton

et al. 2020

JAMA Netw Open

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Key Points Question What is the effect of 2 clinic-based behavioral interventions of varying intensity on alcohol use and viral suppression among individuals with HIV and hazardous alcohol use? Findings In this 3-group randomized clinical trial involving 440 participants, the combined intervention and brief intervention, which both incorporated motivational enhancement therapy and cognitive behavioral therapy, significantly increased the percentage of days abstinent from alcohol at 12 months compared with the standard of care. Viral suppression at 12 months was significantly higher after the brief intervention than standard of care but not significantly higher after the combined intervention than standard of care. Meaning These findings support the use of the brief intervention in antiretroviral therapy clinics to reduce alcohol use and increase viral suppression in this high-risk population.

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“…Hazardous alcohol use, defined as more than 14 drinks per week for men and more than 7 drinks per week for women [ 10 ], impacts persons with HIV (PWH) disproportionately. Previously published research from northern Vietnam identified the need for alcohol treatment services and identified the barriers to medication adherence among PWH with hazardous alcohol use [ 8 , 11 – 13 ]. In 2015 only half of all PWH in Vietnam were receiving antiretroviral therapy (ART) [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Implementation of two alcohol reduction interventions among persons with hazardous alcohol use who are living with HIV in Thai Nguyen, Vietnam: a micro-costing analysis

Blackburn

Bui

et al. 2020

Global Health Action

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Alcohol Use, HIV Treatment Adherence, and Sexual Risk Among People with a History of Injecting Drug Use in Vietnam

Cited by 10 publications

References 46 publications

Examining common mental health disorders in people living with HIV on methadone maintenance therapy in Hanoi, Vietnam

Examining common mental health disorders in people living with HIV on methadone maintenance therapy in Hanoi, Vietnam

Effect of 2 Integrated Interventions on Alcohol Abstinence and Viral Suppression Among Vietnamese Adults With Hazardous Alcohol Use and HIV

Implementation of two alcohol reduction interventions among persons with hazardous alcohol use who are living with HIV in Thai Nguyen, Vietnam: a micro-costing analysis

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