Co-financing for viral load monitoring during the course of antiretroviral therapy among patients with HIV/AIDS in Vietnam: A contingent valuation survey

Nguyen, Quyen Le; Nguyen, Long H.; Tran, Bach Xuan; Phan, Huong Thi Thu; Le, Huong Thi; Nguyen, Hinh Duc; Tran, Tho Dinh; Duy, Cuong; Nguyen, Cuong Manh; Thuc, Vu Thi Minh; Latkin, Carl A.; Zhang, Melvyn W. B.; Ho, Roger

doi:10.1371/journal.pone.0172050

Cited by 18 publications

(13 citation statements)

References 26 publications

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“…These patients were more likely to develop pessimism and thus, had a negative viewpoint of the preventive measures and were less likely to be willing to pay for the vaccine. 45 Notably, we did not find any relationships between awareness of and attitude toward the dengue vaccine and the WTP for the vaccine. Previous studies in Indonesia, Philippines and Vietnam indicated significant associations between the knowledge of preventive methods against dengue with WTP.…”

Section: Discussioncontrasting

confidence: 56%

Feasibility and willingness to pay for dengue vaccine in the threat of dengue fever outbreaks in Vietnam

Nguyen¹,

Tran²,

Duy³

et al. 2018

PPA

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BackgroundThe escalation of dengue fever (DF) cases in recent years and the occurrence of a large-scale DF outbreak in 2017 underline the importance of dengue vaccines in Vietnam. Given the potential benefits of the dengue vaccines and the need for copayment by the private sector, this study aims to evaluate the willingness to pay (WTP) for the dengue vaccines in patients with DF in Northern Vietnam.MethodsA cross-sectional study was conducted on 330 in-and-out patients with DF admitted to the Bach Mai Hospital. We used the contingent valuation method to evaluate the WTP for dengue vaccines. Socioeconomic and clinical characteristics were also investigated. Multivariate interval and logistic regression models were used to estimate the average amount of WTP and identify the factors associated with the WTP.ResultsAround 77.3% patients were willing to pay an average amount of US$ 67.4 (95% CI=57.4–77.4) for the vaccine. People of higher ages, those having health insurance, those traveling in the past 15 days or suffering from anxiety/depression were less likely to be willing to pay for the dengue vaccine. However, people having a longer duration of DF or having problems with mobility were positively associated with WTP for the dengue vaccine. Patients educated to more than high school levels (Coeff.=31.31; 95% CI=3.26–59.35), those in the richest quintile (Coeff.=62.76; 95% CI=25.40; 100.13), or those having a longer duration of the disease (Coeff.=6.18; 95% CI=0.72–11.63) were willing to pay a higher amount.ConclusionThis study highlights a relatively high rate and amount of WTP for the dengue vaccine among patients with DF. Psychological counseling services as well as educational campaigns should be undertaken to improve the WTP for the vaccine. Moreover, government subsidies should be given to increase the coverage of the vaccine in the future, especially for the poor.

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Section: Discussioncontrasting

confidence: 56%

Feasibility and willingness to pay for dengue vaccine in the threat of dengue fever outbreaks in Vietnam

Nguyen¹,

Tran²,

Duy³

et al. 2018

PPA

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“…Also, having no access to Medicaid prior to the US Patient Protection and Affordable Care Act (PPACA) [60] left many PLWH without health care coverage. These findings reinforce the need for health insurance coverage for PLWH in terms of affecting quality of life [61] as well as the need for non-stigmatizing, quality health insurance [62]. Without the PPACA, many more would likely have been without insurance in this study, not including those excluded from PPACA because of their undocumented or immigration status (documented but within 5 years of entering the country).…”

Section: Discussionsupporting

confidence: 68%

Sex Trade and Health Care Utilization Among People Living with HIV/AIDS

et al. 2018

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People living with HIV/AIDS (PLWH) are more likely to have a history of trading sex, but little research has examined whether trading sex is associated with lower health care utilization amongst PLWH. This study assesses this association with PLWH (N = 583) recruited and surveyed from seven community sites in six US cities participating in a multi-site community-based HIV test and treat initiative. Participants were 90.6% Black or Latino, 30.4% homeless, and 9.0% (1 in 11) sold sex (past 90 days). Most reported receiving HIV clinical care (63.9%, past 6 months) and HIV case management (68.9%, past year), but 35.7% reported a missed health care appointment (past 3 months). In adjusted regression models, trading sex was associated with a missed health care appointment (OR = 2.44) and receiving psychological assistance (OR = 2.31), past 90 days, but not receipt of HIV care or supportive HIV services. Trading sex may compromise consistent health care utilization among PLWH.

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“…Basically, a total of eight outpatient clinics located in Hanoi and Nam Dinh—2 epicenters of HIV/AIDS—were selected, including a national hospital (Hanoi), a provincial hospital (Nam Dinh), a provincial center (Nam Dinh), three district health centers from Hanoi, and two district health centers from Nam Dinh. Some articles using the same dataset and methods were published elsewhere [ 17 , 18 ].…”

Section: Methodsmentioning

confidence: 99%

Sexual Risk Behaviors of Patients with HIV/AIDS over the Course of Antiretroviral Treatment in Northern Vietnam

Vu¹,

Boggiano

Tran

et al. 2018

IJERPH

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Antiretroviral therapy (ART) improves the health and well-being of people living with the human immunodeficiency virus (HIV, PLWH), and reduces their risk of transmitting the virus to sexual partners. However, patterns of sexual risk behavior among HIV-positive patients taking ART in Vietnam remain largely unknown. In this study, we sought to examine sexual risk behaviors and their associated factors among HIV-positive patients receiving ART in northern Vietnam. The socio-demographic characteristics, ART use, health status, and sexual behaviors of 1133 patients taking ART in the Hanoi and Nam Dinh provinces were explored through face-to-face interviews. There were 63.5% of patients who had one sex partner, while 3.6% and 5.6% of patients had sexual intercourse with casual partners or sex workers, respectively, in the previous 12 months. Most participants tended to use condoms more often with commercial sex partners (90.2%) and intimate partners (79.7%), and less often with casual partners (60.9%). Higher age (odds ratio, OR = 1.0; 95% CIs = 1.0, 1.1) or suffering pain/discomfort (OR = 1.7; 95% CIs = 1.2, 2.4) were factors more likely to be associated with multiple sex partners. Patients who were self-employed were more likely to have sexual intercourse with casual partners/sex workers (OR = 2.1; 95% CIs = 1.1, 4.0). Meanwhile, a higher score on the EuroQol visual analog scale (EQ-VAS), an unknown HIV stage, and a longer duration of ART were adversely associated with not using condoms with casual partners/sex workers. Patients with longer durations of ART had a lower likelihood of not using a condom with casual partners/sex workers (OR = 0.5; 95% CIs = 0.3, 0.8). Our study underscored a relatively high rate of unsafe sexual behaviors among HIV-positive patients. Continuing to improve the physical and psychological well-being of HIV-positive patients in Vietnam is important in reducing the spread of HIV via risky sexual behaviors. In addition, safe-sex education should be provided to older people, and to those who are self-employed.

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Co-financing for viral load monitoring during the course of antiretroviral therapy among patients with HIV/AIDS in Vietnam: A contingent valuation survey

Cited by 18 publications

References 26 publications

Feasibility and willingness to pay for dengue vaccine in the threat of dengue fever outbreaks in Vietnam

Feasibility and willingness to pay for dengue vaccine in the threat of dengue fever outbreaks in Vietnam

Sex Trade and Health Care Utilization Among People Living with HIV/AIDS

Sexual Risk Behaviors of Patients with HIV/AIDS over the Course of Antiretroviral Treatment in Northern Vietnam

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