Mobilization for HIV Voluntary Counseling and Testing Services in Vietnam: Clients’ Risk Behaviors, Attitudes and Willingness to Pay

Nguyen, Long H.; Tran, Bach Xuan; Nguyen, Nhung; Phan, Huong Thu Thi; Bui, Trang Thu; Latkin, Carl A.

doi:10.1007/s10461-015-1188-6

Cited by 25 publications

(26 citation statements)

References 24 publications

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“…For screening depressive symptoms, the Patient Health Questionnaire (PHQ-9) was used as a validated tool. Several previous studies were performed that used the Vietnamese version of this instrument to assess the depressive symptoms in different populations [20,26,27]. The PHQ-9 has 9 items about the frequency of depression-related symptoms that the respondents were bothered with in the last two weeks until the interview, which was consistent with the diagnostic standard of the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V).…”

Section: Instrumentsmentioning

confidence: 99%

Depressive Symptoms, Suicidal Ideation, and Mental Health Service Use of Industrial Workers: Evidence from Vietnam

Ngoc¹,

Nguyen²,

Nguyen³

et al. 2020

IJERPH

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Background: Depressive symptoms and suicidal ideation substantially reduce industrial workers' productivity and performance. This study was performed to examine the prevalence of depressive symptoms and suicidal ideation and identify associated factors among industrial workers in different provinces of Vietnam. Materials and Methods: We performed a cross-sectional study in industrial zones of four provinces of Vietnam. The Patient Health Questionnaire (PHQ-9) was employed to screen depressive symptoms and suicidal ideation. Multivariate logistic regression was performed to determine factors related to depressive symptoms and suicidal ideation. Results: Of 1200 industrial workers, 30.5% and 33.6% industrial workers had positive depressive symptoms and suicidal ideation in the last two weeks, respectively. There were 38.3% ever using mental health services in the last 12 months. High school education (OR = 0.64, 95% CI = 0.44-0.95); living in dormitory (OR = 3.07, 95% CI = 1.51-6.24), living with siblings (OR = 2.98; 95% CI = 1.32-6.75), Int.having two children or more (OR = 1.45, 95% CI = 1.03-2.03), high years of experience (OR = 0.94; 95% CI = 0.89-0.98), suffering from burnout, alcohol use disorder (OR = 2.38; 95% CI = 1.72-3.28), and smoking status (OR = 0.38, 95% CI = 0.23-0.61) were associated with positive depressive symptoms. Living with children, working in mechanical/metallurgy/electronics factories, completely exhausted and often thinking of quitting, and alcohol use disorder were positively related to suicidal ideation. Conclusions: This study found a high prevalence of depressive symptoms and suicidal ideation among industrial workers in Vietnam. Regular screening and detecting high-risk groups, along with interventions to reduce health risk behaviors, burnout and on-site medical service quality improvement, are recommended to alleviate the burden of depression in industrial workers.

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Section: Instrumentsmentioning

confidence: 99%

Depressive Symptoms, Suicidal Ideation, and Mental Health Service Use of Industrial Workers: Evidence from Vietnam

Ngoc¹,

Nguyen²,

Nguyen³

et al. 2020

IJERPH

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“…In our study, based on the bidding method, the husbands were willing to pay US$14.5 and US$9.7 for HIV and syphilis screening tests, respectively while the payment scale method suggested lower WTP for both (US$10 and US$7.4). However, previous studies showed lower WTP prices among high-risk populations for an HIV test: US$5 in Peru [18], US$7.75 in Vietnam [15], US$2 in Kenya [16] and US$4.8-8.1 in China [13]. The general population in China was willing to pay US$8 [17] and students in Kenya US$3.2 [19].…”

Section: Discussionmentioning

confidence: 94%

“…The second section obtained the history of HIV and/or syphilis screening tests and knowledge of HIV prevention using the United Nations General Assembly Special Session on HIV/AIDS (UNGASS) score (0-3, low; 3-4, moderate; 5, high). Based on the evidence from literature, the age [16], income [13,16], educational level [16,[18][19][20], history of having a child [16], history of STI screen tests [16,18,21], and knowledge of HIV prevention [16] were considered potential factors affecting WTP and willingness to test for STIs. Other potential determinants such as the number of ANC visits [20] were excluded because they were beyond the scope of this survey.…”

Section: Questionnaire Developmentmentioning

confidence: 99%

Husband’s willingness-to-pay for HIV and syphilis screening at antenatal care clinic under the Thai universal coverage scheme

et al. 2020

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Background: Screening for sexually transmitted infection (STI) especially HIV as early detection and treatment have been financially supported under the Thai Universal Coverage (UC) scheme since 2009 (THB140 for HIV). However, the implementation has not been evidence-based, strategic risk-based, nor economically evaluated whereas husbands who accompanied the pregnant women are likely to have a lower risk than those who did not come along. This study is aimed to determine the husband's willingness-to-pay (WTP) for his HIV and syphilis screening tests and potential factors affecting STI screenings at the antenatal care (ANC) clinic of a tertiary hospital in Thailand. Methods:A pilot open-ended interview was conducted among 50 participants to estimate the mean and standard deviation of WTP prices for HIV and syphilis screening tests. A questionnaire was developed to obtain demographics, STI knowledge and screening history, as well as two contingent valuation methods (bidding and payment scale), using the mean WTP prices identified from the pilot study as a starting WTP with ¼SD step-up/ down. The survey of 200 randomly selected husbands of pregnant women was conducted at King Chulalongkorn Memorial Hospital from April to June 2018. Descriptive statistics and logistic regression were used for data analysis.Results: During the study period, 597 pregnant women received their first ANC. Of 368 accompanying husbands, 200 were enrolled in the study. Their median age was 31 (IQR 27-36) years old and 67% had a first child. Eightyeight percent of the participants were willing to test for the STIs. Based on the bidding method, WTP prices for HIV and syphilis screening tests were US$14.5 ) and US$9.7 (IQR 10-12), respectively. The payment scale method suggested approximately three-quarters of the WTP prices from the bidding method. Conclusions:The husbands who accompanied their pregnant wives to the ANC clinic showed positive behaviors according to the propitious selection theory. They tend to cooperate well with STI testing and are willing to pay at least two times the price of the STI screening tests. The financial support to promote STI screenings should be reconsidered to cover other groups with higher sexual behavior risks and less WTP.

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“…To assess sexual activities, patients were asked about how often they had sexual intercourse, the number of sexual partners they had in the last 12 months, the types of sexual partner(s) they had (primary, casual, commercial) in the last 12 months, and condom use during the last sexual encounter with each type of partner. These measures have been successfully applied in the previous studies in different populations namely MMT patients and clients in HIV testing and counseling services (HTC) [ 16 , 19 , 20 ]. Patients had sexual risk behaviors when they had two or more sexual partners and did not use condom with their casual partners/ sex workers.…”

Section: Methodsmentioning

confidence: 99%

Sexual behaviors among methadone maintenance patients in a mountainous area in northern Vietnam

Boggiano

Nguyen

et al. 2017

Subst Abuse Treat Prev Policy

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BackgroundMethadone 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.MethodsWe 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.ResultsMost 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.ConclusionThis 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.

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Mobilization for HIV Voluntary Counseling and Testing Services in Vietnam: Clients’ Risk Behaviors, Attitudes and Willingness to Pay

Cited by 25 publications

References 24 publications

Depressive Symptoms, Suicidal Ideation, and Mental Health Service Use of Industrial Workers: Evidence from Vietnam

Depressive Symptoms, Suicidal Ideation, and Mental Health Service Use of Industrial Workers: Evidence from Vietnam

Husband’s willingness-to-pay for HIV and syphilis screening at antenatal care clinic under the Thai universal coverage scheme

Sexual behaviors among methadone maintenance patients in a mountainous area in northern Vietnam

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