Prevalence and correlates of alcohol use disorders during antiretroviral treatment in injection-driven HIV epidemics in Vietnam

Tran, Bach Xuan; Nguyen, Nhung; Öhinmaa, Arto; Duong, Anh Thuy; Nguyễn, Long Thanh; Hoang, Minh Van; Vu, Phu Xuan; Veugelers, Paul J.

doi:10.1016/j.drugalcdep.2012.06.009

Cited by 52 publications

(66 citation statements)

References 22 publications

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“…Furthermore, it is necessary to notice the important role played by the low use of substances like alcohol and drugs, which were related in a direct way with the behavioral competencies performance, this ones mediating their influence on medication-adherence behaviors. In an opposite direction to the reported on studies recently conducted around the world [23][24][25], for this sample it is evidenced a low use of both substances, whose average were 1.34 for the use of alcohol and 1.55 for the use of drugs.…”

Section: Discussioncontrasting

confidence: 96%

Behavioral Competencies and Low Alcohol and Drugs Use Predicts Medication - Adherence Behaviors Among HIV+ Persons from Venezuela

JA¹,

Ávila²,

EM³

et al. 2016

IJHR

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BackgroundThe success of the antiretroviral therapy (ART) among HIV+ persons strongly rely on individual factors, including the patient's personality characteristics [1,2], a good motivation and a set of knowledge, skills and abilities related to both the disease and treatment [3], the concurrence of adaptative emotional states [4], and a low alcohol and drugs use [5,6]. Despite convergent body of evidence has confirmed the role of individual factors on medication-adherence behaviors in Latin America countries and the Caribbean region, such as Argentina [7], Chile [8], Peru [9] and the Dominican Republic [10], little progress has been made in countries like Venezuela. In fact, only two studies using HIV+ samples have been found, in both cases putting emphasis in the influence of socio-demographic and clinical patient's characteristics on medication-adherence behaviors [11,12].Considering those antecedents and the need to investigate the influence of individual factors on medication-adherence behaviors in Venezuelan HIV+ persons, this study was justified in a psychological model for the research of adherence behaviors (PMAB) in persons living with chronic diseases, including HIV infection [13]. As show in Figure 1, the model emphasizes the interaction of psychological and biological variables along four phases. The first involves psychological process variables related to personality, motives and behavioral competencies; the second involves the HIV diagnosis and other co-morbidities; the third involves two types of behaviors: medication-adherence behaviors and disease-related behaviors -e.g., impulsivity, anger, depression, social isolation, etc.; the fourth involves biological measures and Methods: We conducted a cross-sectional study of 124 HIV+ persons recruited in an outpatient clinic in the state of Lara, Venezuela, who completed a self-administered questionnaire measuring psychological variables and medication-adherence behaviors, as well as an index of alcohol and drugs use. Moment-product correlation and structural equation modeling were applied for data analyses. Results: Current behavioral competencies showed a direct effect on medication-adherence behaviors, mediating the indirect effect of low alcohol and drugs use. The structural equation modeling demonstrated a good fit to the sample data: χ

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Section: Discussioncontrasting

confidence: 96%

Behavioral Competencies and Low Alcohol and Drugs Use Predicts Medication - Adherence Behaviors Among HIV+ Persons from Venezuela

JA¹,

Ávila²,

EM³

et al. 2016

IJHR

View full text Add to dashboard Cite

show abstract

“…The research also found that integration between HIV care and drug treatment was a protective factor against alcohol abuse and disorder. HIV-infected DUs who were receiving methadone treatment were less likely to be involved in at-risk drinking (0.56 times) than DUs who were not [18]. …”

Section: Resultsmentioning

confidence: 99%

“…Moreover, 96% of them reported that they consistently used condoms during sexual intercourse [20]. Tran et al found that patients' quality of life had improved considerably, both physically and mentally [18]. However, all aspects of life quality among HIV-infected methadone users slightly decreased after 9 months after entering methadone treatment [20].…”

Section: Resultsmentioning

confidence: 99%

Substance use disorders and HIV in Vietnam since Doi Moi (Renovation): An overview

Giang

Ngọc

Hoang³

et al. 2013

Journal of Food and Drug Analysis

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Drawing from published and gray literature, this manuscript focuses on the following topics: (1) changing patterns of substance use and abuse in Vietnam since the early 1990s; (2) the roles of substance use in the HIV epidemic; (3) the responses of the Vietnamese government and other entities (both domestic and international) to substance use disorders (SUDs) and HIV; and (4) the current research capacity in Vietnam and ways in which furthering research in Vietnam could enrich our knowledge of the linkages between SUDs and HIV and of effective measures to reduce their public health consequences. A growing number of studies during the past two decades show dynamic and still evolving twin epidemics of SUDs and HIV in Vietnam, including a shift from consumption of opium to heroin and amphetamine-type stimulants, the concurrent use of drugs, and the increasing embrace by the government of internationally recognized effective responses (including harm reduction and methadone substitution therapy). And yet, remaining issues, such as the rapid ascendance of amphetamine-type stimulant use among the country's most vulnerable populations, the lack of effective integration of SUD and HIV services for HIV-infected drug users, and the reliance on international resources for maintaining quality services, among others, are posing challenges for building sustainable Vietnamese responses. Therefore, building local research and training capacity is a crucial foundation to meet these challenges.

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“…Interviewers first reviewed the adverse consequences of injection drug use (e.g. increased risk of HIV transmission, stigma and economic hardship) 3,7,21,22 and the delivery and benefits of MMT (e.g. effectiveness, cost-effectiveness and improved access to health-care services).…”

Section: Measures and Instrumentsmentioning

confidence: 99%

Prevalence and correlates of alcohol use disorders during antiretroviral treatment in injection-driven HIV epidemics in Vietnam

Cited by 52 publications

References 22 publications

Behavioral Competencies and Low Alcohol and Drugs Use Predicts Medication - Adherence Behaviors Among HIV+ Persons from Venezuela

Behavioral Competencies and Low Alcohol and Drugs Use Predicts Medication - Adherence Behaviors Among HIV+ Persons from Venezuela

Substance use disorders and HIV in Vietnam since Doi Moi (Renovation): An overview

Willingness to pay for methadone maintenance treatment in Vietnamese epicentres of injection-drug-driven HIV infection

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