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7. Physical activity and social support are associated with quality of life in middle-aged women

Author

Nguyen, Thao Thi Phuong, Phan, Hai Thanh, Vu, Thuc Minh Thi, Tran, Phuc Quang, Do, Hieu Trung, Vu, Linh Gia, Doan, Linh Phuong, Do, Huyen Phuc, Latkin, Carl A., Ho, Cyrus S.H., Ho, Roger C.M., Nguyen, Thao Thi Phuong, Phan, Hai Thanh, Vu, Thuc Minh Thi, Tran, Phuc Quang, Do, Hieu Trung, Vu, Linh Gia, Doan, Linh Phuong, Do, Huyen Phuc, Latkin, Carl A., Ho, Cyrus S.H., and Ho, Roger C.M.

Abstract

Purposes: This cross-sectional study assessed the quality of life and related factors of Vietnamese women during perimenopause in terms of vasomotor, psychosocial, physical, and sexual aspects. Materials and methods: A cross-sectional study on 400 middle-aged women was conducted in Hung Yen, a delta province in Vietnam. Data about socioeconomic characteristics, daily activity patterns, quality of life in terms of vasomotor, psychosocial, physical, and sexual aspects, and level of social support were collected. Tobit multivariate regression model was used to identify factors related to the quality of life among participants. Results: The symptoms of perimenopause appeared to worsen with the increase of age and the existence of such health issues as migraine and diabetes. Meanwhile, exercises, recreational activities, and social support appeared to alleviate the negative impact of perimenopausal symptoms on women. Conclusions: It is important to address the care needs of women during perimenopausal age, especially their sexual well-being, and development of specific healthcare services and programs focusing on sport, entertainment, and support for women in perimenopause should be facilitated.

Published
2022

8. COVID-19 and delayed antenatal care impaired pregnant women's quality of life and psychological well-being: What supports should be provided? Evidence from Vietnam

Author

Nguyen, Long Hoang, Nguyen, Lam Duc, Ninh, Ly Thi, Nguyen, Ha Thu Thi, Nguyen, Duy Anh, Dam, Vu Anh Trong, Nguyen, Tham Thi, Do, Huyen, Vu, Thuc Minh Thi, Tran, Bach Xuan, Latkin, Carl A., Ho, Cyrus S.H., Ho, Roger C.M., Nguyen, Long Hoang, Nguyen, Lam Duc, Ninh, Ly Thi, Nguyen, Ha Thu Thi, Nguyen, Duy Anh, Dam, Vu Anh Trong, Nguyen, Tham Thi, Do, Huyen, Vu, Thuc Minh Thi, Tran, Bach Xuan, Latkin, Carl A., Ho, Cyrus S.H., and Ho, Roger C.M.

Abstract

BACKGROUND: This study explored the associations between different structural and functional supports with the quality of life (QOL) and mental well-being of pregnant women whose antenatal care was delayed due to the COVID-19 pandemic in Vietnam. METHODS: A multi-center cross-sectional study was performed on 868 pregnant women. The pregnant women's quality of life questionnaire (QOL-GRAV), the Edinburgh Postnatal Depression Scale (EPDS), and the Perinatal Infant Care Social Support (PICSS) instruments were employed. The satisfaction with care from different sources was measured. Multivariate Tobit Regression models were used. RESULTS: Seventy pregnant women (8.1%) reported that their antenatal care was influenced by the COVID-19. In this group, a higher level of satisfaction with the care of parents-in-law and a higher score of emotional support were associated with a better "Physical and Emotional changes" domain, while a higher level of appraisal support was related to poorer "Physical and Emotional changes" domain. A higher level of satisfaction with relatives' care and a higher score of emotional support were correlated with a better "Life Satisfaction" domain. EPDS score was negatively correlated with satisfaction with parents-in-law care and appraisal support. CONCLUSIONS: Our study highlighted that intervention programs to improve the QOL and psychological well-being of pregnant women in epidemics such as COVID-19 or other diseases in the future should involve other family members such as parents-in-law and relatives as sources of support. LIMITATIONS: The cross-sectional design was unable to draw causal relationships. Recall bias might occur. The convenient sampling method might limit the generalizability of findings.

Published
2022

9. Income Inequalities in Hepatitis B Vaccination and Willingness to Pay Among Women of Reproductive Age in Hanoi, Vietnam

Author

Le, Xuan Thi Thanh, primary, Nguyen, Nguyen Thao Thi, additional, Le, Huong Thi, additional, Do, Toan Thanh Thi, additional, Nguyen, Thang Huu, additional, Nguyen, Huong Lan Thi, additional, Nguyen, Trang Ha, additional, Vu, Linh Gia, additional, Tran, Bach Xuan, additional, Latkin, Carl A., additional, Ho, Cyrus S.H., additional, and Ho, Roger C.M., additional

Published
2021
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11. Acceptance and willingness to pay for COVID‐19 vaccines among pregnant women in Vietnam

Author

Nguyen, Long Hoang, primary, Hoang, Men Thi, additional, Nguyen, Lam Duc, additional, Ninh, Ly Thi, additional, Nguyen, Ha Thi Thu, additional, Nguyen, Anh Duy, additional, Vu, Linh Gia, additional, Vu, Giang Thu, additional, Doan, Linh Phuong, additional, Latkin, Carl A., additional, Tran, Bach Xuan, additional, Ho, Cyrus S.H., additional, and Ho, Roger C.M., additional

Published
2021
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12. Psychosocial Impacts of COVID-19 on Healthcare Workers During the Nationwide Partial Lockdown in Vietnam in April 2020

Author

Nguyen, Thao Thanh, primary, Le, Xuan Thi Thanh, additional, Nguyen, Nguyen Thao Thi, additional, Nguyen, Quang Nhat, additional, Le, Huong Thi, additional, Pham, Quan Thi, additional, Ta, Nhung Kim Thi, additional, Nguyen, Quynh Thi, additional, Nguyen, Anh Ngoc, additional, Hoang, Men Thi, additional, Pham, Hai Quang, additional, Vu, Linh Gia, additional, Luong, Anh Mai, additional, Koh, David, additional, Nguyen, Trang Ha, additional, Tran, Bach Xuan, additional, Latkin, Carl A., additional, Ho, Cyrus S.H., additional, and Ho, Roger C.M., additional

Published
2021
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14. Smartphone Use and Willingness to Pay for HIV Treatment-Assisted Smartphone Applications among HIV-Positive Patients in Urban Clinics of Vietnam

Author

Bui, Thu Minh, primary, Hoang, Men Thi, additional, Ngo, Toan Van, additional, Do, Cuong Duy, additional, Nghiem, Son Hong, additional, Byrnes, Joshua, additional, Phung, Dung Tri, additional, Nguyen, Trang Huyen Thi, additional, Vu, Giang Thu, additional, Do, Hoa Thi, additional, Latkin, Carl A., additional, Ho, Roger C.M., additional, and Ho, Cyrus S.H., additional

Published
2021
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16. Demand for Health Information on COVID-19 among Vietnamese

Author

Le, Huong Thi, primary, Nguyen, Diep Ngoc, additional, Beydoun, Ahmed Sam, additional, Le, Xuan Thi Thanh, additional, Nguyen, Thao Thanh, additional, Pham, Quan Thi, additional, Ta, Nhung Thi Kim, additional, Nguyen, Quynh Thi, additional, Nguyen, Anh Ngoc, additional, Hoang, Men Thi, additional, Vu, Linh Gia, additional, Tran, Bach Xuan, additional, Latkin, Carl A., additional, Ho, Cyrus S.H., additional, and Ho, Roger C.M., additional

Published
2020
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19. Coverage of Health Information by Different Sources in Communities: Implication for COVID-19 Epidemic Response

Author

Tran, Bach Xuan, primary, Dang, Anh Kim, additional, Thai, Phong Khanh, additional, Le, Huong Thi, additional, Le, Xuan Thanh Thi, additional, Do, Toan Thanh Thi, additional, Nguyen, Tu Huu, additional, Pham, Hai Quang, additional, Phan, Hai Thanh, additional, Vu, Giang Thu, additional, Phung, Dung Tri, additional, Nghiem, Son Hong, additional, Nguyen, Thu Ha, additional, Tran, Trung Dinh, additional, Do, Khanh Nam, additional, Truong, Dat Van, additional, Vu, Giap Van, additional, Latkin, Carl A., additional, Ho, Roger C.M., additional, and Ho, Cyrus S.H., additional

Published
2020
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21. Intention to Pay for HPV Vaccination among Women of Childbearing Age in Vietnam

Author

Le, Xuan Thi Thanh, primary, Nguyen, Phuong Thi Ngoc, additional, Do, Toan Thi Thanh, additional, Nguyen, Thang Huu, additional, Le, Huong Thi, additional, Nguyen, Cuong Tat, additional, Ha, Giang Hai, additional, Hoang, Chi Linh, additional, Tran, Bach Xuan, additional, Latkin, Carl A., additional, Ho, Roger C.M., additional, and Ho, Cyrus S.H., additional

Published
2020
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22. Fear of Falling among Older Patients Admitted to Hospital after Falls in Vietnam: Prevalence, Associated Factors and Correlation with Impaired Health-Related Quality of Life

Author

Nguyen, Long Hoang, primary, Thu Vu, Giang, additional, Ha, Giang Hai, additional, Tat Nguyen, Cuong, additional, Vu, Hai Minh, additional, Nguyen, Tien Quoc, additional, Tran, Tung Hoang, additional, Pham, Kiet Tuan Huy, additional, Latkin, Carl A., additional, Xuan Tran, Bach, additional, Ho, Roger C.M., additional, and Ho, Cyrus S.H., additional

Published
2020
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25. Global Mapping of Interventions to Improve Quality of Life of People with Diabetes in 1990–2018

Author

Tran, Bach Xuan, primary, Nguyen, Long Hoang, additional, Pham, Ngoc Minh, additional, Vu, Huyen Thanh Thi, additional, Nguyen, Hung Trong, additional, Phan, Duong Huong, additional, Ha, Giang Hai, additional, Pham, Hai Quang, additional, Nguyen, Thao Phuong, additional, Latkin, Carl A., additional, Ho, Cyrus S.H., additional, and Ho, Roger C.M., additional

Published
2020
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26. Catastrophic health expenditure of Vietnamese patients with gallstone diseases – a case for health insurance policy revaluation

Author

Tran,Bach Xuan, Tran,Tho Dinh, Nathan,Nila, Quy Ngo,Chau, Nguyen,Loi Thi, Nguyen,Long Hoang, Nguyen,Huong Lan Thi, Nguyen,Cuong Tat, Do,Huyen Phuc, Huyen Thi Nguyen,Trang, Tran,Tung Thanh, Thai,Thao Phuong Thi, Dang,Anh Kim, Nguyen,Nam Ba, Latkin,Carl A., Ho,Cyrus S.H., and Ho,Roger C.M.

Subjects
ClinicoEconomics and Outcomes Research
Abstract

Bach Xuan Tran,1,2,* Tho Dinh Tran,3,* Nila Nathan,4 Chau Quy Ngo,5 Loi Thi Nguyen,6 Long Hoang Nguyen,7 Huong Lan Thi Nguyen,8 Cuong Tat Nguyen,8 Huyen Phuc Do,7 Trang Huyen Thi Nguyen,9 Tung Thanh Tran,9 Thao Phuong Thi Thai,10,11 Anh Kim Dang,8 Nam Ba Nguyen,7 Carl A Latkin,2 Cyrus SH Ho,12 Roger CM Ho7,13 1Department of Health Economics, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam; 2Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; 3Department of Hepatobiliary Surgery, Vietnam-Germany Hospital, Hanoi, Vietnam; 4University of California, Santa Barbara, Santa Barbara, CA, USA; 5Department of Internal Medicine, Hanoi Medical University, Hanoi, Vietnam; 6Woolcock Institute of Medical Research Vietnam, Hanoi, Vietnam; 7Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam; 8Institute for Global Health Innovations, Duy Tan University, Danang, Vietnam; 9Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam; 10Department of General Planning, Friendship Hospital, Hanoi, Vietnam; 11Department of Cardiology, Friendship Hospital, Hanoi, Vietnam; 12Department of Psychological Medicine, National University Hospital, Singapore; 13Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore *These authors contributed equally to this work Purpose: Despite gallstone diseases (GSDs) being a major public health concern with both acute and chronic episodes, none of the studies in Vietnam has been conducted to investigate the household expenditure for the GSD treatment. The objective of this study was to estimate the costs of managing GSD and to explore the prevalence and determinants of catastrophic health expenditure (CHE) among Vietnamese patients.Materials and methods: A cross-sectional study was conducted from June 2016 to March 2017 in the Department of Hepatobiliary and Pancreatic Surgery, Viet Duc Hospital in Hanoi, Vietnam. A total of 206 patients were enrolled. Demographic and socioeconomic data, household income, and direct and indirect medical costs of patients seeking treatment for GSD were collected through face-to-face interview. Multivariate logistic regression was used to explore factors associated with CHE.Results: The prevalence of CHE in patients suffering from GSD was 35%. The percentage of patients who were covered by health insurance and at risk for CHE was 41.2%, significantly higher than that of those noninsured (15.8%). Proportions of patients with and without health insurance who sought outpatient treatment were 30.6% and 81.6%, respectively. Patients who were divorced or widowed and had intrahepatic gallstones were significantly more likely to experience CHE. Those who were outpatients, were women, had history of pharmacological treatment to parasitic infection, and belong to middle and highest monthly household income quantile were significantly less likely to experience CHE.Conclusion: The findings suggested that efforts to re-evaluate health insurance reimbursement capacity, especially for acute diseases and taking into account the varying preferences of people with different disease severity, should be conducted by health authority. Further studies concerning CHE of GSD in the context of ongoing health policy reform should consider utilizing WHO-recommended measures like the fairness in financial contribution index, as well as taking into consideration the behavioral aspects of health care spending. Keywords: catastrophic health expenditure, gallstone, health insurance, out-of-pocket payments, Vietnam &nbsp

Published
2019

33. Impact of a Smoking Cessation Quitline in Vietnam: Evidence Base and Future Directions

Author

Ngo, Chau Quy, primary, Phan, Phuong Thu, additional, Vu, Giap Van, additional, Pham, Quyen Thi Le, additional, Chu, Hanh Thi, additional, Pham, Kiet Tuan Huy, additional, Tran, Bach Xuan, additional, Do, Huyen Phuc, additional, Nguyen, Cuong Tat, additional, Tran, Tung Thanh, additional, Ha, Giang Hai, additional, Dang, Anh Kim, additional, Nguyen, Huong Thi Lan, additional, Latkin, Carl A., additional, Ho, Cyrus S.H., additional, and Ho, Roger C.M., additional

Published
2019
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37. Health-Related Quality of Life Profiles among Patients with Different Road Traffic Injuries in an Urban Setting of Vietnam

Author

Vu, Hai Minh, primary, Dang, Anh Kim, additional, Tran, Tung Thanh, additional, Vu, Giang Thu, additional, Truong, Nu Thi, additional, Nguyen, Cuong Tat, additional, Doan, Anh Van, additional, Pham, Kiet Tuan Huy, additional, Tran, Tung Hoang, additional, Tran, Bach Xuan, additional, Latkin, Carl A., additional, Ho, Cyrus S.H., additional, and Ho, Roger C.M., additional

Published
2019
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38. Knowledge, Attitude and Practice about Dengue Fever among Patients Experiencing the 2017 Outbreak in Vietnam

Author

Nguyen, Huong Van, primary, Than, Phung Quoc Tat, additional, Nguyen, Tu Huu, additional, Vu, Giang Thu, additional, Hoang, Chi Linh, additional, Tran, Tung Thanh, additional, Truong, Nu Thi, additional, Nguyen, Son Hoang, additional, Do, Huyen Phuc, additional, Ha, Giang Hai, additional, Nguyen, Huong Lan Thi, additional, Dang, Anh Kim, additional, Do, Cuong Duy, additional, Tran, Tung Hoang, additional, Tran, Bach Xuan, additional, Latkin, Carl A., additional, Ho, Cyrus S.H., additional, and Ho, Roger C.M., additional

Published
2019
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39. Effects of Different Comorbidities on Health-Related Quality of Life among Respiratory Patients in Vietnam

Author

Ngo, Chau Quy, primary, Phan, Phuong Thu, additional, Vu, Giap Van, additional, Pham, Quyen Le Thi, additional, Nguyen, Long Hoang, additional, Vu, Giang Thu, additional, Tran, Tung Thanh, additional, Nguyen, Huong Lan Thi, additional, Tran, Bach Xuan, additional, Latkin, Carl A., additional, Ho, Cyrus S.H., additional, and Ho, Roger C.M., additional

Published
2019
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40. Catastrophic health expenditure of Vietnamese patients with gallstone diseases – a case for health insurance policy revaluation

Author

Tran, Bach Xuan, primary, Tran, Tho Dinh, additional, Nathan, Nila, additional, Quy Ngo, Chau, additional, Nguyen, Loi Thi, additional, Nguyen, Long Hoang, additional, Nguyen, Huong Lan Thi, additional, Nguyen, Cuong Tat, additional, Do, Huyen Phuc, additional, Huyen Thi Nguyen, Trang, additional, Tran, Tung Thanh, additional, Thai, Thao Phuong Thi, additional, Dang, Anh Kim, additional, Nguyen, Nam Ba, additional, Latkin, Carl A., additional, Ho, Cyrus S.H., additional, and Ho, Roger C.M., additional

Published
2019
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41. Artificial Intelligence vs. Natural Stupidity: Evaluating AI readiness for the Vietnamese Medical Information System

Author

Vuong, Quan-Hoang, primary, Ho, Manh-Tung, additional, Vuong, Thu-Trang, additional, La, Viet-Phuong, additional, Ho, Manh-Toan, additional, Nghiem, Kien-Cuong P., additional, Tran, Bach Xuan, additional, Giang, Hai-Ha, additional, Giang, Thu-Vu, additional, Latkin, Carl, additional, Nguyen, Hong-Kong T., additional, Ho, Cyrus S.H., additional, and Ho, Roger C.M., additional

Published
2019
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42. Knowledge, Attitude and Practice about Dengue Fever among Patients Experiencing the 2017 Outbreak in Vietnam

Author

Nguyen, Huong Van, Than, Phung Quoc Tat, Nguyen, Tu Huu, Vu, Giang Thu, Hoang, Chi Linh, Tran, Tung Thanh, Truong, Nu Thi, Nguyen, Son Hoang, Do, Huyen, Ha, Giang Hai, Nguyen, Huong Lan Thi, Dang, Anh Kim, Do, Cuong Duy, Tran, Tung Hoang, Tran, Bach Xuan, Latkin, Carl A., Ho, Cyrus S.H., Ho, Roger C.M., Nguyen, Huong Van, Than, Phung Quoc Tat, Nguyen, Tu Huu, Vu, Giang Thu, Hoang, Chi Linh, Tran, Tung Thanh, Truong, Nu Thi, Nguyen, Son Hoang, Do, Huyen, Ha, Giang Hai, Nguyen, Huong Lan Thi, Dang, Anh Kim, Do, Cuong Duy, Tran, Tung Hoang, Tran, Bach Xuan, Latkin, Carl A., Ho, Cyrus S.H., and Ho, Roger C.M.

Abstract

There is a gap in the literature on the understanding of the general Vietnamese population toward dengue fever (DF). This study aimed to explore knowledge, attitudes, practice (KAP) of dengue fever among Vietnamese participants and the potential associated factors. A cross-sectional study was conducted among 330 patients at the Bach Mai Hospital in Northern Vietnam. A Tobit regression model was utilized to investigate the associated factors. The average knowledge score was 4.6/19. Respondents perceived their risk of DF infection to be very low (39.5%) to low (20.7%) and had a neutral attitude about the necessity of hospitalization when being infected with DF (60.9%). A total of 17.6%, 9.8% and 6.6% of respondents reported frequently changing water, properly disposing of waste and covering water storage containers to eliminate larvae. Gender, education level, duration of illness and travel history were correlated with knowledge. Occupation, the presence of DF in the neighborhood, mosquito density at home and DF symptom severity were associated with attitudes. Occupation, mosquito density at home, type of patient, knowledge and attitudes were associated with practices. To enhance the KAP towards DF, further efforts should first be directed to improve knowledge through education, especially at the school level and people in less developed areas.

Published
2019

43. The Use of Health Behavioral Theories in HIV/AIDS Research: A Bibliometric Analysis (Gap Research)

Author

Tran, Bach Xuan, Do, Huyen, Latkin, Carl A., Nguyen, Trong Q., Nguyen, Cuong Tat, Ho, Cyrus S.H., Ho, Roger C.M., Tran, Bach Xuan, Do, Huyen, Latkin, Carl A., Nguyen, Trong Q., Nguyen, Cuong Tat, Ho, Cyrus S.H., and Ho, Roger C.M.

Abstract

With emerging contextual factors and epidemiological transition of HIV/AIDS, the role and contributions of health behavior theories (HBT) are a compelling question after three decades of efforts to eradicate HIV. This study aims at exploring the global and historical evolution of literature and suggesting the most frequent research topics and research gaps in relation to the use of HBT in HIV/AIDS. A cross-sectional analysis of global HIV/AIDS bibliography was conducted through Web of Science (WoS) up to December 31, 2017. We utilized exploratory factor analysis to test the likelihood of research domains and landscape from the abstracts. A total of 29,997 papers in 153 HIV-related research areas were retrieved from the WoS database. This study suggests that HIV/AIDS research based on HBTs is increasing, and mainly focuses on elucidating traditional HIV driven factors and consonant with western perspectives most HBTs tend to be individually focused. Despite its important advancement, more research based on HBTs is essential to provide cultural background, social value, and contextualized factors where the HIV pandemic is dynamic; where new cases are transmitted from high-risk subgroups to the general population; and where epidemiological, social, and behavioral transitions change new infection routes, new perspectives for health service delivery especially non-medical services, and resource allocation.

Published
2019

44. Impact of a Smoking Cessation Quitline in Vietnam: Evidence Base and Future Directions

Author

Ngo, Chau Quy, Phan, Phuong Thu, Vu, Giap Van, Pham, Quyen Thi Le, Chu, Hanh Thi, Pham, Kiet Tuan Huy, Tran, Bach Xuan, Do, Huyen, Nguyen, Cuong Tat, Tran, Tung Thanh, Ha, Giang Hai, Dang, Anh Kim, Nguyen, Huong Lan Thi, Latkin, Carl, Ho, Cyrus S.H., Ho, Roger C.M., Ngo, Chau Quy, Phan, Phuong Thu, Vu, Giap Van, Pham, Quyen Thi Le, Chu, Hanh Thi, Pham, Kiet Tuan Huy, Tran, Bach Xuan, Do, Huyen, Nguyen, Cuong Tat, Tran, Tung Thanh, Ha, Giang Hai, Dang, Anh Kim, Nguyen, Huong Lan Thi, Latkin, Carl, Ho, Cyrus S.H., and Ho, Roger C.M.

Abstract

Smoking is considered the most critical modifiable factor with regard to lung cancer and remains a public health concern in many countries, including Vietnam, which is among those countries with the highest tobacco consumption rates in the world. This study has examined the impact of national telephone counselling for smoking cessation and has identified the factors associated with the impact of the quitline among male callers in Vietnam. A randomized cross-sectional survey of 469 smokers who sought smoking cessation services via the national quitline was performed from September 2015 to May 2016. The primary outcomes were measured by a self-reported quit rate at the time of assessment, 7 day point prevalence abstinence (PA), 6 month prolonged PA, service satisfaction, and level of motivation. Among the participants, 31.6% were abstinent, and 5.1% of participants successfully stopped smoking and did not need to seek quitline support. Most of the clients were satisfied with the quality of service (88.5%), felt more confident about quitting (74.3%), and took early action via their first quit attempt (81.7%); 18.3% reported a more than 7 day abstinence period at the time of survey. The primary reasons for smoking relapse were surrounding smoking environments (51.6%) and craving symptoms (44.1%). Future smoking cessation efforts should focus on improving the quality of quitline services, client satisfaction, and developing a tailored program and counseling targeting smokers with specific characteristics, especially ones experiencing chronic diseases.

Published
2019

47. Methadone maintenance treatment reduces the vulnerability of drug users on HIV/AIDS in Vietnamese remote settings : Assessing the changes in HIV knowledge, perceived risk, and testing uptake after a 12-month follow-up

Author

Nguyen, Tam Minh Thi, Tran, Bach Xuan, Fleming, Mercerdes, Pham, Manh Duc, Nguyen, Long Thanh, Le, Huong Thi, Nguyen, Anh Lan Thi, Nguyen, Thang Huu, Hoang, Van Hai, Le, Xuan Thanh Thi, Vuong, Quan Hoang, Ho, Manh Tung, Dam, Van Nhue, Vuong, Thu Trang, Do, Ha Ngoc, Nguyen, Vu, Nguyen, Huong Lan Thi, Do, Huyen Phuc, Doan, Phuong Linh, Nguyen, Hai Hong, Latkin, Carl A., Ho, Cyrus S.H., Ho, Roger C.M., Nguyen, Tam Minh Thi, Tran, Bach Xuan, Fleming, Mercerdes, Pham, Manh Duc, Nguyen, Long Thanh, Le, Huong Thi, Nguyen, Anh Lan Thi, Nguyen, Thang Huu, Hoang, Van Hai, Le, Xuan Thanh Thi, Vuong, Quan Hoang, Ho, Manh Tung, Dam, Van Nhue, Vuong, Thu Trang, Do, Ha Ngoc, Nguyen, Vu, Nguyen, Huong Lan Thi, Do, Huyen Phuc, Doan, Phuong Linh, Nguyen, Hai Hong, Latkin, Carl A., Ho, Cyrus S.H., and Ho, Roger C.M.

Abstract

Methadone Maintenance Treatment (MMT) program has been considered a medium through which human immunodeficiency virus (HIV) risks assessment and prevention on drug use/HIV-infected population can be effectively conducted. Studies concerning the implementation of such idea on patients in remote, under-developed areas, however, have been limited. Having the clinics established in three mountainous provinces of Vietnam, this study aimed to evaluate the changes in knowledge of HIV, perceived risk, and HIV testing uptake of the patients. A longitudinal study was conducted at six MMT clinics in three provinces with a pre-and post-assessments among 300 patients. Outcomes of interest were compared between baseline and after 12 months. The magnitude of changes was extrapolated. The proportion of participants reporting that their HIV knowledge was not good fell by 4.4% (61.3% at the baseline vs. 56.8% at 12 months). The significant improvement seen was in the knowledge that needle sharing was a mode of transmission (82.7% vs. 89.6%). Nevertheless, the majority of participants reportedly considered mosquitoes/insect and eating with the HIV-infected patient were the route of transmission at both time points (84.7% vs. 89.1%, 92.2% vs. 93.3%, respectively). This study found a limited improvement in HIV knowledge and testing uptake among MMT patients following a 12-month period. It also highlighted some shortcomings in the knowledge, attitudes and practices (KAP) of these patients, in particular, incorrect identification of HIV transmission routes, among patients both at program initiation and follow-up. The findings lent support to the argument for enhancing education and counseling efforts at MMT clinics regarding HIV, as well as for improving access to preventive and health care services through the integration of MMT/HIV services.

Published
2018

48. Professional Preparedness Implications of Workplace Violence against Medical Students in Hospitals: A Cross-Sectional Study

Author

Vu, Linh Gia, Nguyen Hoang, Long, Le Vu Ngoc, Minh, Nguyen Si Anh, Hao, Nathan, Nila, Trong Dam, Vu Anh, Vu, Thuc Minh Thi, Latkin, Carl A., Ho, Cyrus S.H., and Ho, Roger C.M.

Abstract

Workplace violence is an increasing public health concern around the world. In Vietnam, attacks on healthcare workers have become a huge issue in recent years. Our study aims to shed more light on the issue and look at what variables affect acts of violence toward healthcare workers. We conducted this cross-sectional study by surveying 550 medical students from 3 universities in Vietnam. Following this survey on SurveyMonkey’s platform (surveymonkey.com), the participants were suggested to invite their associates who met the selection criteria to join in this online survey. The structured questionnaire included demographics and details on the violence. There were 90.5% of respondents were medical students, the mean age was 23.3, and verbal abuse had a prevalence rate of 29.3%. Women respondents are less likely to suffer from violent experiences than men (OR = 0.48, 95% CI = 0.28-0.84), and those specializing in nurse and technician also faced a lower rate of acts of aggression (physical violence: OR = 0.35; 95% CI = 0.19-0.63, sexual harassment: OR = 0.36; 95% CI = 0.15-0.87, and any type of violence: OR = 0.55, 95% CI = 0.37-0.82). Medical students working in Ho Chi Minh City (OR = 0.55; 95% CI = 0.34-0.89), and other regions (OR = 0.40; 95% CI = 0.19-0.85) were significantly less likely to face verbal abuse than those working in Hanoi. The workplace culture needs to be changed to make sure that people feel comfortable reporting, especially those who are younger. Protecting medical students also ensures patient safety since victims of assault in the workplace can have severe aftereffects affecting their ability to provide good patient care. Hence, policies need to be implemented at both the government and hospital administration levels to keep health workers safe.

Published
2023
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