214 results on '"Hoang, Van Minh"'
Search Results
2. Association between perceived harm of tobacco and intention to quit: a cross-sectional analysis of the Vietnam Global Adult Tobacco Survey
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Tran, Thi Phuong Thao, Park, Jinju, Nguyen, Thi Ngoc Phuong, Hoang, Van Minh, and Lim, Min Kyung
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- 2022
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3. Costs of breast cancer treatment incurred by women in Vietnam
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Tran Thu Ngan, Nguyen Bao Ngoc, Hoang Van Minh, Michael Donnelly, and Ciaran O’Neill
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Breast cancer ,Direct cost ,Out-of-pocket expenditure ,Vietnam ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background There is a paucity of research on the cost of breast cancer (BC) treatment from the patient’s perspective in Vietnam. Methods Individual-level data about out-of-pocket (OOP) expenditures on use of services were collected from women treated for BC (n = 202) using an online survey and a face-to-face interview at two tertiary hospitals in 2019. Total expenditures on diagnosis and initial BC treatment were presented in terms of the mean, standard deviation, and range for each type of service use. A generalised linear model (GLM) was used to assess the relationship between total cost and socio-demographic characteristics. Results 19.3% of respondents had stage 0/I BC, 68.8% had stage II, 9.4% had stage III, none had stage IV. The most expensive OOP elements were targeted therapy with mean cost equal to 649.5 million VND ($28,025) and chemotherapy at 36.5 million VND ($1575). Mean total OOP cost related to diagnosis and initial BC treatment (excluding targeted therapy cost) was 61.8 million VND ($2667). The mean OOP costs among patients with stage II and III BC were, respectively, 66 and 148% higher than stage 0/I. Conclusions BC patients in Vietnam incur significant OOP costs. The cost of BC treatment was driven by the use of therapies and presentation stage at diagnosis. It is likely that OOP costs of BC patients would be reduced by earlier detection through raised awareness and screening programmes and by providing a higher insurance reimbursement rate for targeted therapy.
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- 2022
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4. Coping strategies and social support among caregivers of patients with cancer: a cross-sectional study in Vietnam
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Nguyen Xuan Long, Nguyen Bao Ngoc, Tran Thi Phung, Dao Thi Dieu Linh, Ta Nhat Anh, Nguyen Viet Hung, Nguyen Thi Thang, Nguyen Thi Mai Lan, Vu Thu Trang, Nguyen Hiep Thuong, Nguyen Van Hieu, and Hoang Van Minh
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coping ,social support ,caregivers ,cancer ,vietnam ,Public aspects of medicine ,RA1-1270 - Abstract
Research on coping strategies and social support among Vietnamese cancer caregivers remains limited. In this study, we aim to examine the relationships between types of coping strategies utilized and social support among cancer caregivers. This was a cross-sectional study conducted in three main cancer hospitals in the Northern, Central and Southern regions of Vietnam. The 28-item Brief COPE Inventory (BCI) Scale and the Multidimensional Scale of Perceived Social Support (MSPSS) were utilized. Descriptive statistics and multivariate linear regression were performed. Active coping, acceptance and positive reframing were the most used coping strategies among participants, while substance use was the least commonly used. Level of social support was positively correlated with the utilization of coping mechanisms. Receiving high social support and utilizing positive coping strategies enables caregivers to mitigate their caregiving burden, control the situation and enhance their own quality of life.
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- 2021
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5. A qualitative assessment of factors influencing implementation and sustainability of evidence-based tobacco use treatment in Vietnam health centers
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Nancy VanDevanter, Milkie Vu, Ann Nguyen, Trang Nguyen, Hoang Van Minh, Nam Truong Nguyen, and Donna R. Shelley
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Tobacco cessation ,Vietnam ,Implementation ,Sustainability ,CFIR ,Medicine (General) ,R5-920 - Abstract
Abstract Background Effective strategies are needed to increase implementation and sustainability of evidence-based tobacco dependence treatment (TDT) in public health systems in low- and middle-income countries (LMICs). Our two-arm cluster randomized controlled trial (VQuit) found that a multicomponent implementation strategy was effective in increasing provider adherence to TDT guidelines in commune health center (CHCs) in Vietnam. In this paper, we present findings from a post-implementation qualitative assessment of factors influencing effective implementation and program sustainability. Methods We conducted semi-structured qualitative interviews (n = 52) with 13 CHC medical directors (i.e., physicians), 25 CHC health care providers (e.g., nurses), and 14 village health workers (VHWs) in 13 study sites. Interviews were transcribed and translated into English. Two qualitative researchers used both deductive (guided by the Consolidated Framework for Implementation Research) and inductive approaches to analysis. Results Facilitators of effective implementing of TDT included training and point-of-service tools (e.g., desktop chart with prompts for offering brief counseling) that increased knowledge and self-efficacy, patient demand for TDT, and a referral system, available in arm 2, which reduced the provider burden by shifting more intensive cessation counseling to a trained VHW. The primary challenges to sustainability were competing priorities that are driven by the Ministry of Health and may result in fewer resources for TDT compared with other health programs. However, providers and VHWs suggested several options for adapting the intervention and implementation strategies to address challenges and increasing engagement of local government committees and other sectors to sustain gains. Conclusion Our findings offer insights into how a multicomponent implementation strategy influenced changes in the delivery of evidence-based TDT. In addition, the results illustrate the dynamic interplay between barriers and facilitators for sustaining TDT at the policy and community/practice level, particularly in the context of centralized public health systems like Vietnam’s. Sustaining gains in practice improvement and clinical outcomes will require strategies that include ongoing engagement with policymakers and other stakeholders at the national and local level, and planning for adaptations and subsequent resource allocations in order to meet the World Health Organization’s goals promoting access to effective treatment for all tobacco users. Trial registration NCT02564653 , registered September 2015
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- 2020
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6. Breast Cancer messaging in Vietnam: an online media content analysis
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Chris Jenkins, Dinh Thu Ha, Vu Tuyet Lan, Hoang Van Minh, Lynne Lohfeld, Paul Murphy, and Le Thi Hai Ha
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Breast Cancer ,Vietnam ,Media content analysis ,Health communication ,Global Health ,Noncommunicable diseases (NCDs) ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Breast cancer incidence is increasing in Vietnam with studies indicating low levels of knowledge and awareness and late presentation. While there is a growing body of literature on challenges faced by women in accessing breast cancer services, and for delivering care, no studies have sought to analyse breast cancer messaging in the Vietnamese popular media. The aim of this study was to investigate and understand the content of messages concerning breast cancer in online Vietnamese newspapers in order to inform future health promotional content. Methods This study describes a mixed-methods media content analysis that counted and ranked frequencies for media content (article text, themes and images) related to breast cancer in six Vietnamese online news publications over a twelve month period. Results Media content (n = 129 articles & n = 237 images) sampled showed that although information is largely accurate, there is a marked lack of stories about Vietnamese women’s personal experiences. Such stories could help bridge the gap between what information about breast cancer is presented in the Vietnamese media, and what women in Vietnam understand about breast cancer risk factors, symptoms, screening and treatment. Conclusions Given findings from other studies indicating low levels of knowledge and women with breast cancer experiencing stigma and prejudice, more nuanced and in-depth narrative-focused messaging may be required.
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- 2020
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7. Treatment for COVID-19 patients in Vietnam: Analysis of time-to-recovery
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Khuong Quynh Long, Hoang Hong Hanh, Tran Thi Tuyet Hanh, La Ngoc Quang, and Hoang Van Minh
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covid-19 ,coronavirus ,recovery ,vietnam ,Arctic medicine. Tropical medicine ,RC955-962 - Abstract
Objective: To describe the recovery time and related factors among COVID-19 patients in Vietnam. Methods: We used the secondary data obtained from the official database of the Ministry of Health of Vietnam and other public data sources that were available by April 9th, 2020. Cox proportional hazards model was carried out to identify factors related to recovery time among COVID-19 patients. Results: By April 9th, 2020, the cumulative number of COVID-19 cases detected in Vietnam was 255, of which 129 (50.6%) patients had fully recovered. The median recovery time of patients was 17 (95% CI=16-19) days. Older patients had a lower likelihood of recovery (HR=0.98, 95% CI=0.97-0.99, P
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- 2020
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8. Early screening and diagnosis of autism spectrum disorders in Vietnam: A population-based cross-sectional survey
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Le Thi Vui, Duong Minh Duc, Nguyen Thuy Quynh, Nguyen Thi Huong Giang, Vu Thi Thanh Mai, Bui Thi Thu Ha, and Hoang Van Minh
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Autism. ,population-based survey ,prevalence ,Vietnam ,Public aspects of medicine ,RA1-1270 - Abstract
Background: Early detection of autism spectrum disorders (ASDs) is essential given the under-reported cases in low- and middle-income countries. This first national representative survey was conducted to explore the prevalence of ASDs amongst 18 and 30 months in seven provinces in Vietnam. Design and Method: During 2017- 2018, a national cross-sectional and population-based survey for autism spectrum disorder (ASD) amongst 40,243 children aged 18 to 30 months was conducted in 7 provinces representing the socio-economic regions of Vietnam. M-CHAT was used to screen children and then confirmed by diagnostic assessment using DSM-IV criteria. Results: The prevalence of ASDs amongst children aged 18 and 30 months in Vietnam was high (0.758% or 1 in 132 children). Urban setting, male gender, and hereditable genes were associated with ASD prevalence. Conclusion: ASDs amongst children aged 18 and 30 months in Vietnam tend to be increasing and are similar to this rate in other middle-income countries but lower than that in Western countries. This under-recognized public health problem amongst children should be addressed by early detection and intervention for families with affected children.
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- 2021
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9. Clustering Lifestyle Risk Behaviors among Vietnamese Adolescents and Roles of School: A Bayesian Multilevel Analysis of Global School-Based Student Health Survey 2019
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Khuong Quynh Long, Hoang Thi Ngoc-Anh, Nguyen Hong Phuong, Tran Thi Tuyet-Hanh, Kidong Park, Momoe Takeuchi, Nguyen Tuan Lam, Pham Thi Quynh Nga, Le Phuong-Anh, Le Van Tuan, Tran Quoc Bao, Ong Phuc Thinh, Nguyen Van Huy, Vu Thi Hoang Lan, and Hoang Van Minh
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Risk behaviors clustering ,Adolescents ,GSHS ,Vietnam ,Latent class analysis ,Bayesian ,Public aspects of medicine ,RA1-1270 - Abstract
Background: Adolescence is a vulnerable period for many lifestyle risk behaviors. In this study, we aimed to 1) examine a clustering pattern of lifestyle risk behaviors; 2) investigate roles of the school health promotion programs on this pattern among adolescents in Vietnam. Methods: We analyzed data of 7,541 adolescents aged 13–17 years from the 2019 nationally representative Global School-based Student Health Survey, conducted in 20 provinces and cities in Vietnam. We applied the latent class analysis to identify groups of clustering and used Bayesian 2-level logistic regressions to evaluate the correlation of school health promotion programs on these clusters. We reassessed the school effect size by incorporating different informative priors to the Bayesian models. Findings: The most frequent lifestyle risk behavior among Vietnamese adolescents was physical inactivity, followed by unhealthy diet, and sedentary behavior. Most of students had a cluster of at least two risk factors and nearly a half with at least three risk factors. Latent class analysis detected 23% males and 18% females being at higher risk of lifestyle behaviors. Consistent through different priors, high quality of health promotion programs associated with lower the odds of lifestyle risk behaviors (highest quality schools vs. lowest quality schools; males: Odds ratio (OR) = 0·67, 95% Highest Density Interval (HDI): 0·46 – 0·93; females: OR = 0·69, 95% HDI: 0·47 – 0·98). Interpretation: Our findings demonstrated the clustering of specific lifestyle risk behaviors among Vietnamese in-school adolescents. School-based interventions separated for males and females might reduce multiple health risk behaviors in adolescence. Funding: The 2019 Global School-based Student Health Survey was conducted with financial support from the World Health Organization. The authors received no funding for the data analysis, data interpretation, manuscript writing, authorship, and/or publication of this article.
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- 2021
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10. Professional self-efficacy for responding to child abuse presentations
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Fraser, Jennifer Anne, Flemington, Tara, Thi Ngoc Doan, Diep, Hoang, Van Minh Tu, Doan, Binh Thi Le, and Ha, Tuan Manh
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- 2018
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11. The cost of implementing Vietnam’s national plan of action for nutrition for 2017–2020
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Hoang Van Minh, Vu Quynh Mai, Tran Tuan Anh, Nguyen Thuy Duyen, Le Danh Tuyen, Truong Tuyet Mai, Huynh Nam Phuong, Thahira Shireen Mustafa, Friday Nwaigwe, and Do Hong Phuong
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nutrition policy ,vietnam ,cost allocation ,developing countries ,national health programs ,Public aspects of medicine ,RA1-1270 - Abstract
Background: There is an urgent need to carry out a costing exercise of the National Plan of Action for Nutrition (NPAN) 2017–2020 since the costing of nutrition-sensitive interventions was not entirely integrated and proved difficult to track the different sectors’ contributions to the nutrition program. Objective: To estimate the required budget for the activities of the NPAN in 2017–2020. Methods: A standard ingredients approach activity-based costing was employed from the provider perspective. Results: The budget amount required for the NPAN activities in 2017, 2018, 2019 and 2020 would be US$ million 269.0; 310.5; 350.2 and 378.1, respectively. State budgets (especially from Ministry of Health) would be the main funding source for the NPAN. The budget required for implementing nutrition-sensitive interventions would be the largest share (more than 90%) while less than 10% are required for nutrition-specific interventions. The four interventions requiring the largest budget proportion (in 2020) included 1) Micronutrient supplementation (28.3%); 2) Breastfeeding & complementary feeding (21.9%); 3) Treatment of severe acute malnutrition (15.6%); and 4) Disease prevention and management (13.4%). Conclusions: Based on the data from Vietnam National Health account and the data on GDP of Vietnam, the total required budget for the Vietnam NPAN 2017 (USD millions 5,082) as shares of the State budget for health, total State (Government) budget, and GDP would be 5.29%, 0.49% and 0.14%, respectively. From the estimation, Vietnam represents the nutrition strategy which prioritized on nutrition-sensitive actions, similar to most of the SUN Movement member countries.
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- 2019
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12. Readiness, Availability and Utilization of Rural Vietnamese Health Facilities for Community Based Primary Care of Non-communicable Diseases: A Cross-Sectional Survey of 3 Provinces in Northern Vietnam
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David B. Duong, Hoang Van Minh, Long H. Ngo, and Andrew L. Ellner
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non-communicable diseases ,primary care ,primary healthcare ,disadvantaged populations ,vietnam ,Public aspects of medicine ,RA1-1270 - Abstract
Background Vietnam’s network of commune health centers (CHCs) have historically managed acute infectious diseases and implemented national disease-specific vertical programs. Vietnam has undergone an epidemiological transition towards non-communicable diseases (NCDs). Limited data exist on Vietnamese CHC capacity to prevent, diagnose, and treat NCDs. In this paper, we assess NCD service readiness, availability, and utilization at rural CHCs in 3 provinces in northern Vietnam. Methods Between January 2014 and April 2014, we conducted a cross-sectional survey of a representative sample of 89 rural CHCs from 3 provinces. Our study outcomes included service readiness, availability of equipment and medications, and utilization for five NCD conditions: hypertension, diabetes, chronic pulmonary diseases, cancer, and mental illnesses. Results NCD service availability was limited, except for mental health. Only 25% of CHCs indicated that they conducted activities focused on NCD prevention. Patient utilization of CHCs was approximately 223 visits per month or 8 visits per day. We found a statistically significant difference (P < .05) for NCD service availability, medication availability and CHC utilization among the 3 provinces studied. Conclusion This is the first multi-site study on NCD service availability in Vietnam and the first study in a mountainous region consisting predominately of ethnic minorities. Despite strong government support for NCD prevention and control, Vietnam’s current network of CHCs has limited NCD service capacity.
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- 2019
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13. Strengthening breast cancer services in Vietnam: a mixed-methods study
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Chris Jenkins, Tran Thu Ngan, Nguyen Bao Ngoc, Tran Bich Phuong, Lynne Lohfeld, Michael Donnelly, Hoang Van Minh, and Liam Murray
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Breast Cancer ,Vietnam ,Health systems ,Cancer ,NCDs ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Incidence of breast cancer has increased in Vietnam over the past two decades, but little data exists to inform policy and planning. This study examined the organisation and delivery of breast cancer services in Vietnam in order to address the lack of data on detection, diagnosis and treatment. Methods We gathered quantitative and qualitative data using an adapted survey-based Service Availability and Readiness Assessment (SARA) tool and semi-structured interviews from healthcare providers in 69 healthcare facilities about the experience and challenges of delivering breast cancer services. We conducted our study across four levels of the health system in three provinces in Vietnam. Results The analysis of our data show that a number of areas require strengthening particularly in relation to service availability and service readiness. Firstly, healthcare providers across all levels of the health system reported that service provision was constrained by a lack of resources both in relation to health infrastructure and training for healthcare providers. Secondly, access to timely diagnosis and treatment is limited due to services only being available at the top two levels of the health system. Women living outside the immediate vicinity of such facilities tend to find access more costly and time-consuming, and there is a need to investigate the social, economic, geographic and cultural barriers that may prevent women from accessing services. Conclusions Our study suggests that there is a need to strengthen lower levels of the Vietnamese health system in relation to the detection of breast cancer. Provision of some services such as clinical breast examination, advice on self-examination, and conducting ultrasound tests (supported with appropriate training and capacity-building of healthcare providers) at commune and district levels of the health system may reduce the overcrowding and service-delivery burden experienced in provincial and national-level hospitals. Empowering lower levels of the health system to conduct breast cancer screening, which is currently undertaken on an ad hoc basis through higher-level facilities, is likely to improve access to services for women.
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- 2019
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14. Views by health professionals on the responsiveness of commune health stations regarding non-communicable diseases in urban Hanoi, Vietnam: a qualitative study
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Vu Duy Kien, Hoang Van Minh, Kim Bao Giang, Nawi Ng, Viet Nguyen, Le Thanh Tuan, and Malin Eriksson
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Non-communicable disease ,Responsiveness ,Commune health station ,Urban ,Vietnam ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Primary health care plays an important role in addressing the burden of non-communicable diseases (NCDs) in low- and middle-income countries. In light of the rapid urbanization of Vietnam, this study aims to explore health professionals’ views about the responsiveness of primary health care services at commune health stations, particularly regarding the increase of NCDs in urban settings. Methods This qualitative study was conducted in Hanoi from July to August 2015. We implemented 19 in-depth interviews with health staff at four purposely selected commune health stations and conducted a brief inventory of existing NCD activities at these commune health stations. We also interviewed NCD managers at national, provincial, and district levels. The interview guides reflected six components of the WHO health system framework, including service delivery, health workforce, health information systems, access to essential medicines, financing, and leadership/governance. A thematic analysis approach was applied to analyze the interview data in this study. Results Six themes, related to the six building blocks of the WHO health systems framework, were identified. These themes explored the responsiveness of commune health stations to NCDs in urban Hanoi. Health staff at commune health stations were not aware of the national strategy for NCDs. Health workers noted the lack of NCD informational materials for management and planning. The limited workforce at health commune stations would benefit from more health workers in general and those with NCD-specific training and skills. In addition, the budget for NCDs at commune health stations remains very limited, with large differences in the implementation of national targeted NCD programs. Some commune health stations had no NCD services available, while others had some programming. A lack of NCD treatment drugs was also noted, with a negative impact on the provision of NCD-related services at commune health stations. These themes were also reflected in the inventory of existing NCD related activities. Conclusions Health professionals view the responsiveness of commune health stations to NCDs in urban Hanoi, Vietnam as weak. Appropriate policies should be implemented to improve the primary health care services on NCDs at commune health stations in urban Hanoi, Vietnam.
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- 2018
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15. Adverse influence of multilevel socioeconomic status on physical activity: results from a national survey in Vietnam
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Vu, Thi Hoang Lan, Bui, Thi Tu Quyen, Nguyen, Thi Kim Ngan, and Hoang, Van Minh
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- 2020
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16. Trends in socioeconomic inequalities among adult male hardcore smokers in Vietnam: 2010–2015
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Vu Duy Kien, Tej Ram Jat, Kim Bao Giang, Phan Thi Hai, Doan Thi Thu Huyen, Luong Ngoc Khue, Nguyen Tuan Lam, Phan Thi Quynh Nga, Nguyen The Quan, and Hoang Van Minh
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Tobacco ,Smoking ,Hardcore smoker ,Socioeconomic inequalities ,Vietnam ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Despite male smokers being dominant in Vietnam, scarce evidence on trends in socioeconomics inequalities among the hardcore male smokers is available in the country. In this study, we aimed at assessing the trends in socioeconomics inequalities among the hardcore smokers in adult male population in Vietnam over a five-year period from 2010 to 2015. Methods We used data from two rounds of the Vietnam Global Adult Tobacco Survey (GATS) conducted in 2010 and 2015. We included only men aged 25 years and above in the analysis. We measured socioeconomic inequalities among hardcore smokers by calculating the concentration index. We conducted multiple logistic regression analysis to identify factors associated with hardcore smoking among men aged 25 years and above. Results The results of this study showed that the prevalence of male hardcore smokers aged 25 years and above in Vietnam was 9.5% in 2010 which increased to 13.1% in 2015. The prevalence of male hardcore smokers declined in the richest group from the 2010 level whereas it increased in the middle, poor and poorest groups. All values of weighted concentration indices indicated that the prevalence of male hardcore smokers occurred more among the poor men in Vietnam in both 2010 and 2015. The socioeconomic inequalities in hardcore smokers increased during 2010 and 2015. Residence in urban areas was significantly associated with higher adult male hardcore smoking in our study. Belonging to the age groups between 40 and 59 years, attaining primary and lower education, being self-employed, belonging to the poorest household group, smoking being allowed at home and no rule for smoking at home were associated with higher risk of being hardcore smoker among adult males in Vietnam. Conclusions We found increased trends in socioeconomic inequalities in hardcore smoking among the study population. Our study results indicate that existing smoking secession and tobacco control policy and interventions need to be modified or new policies and interventions should be introduced with the perspective of addressing socioeconomic inequalities to have the desired impact. We recommend implementing specific targeted interventions for vulnerable population groups for better results.
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- 2017
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17. Cervical cancer treatment costs and cost-effectiveness analysis of human papillomavirus vaccination in Vietnam: a PRIME modeling study
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Hoang Van Minh, Nguyen Thi Tuyet My, and Mark Jit
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Cost-effectiveness analysis ,Cervical cancer ,Vietnam ,PRIME ,Human papillomavirus ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Cervical cancer is currently the leading cause of cancer mortality among women in South Vietnam and the second leading cause of cancer mortality in North Vietnam. Human papillomavirus (HPV) vaccination has the potential to substantially decrease this burden. The World Health Organization (WHO) recommends that a cost-effectiveness analysis of HPV vaccination is conducted before nationwide introduction. Methods The Papillomavirus Rapid Interface for Modeling and Economics (PRIME) model was used to evaluate the cost-effectiveness of HPV vaccine introduction. A costing study based on expert panel discussions, interviews and hospital case note reviews was conducted to explore the cost of cervical cancer care. Results The cost of cervical cancer treatment ranged from US$368 – 11400 depending on the type of hospital and treatment involved. Under Gavi-negotiated prices of US$4.55, HPV vaccination is likely to be very cost-effective with an incremental cost per disability-adjusted life year (DALY) averted in the range US$780 - 1120. However, under list prices for Cervarix and Gardasil in Vietnam, the incremental cost per DALY averted for HPV vaccination can exceed US$8000. Conclusion HPV vaccine introduction appears to be economically attractive only if Vietnam is able to procure the vaccine at Gavi prices. This highlights the importance of initiating a nationwide vaccination programme while such prices are still available.
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- 2017
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18. Longitudinal Household Trends in Access to Improved Water Sources and Sanitation in Chi Linh Town, Hai Duong Province, Viet Nam and Associated Factors
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Tran Thi Tuyet-Hanh, Tran Khanh Long, Hoang Van Minh, and Le Thi Thanh Huong
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improved water sources ,improved sanitation ,trend ,CHILILAB ,Vietnam ,Public aspects of medicine ,RA1-1270 - Abstract
Objective: This study aims to characterize household trends in access to improved water sources and sanitaton in Chi Linh Town, Hai Duong Province, Vietnam, and to identify factors affecting those trends. Method: Data were extracted from the Chi Linh Health and Demographic Surveillance System (CHILILAB HDSS) database from 2004–2014, which included household access to improved water sources, household access to improved sanitation, and household demographic data. Descriptive statistical analysis and multinominal logistic regression were used. The results showed that over a 10-year period (2004–2014), the proportion of households with access to improved water and improved sanitation increased by 3.7% and 28.3%, respectively. As such, the 2015 Millennium Development Goal targets for safe drinking water and basic sanitation were met. However, 13.5% of households still had unimproved water and sanitation. People who are retired, work in trade or services, or other occupations were 1.49, 1.97, and 1.34 times more likely to have access to improved water and sanitation facilities than farming households, respectively (p < 0.001). Households living in urban areas were 1.84 times more likely than those living in rural areas to have access to improved water sources and improved sanitation facilities (OR =1.84; 95% CI = 1.73–1.96). Non-poor households were 2.12 times more likely to have access to improved water sources and improved sanitation facilities compared to the poor group (OR = 2.12; 95% CI = 2.00–2.25). More efforts are required to increase household access to both improved water and sanitation in Chi Linh Town, focusing on the 13.5% of households currently without access. Similar to situations observed elsewhere in Vietnam and other low- and middle- income countries, there is a need to address socio-economic factors that are associated with inadequate access to improved water sources and sanitation facilities.
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- 2016
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19. Use of high-level health facilities and catastrophic expenditure in Vietnam: can health insurance moderate this relationship?
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Lee, Hwa-Young, Oh, Juhwan, Hoang, Van Minh, Moon, J. Robin, and Subramanian, S. V.
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- 2019
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20. Prevalence of autism spectrum disorders and their relation to selected socio-demographic factors among children aged 18–30 months in northern Vietnam, 2017
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Hoang, Van Minh, Le, Thi Vui, Chu, Thi Thuy Quynh, Le, Bich Ngoc, Duong, Minh Duc, Thanh, Ngoc Minh, Tac Pham, Van, Minas, Harry, and Bui, Thi Thu Ha
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- 2019
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21. Trends in socioeconomic inequalities in child malnutrition in Vietnam: findings from the Multiple Indicator Cluster Surveys, 2000–2011
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Vu Duy Kien, Hwa-Young Lee, You-Seon Nam, Juhwan Oh, Kim Bao Giang, and Hoang Van Minh
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trend ,malnutrition ,inequality ,decomposition ,Vietnam ,Public aspects of medicine ,RA1-1270 - Abstract
Background: Child malnutrition is not only a major contributor to child mortality and morbidity, but it can also determine socioeconomic status in adult life. The rate of under-five child malnutrition in Vietnam has significantly decreased, but associated inequality issues still need attention. Objective: This study aims to explore trends, contributing factors, and changes in inequalities for under-five child malnutrition in Vietnam between 2000 and 2011. Design: Data were drawn from the Viet Nam Multiple Indicator Cluster Survey for the years 2000 and 2011. The dependent variables used for the study were stunting, underweight, and wasting of under-five children. The concentration index was calculated to see the magnitude of child malnutrition, and the inequality was decomposed to understand the contributions of determinants to child malnutrition. The total differential decomposition was used to identify and explore factors contributing to changes in child malnutrition inequalities. Results: Inequality in child malnutrition increased between 2000 and 2011, even though the overall rate declined. Most of the inequality in malnutrition was due to ethnicity and socioeconomic status. The total differential decomposition showed that the biggest and second biggest contributors to the changes in underweight inequalities were age and socioeconomic status, respectively. Socioeconomic status was the largest contributor to inequalities in stunting. Conclusions: Although the overall level of child malnutrition was improved in Vietnam, there were significant differences in under-five child malnutrition that favored those who were more advantaged in socioeconomic terms. The impact of socioeconomic inequalities in child malnutrition has increased over time. Multifaceted approaches, connecting several relevant ministries and sectors, may be necessary to reduce inequalities in childhood malnutrition.
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- 2016
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22. Household trends in access to improved water sources and sanitation facilities in Vietnam and associated factors: findings from the Multiple Indicator Cluster Surveys, 2000–2011
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Tran Thi Tuyet-Hanh, Jong-Koo Lee, Juhwan Oh, Hoang Van Minh, Chul Ou Lee, Le Thi Hoan, You-Seon Nam, and Tran Khanh Long
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MICS ,Vietnam ,improved water sources ,sanitation facilities ,Public aspects of medicine ,RA1-1270 - Abstract
Background: Despite progress made by the Millennium Development Goal (MDG) number 7.C, Vietnam still faces challenges with regard to the provision of access to safe drinking water and basic sanitation. Objective: This paper describes household trends in access to improved water sources and sanitation facilities separately, and analyses factors associated with access to improved water sources and sanitation facilities in combination. Design: Secondary data from the Vietnam Multiple Indicator Cluster Survey in 2000, 2006, and 2011 were analyzed. Descriptive statistics and tests of significance describe trends over time in access to water and sanitation by location, demographic and socio-economic factors. Binary logistic regressions (2000, 2006, and 2011) describe associations between access to water and sanitation, and geographic, demographic, and socio-economic factors. Results: There have been some outstanding developments in access to improved water sources and sanitation facilities from 2000 to 2011. In 2011, the proportion of households with access to improved water sources and sanitation facilities reached 90% and 77%, respectively, meeting the 2015 MDG targets for safe drinking water and basic sanitation set at 88% and 75%, respectively. However, despite these achievements, in 2011, only 74% of households overall had access to combined improved drinking water and sanitation facilities. There were also stark differences between regions. In 2011, only 47% of households had access to both improved water and sanitation facilities in the Mekong River Delta compared with 94% in the Red River Delta. In 2011, households in urban compared to rural areas were more than twice as likely (odds ratio [OR]: 2.2; 95% confidence interval [CI]: 1.9–2.5) to have access to improved water and sanitation facilities in combination, and households in the highest compared with the lowest wealth quintile were over 40 times more likely (OR: 42.3; 95% CI: 29.8–60.0). Conclusions: More efforts are required to increase household access to both improved water and sanitation facilities in the Mekong River Delta, South East and Central Highlands regions of Vietnam. There is also a need to address socio-economic factors associated with inadequate access to improved sanitation facilities.
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- 2016
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23. Timely immunization completion among children in Vietnam from 2000 to 2011: a multilevel analysis of individual and contextual factors
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Dao Thi Minh An, Jong-Koo Lee, Hoang Van Minh, Nguyen Thi Huyen Trang, Nguyen Thi Thu Huong, You-Seon Nam, and Do Van Dung
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timely immunization completion ,Vietnam ,children under five ,MICS ,Public aspects of medicine ,RA1-1270 - Abstract
Background: Since the beginning of 2014, there have been nearly 6,000 confirmed measles cases in northern Vietnam. Of these, more than 86% had neither been immunized nor was their vaccination status confirmed. Objective: To establish the likelihood that children under five in Vietnam had ‘timely immunization completion’ (2000–2011) and identify factors that account for variations in timely immunization completion. Design: Secondary data from the Multiple Indicator Cluster Survey (MICS), which sampled women aged 15–49 from the 1999 Vietnamese Population and Housing Census frame, were analyzed. Multilevel analysis using Poisson regression was undertaken. Results: Proportions of children under five who had timely immunization completion were low, especially for HBV dose 2 and HBV dose 3, which decreased between 2000 and 2011. Among seven vaccines used in the National Expanded Program of Immunization (EPI) in 2000, 2006, and 2011, measles dose 1 had the highest timely immunization completion at 65.3%, 66.7%, and 73.6%, respectively, and hepatitis B dose 1 had the lowest at 17.5%, 19.3%, and 45.5%, respectively. Timely immunization completion was less common among children whose mothers had relatively less household wealth, were from ethnic minorities, lived in rural areas, and had less education. At the community level, the child's region of residence was the main predictor of timely immunization completion, and the availability of hospital delivery and community prenatal care in the local community were also determinants. Conclusion: The EPI should include ‘timely immunization completion’ as a quality indicator. There should also be greater focus and targeting in rural areas, and among women who have relatively low education, belong to minority groups, and have less household wealth. Further research on this topic using multilevel analysis is needed to better understand how these factors interact.
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- 2016
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24. Breast cancer services in Vietnam: a scoping review
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Chris Jenkins, Luu Ngoc Minh, Tran Tuan Anh, Tran Thu Ngan, Ngo Tri Tuan, Kim Bao Giang, Luu Ngoc Hoat, Lynne Lohfeld, Michael Donnelly, Hoang Van Minh, and Liam Murray
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breast cancer ,cancer ,Vietnam ,health systems ,scoping review ,NCDs ,Public aspects of medicine ,RA1-1270 - Abstract
Background: Breast cancer incidence has been increasing consistently in Vietnam. Thus far, there have been no analytical reviews of research produced within this area. Objectives: We sought to analyse the nature andextent of empirical studies about breast cancer in Vietnam, identifying areas for future research and systemsstrengthening. Methods: We undertook a scoping study using a five-stage framework to review published and grey literature in English and Vietnamese on breast cancer detection, diagnosis and treatment. We focused specifically on research discussing the health system and service provision. Results: Our results show that breast cancer screening is limited, with no permanent or integrated national screening activities. There is a lack of information on screening processes and on the integration of screening services with other areas of the health system. Treatment is largely centralised, and across all services there is a lack of evaluation and data collection that would be informative for recommendations seeking to improve accessibility and quality of breast cancer services. Conclusions: This paper is the first scoping review of breast cancer services in Vietnam. It outlines areas for future focus for policy makers and researchers with the objective of strengthening service provision to women with breast cancer across the country while also providing a methodological example for how to conduct a collaborative scoping review.
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- 2018
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25. Tobacco and electronic cigarette smoking among in-school adolescents in Vietnam between 2013 and 2019: prevalence and associated factors
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Hoang Van Minh, Khuong Quynh Long, Do Van Vuong, Nguyen Manh Hung, Kidong Park, Momoe Takeuchi, Mina Kashiwabara, Nguyen Tuan Lam, Pham Thi Quynh Nga, Le Phuong Anh, Le Van Tuan, Tran Quoc Bao, Le Duong Minh Anh, and Tran Thi Tuyet Hanh
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Adolescent ,Vietnam ,Health Policy ,Tobacco ,Public Health, Environmental and Occupational Health ,Prevalence ,Humans ,Tobacco Products ,Electronic Nicotine Delivery Systems ,Cigarette Smoking - Abstract
Smoking among adolescents in schools is a major global public health concern. There is limited evidence regarding prevalence and associated factors in Vietnam.To compare the prevalence of smoking and associated factors among in-school adolescents aged 13-17 years in Vietnam between 2013 and 2019.Data were collected from two rounds of the national representative Vietnam Global School-based Student Health Survey (GSHS) conducted in 2013 (n = 3,331) and 2019 (n = 7,690). Logistic regression was used to identify the factors associated with tobacco and electronic cigarette smoking among in-school adolescents.There was a significant reduction in the prevalence of current smoking (water pipes and cigarettes) from 5.4% (95% CI: 4.0-7.2) in 2013 to 2.8% (95% CI: 2.2-3.6) in 2019. In 2019, 2.6% of the in-school adolescents reported having used electronic cigarette products 30 days prior to the survey. Factors associated with a significantly higher likelihood of current smoking status included gender, loneliness, suicidal ideation, sexual activity, truancy, and alcohol consumption. Similar patterns were observed for e-cigarettes.Smoking among in-school adolescents in Vietnam decreased between 2013 and 2019. Follow-up studies are needed to further investigate causal factors so that future policies and communication programmes can be more effectively targeted to reduce smoking in adolescents.
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- 2022
26. Perceptions of climate change and its impact on human health: an integrated quantitative and qualitative approach
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Do Thi Thanh Toan, Vu Duy Kien, Kim Bao Giang, Hoang Van Minh, and Pamela Wright
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climate change ,perception ,health ,Hanoi ,Vietnam ,Public aspects of medicine ,RA1-1270 - Abstract
Background: The World Health Organization emphasized that climate change is a significant and emerging threat to public health, especially in lower income populations and tropical/subtropical countries. However, people in Asia and Africa were the least likely to perceive global warming as a threat. In Vietnam, little research has been conducted concerning the perceptions of effects of climate change on human health. Objective: The aim of this study was to explore the perceptions on climate change and its impact on human health among people in Hanoi. Design: We applied a combined quantitative and qualitative approach to study perceptions on climate change among people in Hanoi. A total of 1,444 people were recruited, including 754 people living in non-slum areas and 690 people living in slum areas of Hanoi. A structured questionnaire was used to collect quantitative data on their perceptions. In a parallel qualitative study, two focus group discussions and 12 in-depth interviews (IDs) were carried out involving 24 people from both slum and non-slum areas. Results: The majority of the respondents in the study had heard about climate change and its impact on human health (79.3 and 70.1% in non-slum and slum areas, respectively). About one third of the respondents reported that members of their family had experienced illness in the recent summer and winter compared to the same seasons 5 years ago. The most common symptoms reported during hot weather were headaches, fatigue, and dizziness; hypertension and other cardiovascular diseases were also reported. During cold weather, people reported experiencing cough, fever, and influenza, as well as pneumonia and emerging infectious diseases such as dengue and Japanese encephalitis. Conclusions: The observed high level of awareness on the links between climate change and human health may help to increase the success of the National Prevention Program on Climate Change. Moreover, understanding the concerns of the people may help policy makers to develop and implement effective and sustainable adaptation measures for Hanoi City as well as for Vietnam as a whole.
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- 2014
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27. Primary healthcare system capacities for responding to storm and flood-related health problems: a case study from a rural district in central Vietnam
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Hoang Van Minh, Tran Tuan Anh, Joacim Rocklöv, Kim Bao Giang, Le Quynh Trang, Klas-Göran Sahlen, Maria Nilsson, and Lars Weinehall
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climate change ,storm ,flood ,health problems ,health system ,Vietnam ,disasters ,disease outbreaks ,emergency medical services/utilization ,public health ,Public aspects of medicine ,RA1-1270 - Abstract
Background: As a tropical depression in the East Sea, Vietnam is greatly affected by climate change and natural disasters. Knowledge of the current capacity of the primary healthcare system in Vietnam to respond to health issues associated with storms and floods is very important for policy making in the country. However, there has been little scientific research in this area. Objective: This research was to assess primary healthcare system capacities in a rural district in central Vietnam to respond to such health issues. Design: This was a cross-sectional descriptive study using quantitative and qualitative approaches. Quantitative methods used self-administered questionnaires. Qualitative methods (in-depth interviews and focus groups discussions) were used to broaden understanding of the quantitative material and to get additional information on actions taken. Results: 1) Service delivery: Medical emergency services, especially surgical operations and referral systems, were not always available during the storm and flood seasons. 2) Governance: District emergency plans focus largely on disaster response rather than prevention. The plans did not clearly define the role of primary healthcare and had no clear information on the coordination mechanism among different sectors and organizations. 3) Financing: The budget for prevention and control of flood and storm activities was limited and had no specific items for healthcare activities. Only a little additional funding was available, but the procedures to get this funding were usually time-consuming. 4) Human resources: Medical rescue teams were established, but there were no epidemiologists or environmental health specialists to take care of epidemiological issues. Training on prevention and control of climate change and disaster-related health issues did not meet actual needs. 5) Information and research: Data that can be used for planning and management (including population and epidemiological data) were largely lacking. The district lacked a disease early-warning system. 6) Medical products and technology: Emergency treatment protocols were not available in every studied health facility. Conclusions: The primary care system capacity in rural Vietnam is inadequate for responding to storm and flood-related health problems in terms of preventive and treatment healthcare. Developing clear facility preparedness plans, which detail standard operating procedures during floods and identify specific job descriptions, would strengthen responses to future floods. Health facilities should have contingency funds available for emergency response in the event of storms and floods. Health facilities should ensure that standard protocols exist in order to improve responses in the event of floods. Introduction of a computerized health information system would accelerate information and data processing. National and local policies need to be strengthened and developed in a way that transfers into action in local rural communities.
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- 2014
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28. Financial toxicity due to breast cancer treatment in low- and middle-income countries: evidence from Vietnam
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Hoang Van Minh, Ciaran O'Neill, Michael Donnelly, and Tran Thu Ngan
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Vietnamese ,Breast Neoplasms ,Stage ii ,LMICs ,03 medical and health sciences ,Breast cancer ,0302 clinical medicine ,Cancer Survivors ,Cost of Illness ,SDG 3 - Good Health and Well-being ,Financial toxicity/hardship ,medicine ,Health insurance ,Humans ,030212 general & internal medicine ,Developing Countries ,Finance ,Descriptive statistics ,business.industry ,Cancer ,medicine.disease ,language.human_language ,Vietnam ,Oncology ,Low and middle income countries ,030220 oncology & carcinogenesis ,Toxicity ,Income ,language ,Female ,Original Article ,Health Expenditures ,Cost of treatment ,business - Abstract
Background This study examined the financial toxicity faced by breast cancer (BC) patients in Vietnam and the factors associated with the risk and degree of that toxicity. Methods A total of 309 BC patients/survivors completed an online survey (n=209) or a face-to-face interview (n=100) at two tertiary hospitals. Descriptive statistics and χ2 tests were used to identify and analyse the forms and degree of financial toxicity faced by BC patients/survivors. A Cragg hurdle model assessed variation in risk and the degree of financial toxicity due to treatment. Results 41% of respondents faced financial toxicity due to BC treatment costs. The mean amount of money that exceeded BC patients/survivors’ ability to pay was 153 million Vietnamese Dong (VND) ($6602) and ranged from 2.42 million VND to 1358 million VND ($104–58,413). A diagnosis at stage II or III of BC was associated with 16.0 and 18.0 million VND (~$690–777) more in the degree of financial toxicity compared with patients who were diagnosed at stage 0/I, respectively. Being retired or married or having full (100%) health insurance was associated with a decrease in the degree of financial toxicity. Conclusions A significant proportion of Vietnamese BC patients/survivors face serious financial toxicity due to BC treatment costs. There is a need to consider the introduction of measures that would attenuate this hardship and promote uptake of screening for the reduction in financial toxicity as well as the health gains it may achieve through earlier detection of cancer.
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- 2021
29. Perceptions and Use of Electronic Cigarettes Among Young Adults in Vietnam 2020
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Pham Quoc, Thanh, Tran Thi, Tuyet-Hanh, Luong Ngoc, Khue, Phan Thi, Hai, Phan, Van Can, Khuong Quynh, Long, Nguyen Thuy, Linh, Duong Tu, Anh, Dao The, Son, Nguyen Duy, Tien, Bui Thi Tu, Quyen, and Hoang, Van Minh
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Male ,Young Adult ,Smokers ,Adolescent ,Vietnam ,Vaping ,Humans ,Tobacco Products ,Electronic Nicotine Delivery Systems - Abstract
Electronic cigarette use among adolescents has increased in the past decade. Little is known about the perception and use of e-cigarettes in Vietnam, especially among young people. This study examines the perceptions and use of electronic cigarettes among young adults in Vietnam. The study uses data from a survey of adult tobacco consumption among adults at the provincial level in 2020, which was funded and managed by the Vietnam Tobacco Control Fund-Ministry of Health. Data were collected from 34 provinces and cities throughout Vietnam and managed using REDCap software. The survey engaged 80,166 participants, of which 9478 were young adults aged 15-24 were selected and reported in this paper. The results show that, at the time of the survey, 2.4% of young Vietnamese adults were smoking e-cigarettes. Many survey participants cited more than one reason for smoking e-cigarettes. These reasons included preferring the taste of e-cigarettes (64.0%), disliking the odour of other cigarettes (46.2%), following the example of family members (44.9%), and believing e-cigarettes threatened fewer health risks (39.1%). Almost half of the e-cigarette users wanted to quit (48%). E-cigarette use was associated with males living in urban areas who are aware of the Law on Prevention and Control of Tobacco Harms. The findings of this study provide evidential data that support public health policies aimed at reducing and ceasing e-cigarette use among young people.
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- 2022
30. Breast cancer screening practices among Vietnamese women and factors associated with clinical breast examination uptake
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Tran Thu Ngan, Chris Jenkins, Hoang Van Minh, Michael Donnelly, and Ciaran O’Neill
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Health Knowledge, Attitudes, Practice ,Multidisciplinary ,Clinical breast examination ,Breast Self-Examination ,Breast Neoplasms ,LMICs ,Cross-Sectional Studies ,Asian People ,Vietnam ,SDG 3 - Good Health and Well-being ,KAP ,Humans ,Female ,Breast cancer screening ,Early Detection of Cancer ,Health beliefs - Abstract
Background This study examined current breast cancer (BC) screening practices among Vietnamese women and the factors associated with the uptake of clinical breast examination (CBE). Methods A total of 508 women aged 30–74 years in Hanoi completed a knowledge-attitude-practice (KAP) survey in 2019 including validated measures of breast cancer awareness (Breast-CAM) and health beliefs (Champion’s Health Belief Model Scale). Descriptive statistics, χ2, and ANOVA tests were used to analyse KAP responses across groups with different sociodemographic characteristics. A logistic regression model assessed the associations of knowledge, beliefs, and sociodemographic characteristics with CBE uptake. Results Only 18% of respondents were aware of BC signs, risk factors, and screening modalities although 63% had previously received BC screening. CBE was the most common screening modality with an uptake of 51%. A significantly higher proportion of urban residents compared with rural residents (32% vs 18%, Chi-square test, p = 0.04) received mammography. Unlike mammography, CBE uptake was not associated with sociodemographic characteristics (i.e., residence area/education level/occupation/household monthly income/possession of health insurance). CBE uptake was associated with BC knowledge (OR = 2.44, 95%CI: 1.37–4.32), perceived susceptibility to BC (OR = 1.15, 95%CI: 1.05–1.25), and perceived barriers to accessing CBE (OR = 0.88, 95%CI: 0.84–0.92). Conclusion The study points to the need for public health education and promotion interventions to address low levels of awareness about BC and to increase uptake of BC screening in Vietnam in advance of screening programme planning and implementation. It also suggests that screening programmes using CBE are promising given current engagement and the absence of socio-demographic disparities.
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- 2022
31. Anxiety among the Vietnamese Population during the COVID-19 Pandemic: Implications for Social Work Practice
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Pham Tien Nam, Dang KimKhanh Ly, Hoang Van Minh, Nguyen Tuan Hung, Nguyen Hanh Dung, and Nguyen Khac Liem
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Adult ,Male ,Social Work ,Health (social science) ,Adolescent ,Cross-sectional study ,Vietnamese ,Population ,Anxiety ,Vulnerable Populations ,Health(social science) ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,Environmental health ,Pandemic ,Global health ,medicine ,Humans ,030212 general & internal medicine ,education ,Pandemics ,education.field_of_study ,030505 public health ,Social work ,SARS-CoV-2 ,Health Policy ,Public Health, Environmental and Occupational Health ,COVID-19 ,Middle Aged ,language.human_language ,Cross-Sectional Studies ,Vietnam ,language ,Female ,Rural area ,medicine.symptom ,0305 other medical science ,Psychology - Abstract
The COVID-19 pandemic is a global health crisis and threatening human lives, especially vulnerable groups. This study aimed to estimate the prevalence of self-reported anxiety and to examine associated factors among the Vietnamese population during the COVID-19 pandemic. A cross-sectional study in Vietnam was conducted in April 2020. An online survey was used to do the rapid assessment. Among 1,249 participants, the prevalence of self-reported anxiety was 8.5%. In the multivariable regression models, significant factors for self-reported anxiety were people aged 60 years old or older, rural areas, and COVID-related music-video-watching. Implications for social work practice were also discussed.
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- 2021
32. Knowledge of the health consequences of tobacco smoking: a cross-sectional survey of Vietnamese adults
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Dao Thi Minh An, Hoang Van Minh, Le Thi Huong, Kim Bao Giang, Le Thi Thanh Xuan, Phan Thi Hai, Pham Quynh Nga, and Jason Hsia
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knowledge ,smoking ,health consequences ,global adult tobacco survey ,Vietnam ,Public aspects of medicine ,RA1-1270 - Abstract
Background: Although substantial efforts have been made to curtail smoking in Vietnam, the 2010 Global Adult Tobacco Survey (GATS) revealed that the proportion of male adults currently smoking remains high at 47.4%. Objectives: To determine the level of, and characteristics associated with, knowledge of the health consequences of smoking among Vietnamese adults. Design: GATS 2010 was designed to survey a nationally representative sample of Vietnamese men and women aged 15 and older drawn from 11,142 households using a two-stage sampling design. Descriptive statistics were calculated and multivariate logistic regression was used to examine associations between postulated exposure factors (age, education, access to information, ethnic group etc.) and knowledge on health risks. Results: General knowledge on the health risks of active smoking (AS) and exposure to second hand smoke (SHS) was good (90% and 83%, respectively). However, knowledge on specific diseases related to tobacco smoking (stroke, heart attack, and lung cancer) appeared to be lower (51.5%). Non-smokers had a significantly higher likelihood of demonstrating better knowledge on health risks related to AS (OR 1.6) and SHS (OR 1.7) than smokers. Adults with secondary education, college education or above also had significantly higher levels knowledge of AS/SHS health risks than those with primary education (AS: ORs 1.6, 1.7, and 1.9, respectively, and SHS: ORs 2.4, 3.9, and 5.7 respectively). Increasing age was positively associated with knowledge of the health consequences of SHS, and access to information was significantly associated with knowledge of AS/SHS health risks (ORs 2.3 and 1.9 respectively). Otherwise, non-Kinh ethnic groups had significantly less knowledge on health risks of AS/SHS than Kinh ethnic groups. Conclusions: It may be necessary to target tobacco prevention programs to specific subgroups including current smokers, adults with low education, non-Kinh ethnics in order to increase their knowledge on health risks of smoking. Comprehensive messages and/or images about specific diseases related to AS/SHS should be conveyed using of different channels and modes specific to local cultures to increase knowledge on smoking health consequences for general population.
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- 2013
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33. Alcohol consumption and household expenditure on alcohol in a rural district in Vietnam
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Peter Allebeck, Kim Bao Giang, and Hoang Van Minh
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alcohol consumption ,alcohol problems ,alcohol expenditure ,Vietnam ,Public aspects of medicine ,RA1-1270 - Abstract
Introduction: Alcohol use and alcohol-related problems are on the rise in low- and middle-income countries. Expenditure on alcohol is an important problem for families and communities and needs to be assessed. Aim: This study examines level of alcohol consumption and expenditure on alcohol in a district in Vietnam. Methods: A cross-sectional survey was conducted in a rural district in northern Vietnam. Multi-stage sampling was employed to randomly select participants from 20 communities and a town in the same district. One thousand five hundred and sixty-four adults (765 males and 799 females) aged 18–60 years were interviewed. Information about alcohol use as well as expenditure on alcohol consumption four weeks prior to the interview was gathered. Non-parametric tests and log-linear regression were employed to compare expenditure on alcohol consumption across socioeconomic groups. Results: The prevalence of alcohol use one month prior to interview was 35% (66% among men and 5% among women). The median alcohol consumption among those who reported use of alcohol in the week prior to the interview was 7.9 standard drinks. Excessive drinking (more than 14 standard drinks per week for men and more than seven standard drinks per week for women) occurred among 35% of those who used alcohol. Median expenditure for alcohol consumption during one month by those who drank alcohol was USD 3.5, accounting for 4.6% of household food expenditure, 2.7% of total household expenditure, and 1.8% of household income. The differences in alcohol consumption and expenditure between sexes and between socioeconomic groups are also presented. Conclusion: Our study confirms that alcohol consumption and alcohol-related problems are common among men in Vietnam. The share of alcohol expenditure in total household expenditure is substantial, especially among poor households. This should be considered an important public health issue, which needs to be taken into account in the alcohol policy debate.
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- 2013
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34. Assessing the household financial burden associated with the chronic non-communicable diseases in a rural district of Vietnam
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Hoang Van Minh and Bach Xuan Tran
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chronic non-communicable diseases ,out-of-pocket expenditure ,financial burden ,rural ,Vietnam ,Public aspects of medicine ,RA1-1270 - Abstract
Background: While there is accumulated evidence showing the rapid rise of the burden caused by non-communicable diseases (NCDs) in Vietnam, information on the extent to which households in the country suffer financial catastrophe or impoverishment caused by the diseases is still largely lacking. This paper aims to examine the self-reported prevalence of major chronic diseases among a population in rural Vietnam and to analyse the household financial burden associated with these diseases. Methods : A cross-sectional survey of 800 randomly selected households was carried out in Vo Nhai District, Thai Nguyen Province, in 2010. Face-to-face interviews were conducted with key informants of selected households on diagnosed chronic NCDs, health care utilization and health expenditure of all household members. The World Health Organization's definitions of catastrophic expenditure and impoverishment were used. Both descriptive and analytical statistics were applied. Results : The prevalence of chronic NCDs in households and individuals was 29.3 and 33.4%, respectively. The catastrophic health expenditure and impoverishment rates among the households who have at least one member with a chronic disease were 14.6 and 7.6%, respectively. These rates were significantly higher than the corresponding figures among the households whose members were free from the diseases (4.2 and 2.3%, respectively). The odds of experiencing catastrophic health expenditure and impoverishment among the household with NCD patients were 3.2 and 2.3 times greater than that of other households. Conclusion : Findings from this study indicate that the epidemiological and household financial burdens caused by chronic diseases in Vietnam are now substantial and need immediate mitigation measures.
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- 2012
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35. Engaging village health workers in non-communicable disease (NCD) prevention and control in Vietnam: A qualitative study
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Hoang Van Minh, Zhenyu Ma, Tran Thi Duc Hanh, Hongfei Long, Tazeen H. Jafar, Shenglan Tang, Lal B. Rawal, Abu S. Abdullah, and Dilshat S. Urmi
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Community Health Workers ,030505 public health ,Control (management) ,Perspective (graphical) ,Public Health, Environmental and Occupational Health ,Focus Groups ,Non-communicable disease ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,Vietnam ,Environmental health ,Political science ,medicine ,Humans ,Community health workers ,030212 general & internal medicine ,Noncommunicable Diseases ,0305 other medical science ,Qualitative Research ,Qualitative research - Abstract
The burden of non-communicable diseases (NCDs) continues to grow in Vietnam, and reducing the burden of NCDs is a national priority. This study explored perspective of community health workers (CHWs), known as Village Health Workers (VHWs) in Vietnam, and public health leaders towards potential of expanding VHWs' role to deliver NCDs prevention and control services, and determined barriers and facilitators. We conducted focus group discussions (FGDs) with VHWs (
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- 2019
36. Early screening and diagnosis of autism spectrum disorders in Vietnam: A population-based cross-sectional survey
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Vu Thi Thanh Mai, Hoang Van Minh, Duong Minh Duc, Nguyen Thi Huong Giang, Bui Thi Thu Ha, Le Thi Vui, and Nguyen Thuy Quynh
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Autism ,education.field_of_study ,medicine.medical_specialty ,business.industry ,Cross-sectional study ,Public health ,Population ,prevalence ,MEDLINE ,Population based ,medicine.disease ,behavioral disciplines and activities ,Vietnam ,Autism spectrum disorder ,population-based survey ,Intervention (counseling) ,Environmental health ,mental disorders ,Medicine ,Public aspects of medicine ,RA1-1270 ,business ,education - Abstract
Background Early detection of autism spectrum disorders (ASDs) is essential given the under-reported cases in low- and middle-income countries. This first national representative survey was conducted to explore the prevalence of ASDs amongst 18 and 30 months in seven provinces in Vietnam. Design and methods During 2017-2018, a national cross-sectional and population-based survey for autism spectrum disorder (ASD) amongst 40,243 children aged 18 to 30 months was conducted in 7 provinces representing the socio-economic regions of Vietnam. M-CHAT was used to screen children and then confirmed by diagnostic assessment using DSM-IV criteria. Results The prevalence of ASDs amongst children aged 18 and 30 months in Vietnam was high (0.758% or 1 in 132 children). Urban setting, male gender, and hereditable genes were associated with ASD prevalence. Conclusions ASDs amongst children aged 18 and 30 months in Vietnam tend to be increasing and are similar to this rate in other middle-income countries but lower than that in Western countries. This under-recognized public health problem amongst children should be addressed by early detection and intervention for families with affected children.
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- 2021
37. Clustering Lifestyle Risk Behaviors among Vietnamese Adolescents and Roles of School: A Bayesian Multilevel Analysis of Global School-Based Student Health Survey 2019
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Tran Thi Tuyet-Hanh, Kidong Park, Nguyen Tuan Lam, Hoang Van Minh, Le Van Tuan, Le Phuong-Anh, Ong Phuc Thinh, Nguyen Van Huy, Momoe Takeuchi, Tran Quoc Bao, Nguyen Hong Phuong, Hoang Thi Ngoc-Anh, Pham Thi Quynh Nga, Vu Thi Hoang Lan, and Khuong Quynh Long
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Risk behaviors clustering ,media_common.quotation_subject ,Vietnamese ,education ,Psychological intervention ,Logistic regression ,Adolescents ,Bayesian ,Odds ,Promotion (rank) ,Environmental health ,Latent class analysis ,Internal Medicine ,media_common ,Health Policy ,Multilevel model ,Public Health, Environmental and Occupational Health ,Obstetrics and Gynecology ,Odds ratio ,Latent class model ,language.human_language ,Psychiatry and Mental health ,Infectious Diseases ,Health promotion ,GSHS ,Vietnam ,Pediatrics, Perinatology and Child Health ,language ,Geriatrics and Gerontology ,Public aspects of medicine ,RA1-1270 ,Psychology ,Research Paper ,Demography - Abstract
BackgroundAdolescence is a vulnerable period for many lifestyle risk behaviors. In this study, we investigated the clustering of risk behaviors and role of the school health promotion programs among adolescents in Vietnam. MethodsWe analyzed data of 7,541 adolescents aged 13-17y from the 2019 nationally representative Global School-based Student Health Survey, conducted in 20 provinces and cities in Vietnam. We applied the latent class analysis to identify groups of clustering and used Bayesian 2-level logistic regressions to evaluate the effects of school health promotion programs on these clusters. We reassessed the school effect size by incorporating different informative priors to the Bayesian models. FindingsThe most frequent lifestyle risk behavior among Vietnamese adolescents was unhealthy diet ([~]67%), followed by sedentary behavior (37% in boys and 48% in girls) and low fruit/vegetable intake ([~]31%). More than half of students had a cluster of at least two risk factors and a quarter with three risk factors. Latent class analysis detected 18% boys and 15% girls being at high-risk of lifestyle behaviors. Consistent through different priors, high quality of health promotion programs associated with lower the odds of lifestyle risk behaviors (highest quality schools vs. lowest quality schools; boys: Odds ratio (OR) = 0{middle dot}69, 95% Highest Density Interval (HDI): 0{middle dot}49 - 0{middle dot}99; girls: OR = 0{middle dot}62, 95% HDI: 0{middle dot}42 - 0{middle dot}92). InterpretationOur findings demonstrated the clustering of specific lifestyle risk behaviors among Vietnamese adolescents, suggesting a special need for required courses in schools and join interventions that target sex-specific multiple risk behaviors. FundingThe 2019 Global School-based Student Health Survey was conducted with financial support from the World Health Organization. The authors received no funding for the data analysis, data interpretation, manuscript writing, authorship, and/or publication of this article. Research in contextO_ST_ABSEvidence before this studyC_ST_ABSAdolescence is a vulnerable period for many lifestyle risk behaviors which normally cluster and interact to exponentially elevate the risks of non-communicable diseases (NCDs). The school might play an essential role in preventing risk behaviors and motivating healthy lifestyle behaviors for in-school adolescents. We searched on PubMed and Google Scholar to identify peer-reviewed articles published in English between Jan 1, 2000 and November 25, 2020; using keywords ("health behaviors" OR "lifestyle risk behaviors "OR "health risk behaviors" OR "tobacco" OR smok* OR "alcohol" OR "physical activity" OR "physical inactivity" OR "fruit intake" OR "vegetable intake" OR "diet") AND (cluster* OR "co-occurrence") AND ("adolescent" OR "teenager" OR "youth" OR "student"). We complemented the searching database with a manual search on reference lists. We identified 39 studies that evaluated the clustering of risk behaviors among adolescents (Supplemental materials S1). Two-thirds of the studies were conducted in high-income countries. The evidence from low- and middle-income countries is currently limited in some countries; however, most of these studies used descriptive techniques to analyze the co-occurring behaviors, i.e., treating the effects of risk behaviors equally or computing the observed prevalence-to-expected prevalence ratio, which hardly evaluates the underlying association among these co-occurrences. Furthermore, no studies have focused on the role of school health promotion programs in preventing the high-risk cluster of these behaviors. Added value of this studyOur study is a pioneer in using analytical technique to investigate the clustering pattern of six major lifestyle risk behaviors of NCDs (smoking, drinking, physical inactivity, sedentary behavior, low fruit/vegetable intake, and unhealthy diet) among school-going adolescents in Vietnam. We found more than half of adolescents had a cluster of at least two factors and a quarter had three factors, with the common clusters being unhealthy diet, sedentary behaviors, low fruit/vegetable intake (in girls), and drinking (in boys). Using latent class analysis, we identified 18{middle dot}1% of boys and 14{middle dot}7% of girls were at high-risk pattern of lifestyle behaviors. Consistent across scenarios, Bayesian multilevel models showed that the quality of school health promotion programs was associated with minimizing the high-risk cluster of lifestyle behaviors. Implications of all available evidenceOur findings highlight the need for required courses in school with high-quality content for essential joint knowledge and skills to prevent multiple lifestyle risk behaviors. This becomes urgent as the current curriculum is not required in Vietnam, therefore, although the high prevalence of students completed a module for preventing an individual risk behavior; a limited number of them achieved three such modules. We also emphasize separated intervention for boys and girls since the patterns of lifestyle risk behaviors combination are different by sexes.
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- 2021
38. Health-related quality of life among breast cancer patients compared to cancer survivors and age-matched women in the general population in Vietnam
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Michael Donnelly, Hoang Van Minh, Vu Quynh Mai, Tran Thu Ngan, and Ciaran O'Neill
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Biopsychosocial model ,Gerontology ,medicine.medical_specialty ,Health Status ,Population ,Psychological intervention ,Breast Neoplasms ,HRQoL ,Breast cancer ,Quality of life ,Cancer Survivors ,SDG 3 - Good Health and Well-being ,Surveys and Questionnaires ,Medicine ,Humans ,education ,Health utility ,education.field_of_study ,Cancer och onkologi ,business.industry ,Public health ,Public Health, Environmental and Occupational Health ,Public Health, Global Health, Social Medicine and Epidemiology ,medicine.disease ,Mental health ,Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi ,Cross-Sectional Studies ,EQ-5D-5L ,Vietnam ,Cancer and Oncology ,Quality of Life ,Anxiety ,Female ,medicine.symptom ,business - Abstract
Purpose This study compared the health-related quality of life (HRQoL) of breast cancer (BC) patients, survivors, and age-matched women from the general population in Vietnam to address the paucity of HRQoL research and contribute to the robust assessment of BC screening and care in Vietnam. Methods The standardised EQ-5D-5L instrument was incorporated in an online survey and a hospital-based face-to-face survey, and together with data from the Vietnam EQ-5D-5L norms study. χ2 tests assessed EQ-5D health profile associations and a Tobit regression model investigated the association between overall health status (EQ-VAS/utility scores) and sociodemographic and clinical characteristics. Results A total of 309 participants (107 patients undergoing treatment and 202 survivors who had completed treatment) provided usable responses. The dimensions that affected mostly the HRQoL of women with BC were pain/discomfort and anxiety/depression. Current patients and survivors differed significantly regarding HRQoL dimensions of mobility, self-care, usual activities, and anxiety/depression. Their health utilities were 0.74 and 0.84, respectively, compared with 0.91 for age-matched Vietnamese women in the general population (p Conclusions The results point to unmet needs in mental health support and well-being and for attention to be given to the development of a biopsychosocial system of cancer diagnosis, treatment, and care. The results will also inform future assessments of the comparative value for money of interventions intended to impact on breast cancer in Vietnam.
- Published
- 2021
39. Cost Analysis of Community-Based Smoking Cessation Services in Vietnam: A Cluster-Randomized Trial
- Author
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Nguyen Minh Van, Nguyen Thi Thu Trang, Vu Quynh Mai, Nguyen Truong Nam, Hoang Van Minh, Donna Shelley, and Hoang Thao Anh
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medicine.medical_specialty ,Medicine (General) ,Cost ,medicine.medical_treatment ,Primary health care ,R5-920 ,tobacco cessation ,parasitic diseases ,medicine ,Cluster randomised controlled trial ,health care economics and organizations ,Original Research ,Community based ,business.industry ,Health Policy ,Public Health, Environmental and Occupational Health ,Smoking cessation service ,primary health care ,Critical Issues in Health Services in Vietnam ,Vietnam ,Family medicine ,Cost analysis ,Smoking cessation ,Public aspects of medicine ,RA1-1270 ,business - Abstract
The study aimed to estimate the cost for developing and implementing 2 smoking cessation service delivery models that were evaluated in a 2-arm cluster randomized trial in Commune Health Centers (CHCs) in Vietnam. In the first model (4As) CHC providers were trained to ask about tobacco use, advise smokers to quit, assess readiness to quit, and assist with brief counseling. The second model included the 4As plus a referral to Village Health Workers (VHWs) who were trained to provide multisession home-based counseling (4As + R). An activity-based ingredients (ABC-I) costing approach with a healthcare provider perspective was applied to collect the costs for each intervention model. Opportunity costs were excluded. Costs during preparation and implementation phase were estimated. Sensitivity analysis of the cost per smoker with the included intervention’ activities were conducted. The cost per facility-based counseling session ranged from USD 9 to USD 11. Cost per home-based counseling session at 4As + R model was USD 4. The non-delivery cost attributed to supportive activities (eg, Monitoring, Logistic, Research, General training) was USD 107 per counseling session. Cost per smoker ranged from USD 6 to USD 451. The study analyzed and compared cost of implementing and scaling community-based smoking cessation service models in Vietnam.
- Published
- 2021
40. Reference data among general population and known-groups validity among hypertensive population of the EQ-5D-5L in Vietnam
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Vu Quynh, Mai, Kim Bao, Giang, Hoang Van, Minh, Lars, Lindholm, Sun, Sun, and Klas Göran, Sahlen
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Male ,Self Care ,Psychometrics ,Vietnam ,Health Status ,Surveys and Questionnaires ,Hypertension ,Quality of Life ,Humans ,Female ,Middle Aged ,Aged - Abstract
This study aims to provide EQ-5D-5L population norms among the general population in Vietnam and to test EQ-5D-5L' construction validity among people living with hypertension there.Descriptive statistics of the five dimensions and five levels, EQ-VAS and EQ-5D-5L indexes were categorised into gender and age groups for the EQ-5D-5L population norms. Known-groups testing was set for lower EQ-5D-5L outcomes among people who were aware of their hypertensive status, females, people with more comorbidities, less education, older ages, and higher body mass indexes. Level of confident interval was 95%.The mean EQ-VAS and EQ-5D-5L indexes were 81.10 (SD: 13.35) and 0.94 (SD: 0.09) among the general population. The EQ-5D-5L outcomes were better among younger people, males, people with more education, employees, and single people. Respondents reported fewer problems with self-care and usual activities and tend to have problems at higher levels across older ages. The known-group testing showed statistically significant results. The mean EQ-VAS and EQ-5D-5L indexes of people in the diagnosed hypertensive group (71.48 and 0.94, respectively) were statistically significantly smaller than they were in the non-hypertensive and undiagnosed hypertensive group (76.65 and 0.97; 76.95 and 0.96 accordingly). Statistically significant associations of lower EQ-5D-5L indexes and EQ-VAS were found among people diagnosed for hypertension, people suffering from an incremental comorbidity, and obese people.This study has provided EQ-5D-5L population norms for the general population and evidence for known-groups validity of the EQ-5D-5L instrument among hypertensive people in Vietnam.
- Published
- 2021
41. Outpatient satisfaction with primary health care services in Vietnam: Multilevel analysis results from The Vietnam Health Facilities Assessment 2015
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Bui Thi Tu Quyen, Hoang Van Minh, and Nguyen Thanh Ha
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patient satisfaction ,Service delivery framework ,media_common.quotation_subject ,Primary health care ,Resource distribution ,Tertiary care ,Report of Empirical Study ,03 medical and health sciences ,0302 clinical medicine ,Patient satisfaction ,Nursing ,multilevel ,primary healthcare services ,Psychology ,Quality (business) ,030212 general & internal medicine ,media_common ,030503 health policy & services ,Multilevel model ,Equity (finance) ,BF1-990 ,Psychiatry and Mental health ,Clinical Psychology ,Vietnam ,outpatient ,Business ,0305 other medical science - Abstract
Patient satisfaction has implications for resource distribution across primary, secondary, and tertiary care, as well as accessibility of quality services and equity of service delivery. This study assessed outpatient satisfaction with health services and explored the determinants at the individual and contextual levels in Vietnam. Data on 4372 outpatients were extracted from the Vietnam Health Facility Assessment survey 2015. Three levels of logistic regression were applied to examine the association between outpatient satisfaction and three types of explanatory variables. Outpatients satisfied with their community health center or district hospital accounted for relatively high proportions (85% and 73%, respectively). Patients’ age, occupation, and individual characteristics were significant predictors of patient satisfaction, whereas provincial level factors were not significantly associated with the dependent variable. When individual-level characteristics were controlled, outpatients who had a longer waiting time for health services were less likely to report being satisfied. Interventions for improving outpatient satisfaction should pay attention to simplifying the health procedure at health facilities to reduce patients’ waiting time and increase their examining time.
- Published
- 2021
42. Key Factors Influencing Use of Immunization Cost Evidence in Country Planning and Budgeting Processes: Experiences From Indonesia, Tanzania, and Vietnam
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Annette Ozaltin, Kelsey Vaughan, Kassimu Tani, Fatuma Manzi, Vu Quynh Mai, Hoang Van Minh, Soewarta Kosen, Lora Shimp, Logan Brenzel, and Laura Boonstoppel
- Subjects
Vietnam ,Indonesia ,Vaccination ,Humans ,General Medicine ,Policy Making ,Tanzania - Abstract
In many low- and middle-income countries, planning cycles and policy decisions are not always informed by cost evidence, even where relevant and recent cost evidence is available. The Immunization Costing Action Network (ICAN) project was a research and learning community designed to strengthen country capacity to generate immunization cost evidence and to understand and improve the evidence-to-policy linkages for the evidence. We identified key factors that increase the likelihood that health policy makers will use evidence for policy making or planning, which shaped the development of a 6-step evidence to policy and practice (EPP) facilitated process. ICAN used the EPP process in Indonesia, Tanzania, and Vietnam from 2016-2019. The experience resulted in several insights regarding country priorities related to cost evidence and factors that determine uptake. Cost evidence is more likely to be used if it answers a specific policy question prioritized by the immunization program, while the use case is less clear and urgent for routine planning and program management. Nonhealth ministries and subnational stakeholders can provide important perspectives to inform the research and its usability. The use case for evidence should be revisited periodically as divergences from formal planning cycles are common and new policy windows open. Ensuring evidence is available at the right time is critical, even if this requires a sacrifice between rigor and speed. Engaging a small group of stakeholders, rather than an individual, to champion the research may be more effective, and the research has greater legitimacy if it is produced by multidisciplinary country teams. Evidence and messages should be tailored for and packaged targeting different audiences. Going forward, continued support is necessary to bridge the divide between those who generate cost evidence and those who translate evidence for policy and planning decisions.
- Published
- 2021
43. Willingness to use and pay for smoking cessation service via text-messaging among Vietnamese adult smokers, 2017
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Vuong Van Do, Tran Thu Ngan, Jidong Huang, Hoang Van Minh, and Pamela Redmon
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Adult ,Male ,Telemedicine ,Cross-sectional study ,medicine.medical_treatment ,Vietnamese ,030508 substance abuse ,Medicine (miscellaneous) ,03 medical and health sciences ,0302 clinical medicine ,Willingness to pay ,medicine ,Humans ,030212 general & internal medicine ,Socioeconomic status ,mHealth ,Text Messaging ,Discrete choice ,business.industry ,Smoking ,Middle Aged ,Patient Acceptance of Health Care ,language.human_language ,Psychiatry and Mental health ,Clinical Psychology ,Cross-Sectional Studies ,Socioeconomic Factors ,Vietnam ,language ,Smoking cessation ,Female ,Smoking Cessation ,Pshychiatric Mental Health ,0305 other medical science ,business ,Demography - Abstract
Objectives To examine willingness to use (WTU) and willingness to pay (WTP) for smoking cessation service via text-messaging among adult smokers in Vietnam in 2017; and to identify demographic and socioeconomic factors associated with the WTU and WTP. Methods A cross-sectional study of 602 adult smokers who had intention to quit in the next 12 months was conducted in Vietnam in 2017. Participants were provided with the information about a mobile health (mHealth) smoking cessation service via text-messaging and asked about their willingness to use and pay for it. The contigent valuation method was used to estimate the WTP for the service, using single bound question format. Discrete choice model was applied to estimate the average WTP and its associated factors. Results Seventy-two percent of smokers expressed willingness to use smoking cessation service via text-messaging if it were available. The average willingness to pay among those interested in using the mHealth cessation service was 82,000 VND (US$3.5). Smoking status and quit attempts in the last twelve months were associated with WTU, whereas age of the smokers and monthly income were significant predictors of WTP. Conclusion A high proportion of Vietnamese smokers with intention to quit were interested in using smoking cessation services via text-messaging. The high level of smokers' willingness to use and pay for the text messaging cessation program indicates the mHealth methods could be a potential option for developing and delivering smoking cessation services in Vietnam.
- Published
- 2019
44. Deep learning models for forecasting dengue fever based on climate data in Vietnam
- Author
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Van-Hau Nguyen, Tran Thi Tuyet-Hanh, James Mulhall, Hoang Van Minh, Trung Q. Duong, Nguyen Van Chien, Nguyen Thi Trang Nhung, Vu Hoang Lan, Hoang Ba Minh, Do Cuong, Nguyen Ngoc Bich, Nguyen Huu Quyen, Tran Nu Quy Linh, Nguyen Thi Tho, Ngu Duy Nghia, Le Van Quoc Anh, Diep T. M. Phan, Nguyen Quoc Viet Hung, and Mai Thai Son
- Subjects
Dengue ,Deep Learning ,Infectious Diseases ,Vietnam ,Incidence ,Public Health, Environmental and Occupational Health ,Humans ,Forecasting - Abstract
Background Dengue fever (DF) represents a significant health burden in Vietnam, which is forecast to worsen under climate change. The development of an early-warning system for DF has been selected as a prioritised health adaptation measure to climate change in Vietnam. Objective This study aimed to develop an accurate DF prediction model in Vietnam using a wide range of meteorological factors as inputs to inform public health responses for outbreak prevention in the context of future climate change. Methods Convolutional neural network (CNN), Transformer, long short-term memory (LSTM), and attention-enhanced LSTM (LSTM-ATT) models were compared with traditional machine learning models on weather-based DF forecasting. Models were developed using lagged DF incidence and meteorological variables (measures of temperature, humidity, rainfall, evaporation, and sunshine hours) as inputs for 20 provinces throughout Vietnam. Data from 1997–2013 were used to train models, which were then evaluated using data from 2014–2016 by Root Mean Square Error (RMSE) and Mean Absolute Error (MAE). Results and discussion LSTM-ATT displayed the highest performance, scoring average places of 1.60 for RMSE-based ranking and 1.95 for MAE-based ranking. Notably, it was able to forecast DF incidence better than LSTM in 13 or 14 out of 20 provinces for MAE or RMSE, respectively. Moreover, LSTM-ATT was able to accurately predict DF incidence and outbreak months up to 3 months ahead, though performance dropped slightly compared to short-term forecasts. To the best of our knowledge, this is the first time deep learning methods have been employed for the prediction of both long- and short-term DF incidence and outbreaks in Vietnam using unique, rich meteorological features. Conclusion This study demonstrates the usefulness of deep learning models for meteorological factor-based DF forecasting. LSTM-ATT should be further explored for mitigation strategies against DF and other climate-sensitive diseases in the coming years.
- Published
- 2022
45. Cost of Delivering Tetanus Toxoid and Tetanus-Diphtheria Vaccination in Vietnam and the Budget Impact of Proposed Changes to the Schedule
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Vu Quynh, Mai, Laura, Boonstoppel, Kelsey, Vaughan, Carl, Schutte, Annette, Ozaltin, Duong Thi, Hong, Nguyen Mai, Khanh, Hoang Manh, Thang, Tran Tuan, Anh, and Hoang, Van Minh
- Subjects
Diphtheria-Tetanus Vaccine ,Tetanus ,Vietnam ,Health Policy ,Vaccination ,Tetanus Toxoid ,Public Health, Environmental and Occupational Health ,Humans ,Diphtheria ,Female ,Child - Abstract
In 2017, aligned with global World Health Organization tetanus guidelines, Vietnam prepared evidence to support a recommendation to introduce the tetanus-diphtheria (Td) vaccine into routine immunization. This study aimed to provide evidence on the costs and budgetary impact of the potential replacement of the tetanus-toxoid (TT) vaccine with the Td vaccine, considering different possible delivery strategies.We used an activity-based ingredients costing approach to estimate the 2017 program costs of providing TT vaccination to girls aged 15-16 years and conducting Td campaigns in outbreak areas. We performed a budget impact analysis for 2018-2025 using the cost per dose estimates based on the current delivery of these vaccines. We assumed complete cessation of TT vaccination of girls aged 15-16 years and a transition period where Td outbreak control campaigns would still occur. Td vaccine was assumed to be provided to children aged 7 years using either facility- or school-based delivery or combined facility- and school-based delivery.The delivery cost per dose for current TT vaccination for girls aged 15-16 years was US$1.49 for school-based delivery, US$1.76 for facility-based delivery, and US$3.86 for delivery via outreach. Td vaccination through campaigns was estimated to cost US$3.56/dose. During 2018-2025, replacing the TT vaccine for girls aged 15-16 years with the Td vaccine for children aged 7 years is estimated to save US$4.61 million in immunization delivery costs if a school-based delivery strategy is used or US$1.04 million if facility-based delivery is used.Compared to the current plan, delivery of Td routine vaccination via a school-based strategy was the most cost saving. These results were used in late 2019 to support the delivery of Td vaccination using a school-based delivery strategy for children aged 7 years in 30 Northern provinces in Vietnam.
- Published
- 2022
46. Readiness, Availability and Utilization of Rural Vietnamese Health Facilities for Community Based Primary Care of Non-communicable Diseases: A CrossSectional Survey of 3 Provinces in Northern Vietnam
- Author
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Long Ngo, Hoang Van Minh, David B. Duong, and Andrew Ellner
- Subjects
Lung Diseases ,Rural Population ,Health (social science) ,Cross-sectional study ,Ethnic group ,Health Services Accessibility ,Primary Healthcare ,0302 clinical medicine ,Health Information Management ,Neoplasms ,Surveys and Questionnaires ,Ethnicity ,Medicine ,030212 general & internal medicine ,Community Health Services ,Non-communicable Diseases ,lcsh:Public aspects of medicine ,030503 health policy & services ,Health Policy ,Mental Disorders ,Epidemiological transition ,Vietnam ,Pharmaceutical Preparations ,Hypertension ,language ,Health Resources ,Original Article ,0305 other medical science ,Leadership and Management ,Vietnamese ,Primary care ,Management, Monitoring, Policy and Law ,03 medical and health sciences ,Environmental health ,Diabetes Mellitus ,Humans ,Noncommunicable Diseases ,Primary Care ,Service (business) ,Government ,Primary Health Care ,business.industry ,lcsh:RA1-1270 ,Patient Acceptance of Health Care ,Mental health ,language.human_language ,Cross-Sectional Studies ,Disadvantaged Populations ,Health Facilities ,Rural Health Services ,business - Abstract
Background: Vietnam’s network of commune health centers (CHCs) have historically managed acute infectious diseases and implemented national disease-specific vertical programs. Vietnam has undergone an epidemiological transition towards non-communicable diseases (NCDs). Limited data exist on Vietnamese CHC capacity to prevent, diagnose, and treat NCDs. In this paper, we assess NCD service readiness, availability, and utilization at rural CHCs in 3 provinces in northern Vietnam. Methods: Between January 2014 and April 2014, we conducted a cross-sectional survey of a representative sample of 89 rural CHCs from 3 provinces. Our study outcomes included service readiness, availability of equipment and medications, and utilization for five NCD conditions: hypertension, diabetes, chronic pulmonary diseases, cancer, and mental illnesses. Results: NCD service availability was limited, except for mental health. Only 25% of CHCs indicated that they conducted activities focused on NCD prevention. Patient utilization of CHCs was approximately 223 visits per month or 8 visits per day. We found a statistically significant difference (P
- Published
- 2018
47. Addressing Unintentional Exclusion of Vulnerable and Mobile Households in Traditional Surveys in Kathmandu, Dhaka, and Hanoi: a Mixed-Methods Feasibility Study
- Author
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Junnatul Ferdoush, Rumana Huque, Dana R. Thomson, Sushil Baral, Nushrat Jahan Urmy, Joseph P. Hicks, Chris Cartwright, Saidur Rahman Mashreky, Helen Elsey, Sudeepa Khanal, Tarana Ferdous, Radheshyam Bhattarai, Duong Minh Duc, Subash Gajurel, Hoang Van Minh, Hilary J. Wallace, Riffat Ara Shawon, Tim Ensor, Shraddha Manandhar, Rajeev Dhungel, Ak Narayan Poudel, and Khuong Quynh Long
- Subjects
Adult ,Health (social science) ,Sample (statistics) ,GeoODK ,Health informatics ,Article ,03 medical and health sciences ,Survey methodology ,0302 clinical medicine ,Nepal ,Surveys and Questionnaires ,Urbanization ,0502 economics and business ,Humans ,Cross-sectional design ,Urban ,030212 general & internal medicine ,050207 economics ,Socioeconomics ,Poverty ,Bangladesh ,Family Characteristics ,Gridded population sampling ,Descriptive statistics ,business.industry ,05 social sciences ,Public Health, Environmental and Occupational Health ,OpenStreetMap ,Household survey ,Focus group ,Urban Studies ,Geography ,Vietnam ,GridSample ,Respondent ,Feasibility Studies ,business - Abstract
The methods used in low- and middle-income countries’ (LMICs) household surveys have not changed in four decades; however, LMIC societies have changed substantially and now face unprecedented rates of urbanization and urbanization of poverty. This mismatch may result in unintentional exclusion of vulnerable and mobile urban populations. We compare three survey method innovations with standard survey methods in Kathmandu, Dhaka, and Hanoi and summarize feasibility of our innovative methods in terms of time, cost, skill requirements, and experiences. We used descriptive statistics and regression techniques to compare respondent characteristics in samples drawn with innovative versus standard survey designs and household definitions, adjusting for sample probability weights and clustering. Feasibility of innovative methods was evaluated using a thematic framework analysis of focus group discussions with survey field staff, and via survey planner budgets. We found that a common household definition excluded single adults (46.9%) and migrant-headed households (6.7%), as well as non-married (8.5%), unemployed (10.5%), disabled (9.3%), and studying adults (14.3%). Further, standard two-stage sampling resulted in fewer single adult and non-family households than an innovative area-microcensus design; however, two-stage sampling resulted in more tent and shack dwellers. Our survey innovations provided good value for money, and field staff experiences were neutral or positive. Staff recommended streamlining field tools and pairing technical and survey content experts during fieldwork. This evidence of exclusion of vulnerable and mobile urban populations in LMIC household surveys is deeply concerning and underscores the need to modernize survey methods and practices. Electronic supplementary material The online version of this article (10.1007/s11524-020-00485-z) contains supplementary material, which is available to authorized users.
- Published
- 2021
48. Self-reported psychological distress among caregivers of patients with cancer: Findings from a health facility-based study in Vietnam 2019
- Author
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Ta Nhat Anh, Vu Thu Trang, Nguyen Viet Hung, Nguyen Thi Mai Lan, Nguyen Hiep Thuong, Dao Thi Dieu Linh, Hoang Van Minh, Tran Thi Phung, Nguyen Xuan Long, Nguyen Van Hieu, Nguyen Bao Ngoc, and Nguyen Thi Thang
- Subjects
caregivers ,medicine.medical_specialty ,Health Psychology in Vietnam-Report of Empirical Study ,business.industry ,lcsh:BF1-990 ,Cancer ,Psychological distress ,medicine.disease ,Mental health ,03 medical and health sciences ,Psychiatry and Mental health ,Clinical Psychology ,0302 clinical medicine ,lcsh:Psychology ,psychological distress ,Vietnam ,Health facility ,030220 oncology & carcinogenesis ,cancer ,Medicine ,030212 general & internal medicine ,business ,Psychiatry - Abstract
In Vietnam, little is elucidated in scientific literatures about the mental health of caregivers of people with cancer. We conducted a cross-sectional study to report the situation and correlates of self-reported psychological distress among caregivers of cancer patients in Vietnam in 2019. Multiple logistic and linear regression analyses were performed. A total of 16.5% of the study participants had psychological distress. Respondent’s mean score of negative emotion was 7.6 ± 2. Educational level and type of support were significantly associated with having psychological distress among caregivers. Gender, occupation, financial difficulty, treatment belief and social support significantly correlated to psychological distress level of caregivers.
- Published
- 2020
49. Patterns of behavioral risk factors for non-communicable diseases in Vietnam: A narrative scoping review
- Author
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Nguyen Van Huy, Dang Kim Khanh Ly, Kim Bao Giang, Vu Thu Trang, Tran Thu Ngan, Vu Dung, Nguyen Xuan Long, Hoang Van Minh, and Nguyen Thuy Duyen
- Subjects
lifestyle ,Tobacco use ,Population ,lcsh:BF1-990 ,030204 cardiovascular system & hematology ,Behavioral risk ,03 medical and health sciences ,0302 clinical medicine ,SDG 3 - Good Health and Well-being ,Environmental health ,Medicine ,Narrative ,030212 general & internal medicine ,Salt intake ,education ,education.field_of_study ,business.industry ,Critical Review ,Risk factor (computing) ,non-communicable diseases ,Psychiatry and Mental health ,Clinical Psychology ,lcsh:Psychology ,risk factor ,Vietnam ,Sustainability ,business ,Alcohol consumption - Abstract
This review describes both magnitude and patterns of major behavioral risk factors for NCDs. Positive changes in tobacco use were identified, though this is far to meet the established expectation. Harmful alcohol consumption was reported, especially for males. Only small proportion of the population consumed an adequate amount of fruits and vegetables daily. Average salt intake was approximately doubled, in comparison to WHO’s recommendations. Physical activity has shifted gradually negatively, but future trends are unpredictable. An organized surveillance system should be developed initially with adequate tools and public resources to maintain and ensure sustainability over time.
- Published
- 2020
50. Health financial hardship among ethnic minority populations in Vietnam.
- Author
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Hoang, Van Minh, Khuong, Quynh Long, Nguyen, Thanh Ha, Doan, Thi Thuy Duong, Tran, Trung, Hoang, Thi Huong, Nguyen, Van Huan, Tran, Thi Tuyet Hanh, Vu, Thi Hoang Lan, Nguyen, Mai Huong, Luu, Thi Kim Oanh, Nguyen, Thi Thu Trang, Cao, Huu Quang, and Bui, Thi Thu Ha
- Subjects
- *
FINANCIAL crises , *CROSS-sectional method , *MEDICAL care use , *HEALTH insurance , *MINORITIES - Abstract
This study was conducted to report the prevalence of financial hardship and identify associated factors among ethnic minority populations in Vietnam. In 2019, we conducted a cross-sectional study of 5,033 ethnic minority participants from 12 provinces located in four socioeconomic regions in Vietnam. Financial hardship was measured by asking the study respondents if they had to borrow money, sell household assets, or stop using health care services due to health care service fees. Among the health service users, 24.0% (95% CI: 22.3–25.8%) faced a health-related financial hardship. Participants with secondary education were more likely to experience financial hardship than illiterate participants. In contrast, those who were able to speak the Vietnamese language, had a religious affiliation, or had health insurance were likely to have lower financial hardship. Continuing to expand health insurance coverage and develop essential packages covered by health insurance is vital to reducing financial hardship. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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