HIV patients' preference for integrated models of addiction and HIV treatment in Vietnam

Diep Nguyen Bich, Philip (Todd) Korthuis, Trang Nguyen Thu, Hoa Van Dinh, Giang Le Minh

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background Integrated care models for HIV and substance use disorder (SUD) care are proposed as a strategy for closing gaps in the HIV care continuum and decreasing HIV transmission. We examined attitudes regarding integration of HIV and SUD treatment among HIV-infected patients with illicit drug and unhealthy alcohol use. Method We conducted a cross-sectional survey of HIV-infected patients receiving care at 5 HIV clinics in Hanoi, Vietnam, regarding substance use and attitudes toward HIV and SUD treatment integration. We used multivariate logistic regression to identify correlates of integrated care preference. Result Among 312 participants with current or past illicit drug use or unhealthy alcohol use, 81.4% preferred integrated treatment for HIV and SUD. In multivariate analysis, completing a college education (aOR 0.22, 95% CI 0.08, 0.65), risk of depression (aOR 3.51, 95% CI 1.57, 7.87), ever having received medication-assisted treatment for opioid use disorder (aOR 4.20, 95% CI 1.65, 10.69), being comfortable discussing substance use with counselors/nurses (aOR 3.86, 95% CI 1.38, 10.81) and having discussed alcohol use with their health providers (aOR 2.34, 95% CI 1.09, 4.99) were associated with patients' preference for integrated care, after adjusting for age and gender. Conclusion Most, but not all, HIV-infected patients with substance use preferred integrated HIV and SUD treatment. Our findings suggest that policies to expand integration of HIV and SUD treatment will be well received by most patients, and that stand-alone treatment options should be preserved for a significant minority.

Original languageEnglish (US)
Pages (from-to)57-63
Number of pages7
JournalJournal of Substance Abuse Treatment
Volume69
DOIs
StatePublished - Oct 1 2016

Fingerprint

Patient Preference
Vietnam
HIV
Substance-Related Disorders
Therapeutics
Alcohols
Street Drugs
Continuity of Patient Care
Opioid Analgesics
Patient Care
Multivariate Analysis
Cross-Sectional Studies
Logistic Models
Nurses
Depression

Keywords

  • Alcohol abuse
  • HIV
  • Injection drug use
  • Integrated model
  • Vietnam

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Phychiatric Mental Health
  • Medicine (miscellaneous)

Cite this

HIV patients' preference for integrated models of addiction and HIV treatment in Vietnam. / Nguyen Bich, Diep; Korthuis, Philip (Todd); Nguyen Thu, Trang; Van Dinh, Hoa; Le Minh, Giang.

In: Journal of Substance Abuse Treatment, Vol. 69, 01.10.2016, p. 57-63.

Research output: Contribution to journalArticle

Nguyen Bich, Diep ; Korthuis, Philip (Todd) ; Nguyen Thu, Trang ; Van Dinh, Hoa ; Le Minh, Giang. / HIV patients' preference for integrated models of addiction and HIV treatment in Vietnam. In: Journal of Substance Abuse Treatment. 2016 ; Vol. 69. pp. 57-63.
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abstract = "Background Integrated care models for HIV and substance use disorder (SUD) care are proposed as a strategy for closing gaps in the HIV care continuum and decreasing HIV transmission. We examined attitudes regarding integration of HIV and SUD treatment among HIV-infected patients with illicit drug and unhealthy alcohol use. Method We conducted a cross-sectional survey of HIV-infected patients receiving care at 5 HIV clinics in Hanoi, Vietnam, regarding substance use and attitudes toward HIV and SUD treatment integration. We used multivariate logistic regression to identify correlates of integrated care preference. Result Among 312 participants with current or past illicit drug use or unhealthy alcohol use, 81.4{\%} preferred integrated treatment for HIV and SUD. In multivariate analysis, completing a college education (aOR 0.22, 95{\%} CI 0.08, 0.65), risk of depression (aOR 3.51, 95{\%} CI 1.57, 7.87), ever having received medication-assisted treatment for opioid use disorder (aOR 4.20, 95{\%} CI 1.65, 10.69), being comfortable discussing substance use with counselors/nurses (aOR 3.86, 95{\%} CI 1.38, 10.81) and having discussed alcohol use with their health providers (aOR 2.34, 95{\%} CI 1.09, 4.99) were associated with patients' preference for integrated care, after adjusting for age and gender. Conclusion Most, but not all, HIV-infected patients with substance use preferred integrated HIV and SUD treatment. Our findings suggest that policies to expand integration of HIV and SUD treatment will be well received by most patients, and that stand-alone treatment options should be preserved for a significant minority.",
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