Motivation for smoking cessation among drug-using smokers under methadone maintenance treatment in Vietnam

Harm Reduction Journal

Carl Latkin⁴  Michael Dunne²  Huong Thu Thi Phan¹  Nhung Phuong Thi Nguyen⁵  Huyen Phuc Do²  Long Hoang Nguyen³  Bach Xuan Tran⁴ 

[1] Authority of HIV/AIDS Control, Ministry of Health, Hanoi, Vietnam;School of Public Health and Social Work, The Queensland University of Technology, Brisbane, Australia;School of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam;Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;Hanoi University of Pharmacy, Hanoi, Vietnam

关键词: Vietnam;    Drug use;    MMT;    Methadone;    Change;    Stage;    Cessation;    Smoking;   

Others  :  1232286
DOI  :  10.1186/s12954-015-0085-7

 received in 2015-08-08, accepted in 2015-10-27,  发布年份 2015

【 摘 要 】

Background

Smoking cessation treatment service is concerned to be a critical element in methadone maintenance treatment (MMT) in order to diminish the effect of smoke on health outcomes. To implement the smoking cessation services in Vietnam, we examined the stages of change to quit and determined associated factors among MMT patients.

Methods

We conducted a cross-sectional survey with 1016 MMT patients in five clinics in Hanoi and Nam Dinh province, of those, 932 (91.7 %) were ever-smokers. Patients were classified into four groups: “pre-contemplation,” “contemplation,” “preparation,” and “action and maintenance” by using the transtheoretical model. Multivariate logistic regression was applied to determine the associated factor for intention and action to quit smoking.

Results

Overall, 96 % were not actively trying to quit or maintain abstinence. Age older than 45, HIV-positive status, and residence in Hanoi were negatively associated with intention to quit. Meanwhile, higher levels of nicotine dependence and number of years of smoking negatively associated with quitting and abstinence.

Conclusions

The study indicated the high rate of MMT smokers being in pre-contemplation stage but low proportion of quitting and maintaining abstinence. It emphasizes the importance of availability and accessibility of information about smoking cessation therapies and services. Integrating cessation programs into health-care services should be considered to provide tailored interventions for different patient groups.

【 授权许可】

   
2015 Tran et al.

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