Quality of life and healthcare service utilization among methadone maintenance patients in a mountainous area of Northern Vietnam

Health and Quality of Life Outcomes

Research

Canh Dinh Hoang¹  Hung Van Nguyen¹  Tho Dinh Tran²  Minh Thuc Thi Vu³  Lan Huong Thi Nguyen⁴  Huong Thi Le⁵  Bach Xuan Tran⁶  Carl A. Latkin⁷  Nabil Zary⁸  Hai Quan Le⁹  Long Hoang Nguyen^1,10  Victoria L. Boggiano^1,11 

[1] Authority of HIV/AIDS Control, Ministry of Health, Hanoi, Vietnam;Department of Hepatobiliary Surgery, Vietnam-Germany Hospital, Hanoi, Vietnam;Department of Immunology and Allergy, National Otolaryngology Hospital, Hanoi, Vietnam;Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam;Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam;Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam;Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA;Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA;Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore;Department of LIME, Karolinska Institutet, Stockholm, Sweden;Provincial AIDS Center, Tuyen Quang, Vietnam;School of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam;University of California, Berkeley School of Public Health, Berkeley, California, USA;

关键词: Quality of life;    Health service;    Utilization;    Methadone;    MMT;    Vietnam;    Mountainous;   

DOI  :  10.1186/s12955-017-0633-9

 received in 2016-11-29, accepted in 2017-03-17,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe expansion of methadone maintenance treatment in mountainous areas in still limited and little is known about its health impacts on drug users. This study aimed to examine health-related quality of life (HRQOL) and health care access among patients engaging in methadone maintenance treatment (MMT) in Tuyen Quang, a mountainous province in Vietnam.MethodsWe conducted a cross-sectional survey with 241 patients conveniently recruited in two MMT clinics (Son Duong and Tuyen Quang). EuroQol-5 Dimensions – 5 levels (EQ-5D-5 L) and Visual analogue scale (VAS) were employed to measure HRQOL. Multivariate logistic and tobit regressions were used to determine the factors associated with HRQOL and health care utilization.ResultsThe overall mean score of the EQ-5D index and EQ-VAS were 0.88 (SD = 0.20) and 81.8% (SD = 15.27%), respectively. Only 8.7% utilized inpatient services, and 14.9% used outpatient services. Being more highly educated, suffering acute diseases, and using health service within the last 12 months were associated with a decreased EQ-5D index. Individuals who were multiple substance abusers and those who recently had inpatient care were more likely to have a lower VAS. Older respondents, those taking their medications at the more impoverished clinic, substance abusers, and individuals who were struggling with anxiety/depression or their usual daily activities were more likely to use both inpatient and outpatient care.ConclusionsIn summary, we observed good HRQOL, but high prevalence of anxiety/depression and low rates of service utilization among MMT patients in Tuyen Quang province. To improve the outcomes of MMT services in mountainous areas, it is necessary to introduce personalized and integrative services models with counseling and interventions on multiple substance use.

【 授权许可】

CC BY   
© The Author(s). 2017