MethadoneMaintenance Treatment Promotes Referral and Uptake of HIV Testing and Counselling Services amongst Drug Users and Their Partners
Background Methadonemaintenance treatment (MMT) reduces HIV risk behaviors and improves access to HIV-related services among drug users. In this study, we assessed the uptake and willingness of MMT patients to refer HIV testing and counseling (HTC) service to their sexual partners and relatives....
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oai:112.137.131.14:VNU_123-114672017-04-05T14:27:40Z MethadoneMaintenance Treatment Promotes Referral and Uptake of HIV Testing and Counselling Services amongst Drug Users and Their Partners Nguyen, Hoang Long Background Methadonemaintenance treatment (MMT) reduces HIV risk behaviors and improves access to HIV-related services among drug users. In this study, we assessed the uptake and willingness of MMT patients to refer HIV testing and counseling (HTC) service to their sexual partners and relatives. Methods Health status, HIV-related risk behaviors, and HTC uptake and referrals of 1,016MMT patients in Hanoi and Nam Dinh were investigated. Willingness to pay (WTP) for HTC was elicited using a contingent valuation technique. Interval and logistic regressionmodels were employed to determine associated factors. Results Most of the patients (94.2%) had received HTC, 6.6 times on average. The proportion of respondents willing to refer their partners, their relatives and to be voluntary peer educators was 45.7%, 35.3%, and 33.3%, respectively. AttendingMMT integrated with HTC was a facilitative factor for HTC uptake, greater WTP, and volunteering as peer educators. Older age, higher education and income, and HIV positive status were positively related to willing-ness to refer partners or relatives, while having health problems (mobility, usual care, pain/ discomfort) was associated with lower likelihood of referring others or being a volunteer. Over 90% patients were willing to pay an average of US $17.9 for HTC service. PLOS ONE | DOI:10.1371/journal.pone.0152804 April 5, 2016 1/16 OPENACCESS Citation:Tran BX, Nguyen LH, Nguyen LP, Nguyen CT, Phan HTT, Latkin CA (2016) Methadone Maintenance Treatment Promotes Referral and Uptake of HIV Testing and Counselling Services amongst Drug Users and Their Partners. PLoS ONE 11(4): e0152804. doi:10.1371/journal.pone.0152804 Editor:Gabriele Fischer, Medical University of Vienna, AUSTRIA Received:August 8, 2015 Accepted:February 25, 2016 Published:April 5, 2016 Copyright:© 2016 Tran et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement:Data are available from the Authority of HIV/AIDS Control (VAAC). However, since the Government of Vietnam issues the Law on HIV/AIDS, all information of HIV-affected people is confidential and can not be shared. Requests for data on this study may be submitted to VAAC and should go through the review process by the Scientific and Ethic Research Committee. The contact people for requesting data use is Dr. Phan Thi Thu Huong, email huongphanmoh@gmail.com, Deputy Director in Research of the Vietnam Authority of HIV/AIDS Control, Ministry of Health, Vietnam. Conclusion The results highlighted the potential role of MMT patients as referrers to HTC and voluntary peer educators. Integrating HIV testing withMMT services and applying users’ fee are potential strategies tomobilize resources and encourage HIV testing amongMMT patients and their partners 2016-05-30T14:49:58Z 2016-05-30T14:49:58Z 2016 Article 1932-6203 http://repository.vnu.edu.vn/handle/VNU_123/11467 en application/pdf Plos one |
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Background
Methadonemaintenance treatment (MMT) reduces HIV risk behaviors and improves
access to HIV-related services among drug users. In this study, we assessed the uptake
and willingness of MMT patients to refer HIV testing and counseling (HTC) service to their
sexual partners and relatives.
Methods
Health status, HIV-related risk behaviors, and HTC uptake and referrals of 1,016MMT
patients in Hanoi and Nam Dinh were investigated. Willingness to pay (WTP) for HTC was
elicited using a contingent valuation technique. Interval and logistic regressionmodels were
employed to determine associated factors.
Results
Most of the patients (94.2%) had received HTC, 6.6 times on average. The proportion of
respondents willing to refer their partners, their relatives and to be voluntary peer educators
was 45.7%, 35.3%, and 33.3%, respectively. AttendingMMT integrated with HTC was a
facilitative factor for HTC uptake, greater WTP, and volunteering as peer educators. Older
age, higher education and income, and HIV positive status were positively related to willing-ness to refer partners or relatives, while having health problems (mobility, usual care, pain/
discomfort) was associated with lower likelihood of referring others or being a volunteer.
Over 90% patients were willing to pay an average of US $17.9 for HTC service.
PLOS ONE | DOI:10.1371/journal.pone.0152804 April 5, 2016 1/16
OPENACCESS
Citation:Tran BX, Nguyen LH, Nguyen LP, Nguyen
CT, Phan HTT, Latkin CA (2016) Methadone
Maintenance Treatment Promotes Referral and
Uptake of HIV Testing and Counselling Services
amongst Drug Users and Their Partners. PLoS ONE
11(4): e0152804. doi:10.1371/journal.pone.0152804
Editor:Gabriele Fischer, Medical University of
Vienna, AUSTRIA
Received:August 8, 2015
Accepted:February 25, 2016
Published:April 5, 2016
Copyright:© 2016 Tran et al. This is an open
access article distributed under the terms of the
Creative Commons Attribution License, which permits
unrestricted use, distribution, and reproduction in any
medium, provided the original author and source are
credited.
Data Availability Statement:Data are available from
the Authority of HIV/AIDS Control (VAAC). However,
since the Government of Vietnam issues the Law on
HIV/AIDS, all information of HIV-affected people is
confidential and can not be shared. Requests for data
on this study may be submitted to VAAC and should
go through the review process by the Scientific and
Ethic Research Committee. The contact people for
requesting data use is Dr. Phan Thi Thu Huong, email
huongphanmoh@gmail.com, Deputy Director in
Research of the Vietnam Authority of HIV/AIDS
Control, Ministry of Health, Vietnam.
Conclusion
The results highlighted the potential role of MMT patients as referrers to HTC and voluntary
peer educators. Integrating HIV testing withMMT services and applying users’ fee are
potential strategies tomobilize resources and encourage HIV testing amongMMT patients
and their partners |
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Nguyen, Hoang Long MethadoneMaintenance Treatment Promotes Referral and Uptake of HIV Testing and Counselling Services amongst Drug Users and Their Partners |
author_facet |
Nguyen, Hoang Long |
author_sort |
Nguyen, Hoang Long |
title |
MethadoneMaintenance Treatment Promotes Referral and Uptake of HIV Testing and Counselling Services amongst Drug Users and Their Partners |
title_short |
MethadoneMaintenance Treatment Promotes Referral and Uptake of HIV Testing and Counselling Services amongst Drug Users and Their Partners |
title_full |
MethadoneMaintenance Treatment Promotes Referral and Uptake of HIV Testing and Counselling Services amongst Drug Users and Their Partners |
title_fullStr |
MethadoneMaintenance Treatment Promotes Referral and Uptake of HIV Testing and Counselling Services amongst Drug Users and Their Partners |
title_full_unstemmed |
MethadoneMaintenance Treatment Promotes Referral and Uptake of HIV Testing and Counselling Services amongst Drug Users and Their Partners |
title_sort |
methadonemaintenance treatment promotes referral and uptake of hiv testing and counselling services amongst drug users and their partners |
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2016 |
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http://repository.vnu.edu.vn/handle/VNU_123/11467 |
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