当前位置： SCI文献检索 > Harm Reduction Journal期刊下所有文献 > Stigmatization among methadone maintenance treatment patients in mountainous areas in northern Vietnam.

Stigmatization among methadone maintenance treatment patients in mountainous areas in northern Vietnam.

Abstract：

BACKGROUND:Stigma and discrimination may adversely affect the benefits of methadone maintenance treatment (MMT) for drug users, especially in disadvantaged settings. This study assessed stigma and discrimination against MMT patients in the mountainous and rural areas in Vietnam and explored their associated factors to inform implementation strategies. METHODS:We interviewed 241 MMT patients in two clinics: one in Tuyen Quang Province's inner city and the other in Son Duong District, to assess stigma and discrimination that patients perceived and experienced. Socioeconomic status, health behaviors, health status, and history of drug abuse were examined. Multivariate linear and logistic regression models were used to explore factors associated with stigma and discrimination. RESULTS:The majority of respondents reported experiencing stigma and discrimination including blame/judgment (95.1%), shame (95.1%), disclosure (71.4%), and the fear of human immunodeficiency virus (HIV) transmission by others (74.1%). Unemployed patients were more likely to experience discrimination (Coef = -1.18, 95% CI = -1.87; -0.89). Those who were taking an antiretroviral were more likely to disclose their health status (Coef = 2.27, 95% CI = 0.6; 3.94). In addition, a higher likelihood of being blamed/judged and shamed was associated with those who suffered from anxiety/depression (Coef = 1.59, 95% CI = 0.24; 2.93 and Coef = 1.07, 95% CI = 0.36; 1.79, respectively). CONCLUSIONS:MMT patients in these mountainous areas perceived high levels of stigma and discrimination which were associated with mental health disorders, unemployment, and HIV infection. These findings highlighted the importance of reducing drug use and HIV-related stigma against high-risk populations. Besides, psychosocial and familial supports, as well as job referrals, also play crucial roles in terms of promoting quality of life among MMT patients.

journal_name

Harm Reduct J

journal_title

Harm reduction journal

authors

Van Nguyen H,Nguyen HL,Mai HT,Le HQ,Tran BX,Hoang CD,Le HT,Nguyen CT,Tran TD,Latkin CA,Vu TM

doi

10.1186/s12954-016-0127-9

subject

Has Abstract

pub_date

2017-01-06 00:00:00

pages

issue

issn

1477-7517

pii

10.1186/s12954-016-0127-9

journal_volume

pub_type

杂志文章

在线工具

Stigmatization among methadone maintenance treatment patients in mountainous areas in northern Vietnam.