Factors associated with high-risk behaviors of people newly diagnosed with HIV/AIDS : results from a cross-sectional study in Vietnam
- Nguyen, Phuong, Gilmour, Stuart, Le, Phuong, Nguyen, Trung, Tanuma, Junko, Nguyen, Huy
- Authors: Nguyen, Phuong , Gilmour, Stuart , Le, Phuong , Nguyen, Trung , Tanuma, Junko , Nguyen, Huy
- Date: 2021
- Type: Text , Journal article
- Relation: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV Vol. 33, no. 5 (2021), p. 607-615
- Full Text:
- Reviewed:
- Description: Towards the elimination of this global epidemic, understanding the high-risk behaviors of people newly diagnosed with HIV/AIDS (PNDWH) is essential. This study aimed to describe the general characteristics and high-risk behaviors of PNDWH and identify associated factors for adopting high-risk behaviors. A cross-sectional survey was conducted in Vietnam to explore the high-risk behaviors of 506 PNDWH. Associated factors were identified using multivariable logistic regressions. 83.2% of participants had sex without using a condom, and 27.9% had more than two sex partners. Among injected drug users, 44% had shared needles with an average number of 2.1 shared partners. Male, Kinh ethnicity (Vietnamese), high income, and high educational level were risk factors for high-risk behaviors. Our findings revealed the first time a comprehensive picture of PNDWH and emphasized the high prevalence of STIs, including untreated STIs and the long delay since the early HIV diagnosis. Also, our model found much higher risk behaviors among participants who were non-adherent to ART and those currently enrolled in ART. By better managing newly-diagnosed cases, better integrating STI management services and prevention consultants, as well as improving ART adherence programs, Vietnam can make better progress towards the complete control of HIV for its most vulnerable populations. © 2020 Informa UK Limited, trading as Taylor & Francis Group.
- Authors: Nguyen, Phuong , Gilmour, Stuart , Le, Phuong , Nguyen, Trung , Tanuma, Junko , Nguyen, Huy
- Date: 2021
- Type: Text , Journal article
- Relation: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV Vol. 33, no. 5 (2021), p. 607-615
- Full Text:
- Reviewed:
- Description: Towards the elimination of this global epidemic, understanding the high-risk behaviors of people newly diagnosed with HIV/AIDS (PNDWH) is essential. This study aimed to describe the general characteristics and high-risk behaviors of PNDWH and identify associated factors for adopting high-risk behaviors. A cross-sectional survey was conducted in Vietnam to explore the high-risk behaviors of 506 PNDWH. Associated factors were identified using multivariable logistic regressions. 83.2% of participants had sex without using a condom, and 27.9% had more than two sex partners. Among injected drug users, 44% had shared needles with an average number of 2.1 shared partners. Male, Kinh ethnicity (Vietnamese), high income, and high educational level were risk factors for high-risk behaviors. Our findings revealed the first time a comprehensive picture of PNDWH and emphasized the high prevalence of STIs, including untreated STIs and the long delay since the early HIV diagnosis. Also, our model found much higher risk behaviors among participants who were non-adherent to ART and those currently enrolled in ART. By better managing newly-diagnosed cases, better integrating STI management services and prevention consultants, as well as improving ART adherence programs, Vietnam can make better progress towards the complete control of HIV for its most vulnerable populations. © 2020 Informa UK Limited, trading as Taylor & Francis Group.
Factors associated with risky alcohol consumption among male street laborers in urban Vietnam
- Mylona, Lamprini, Nguyen, Huy, Ha, Pham, Riggi, Emilia, Marrone, Gaetano
- Authors: Mylona, Lamprini , Nguyen, Huy , Ha, Pham , Riggi, Emilia , Marrone, Gaetano
- Date: 2017
- Type: Text , Journal article
- Relation: Substance Use and Misuse Vol. 52, no. 9 (2017), p. 1170-1180
- Full Text:
- Reviewed:
- Description: Background: Alcohol consumption is of global concern. However, drinking patterns and associated factors remain under-investigated, especially among low socioeconomic groups such as street laborers. Objective: Using the social cognitive model as a framework for the study we aimed to identify factors associated with risky alcohol consumption. Methods: In a cross-sectional study using structured questionnaires, 450 male street laborers searching for casual works in Hanoi, Vietnam were interviewed. A logistic regression was applied in order to detect predictors of risky alcohol drinking. Results: During the last month, 45% of the participants reported daily consumption while the other 55% consumed weekly or less. Among the drinkers (416 out of 450, 92%), 27% were identified as high-risk drinkers who reported more than 14 standard drinks per week, while only 8% were lifetime abstainers. The multivariable logistic regression showed that older age, higher income were positively associated with a higher likelihood of drinking alcohol, while high school level negatively. The environmental predictor was the higher level of peer connection. The association between drinking and risky behavior was found positive with regards to the number of sexual partners. Conclusions: The study suggests that male street laborers are vulnerable to health risks. Decision makers should note that a significant proportion of this target group exceeds the guidelines for alcohol use and this should be included in future interventions or further research. A multisectoral approach together with an important strategy of education is needed to control alcohol use. © 2017 Taylor & Francis Group, LLC.
- Authors: Mylona, Lamprini , Nguyen, Huy , Ha, Pham , Riggi, Emilia , Marrone, Gaetano
- Date: 2017
- Type: Text , Journal article
- Relation: Substance Use and Misuse Vol. 52, no. 9 (2017), p. 1170-1180
- Full Text:
- Reviewed:
- Description: Background: Alcohol consumption is of global concern. However, drinking patterns and associated factors remain under-investigated, especially among low socioeconomic groups such as street laborers. Objective: Using the social cognitive model as a framework for the study we aimed to identify factors associated with risky alcohol consumption. Methods: In a cross-sectional study using structured questionnaires, 450 male street laborers searching for casual works in Hanoi, Vietnam were interviewed. A logistic regression was applied in order to detect predictors of risky alcohol drinking. Results: During the last month, 45% of the participants reported daily consumption while the other 55% consumed weekly or less. Among the drinkers (416 out of 450, 92%), 27% were identified as high-risk drinkers who reported more than 14 standard drinks per week, while only 8% were lifetime abstainers. The multivariable logistic regression showed that older age, higher income were positively associated with a higher likelihood of drinking alcohol, while high school level negatively. The environmental predictor was the higher level of peer connection. The association between drinking and risky behavior was found positive with regards to the number of sexual partners. Conclusions: The study suggests that male street laborers are vulnerable to health risks. Decision makers should note that a significant proportion of this target group exceeds the guidelines for alcohol use and this should be included in future interventions or further research. A multisectoral approach together with an important strategy of education is needed to control alcohol use. © 2017 Taylor & Francis Group, LLC.
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