Substance use disorders and HIV in Vietnam since Doi Moi (Renovation): An overview
Substance use disorders and HIV in Vietnam since Doi Moi (Renovation): An overview
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DOI：
10.1016/j.jfda.2013.09.032
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发表时间：
2013-12-01
影响因子：
3.6
通讯作者：
Rawson, Richard A.
中科院分区：
文献类型：
--
作者：
Le Minh Giang;Lung Bich Ngoc;Rawson, Richard A.
这篇手稿取材于已出版的灰色文献，重点关注以下主题：(1)自20世纪90年代初以来越南药物使用和滥用模式的变化；(2)药物使用在人类免疫缺陷病毒(HIV)流行中的作用；(3)越南政府和其他实体(国内和国际)对药物使用障碍(SUDS)和艾滋病毒的反应；(4)越南目前的研究能力，以及越南进一步研究的方法，以丰富我们对SUDS和艾滋病毒之间的联系以及减少其对公共健康影响的有效措施的知识。过去20年里，越来越多的研究表明，肥皂泡和艾滋病毒在越南的双重流行仍在发展，包括从鸦片消费转向海洛因和苯丙胺类兴奋剂，同时使用毒品，以及政府越来越多地接受国际公认的有效应对措施(包括减少危害和美沙酮替代疗法)。然而，仍然存在的问题，例如该国最脆弱的人群中苯丙胺类兴奋剂的使用率迅速上升，艾滋病毒感染吸毒者缺乏有效的性侵和艾滋病毒服务，以及依赖国际资源维持高质量的服务等，都对建立可持续的越南应对措施构成了挑战。因此，建设当地的研究和培训能力是应对这些挑战的重要基础。版权所有(C)2013，台湾食品药品监督管理局。爱思唯尔台湾有限责任公司出版。版权所有。
Drawing from published and gray literature, this manuscript focuses on the following topics: (1) changing patterns of substance use and abuse in Vietnam since the early 1990s; (2) the roles of substance use in the human immunodeficiency virus (HIV) epidemic; (3) the responses of the Vietnamese government and other entities (both domestic and international) to substance use disorders (SUDs) and HIV; and (4) the current research capacity in Vietnam and ways in which furthering research in Vietnam could enrich our knowledge of the linkages between SUDs and HIV and of effective measures to reduce their public health consequences. A growing number of studies during the past 2 decades show dynamic and still evolving twin epidemics of SUDs and HIV in Vietnam, including a shift from consumption of opium to heroin and amphetamine-type stimulants, the concurrent use of drugs, and the increasing embrace by the government of internationally recognized effective responses (including harm reduction and methadone substitution therapy). However, remaining issues, such as the rapid ascendance of amphetamine-type stimulant use among the country's most vulnerable populations, the lack of effective integration of SUD and HIV services for HIV-infected drug users, and the reliance on international resources for maintaining quality services, among others, are posing challenges for building sustainable Vietnamese responses. Therefore, building local research and training capacity is a crucial foundation to meet these challenges. Copyright (C) 2013, Food and Drug Administration, Taiwan. Published by Elsevier Taiwan LLC. All rights reserved.