Drug-related stigma and access to care among people who inject drugs in Vietnam.
Drug-related stigma and access to care among people who inject drugs in Vietnam.
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DOI：
10.1111/dar.12589
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发表时间：
2018-03
影响因子：
3.8
通讯作者：
Li L
中科院分区：
文献类型：
--
作者：
Lan CW;Lin C;Thanh DC;Li L
在越南，有注射吸毒史的人面临着相当大的挑战，包括与毒品有关的耻辱和缺乏获得卫生保健的机会。寻求和利用医疗保健，以及为PWID减少伤害的方案，往往受到与毒品有关的污名的阻碍。本研究旨在研究与毒品有关的耻辱对越南PWID患者获得护理和利用减少伤害计划的影响。横断面研究在越南的两个省，Phú ththu和Vinh Phúc进行。研究参与者在2014年底至2015年初期间使用音频计算机辅助自我访谈完成了调查。使用线性多元回归模型和逻辑回归模型来评估与药物相关的耻辱感、获得护理和减少危害计划（包括美沙酮维持治疗（MMT）和针头交换计划（NEP））的利用之间的关系。共有900名PWID患者参与了本研究。与药物相关的污名与较低的医疗可及性显著相关，但与MMT或NEP的使用无关。年龄越大，获得护理的水平越高。教育水平与获得医疗服务，以及MMT和NEP的使用呈正相关。这项研究强调了未来干预措施的必要性，以减少社会和卫生保健环境中与毒品有关的耻辱，改善PWID对护理服务的利用。应特别注意较年轻的残疾妇女和受教育程度较低的残疾妇女。
There are considerable challenges faced by people with a history of injecting drug use (PWID) in Vietnam, including drug-related stigma and lack of access to health care. Seeking and utilising healthcare, as well as harm reduction programs for PWID, are often hampered by drug-related stigma. This study aimed to examine the impacts of drug-related stigma on access to care and utilisation of harm reduction programs among PWID in Vietnam. A cross-sectional study was conducted in two provinces in Vietnam, Phú Thọ and Vinh Phúc. The study participants completed the survey using Audio Computer-Assisted Self-Interview between late 2014 and early 2015. Linear multiple regression models and logistic regression models were used to assess the relationship between drug-related stigma, access to care, and utilisation of harm reduction programs including methadone maintenance treatment (MMT) and needle exchange programs (NEP). A total of 900 PWID participated in this study. Drug-related stigma was significantly associated with lower level of access to care, but not with utilisation of MMT or NEP. Older age was positively associated with higher levels of access to care. Levels of education were positively correlated with access to care, as well as utilisation of MMT and NEP. This study underscores the need for future interventions to reduce drug-related stigma in society and in healthcare settings, to improve PWID’s utilisation of care services. Special attention should be paid to younger PWID and those with lower levels of education.
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