Antiretroviral, Methadone treatment status and related factors among people living with HIV who use drugs in four Vietnamese Northern provinces in 2018

Tóm tắt

A cross - sectional study was conducted among 241 people living with HIV who use drugs (PLHWUD) in 4 Vietnamese Northern provinces in 2018. The study aimed to describe the treatment status of antiretroviral (ARV) and methadone maintenance therapy (MMT) and related factors among PLHWUD. The results showed that the rates of PLHWUD receiving ARV and MMT were 74.7%, 6.2%, respectively. Factors associated with patients’ ARV treatment were married status (aOR = 3.22; 95%CI = 1.40 - 7.39), currently working (aOR = 5.07; 95%CI = 1.96 - 13.13), over ten year of heroin use (aOR = 0.18; 95%CI = 0.07 - 0.48), over 10 years since HIV diagnosis (aOR 5.40; 95%CI = 1.80 - 16.19), and alcohol consumption (aOR = 2.95; 95%CI = 1.19-7.27). Factors associated with patients’ MMT treatment were over ten years of heroin use (aOR = 11.25; 95%CI = 1.29 - 98.27), urine morphine test results (aOR = 0.2; 95%CI = 0.05 - 0.85), and alcohol intake (aOR = 0.28; 95%CI = 0.08 - 0.98). To meet the treatment needs of PLHWUD, it is important to establish comprehensive programs that include HIV harm reduction services, tobacco and alcohol use reduction communication, increased implementation of treatment monitoring tests.