ArticleBMC public health2016
Drug addiction stigma in relation to methadone maintenance treatment by different service delivery models in Vietnam.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed, 49 citations in OpenAlex.
- A community approach to promote healthcare services for people living with HIV who use drugs in Vietnam.International journal of STD & AIDS · 2022Trial
- Patient Trust in Healthcare Providers among People on Methadone Maintenance Treatment Using Methamphetamine in Vietnam.Substance use & misuse · 2026Article
- Navigating stigma: a qualitative study of barriers to opioid treatment engagement in Tanzania.Substance abuse treatment, prevention, and policy · 2025Article
- Developing practical strategies to reduce addiction-related stigma and discrimination in public addiction treatment centers: a mixed-methods study protocol.Addiction science & clinical practice · 2024Article
- Psychometric performance of the perceived stigma of substance abuse scale (PSAS) among patients on methadone maintenance therapy in Vietnam.Drug and alcohol dependence · 2021Article
- Engaging People Who Inject Drugs Living With HIV in Antiretroviral Treatment and Medication for Opioid Use Disorder: Extended Follow-up of HIV Prevention Trials Network (HPTN) 074.Open forum infectious diseases · 2021Article
- How to be self-reliant in a stigmatising context? Challenges facing people who inject drugs in Vietnam.The International journal on drug policy · 2021Article
- Intersecting Stigmas among HIV-Positive People Who Inject Drugs in Vietnam.Health services insights · 2021Article
- Perspectives of clients and providers on factors influencing opioid agonist treatment uptake among HIV-positive people who use drugs in Indonesia, Ukraine, and Vietnam: HPTN 074 study.Harm reduction journal · 2020Article
- Stigma Related to HIV and Drug Use: Layers, Types, and Relations to Mental Health.AIDS and behavior · 2020Article
- HIV- and Drug Use-Related Stigma and Service Provision Among Community Health Workers in Vietnam.AIDS education and prevention : official publication of the International Society for AIDS Education · 2020Article
- Changes in quality of life and its associated factors among illicit drug users in Vietnamese mountainous provinces: a 12-month follow-up study.Substance abuse treatment, prevention, and policy · 2020Article
- Factor structure, internal reliability and construct validity of the Methadone Maintenance Treatment Stigma Mechanisms Scale (MMT-SMS).Addiction (Abingdon, England) · 2020Article
- A Community-Based Investigation of Stigma Toward Individuals Receiving Methadone Maintenance Treatment in China: A Randomized Case Vignette Study.Frontiers in psychiatry · 2020Article
- The Discrimination Against, Health Status and Wellness of People Who Use Drugs in Italian Services: A Survey.Medicina (Kaunas, Lithuania) · 2019Article
- [Aging in a methadone maintenance program. A perspective from the framework of social determinants of health].Revista espanola de salud publica · 2019Article
- Psychological distress mediated the effects of self-stigma on quality of life in opioid-dependent individuals: A cross-sectional study.PloS one · 2019Observational
- Changing Sources of Stigma against Patients with HIV/AIDS in the Rapid Expansion of Antiretroviral Treatment Services in Vietnam.BioMed research international · 2019Article
- Concurrent drug use among methadone maintenance patients in mountainous areas in northern Vietnam.BMJ open · 2018Article
- Social and structural barriers for adherence to methadone maintenance treatment among Vietnamese opioid dependence patients.PloS one · 2018Article
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe rapid expansion of methadone maintenance treatment (MMT) services has significantly improved health status and quality of life of patients. However, little is known about its impacts on addiction-related stigma and associated factors.
methodsA cross-sectional survey was conducted in 2013 in Vietnam's capital, Hanoi, and Nam Dinh province among 1016 methadone maintenance patients; 26.6 % at provincial AIDS centers (PAC) and 73.4 % at district health centers (DHC), respectively. Drug addiction history and related stigma, health status, MMT-related covariates, and sociodemographic characteristics were interviewed.
resultsMore than one-sixth of the sample reported experiencing felt or enacted stigma, including Blame or Judgement (17.2 %), Shame (19.9 %), or Others' fear of HIV transmission (17.1 %). These proportions were higher in PACs than in DHCs, which are integrated with other HIV or general health care services. Very few patients reported being discriminated at the workplace (2.5 %) or at health care services (1.7 %); however, 15.6 % of patients at PACs and 10.6 % of patients at DHCs reported discrimination in their communities. Drug users taking MMT for longer periods were less likely to report felt stigma. Other factors associated with stigma against MMT patients included the lack of comprehensive services, higher education, presence of pain/discomfort, and anxiety/depression, self-reported HIV positive, and number of previous drug rehabilitation episodes.
conclusionThe study shows a high level of stigma against MMT patients and emphasizes the necessity to integrate MMT with comprehensive health and support services. Mass communication campaigns to reduce stigma against people with drug addiction and HIV/AIDS, as well as vocational trainings and jobs referrals for MMT patients, are needed to maximize the benefits of MMT programs in Vietnam.
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