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Title: Sexual behaviors among methadone maintenance patients in a mountainous area in northern Vietnam
Authors: Boggiano, Victoria L.
Nguyen, Huong Lan Thi
Nguyen, Long Hoang
Tran, Tho Dinh
Van Nguyen, Hung
Le, Huong Thi
Le, Hai Quan
Hoang, Canh Dinh
Nguyen, Cuong Tat
Tran, Bach Xuan
Latkin, Carl A.
Zary, Nabil
Vu, Thuc Minh Thi
Keywords: Methadone
Issue Date: 2017
Source: Boggiano, V. L., Nguyen, H. L. T., Nguyen, L. H., Tran, T. D., Van Nguyen, H., Le, H. T., et al. (2017). Sexual behaviors among methadone maintenance patients in a mountainous area in northern Vietnam. Substance Abuse Treatment, Prevention, and Policy, 12, 39-.
Series/Report no.: Substance Abuse Treatment, Prevention, and Policy
Abstract: Background: Methadone maintenance treatment (MMT) improves patients’ ability to access HIV-related services and reduces needle sharing and other risky HIV-related behaviors. However, patients may continue to engage in risky sexual practices. In this study, we evaluate sexual behaviors of MMT patients in a mountainous province in Northern Vietnam. Methods: We explored the health status, MMT and substance use history, and sexual practices of 241 male MMT patients in Tuyen Quang province. Health status was investigated using the EuroQOL-5 Dimensions-5 Levels (EQ-5D-5 L). Multivariate logistic regression was employed to assess associated factors. Results: Most patients (66.4%) reported having at least one sexual partner within the previous twelve months. Most of these partners were spouses or primary partners (72.6%). About 8.3% of patients had casual partners, and 5.8% had visited sex workers; of those who engaged in casual sexual relationships, 90.9% reported using condoms. Current drug use and living in a remote area were associated with an increased odd of having two or more sexual partners, while anxiety or depression was associated with lower odds. Conclusion: This study highlights a low proportion of having sexual risk behaviors among MMT patients in Vietnamese mountainous settings. Integrating education about safe sexual practices into MMT services, along with providing medical care and ensuring methadone treatment adherence, is an important component in HIV risk reduction for these patients who were at risk of unsafe sexual practices.
DOI: 10.1186/s13011-017-0123-4
Rights: © 2017 The Author(s). This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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