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Title: Quality of life and healthcare service utilization among methadone maintenance patients in a mountainous area of Northern Vietnam
Authors: Nguyen, Long Hoang
Nguyen, Lan Huong Thi
Boggiano, Victoria L.
Hoang, Canh Dinh
Van Nguyen, Hung
Le, Huong Thi
Le, Hai Quan
Tran, Tho Dinh
Tran, Bach Xuan
Latkin, Carl A.
Zary, Nabil
Vu, Minh Thuc Thi
Keywords: Health Service
Quality of Life
Issue Date: 2017
Source: Nguyen, L. H., Nguyen, L. H. T., Boggiano, V. L., Hoang, C. D., Van Nguyen, H., Le, H. T., . . . Vu, M. T. T. (2017). Quality of life and healthcare service utilization among methadone maintenance patients in a mountainous area of Northern Vietnam. Health and Quality of Life Outcomes, 15(1), 77-. doi:10.1186/s12955-017-0633-9
Series/Report no.: Health and Quality of Life Outcomes
Abstract: Background: The expansion of methadone maintenance treatment in mountainous areas in still limited and little is known about its health impacts on drug users. This study aimed to examine health-related quality of life (HRQOL) and health care access among patients engaging in methadone maintenance treatment (MMT) in Tuyen Quang, a mountainous province in Vietnam. Methods: We conducted a cross-sectional survey with 241 patients conveniently recruited in two MMT clinics (Son Duong and Tuyen Quang). EuroQol-5 Dimensions – 5 levels (EQ-5D-5 L) and Visual analogue scale (VAS) were employed to measure HRQOL. Multivariate logistic and tobit regressions were used to determine the factors associated with HRQOL and health care utilization. Results: The overall mean score of the EQ-5D index and EQ-VAS were 0.88 (SD=0.20) and 81.8% (SD=15.27%), respectively. Only 8.7% utilized inpatient services, and 14.9% used outpatient services. Being more highly educated, suffering acute diseases, and using health service within the last 12 months were associated with a decreased EQ-5D index. Individuals who were multiple substance abusers and those who recently had inpatient care were more likely to have a lower VAS. Older respondents, those taking their medications at the more impoverished clinic, substance abusers, and individuals who were struggling with anxiety/depression or their usual daily activities were more likely to use both inpatient and outpatient care.Conclusions: In summary, we observed good HRQOL, but high prevalence of anxiety/depression and low rates of service utilization among MMT patients in Tuyen Quang province. To improve the outcomes of MMT services in mountainous areas, it is necessary to introduce personalized and integrative services models with counseling and interventions on multiple substance use.
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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