PMID- 33342367
OWN - NLM
STAT- MEDLINE
DCOM- 20220228
LR  - 20220228
IS  - 1744-1706 (Electronic)
IS  - 1744-1692 (Linking)
VI  - 17
IP  - 2
DP  - 2022 Feb
TI  - Methadone maintenance treatment in Ho Chi Minh City, Vietnam: Multidimensional 
      measure of adherence and associated factors.
PG  - 313-323
LID - 10.1080/17441692.2020.1864750 [doi]
AB  - Medication adherence has become a major concern in methadone maintenance 
      treatment (MMT) worldwide, but little is known about this in Vietnam. This study 
      aimed to identify adherence level among outpatients at district clinics in 
      Vietnam. A cross-sectional study of 450 MMT outpatients was conducted at three 
      clinics in Ho Chi Minh City (HCMC). Participants underwent face-to-face 
      interviews using a structured questionnaire. Adherence was measured based on both 
      the number of doses missed under Vietnam Ministry of Health criteria and the 
      level of perceived adherence using a visual analogue scale. The prevalence of 
      adherence based on these measures was 61.8% and 80.9%, respectively. 
      Significantly higher level of adherence was found in young participants who had 
      used drug for a longer period of time, had comorbidity, were on antiretroviral 
      therapy and satisfied with MMT service time. However, lower odds of adhering to 
      MMT were found in participants with higher educational level who were married, 
      spent more than 30 min to go to the clinic and currently used illicit drug. In 
      conclusion, despite a relatively high prevalence of adherence, there were a large 
      number of MMT non-adherence patients in HCMC. Interventions are needed to improve 
      adherence and to enhance MMT programmes in Vietnam.
FAU - Le, Uyen Thanh Nu
AU  - Le UTN
AD  - Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh 
      City, Ho Chi Minh City, Vietnam.
FAU - Tran, Thuan Thien
AU  - Tran TT
AD  - Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh 
      City, Ho Chi Minh City, Vietnam.
FAU - Le, Giang Truong
AU  - Le GT
AD  - Ho Chi Minh City Public Health Association, Ho Chi Minh City, Vietnam.
FAU - Thai, Truc Thanh
AU  - Thai TT
AUID- ORCID: 0000-0003-2512-8281
AD  - Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh 
      City, Ho Chi Minh City, Vietnam.
LA  - eng
PT  - Journal Article
DEP - 20201220
PL  - England
TA  - Glob Public Health
JT  - Global public health
JID - 101256323
RN  - UC6VBE7V1Z (Methadone)
SB  - IM
MH  - Cross-Sectional Studies
MH  - Humans
MH  - Medication Adherence
MH  - *Methadone/therapeutic use
MH  - *Opiate Substitution Treatment/methods
MH  - Vietnam/epidemiology
OTO - NOTNLM
OT  - Adherence
OT  - Vietnam
OT  - associated factor
OT  - methadone maintenance treatment
EDAT- 2020/12/22 06:00
MHDA- 2022/03/01 06:00
CRDT- 2020/12/21 05:31
PHST- 2020/12/22 06:00 [pubmed]
PHST- 2022/03/01 06:00 [medline]
PHST- 2020/12/21 05:31 [entrez]
AID - 10.1080/17441692.2020.1864750 [doi]
PST - ppublish
SO  - Glob Public Health. 2022 Feb;17(2):313-323. doi: 10.1080/17441692.2020.1864750. 
      Epub 2020 Dec 20.