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Avoidance of healthcare service use and correlates among HIV-positive patients in Vietnam: a cross-sectional study.

Publication ,  Journal Article
Nguyen, HLT; Bui, TM; Dam, VAT; Nguyen, TT; Nguyen, HT; Zeng, GM; Bradley, D; Nguyen, QN; Ngo, TV; Latkin, CA; Ho, RC; Ho, CS
Published in: BMJ Open
December 30, 2023

OBJECTIVE: The prevention of HIV/AIDS is not making sufficient progress. The slow reduction of HIV/AIDS infections needs to prioritise hesitancy towards service utilisation, including treatment duration, social support and social stigma. This study investigates HIV-positive patients' avoidance of healthcare services and its correlates. DESIGN: A cross-sectional study. SETTING: The secondary data analysis used cross-sectional data from a randomised controlled intervention, examining the effectiveness of HIV-assisted smartphone applications in the treatment of HIV/AIDS patients in the Bach Mai and Ha Dong clinics in Hanoi. METHODS: Simple random sampling was used to identify 495 eligible patients. Two-tailed χ2, Mann-Whitney, multivariate logistic and ordered logistic regression models were performed. PRIMARY AND SECONDARY OUTCOME MEASURES: The main study outcome was the patients' healthcare avoidance and frequency of healthcare avoidance. The association of individual characteristics, social and behavioural determinants of HIV patients' usage of health services was also determined based on the collected data using structured questionnaires. RESULTS: Nearly half of the participants avoid health service use (47.3%), while 30.7% rarely avoid health service use. Duration of antiretroviral therapy and initial CD4 cell count were negatively associated with avoidance of health services and frequency of health service avoidance. Similarly, those with the middle and highest income were more likely to avoid health services compared with those with the lowest income. People having health problems avoided health service use more frequently (OR 1.47, 95% CI 1.35 to 1.61). CONCLUSIONS: Our study's findings identify characteristics of significance in relation to health service avoidance and utilisation among HIV-positive patients. The results highlighted the need to improve satisfaction, adherence and utilisation of treatment. Moreover, identifying ways to address or incorporate those social determinants in new policy may also help the treatment of HIV/AIDS and strategically allocate funding in the changing financial and political climate of Vietnam. TRIAL REGISTRATION NUMBER: Thai Clinical Trials Registry TCTR20220928003.

Duke Scholars

Published In

BMJ Open

DOI

EISSN

2044-6055

Publication Date

December 30, 2023

Volume

13

Issue

12

Start / End Page

e074005

Location

England

Related Subject Headings

  • Vietnam
  • Treatment Refusal
  • Surveys and Questionnaires
  • Humans
  • Health Services
  • HIV Infections
  • Cross-Sectional Studies
  • Acquired Immunodeficiency Syndrome
  • 52 Psychology
  • 42 Health sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Nguyen, H. L. T., Bui, T. M., Dam, V. A. T., Nguyen, T. T., Nguyen, H. T., Zeng, G. M., … Ho, C. S. (2023). Avoidance of healthcare service use and correlates among HIV-positive patients in Vietnam: a cross-sectional study. BMJ Open, 13(12), e074005. https://doi.org/10.1136/bmjopen-2023-074005
Nguyen, Huong Lan Thi, Thu Minh Bui, Vu Anh Trong Dam, Tham Thi Nguyen, Hien Thu Nguyen, Ga Mei Zeng, Don Bradley, et al. “Avoidance of healthcare service use and correlates among HIV-positive patients in Vietnam: a cross-sectional study.BMJ Open 13, no. 12 (December 30, 2023): e074005. https://doi.org/10.1136/bmjopen-2023-074005.
Nguyen HLT, Bui TM, Dam VAT, Nguyen TT, Nguyen HT, Zeng GM, et al. Avoidance of healthcare service use and correlates among HIV-positive patients in Vietnam: a cross-sectional study. BMJ Open. 2023 Dec 30;13(12):e074005.
Nguyen, Huong Lan Thi, et al. “Avoidance of healthcare service use and correlates among HIV-positive patients in Vietnam: a cross-sectional study.BMJ Open, vol. 13, no. 12, Dec. 2023, p. e074005. Pubmed, doi:10.1136/bmjopen-2023-074005.
Nguyen HLT, Bui TM, Dam VAT, Nguyen TT, Nguyen HT, Zeng GM, Bradley D, Nguyen QN, Ngo TV, Latkin CA, Ho RC, Ho CS. Avoidance of healthcare service use and correlates among HIV-positive patients in Vietnam: a cross-sectional study. BMJ Open. 2023 Dec 30;13(12):e074005.

Published In

BMJ Open

DOI

EISSN

2044-6055

Publication Date

December 30, 2023

Volume

13

Issue

12

Start / End Page

e074005

Location

England

Related Subject Headings

  • Vietnam
  • Treatment Refusal
  • Surveys and Questionnaires
  • Humans
  • Health Services
  • HIV Infections
  • Cross-Sectional Studies
  • Acquired Immunodeficiency Syndrome
  • 52 Psychology
  • 42 Health sciences