Background: There is high prevalence of HIV among Injecting Drug Users (IDUs) in Vietnam with a national level prevalence just under 20%. Both drug and sex related risk behaviors are widespread among IDUs. The objective of this review is to analyze HIV risk behaviors and identify the epidemiologic implications. Methods: Major databases were searched during November-December, 2011. Finally, 55 peer-reviewed articles were identified and reviewed to focus on risk behaviors of IDUs, Female Sex Workers (FSW) and drug policy and harm reduction program related issues. Results: Young injectors are involved in risk behaviors that include frequent sexual connections with FSWs. Our review found that young IDU subgroups (≤30 years) are engaged in high risk behaviors and have limited access to harm reduction services. Sexual risk factors associated with drug injecting FSWs may become the catalyst for a future heterosexual transmission if the prevalence rises further. Future research should focus on young injectors to investigate the structure and characteristics of networks to help guide harm reduction programs, including IDU subgroups. Conclusion: Vietnam has still a window of opportunity to learn from the experience of neighboring countries and, after modification, to incorporate preventative services suited to the needs of young injectors, into existing programs.
| Published in | Science Journal of Public Health (Volume 2, Issue 3) |
| DOI | 10.11648/j.sjph.20140203.22 |
| Page(s) | 209-215 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2014. Published by Science Publishing Group |
HIV, AIDS, Vietnam, Injecting Drug User, Risk Behaviors
| [1] | Socialist Republic of Vietnam, The Fourth Country Report on Following-up the Implementation to the Declaration of Commitment on HIV and AIDS Vietnam Authority of HIV/AIDS Control: Hanoi. 2010. |
| [2] | Ministry of Health, Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam 2005-2006, 2006: Vietnam. |
| [3] | Tran, H.N., et al., HIV moni-toring in Vietnam: System, methodology, and results of sentinel surveillance. Journal of Acquired Immune Deficiency Syndromes, 1999; 4(21): 338. |
| [4] | Chung, A., M.Q. Vu, and T.J. Dondero, HIV epidemiologic situation in Vietnam: A review of available data. AIDS, 1998. 12 Supplement B: S43-9. |
| [5] | Lindan, C.P., et al., Rising HIV infection rates in Ho Chi Minh City Herald emerging AIDS epidemic in Vietnam. AIDS, 1997; 11 Supplement 1(0269-9370): S5-13. |
| [6] | Hien, N.T., N.T. Long, and T.Q. Huan, HIV/AIDS epidemics in Vietnam: Evolution and responses. AIDS Educa-tion and Prevention, 2004; 16(Supplement A): 137-154. |
| [7] | Nguyen, T.H. and I. Wolffers, HIV infection in Vietnam. The Lancet, 1994; 343(8894): 410. |
| [8] | Quan, V.M., et al., HIV in Viet-nam: The evolving epidemic and the prevention response, 1996 through 1999. Journal of Acquired Immune Deficiency Syndromes, 2000; 25(4): 360-369. |
| [9] | Tran, S.D., et al., Risk factors for HIV sero-positivity in a sample of drug users in drug treatment in Ho Chi Minh City, Vietnam. Journal of Acquired Immune Deficiency Syndrome and Human Retrovirology, 1998; 17(3): 283-287. |
| [10] | Follézou, J.Y., et al., Clinical and biological characteristics of human immunode-ficiency virus-infected and uninfected intravascular drug users in Ho Chi Minh City, Vietnam. The American Journal of Tropical Medicine and Hygiene, 1999; 61(3): 420-4. |
| [11] | Nguyen, T.A., et al., Risk factors for HIV-1 seropositivity in drug users under 30 years old in Haiphong, Vietnam. Addiction, 2001; 96(3): 405. |
| [12] | Thao, L., et al., Changes in high-risk behaviors over time among young drug users in south Vietnam: A three-province study. AIDS and Behavior, 2006; 10(0): 47-56. |
| [13] | Tran, T.M.T., et al., HIV prevalence and factors associated with HIV infection among male injection drug users under 30: A cross-sectional study in Long An, Vietnam. BMC Public Health, 2006; 6: 248. |
| [14] | Hammett, T.M., et al., Correlates of HIV status among injec-tion drug users in a border region of southern China and northern Vietnam. Journal of Acquired Immune Deficiency Syndromes, 2005; 38(2): 228-235. |
| [15] | Ministry of Health, Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam – (Round I I) 2 0 0 9, National Institute of Hygiene and Epidemiology and Family Health International: Hanoi, Viet-nam. |
| [16] | Go, V.F., et al., Characteristics of high-risk HIV-positive IDUs in Vietnam: Implica-tions for future interventions. Substance Use and Misuse, 2011; 46(4): 381-389. |
| [17] | Des Jar-lais, D.C., et al., HIV-1 infection among intravenous drug users in Manhattan, New York city, from 1977 through 1987. The Journal of the American Medical Association, 1989; 261(7): 1008-1012. |
| [18] | Des Jarlais, D.C., H. Hagan, and S.R. Friedman, Drug Abuse and Spread of Infection: HIV and AIDS as an Example, In: Epidemiology of Drug Abuse, Z. Sloboda, Editor. Springer; 2005. p. 193-208. |
| [19] | Celentano, D.D., et al., Risk factors for shooting gallery use and cessation among intravenous drug users. American Journal of Public Health, 1991; 81(10): 1291-1295. |
| [20] | Hien, N.T., et al., Risk factors of HIV infection and needle sharing among in-jecting drug users in Ho Chi Minh City, Vietnam. Journal of Substance Abuse, 2001; 13(1-2): 45 - 58. |
| [21] | Family Health International and National AIDS Standing Bureau, HIV/AIDS Behavioral Surveillance Survey Vietnam 2000, 2001: Hanoi. |
| [22] | Hammett, T.M., et al., Patterns of HIV prevalence and HIV risk behaviors among injection drug users prior to and 24 months following implementation of cross-border HIV prevention interventions in northern Vietnam and southern China. AIDS Education Prevention, 2006; 18(2): 97-115. |
| [23] | Ministry of Health and Population Reference Bureau, HIV/AIDS in Vietnam: The Current Situation, the National Response, the Emerging Challenges, 2007: Hanoi/Washington, DC. . |
| [24] | Monitoring AIDS Pandemic, MAP Report 2005 Drug Injection and HIV/AIDS in Asia, 2005, The Monitoring AIDS Pandemic Network. p. 19. |
| [25] | Tran, T.N., et al., Drug use, sexual behaviours and practices among female sex workers in Hanoi, Viet Nam—A qualitative study. International Journal of Drug Policy, 2004; 15(3): 189-195. |
| [26] | Tran, T.N., et al., Drug use, sexual behaviours and practices among male drug users in Hanoi, Vietnam—A qualitative study. International Journal of Drug Policy, 2004; 15(3): 182-188. |
| [27] | Tran, T.N., et al., Drug use among female sex workers in Hanoi, Vietnam. Addic-tion, 2005; 100: 619-625. |
| [28] | Tuan, N.A., et al., Intravenous drug use among street-based sex workers: A high-risk behavior for HIV transmission. Sexually Transmitted Diseases, 2004; 31(1): 15-19. |
| [29] | Beyrer, C., et al., Overland heroin trafficking routes and HIV-1 spread in south and south-east Asia. AIDS, 2000; 14(1): 75-83. |
| [30] | Maher, L., Entwined epidemics: HIV and in-jecting drug use in Vietnam. International Journal of Drug Policy, 2004; 15(3): 169-170. |
| [31] | Cohen, J., HIV and Heroin: A Deadly International Affair. Science, 2003; 301(5640): 1657-1658. |
| [32] | Nguyen, T., et al., Explosive HIV epidemic among young heroin injecting users in Quang ninh province, Vietnam: Risk factors for HIV seropositivity, in Interna-tional Conference on AIDS. 2002; A.N. MoPeC3387: 2002. |
| [33] | Strathdee, S.A., et al., HIV and risk environment for injecting drug users: the past, present, and future. The Lancet, 2010; 376(9737): 268-284. |
| [34] | Institute of Medicine, Preventing HIV Infection among Injecting Drug Users in High-Risk Countries: An Assessment of the Evidence. 2006, Washington DC: National Academic Press. |
| [35] | Power, R., Rapid assessment of the drug-injecting situation at Hanoi and Ho Chi Minh City, Viet Nam. Bulletin of Narcotics, 1996; 48(1-2): 35-52. |
| [36] | Abdul-Quader, A.S., V.M. Quan, and K. O'Reilly, A tale of two cities: HIV risk behaviours among injecting drug users in Hanoi and Ho Chi Minh City, Vietnam. Drug and Alcohol Review, 1999; 18(4): 401-407. |
| [37] | Hien, N.T., et al., The social context of HIV risk behaviour by drug injectors in Ho Chi Minh City, Vietnam. AIDS Care, 2000; 12(4): 483-495. |
| [38] | Schumacher, C.M., et al., Social injecting and other correlates of high-risk sexual activity among injecting drug users in northern Vietnam. International Journal of Drug Policy, 2009; 20(4): 352-356. |
| [39] | Quan, V.M., et al., Risks for HIV, HBV, and HCV infections among male injection drug users in northern Vietnam: a case-control study. AIDS Care, 2009; 21(1): 7-16. |
| [40] | Son, V.H. Risk behavior among In-jecting Drug Users in Thanh Hoa province,Vietnam in3rdInternational Conference on Reproductive Health and Social Sciences Research 2009. Royal City Hotel, Bangkok, Thailand: Institute for Population and Social Research (IPSR), Mahidol University. |
| [41] | Clatts, M.C., et al., Prevalence and incidence of HCV infection among Vietnam heroin users with recent onset of injection. Journal of Urban Health, 2010; 87(2): 278-91. |
| [42] | Nguyen, C.H., et al., Prevalence of HBV infection among different HIV-risk groups in Hai Phong, Vietnam. Journal of Medical Virology, 2011; 83(3): 399-404. |
| [43] | Tuan, N.A., et al., Human immunodeficiency virus (HIV) infection patterns and risk behaviours in different population groups and provinces in Viet Nam. Bulletin of the World Health Organization, 2007; 85(1): 35-41. |
| [44] | Khoat, D.V., et al., Peer education for HIV prevention in the socialist republic of Vietnam: A national assessment. Journal of Community Health, 2003; 28(1): 1-17. |
| [45] | Thanh, D.C., et al., HIV risk behaviours and determinants among people living with HIV/AIDS in Vietnam. AIDS and Behavior, 2009; 13(6): 1151-9. |
| [46] | Thanh, D., K. Moland, and K. Fylkesnes, The context of HIV risk behaviours among HIV-positive injection drug users in Viet Nam: Moving toward effective harm reduction. BMC Public Health, 2009; 9(1): 98. |
| [47] | Howard, J. and P. Borges, Needle sharing in the Haight: Some social and psychological functions. Journal of Health and Social Behavior, 1970; 11(3): 220-230. |
| [48] | Lam, N.T., Drugs, sex and AIDS: Sexual relationships among injecting drug users and their sexual partners in Vietnam. Culture, Health & Sexuality, 2008; 10(sup1): S123-S137. |
| [49] | Des Jarlais, D.C., et al., Patterns of HIV prevalence among injecting drug users in the cross-border area of Lang Son province, Vietnam, and Ning Ming county, Guangxi Province, China. BMC Public Health, 2005; 5: 89. |
| [50] | Go, V.F., et al., High HIV sexual risk behaviors and sexually transmitted disease prevalence among injection drug users in northern Vietnam: Implications for a generalized HIV epidemic. Journal of Acquired Immune Deficiency Syndromes, 2006; 42(1): 108-115 |
| [51] | Rosenthal, D. and T.T.K. Oanh, Listening to female sex workers in Vietnam: influences on safe-sex practices with clients and partners. Sexual Health, 2006; 3(1): 21-32. |
| [52] | Detels, R., Condom use and its correlates among female sex workers in Hanoi, Vietnam. AIDS and Behavior, 2006; 10(2): 159-67. |
| [53] | Go, V.F., et al., Intra-couple communication dynamics of HIV risk behavior among injecting drug users and their sexual partners in northern Vietnam. Drug and Alcohol Dependence, 2006; 84(1): 69-76. |
| [54] | Grayman, J.H., et al., Factors associated with HIV testing, condom use, and sexually transmitted infections among female sex workers in Nha Trang, Vietnam. AIDS and Behavior, 2005; 9(1): 41-51. |
| [55] | Mai, T.T.T., L.C. Linh, and N.T. Long, Factors associated with inconsistent condom use among female sex workers in Nha Trang, Vietnam. Asia-Pacific Journal of Public Health, 2008; 20(4): 370-378. |
| [56] | Lindan, C.P., et al., Predictors of visits to commercial sex workers by male attendees at sexually transmitted disease clinics in southern Vietnam. AIDS, 1999; 13(6): 719-725. |
| [57] | Quan, V.M., N.T. Hien, and V.F. Go, The HIV Epidemic in Vietnam: Past, Present, and Opportunities in Public Health Aspects of HIV/AIDS in Low and Middle Income Countries: Epidemiology, Prevention and Care, D. Celentano and C. Beyrer, Editors. Springer; 2009: p. 457-479. |
| [58] | Hammett, T.M., et al., Female sexual partners of injection drug users in Vietnam: An at-risk population in urgent need of HIV prevention services. AIDS Care, 2010; 22(12): 1466-1472. |
| [59] | Detels, R. and H.T. Long, HIV infection and risk characteristics among female sex workers in Hanoi, Vietnam. Journal of Acquired Immune Deficiency Syndromes, 2005; 39(5): 581-586. |
| [60] | Nemoto, T., et al., HIV-related risk behaviours among female sex workers in Ho Chi Minh City, Vietnam. AIDS Education and Prevention, 2008; 20(5): 435-53. |
| [61] | Vu, L. and C. Lindan, Evaluation of STD/HIV prevention needs of low- and middle-income female sex workers in Ho Chi Minh city, Vietnam. AIDS and Behavior, 2000; 4(1): 83. |
| [62] | Thuy, N.T.T., et al., HIV infection and risk factors among female sex workers in southern Vietnam. AIDS, 1998; 12(4): 425-432. |
| [63] | Thuong, N.V., et al., HIV in female sex workers in five border provinces of Vietnam. Sexually Transmitted Infections, 2005; 81(6): 477-479. |
| [64] | Ghys, P.D., et al., Growing in silence: Selected regions and countries with expanding HIV/AIDS epidemics. AIDS, 2003; 17 Supplement 4(0269-9370): S45-S50. |
| [65] | Bailey, S.L., et al., The use of needle exchange by young injection drug users. Journal of Acquired Immune Deficiency Syndromes, 2003; 34(1): 67-70. |
| [66] | Vu, T., Harm Reduction for Injecting Drug User in Vietnam: A situation Assessment, in Report for Macfarlane Burnet centre. Victorian Public Health Training Scheme2001: Melbourne. |
| [67] | Wiessing, L. and M. Kretzschmar, Can HIV epidemics among IDUs ‘trigger’ a generalised epidemic? International Journal of Drug Policy, 2003; 14(1): 99-102. |
| [68] | Grassly, N.C., et al., Modelling emerging HIV epidemics: The role of injecting drug use and sexual transmission in the Russian Federation, China and India. International Journal of Drug Policy, 2003; 14(1): 25-43. |
| [69] | Saidel, T.J., et al., Potential impact of HIV among IDUs on heterosexual transmission in Asian settings: scenarios from the Asian Epidemic Model. International Journal of Drug Policy, 2003; 14(1): 63-74. |
| [70] | Duong, C.T., et al., Sexual risk and bridging behaviors among young people in Hai Phong, Vietnam. AIDS and Behavior, 2008; 12(4): 643-51. |
| [71] | Truong, T.M., G.R. West, and T.M. Durant, Sex workers in Vietnam: How many, how risky? AIDS Education and Prevention, 2004; 16(5): 389-404. |
| [72] | Bergenstrom, A., et al., Return to post-test counselling by out-of-treatment injecting drug users participating in a cross-sectional survey in north Vietnam. AIDS Care, 2007; 19(7): 935-939. |
| [73] | Maher, L., H. Coupland, and R. Musson, Scaling up HIV treatment, care and support for injecting drug users in Vietnam. International Journal of Drug Policy, 2007; 18(4): 296-305. |
| [74] | Reid, G. and P. Higgs, Vietnam moves forward with harm reduction: an assessment of progress. Global Public Health, 2011; 6(2): 168-180. |
| [75] | Ha, P.N., et al., The evolution of HIV policy in Vietnam: From punitive control measures to a more rights-based approach. Global Health Action, 2010; 3(1654-9880). |
| [76] | Hammett, T.M., et al., 'Social evils' and harm reduction: The evolving policy environment for human immunodeficiency virus prevention among injection drug users in China and Vietnam. Addiction, 2008; 103(1): 137-145. |
| [77] | Des Jarlais, D.C., et al., Reducing HIV infection among new injecting drug users in the China-Vietnam Cross Border Project. AIDS, 2007; 21(0269-9370): S109-S114. |
| [78] | Des Jarlais, D.C., et al., Maintaining low HIV seroprevalence in populations of injecting drug users. The Journal of the American Medical Association, 1995; 274(15): 1226-1231. |
| [79] | Detels, R., HIV/AIDS in Asia: Introduction. AIDS Education and Prevention, 2004; 16(08999546): 1-6. |
| [80] | Des Jarlais, D.C. and S. Semaan, Interventions to reduce the sexual risk behaviour of injecting drug users. International Journal of Drug Policy, 2005; 16, Supplement 1(0): 58-66. |
| [81] | Tucker, J.D., et al., A twin response to twin epidemics: Inte-grated HIV/Syphilis testing at STI clinics in south China. Journal of Acquired Immune Deficiency Syndromes, 2011; 57(5): e106-e111. |
| [82] | Gorbach, P.M., et al., The impact of social, economic and political forces on emerging HIV epidemics. AIDS, 2002; 16: S35-S43. |
APA Style
Tanvir Ahmed, Nguyen Thanh Long, Phan Thi Thu Huong, Chiao Tzu Patricia Lee, Donald Edwin Stewart. (2014). HIV Risk Behaviours among Injecting Drug Users in Vietnam: A Review. Science Journal of Public Health, 2(3), 209-215. https://doi.org/10.11648/j.sjph.20140203.22
ACS Style
Tanvir Ahmed; Nguyen Thanh Long; Phan Thi Thu Huong; Chiao Tzu Patricia Lee; Donald Edwin Stewart. HIV Risk Behaviours among Injecting Drug Users in Vietnam: A Review. Sci. J. Public Health 2014, 2(3), 209-215. doi: 10.11648/j.sjph.20140203.22
AMA Style
Tanvir Ahmed, Nguyen Thanh Long, Phan Thi Thu Huong, Chiao Tzu Patricia Lee, Donald Edwin Stewart. HIV Risk Behaviours among Injecting Drug Users in Vietnam: A Review. Sci J Public Health. 2014;2(3):209-215. doi: 10.11648/j.sjph.20140203.22
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Download@article{10.11648/j.sjph.20140203.22,
author = {Tanvir Ahmed and Nguyen Thanh Long and Phan Thi Thu Huong and Chiao Tzu Patricia Lee and Donald Edwin Stewart},
title = {HIV Risk Behaviours among Injecting Drug Users in Vietnam: A Review},
journal = {Science Journal of Public Health},
volume = {2},
number = {3},
pages = {209-215},
doi = {10.11648/j.sjph.20140203.22},
url = {https://doi.org/10.11648/j.sjph.20140203.22},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20140203.22},
abstract = {Background: There is high prevalence of HIV among Injecting Drug Users (IDUs) in Vietnam with a national level prevalence just under 20%. Both drug and sex related risk behaviors are widespread among IDUs. The objective of this review is to analyze HIV risk behaviors and identify the epidemiologic implications. Methods: Major databases were searched during November-December, 2011. Finally, 55 peer-reviewed articles were identified and reviewed to focus on risk behaviors of IDUs, Female Sex Workers (FSW) and drug policy and harm reduction program related issues. Results: Young injectors are involved in risk behaviors that include frequent sexual connections with FSWs. Our review found that young IDU subgroups (≤30 years) are engaged in high risk behaviors and have limited access to harm reduction services. Sexual risk factors associated with drug injecting FSWs may become the catalyst for a future heterosexual transmission if the prevalence rises further. Future research should focus on young injectors to investigate the structure and characteristics of networks to help guide harm reduction programs, including IDU subgroups. Conclusion: Vietnam has still a window of opportunity to learn from the experience of neighboring countries and, after modification, to incorporate preventative services suited to the needs of young injectors, into existing programs.},
year = {2014}
}
TY - JOUR T1 - HIV Risk Behaviours among Injecting Drug Users in Vietnam: A Review AU - Tanvir Ahmed AU - Nguyen Thanh Long AU - Phan Thi Thu Huong AU - Chiao Tzu Patricia Lee AU - Donald Edwin Stewart Y1 - 2014/05/20 PY - 2014 N1 - https://doi.org/10.11648/j.sjph.20140203.22 DO - 10.11648/j.sjph.20140203.22 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 209 EP - 215 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.20140203.22 AB - Background: There is high prevalence of HIV among Injecting Drug Users (IDUs) in Vietnam with a national level prevalence just under 20%. Both drug and sex related risk behaviors are widespread among IDUs. The objective of this review is to analyze HIV risk behaviors and identify the epidemiologic implications. Methods: Major databases were searched during November-December, 2011. Finally, 55 peer-reviewed articles were identified and reviewed to focus on risk behaviors of IDUs, Female Sex Workers (FSW) and drug policy and harm reduction program related issues. Results: Young injectors are involved in risk behaviors that include frequent sexual connections with FSWs. Our review found that young IDU subgroups (≤30 years) are engaged in high risk behaviors and have limited access to harm reduction services. Sexual risk factors associated with drug injecting FSWs may become the catalyst for a future heterosexual transmission if the prevalence rises further. Future research should focus on young injectors to investigate the structure and characteristics of networks to help guide harm reduction programs, including IDU subgroups. Conclusion: Vietnam has still a window of opportunity to learn from the experience of neighboring countries and, after modification, to incorporate preventative services suited to the needs of young injectors, into existing programs. VL - 2 IS - 3 ER -
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