Perceived need, barriers to and facilitators of mental health care among HIV-infected PWID in Hanoi, Vietnam: A qualitative study
Public Deposited- Creator
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Nguyen, M.X.
- Affiliation: Gillings School of Global Public Health, Department of Health Behavior
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Go, V.F.
- Affiliation: Gillings School of Global Public Health, Department of Health Behavior
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Bui, Q.X.
- Affiliation: Gillings School of Global Public Health, Department of Health Behavior
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Gaynes, B.N.
- Affiliation: School of Medicine, Department of Psychiatry
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Pence, B.W.
- Affiliation: Gillings School of Global Public Health, Department of Epidemiology
- Abstract
- Background: The HIV epidemic in Vietnam has been primarily driven by injection drug use. HIV-infected people who inject drugs (PWID) in Vietnam have very high rates of mental health problems, which can accelerate progression to AIDS and increase mortality rates. No research has explored the barriers and facilitators of mental health care for HIV-infected PWID in Vietnam. Methods: We conducted 28 in-depth interviews among HIV-infected PWID (n = 16), HIV and MMT (methadone maintenance treatment) providers (n = 8), and health officials (n = 4) in Hanoi. We explored participants' perceptions of mental health disorders, and barriers and facilitators to seeking and receiving mental health care. Results: HIV-infected PWID were perceived by both PWID, HIV/MMT providers, and health officials to be vulnerable to mental health problems and to have great need for mental health care. Perceived social, physical, and economical barriers included stigma towards HIV, injection drug use, and mental illnesses; lack of awareness around mental health issues; lack of human resources, facilities and information on mental health services; and limited affordability of mental health services. Social support from family and healthcare providers was a perceived facilitator of mental health care. Conclusions: Interventions should raise self-awareness of HIV-infected PWID about common mental health problems; address social, physical, economic barriers to seeking mental health services; and increase social support for patients.
- Date of publication
- 2019
- Keyword
- patient attitude
- economics
- Male
- Viet Nam
- Human immunodeficiency virus infection
- patient education
- Middle Aged
- Facilities and Services Utilization
- health care cost
- needs assessment
- Patient Education as Topic
- human
- Adult
- Needs Assessment
- social support
- Patient Acceptance of Health Care
- Mental Disorders
- perception
- mental disease
- HIV Infections
- vulnerable population
- qualitative research
- injection drug user
- Young Adult
- mental health care
- Depressive Disorder
- awareness
- Vietnam
- psychology
- maintenance therapy
- Humans
- young adult
- Social Support
- clinical article
- Female
- Denial, Psychological
- attitude to health
- mental health service
- male
- methadone
- middle aged
- health care personnel
- substance abuse
- Health Expenditures
- Article
- interview
- Health Workforce
- Attitude to Health
- female
- Health Services Accessibility
- depression
- Perception
- Qualitative Research
- health care delivery
- social stigma
- adult
- health care need
- Substance Abuse, Intravenous
- help seeking behavior
- Mental Health Services
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- License
- Attribution 4.0 International
- Journal title
- Harm Reduction Journal
- Journal volume
- 16
- Journal issue
- 1
- Language
- English
- Version
- Publisher
- Funder
- National Institute of Allergy and Infectious Diseases, NIAID: P30AI050410
- University of North Carolina, UNC
- ISSN
- 1477-7517
- Publisher
- BioMed Central Ltd.
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- Parents:
This work has no parents.
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