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Open Access Research

Drug users in Hanoi, Vietnam: factors associated with membership in community-based drug user groups

Eleanor Hayes-Larson12, Lauretta E Grau1, Kaveh Khoshnood1, Russell Barbour1, Oanh Thi Hai Khuat3 and Robert Heimer1*

Author Affiliations

1 Yale School of Public Health, 60 College Street, New Haven, CT 06511, USA

2 Current address: Analysis Group, Inc, 10 Rockefeller Plaza, 15th Floor, New York, NY 10020, USA

3 The Centre for Supporting Community Development Initiatives, B4 - 111, Tran Quang Dieu, O Cho Dua, Dong Da, Ha Noi, Vietnam

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Harm Reduction Journal 2013, 10:33  doi:10.1186/1477-7517-10-33

Published: 22 November 2013

Abstract

Background

A syndemic conjoins injection drug use, incarceration, and HIV in Vietnam, where there is a need for programs that empower people who use drugs to minimize the harms thereby produced. Here we present a post-hoc evaluation of the organizing efforts of the Centre for Supporting Community Development Initiatives (SCDI) with two community-based drug user groups (CBGs) in Hanoi.

Methods

Members (n = 188) of the CBGs were compared to non-member peers (n = 184) on demographic, psychosocial, behavioral and knowledge variables using a face-to-face structured interview that focused on issues of quality of life and harm reduction. Bivariate analyses were conducted, and variables significantly associated with membership at p < 0.10 were included in a multivariate model.

Results

Variables associated with membership in the CBGs in the multivariate model included increased self-efficacy to get drug-related health care (OR 1.59, 1.24-2.04), increased quality of life in the psychological (OR 2.04, 1.07-3.93) and environmental (OR 2.54, 1.31-4.93) domains, and greater history of interactions with police about drugs (OR 3.15, 1.79-5.52). There was little difference between members and non-members on injection-related harms except in the domain of knowledge about opioid overdose. Among the 114 current injectors (30.6% of the sample), low rates of unsafe injection practices were reported, and low statistical power limited the ability to conclusively assess association with membership.

Conclusions

Although the CBG members displayed higher levels of well-being and access to healthcare than non-members, further longitudinal study is required to determine if these are a result of membership. The CBGs should pay more attention towards meeting challenges in responding to specific health issues of those who continue to use drugs including HIV, hepatitis, and drug overdose.

Keywords:
Injection drug use; Harm reduction; Self-efficacy; Vietnam; Drug user groups; HIV; Hepatitis; Overdose; Quality of life