Tran Bach Xuan, Nguyen Long Hoang, Nguyen Cuong Tat, Phan Huong Thu Thi, Latkin Carl A
Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Harm Reduct J. 2016 Feb 16;13:6. doi: 10.1186/s12954-016-0096-z.
Vietnam is among those countries with the highest drinking prevalence. In this study, we examined the prevalence of alcohol use disorders (AUDs) and its associations with HIV risky behaviors, health care utilization, and health-related quality of life (HRQOL) among clients using voluntary HIV testing and counseling services (VCT).
A cross-sectional survey of 365 VCT clients (71% male; mean age 34) was conducted in Hanoi and Nam Dinh province. AUD and HRQOL were measured using the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), and EuroQol-five dimensions-five levels (EQ-5D-5L). Risky sexual behaviors, concurrent opioid use, and inpatient and outpatient service use were self-reported.
67.2% clients were lifetime ever drinkers of those 62.9% were hazardous drinkers and 82.0% were binge drinkers. There were 48.8% respondents who had ≥2 sex partners over the past year and 55.4, 38.3, and 46.1% did not use condom in the last sex with primary/casual/commercial sex partners, respectively. Multivariate models show that AUD was significantly associated with risky sexual behaviors, using inpatient care and lower HRQOL among VCT clients.
AUD was prevalent, was associated with increased risks of HIV infection, and diminished health status among VCT clients. It may be efficient to screen for AUD and refer at-risk clients to appropriate AUD counseling and treatment along with HIV-related services.
越南是饮酒率最高的国家之一。在本研究中，我们调查了使用自愿性艾滋病病毒检测与咨询服务（VCT）的人群中酒精使用障碍（AUDs）的患病率及其与艾滋病病毒危险行为、医疗保健利用情况以及健康相关生活质量（HRQOL）之间的关联。
在河内和南定省对365名VCT服务对象进行了横断面调查（71%为男性；平均年龄34岁）。使用酒精使用障碍识别测试-消费版（AUDIT-C）和欧洲五维度健康量表-五级版本（EQ-5D-5L）来测量酒精使用障碍和健康相关生活质量。危险的性行为、同时使用阿片类药物以及住院和门诊服务的使用情况通过自我报告获取。
67.2%的服务对象终生饮酒，其中62.9%为有害饮酒者，82.0%为暴饮者。在过去一年中，有48.8%的受访者有≥2个性伴侣，在与主要/偶然/商业性伴侣的最后一次性行为中，分别有55.4%、38.3%和46.1%的人未使用避孕套。多变量模型显示，在VCT服务对象中，酒精使用障碍与危险的性行为、使用住院护理以及较低的健康相关生活质量显著相关。
酒精使用障碍在VCT服务对象中普遍存在，与艾滋病病毒感染风险增加以及健康状况下降有关。筛查酒精使用障碍并将有风险的服务对象转介至适当的酒精使用障碍咨询和治疗以及与艾滋病病毒相关的服务可能是有效的。
