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越南吸毒者的家庭照顾者:感知负担与应对方式

Family caregivers of people who use drugs in Vietnam: Perceived burden and coping.

作者信息

Nguyen Hieu Ngoc, Li Li, Nguyen Diep Bich, Pham Thang Hong, Nguyen Tuan Anh

机构信息

Center for Training and Research on Substance Abuse and HIV, Hanoi Medical University, Hanoi, 100000, Viet Nam.

Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, 90024, USA.

出版信息

Soc Sci Med. 2025 Jul 23;383:118440. doi: 10.1016/j.socscimed.2025.118440.

DOI:10.1016/j.socscimed.2025.118440
PMID:40716338
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12313073/
Abstract

BACKGROUND

Understanding the burdens and coping of family caregivers for people who use drugs (PWUD) is essential for developing effective support interventions. This study explores patterns of perceived burden and coping efforts among caregivers in Vietnam and their associations with socio-demographic characteristics.

METHODS

This study analyzed baseline data from an intervention trial conducted in three Vietnamese provinces in 2024. A latent profile analysis was conducted to identify distinct caregiver burden and coping profiles. Chi-square tests were performed to explore associations between these profiles and socio-demographic characteristics.

RESULTS

Among 690 family caregivers, four distinct profiles emerged: (1) High burden-High coping (33.3 %), (2) High burden-Low coping (18.0 %), (3) Low burden-High coping (35.2 %), and (4) Low burden-Low coping (13.5 %). Parents reported the highest levels of perceived burden compared to other caregiver roles. Caregivers with lower education levels (39.5 %) or poor financial status (46.8 %) were more likely to experience high burden and low coping capacity, compared to other profile groups.

CONCLUSIONS

This study contributes to the literature on caregiver burden and coping by identifying differences in challenges faced by family caregivers of PWUD. Future interventions should be tailored to address caregivers' specific needs based on their burden and coping efforts.

摘要

背景

了解吸毒者(PWUD)家庭照顾者的负担及应对方式对于制定有效的支持干预措施至关重要。本研究探讨了越南照顾者的感知负担模式、应对努力及其与社会人口学特征的关联。

方法

本研究分析了2024年在越南三个省份进行的一项干预试验的基线数据。进行了潜在剖面分析以识别不同的照顾者负担和应对剖面。进行卡方检验以探讨这些剖面与社会人口学特征之间的关联。

结果

在690名家庭照顾者中,出现了四种不同的剖面:(1)高负担 - 高应对(33.3%),(2)高负担 - 低应对(18.0%),(3)低负担 - 高应对(35.2%),以及(4)低负担 - 低应对(13.5%)。与其他照顾者角色相比,父母报告的感知负担水平最高。与其他剖面组相比,教育水平较低(39.5%)或经济状况较差(46.8%)的照顾者更有可能经历高负担和低应对能力。

结论

本研究通过识别吸毒者家庭照顾者面临的挑战差异,为照顾者负担和应对的文献做出了贡献。未来的干预措施应根据照顾者的负担和应对努力,针对他们的具体需求进行量身定制。

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BMC Public Health. 2025 Feb 7;25(1):506. doi: 10.1186/s12889-025-21679-7.
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Predictors of Caregiver Burden in Family Caregivers of Male Patients with Opioid Use Disorders.阿片类物质使用障碍男性患者家庭照顾者的照顾负担预测因素
Psychiatry Clin Psychopharmacol. 2022 Mar 1;32(1):54-62. doi: 10.5152/pcp.2022.21268. eCollection 2022 Mar.
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Strengthening Addiction Care Continuum Through Community Consortium in Vietnam: Protocol for a Cluster-Randomized Controlled Trial.
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JMIR Res Protoc. 2023 Mar 22;12:e44219. doi: 10.2196/44219.
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Challenges of methadone maintenance treatment decentralisation from Vietnamese primary care providers' perspectives.从越南基层医疗服务提供者的视角看美沙酮维持治疗去中心化面临的挑战。
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