Substantial Need for Preexposure Prophylaxis Among Men Who Have Sex With Men in Hanoi, Vietnam.

ABSTRACT: We used data from the Health in Men-Hanoi cohort to determine the proportion of HIV-negative men who have sex with men with PrEP indications in Hanoi. Among 717 men who have sex with men, 537 (72.2% [66.6%-77.3%]) had ≥1 PrEP indication, signaling a substantial need for PrEP scale-up. Condomless anal intercourse was the most frequent indication (68.7% [60.3%-76.1%]), followed by previous/current sexually transmitted infection (59.4% [51.0%-67.2%]).

[Family Supports for HIV - Infected Male Injection Drug Users in Hanoi]. / HO TRO CUA GIA DÌNH DOI VOI NAM TIÊM CHÍCH MA TÚY NHIEM HIV TAI HÀ NOI.

Qualitative research describes how families have provided supports regarding health care, including HIV care and substance abuse treatment, for HIV-infected male injection drug users (HIV-infected IDUs) in Hanoi. Research analysis showed that family members have provided financial, emotional and health care supports rather than information support related to HIV care and substance abuse treatment for HIV-infected IDUs. Family supports for HIV-infected IDUs were different among the phases of using drug, HIV infection/treatment and substance abuse treatment. Notably, HIV-infected IDUs reported that they had received more supports from their family members since they disclosed their HIV status. Most HIV-infected IDUs participated in this study were satisfied with the family supports. Interventions for improving effectiveness of HIV and substance abuse outcomes among HIV-infected IDUs need to include family involvement.

Substance use disorders and HIV in Vietnam since Doi Moi (Renovation): an overview.

Drawing from published and gray literature, this manuscript focuses on the following topics: (1) changing patterns of substance use and abuse in Vietnam since the early 1990s; (2) the roles of substance use in the HIV epidemic; (3) the responses of the Vietnamese government and other entities (both domestic and international) to substance use disorders (SUDs) and HIV; and (4) the current research capacity in Vietnam and ways in which furthering research in Vietnam could enrich our knowledge of the linkages between SUDs and HIV and of effective measures to reduce their public health consequences. A growing number of studies during the past two decades show dynamic and still evolving twin epidemics of SUDs and HIV in Vietnam, including a shift from consumption of opium to heroin and amphetamine-type stimulants, the concurrent use of drugs, and the increasing embrace by the government of internationally recognized effective responses (including harm reduction and methadone substitution therapy). And yet, remaining issues, such as the rapid ascendance of amphetamine-type stimulant use among the country's most vulnerable populations, the lack of effective integration of SUD and HIV services for HIV-infected drug users, and the reliance on international resources for maintaining quality services, among others, are posing challenges for building sustainable Vietnamese responses. Therefore, building local research and training capacity is a crucial foundation to meet these challenges.