Motivation for Smoking Cessation Among Drug-using Smokers Under Methadone Maintenance Treatment in Vietnam

Overview

Journal Harm Reduct J

Publisher Biomed Central

Specialties Pharmacology
Psychiatry

Date 2015 Nov 1

PMID 26518600

Citations 10

Authors

Bach Xuan Tran

Long Hoang Nguyen

Huyen Phuc Do

Nhung Phuong Thi Nguyen

Huong Thu Thi Phan

Michael Dunne

Carl Latkin

Affiliations

Soon will be listed here.

Abstract

Background: Smoking cessation treatment service is concerned to be a critical element in methadone maintenance treatment (MMT) in order to diminish the effect of smoke on health outcomes. To implement the smoking cessation services in Vietnam, we examined the stages of change to quit and determined associated factors among MMT patients.

Methods: We conducted a cross-sectional survey with 1016 MMT patients in five clinics in Hanoi and Nam Dinh province, of those, 932 (91.7%) were ever-smokers. Patients were classified into four groups: "pre-contemplation," "contemplation," "preparation," and "action and maintenance" by using the transtheoretical model. Multivariate logistic regression was applied to determine the associated factor for intention and action to quit smoking.

Results: Overall, 96% were not actively trying to quit or maintain abstinence. Age older than 45, HIV-positive status, and residence in Hanoi were negatively associated with intention to quit. Meanwhile, higher levels of nicotine dependence and number of years of smoking negatively associated with quitting and abstinence.

Conclusions: The study indicated the high rate of MMT smokers being in pre-contemplation stage but low proportion of quitting and maintaining abstinence. It emphasizes the importance of availability and accessibility of information about smoking cessation therapies and services. Integrating cessation programs into health-care services should be considered to provide tailored interventions for different patient groups.

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Tran B, Mai H, Fleming M, Do H, Nguyen T, Vuong Q Int J Environ Res Public Health. 2018; 15(9).

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References

Tran B . Willingness to pay for methadone maintenance treatment in Vietnamese epicentres of injection-drug-driven HIV infection. Bull World Health Organ. 2013; 91(7):475-82. PMC: 3699795. DOI: 10.2471/BLT.12.115147. View

Tran B, Ohinmaa A, Duong A, Do N, Nguyen L, Nguyen Q . Changes in drug use are associated with health-related quality of life improvements among methadone maintenance patients with HIV/AIDS. Qual Life Res. 2011; 21(4):613-23. DOI: 10.1007/s11136-011-9963-y. View

Bush K, Kivlahan D, McDonell M, Fihn S, Bradley K . The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998; 158(16):1789-95. DOI: 10.1001/archinte.158.16.1789. View

Hughes J . Effects of abstinence from tobacco: valid symptoms and time course. Nicotine Tob Res. 2007; 9(3):315-27. DOI: 10.1080/14622200701188919. View

STORY J, Stark M . Treating cigarette smoking in methadone maintenance clients. J Psychoactive Drugs. 1991; 23(2):203-15. DOI: 10.1080/02791072.1991.10472237. View

Richter K, Gibson C, Ahluwalia J, Schmelzle K . Tobacco use and quit attempts among methadone maintenance clients. Am J Public Health. 2001; 91(2):296-9. PMC: 1446533. DOI: 10.2105/ajph.91.2.296. View

DiClemente C, Prochaska J, Fairhurst S, Velicer W, Velasquez M, Rossi J . The process of smoking cessation: an analysis of precontemplation, contemplation, and preparation stages of change. J Consult Clin Psychol. 1991; 59(2):295-304. DOI: 10.1037//0022-006x.59.2.295. View

Puschel K, Thompson B, Coronado G, Huang Y, Gonzalez L, Rivera S . Effectiveness of a brief intervention based on the '5A' model for smoking cessation at the primary care level in Santiago, Chile. Health Promot Int. 2008; 23(3):240-50. PMC: 2724879. DOI: 10.1093/heapro/dan010. View

Nahvi S, Richter K, Li X, Modali L, Arnsten J . Cigarette smoking and interest in quitting in methadone maintenance patients. Addict Behav. 2006; 31(11):2127-34. DOI: 10.1016/j.addbeh.2006.01.006. View

10.

Pagano A, Guydish J, Le T, Tajima B, Passalacqua E, Soto-Nevarez A . Smoking Behaviors and Attitudes Among Clients and Staff at New York Addiction Treatment Programs Following a Smoking Ban: Findings After 5 Years. Nicotine Tob Res. 2015; 18(5):1274-81. PMC: 6407842. DOI: 10.1093/ntr/ntv116. View

11.

Hurt R, Offord K, Croghan I, Kottke T, Morse R, Melton 3rd L . Mortality following inpatient addictions treatment. Role of tobacco use in a community-based cohort. JAMA. 1996; 275(14):1097-103. DOI: 10.1001/jama.275.14.1097. View

12.

Breslau N, Johnson E, Hiripi E, Kessler R . Nicotine dependence in the United States: prevalence, trends, and smoking persistence. Arch Gen Psychiatry. 2001; 58(9):810-6. DOI: 10.1001/archpsyc.58.9.810. View

13.

Hser Y, McCarthy W, Anglin M . Tobacco use as a distal predictor of mortality among long-term narcotics addicts. Prev Med. 1994; 23(1):61-9. DOI: 10.1006/pmed.1994.1009. View

14.

Nguyen N, Tran B, Hwang L, Markham C, Swartz M, Vidrine J . Effects of cigarette smoking and nicotine dependence on adherence to antiretroviral therapy among HIV-positive patients in Vietnam. AIDS Care. 2015; 28(3):359-64. PMC: 6691494. DOI: 10.1080/09540121.2015.1090535. View

15.

Tran B, Nguyen L . Impact of methadone maintenance on health utility, health care utilization and expenditure in drug users with HIV/AIDS. Int J Drug Policy. 2013; 24(6):e105-10. DOI: 10.1016/j.drugpo.2013.07.007. View

16.

Nguyen T, Nguyen L, Pham M, Vu H, Mulvey K . Methadone maintenance therapy in Vietnam: an overview and scaling-up plan. Adv Prev Med. 2012; 2012:732484. PMC: 3512212. DOI: 10.1155/2012/732484. View

17.

Richter K, Hamilton A, Hall S, Catley D, Cox L, Grobe J . Patterns of smoking and methadone dose in drug treatment patients. Exp Clin Psychopharmacol. 2007; 15(2):144-53. DOI: 10.1037/1064-1297.15.2.144. View

18.

Tran B, Nguyen L, Do C, Nguyen Q, Maher R . Associations between alcohol use disorders and adherence to antiretroviral treatment and quality of life amongst people living with HIV/AIDS. BMC Public Health. 2014; 14:27. PMC: 3893525. DOI: 10.1186/1471-2458-14-27. View

19.

Heatherton T, Kozlowski L, Frecker R, Fagerstrom K . The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict. 1991; 86(9):1119-27. DOI: 10.1111/j.1360-0443.1991.tb01879.x. View

20.

Twyman L, Bonevski B, Paul C, Bryant J . Perceived barriers to smoking cessation in selected vulnerable groups: a systematic review of the qualitative and quantitative literature. BMJ Open. 2014; 4(12):e006414. PMC: 4275698. DOI: 10.1136/bmjopen-2014-006414. View