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Factors Associated with Sleep Disorders among Methadone-Maintained Drug Users in Vietnam

Author

Listed:
  • Tuan Anh Le

    (National Institute of Hygiene and Epidemiology, Hanoi 100000, Vietnam
    Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam)

  • Anh Duc Dang

    (National Institute of Hygiene and Epidemiology, Hanoi 100000, Vietnam)

  • An Ha Thi Tran

    (National Institute of Mental Health, Bach Mai Hospital, Hanoi 100000, Vietnam)

  • Long Hoang Nguyen

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam)

  • Trang Huyen Thi Nguyen

    (Center of Excellence in Pharmacoeconomics and Management, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam)

  • Hai Thanh Phan

    (Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam)

  • Carl A. Latkin

    (Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Bach Xuan Tran

    (Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
    Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Cyrus S.H. Ho

    (Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore)

  • Roger C.M. Ho

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
    Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
    Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119077, Singapore)

Abstract

Sleep quality among heroin-dependent patients receiving methadone maintenance treatment (MMT) is not fully investigated in Vietnam. This study explored the prevalence of poor sleep quality in methadone-maintained patients and associated factors. This cross-sectional included 395 MMT patients at three clinics in Nam Dinh province, Vietnam. The Pittsburgh Sleep Quality Index (PSQI) was employed to measure patients’ sleep quality. Sociodemographic, clinical, behavioral, psychological, and social support characteristics were collected. Multivariate Logistic and Generalized Linear Regression models were applied to identify associated factors. Among 395 patients, 26.6% had poor sleep quality according to the PSQI scale. People having jobs were less likely to have poor sleep quality and lower PSQI scores compared to unemployed patients. Those having spouses had lower PSQI scores than single patients. High depression, anxiety, and stress scores were associated with poor sleep quality and high PSQI scores. A longer duration of MMT increased the likelihood of experiencing poor sleep quality. Patients smoking tobacco daily or concurrently using drugs had lower PSQI scores than those that did not. This study highlights a moderate prevalence of poor sleep quality among Vietnamese MMT patients. Regular evaluation, appropriate psychological management, and social support, as well as the provision of employment opportunities, potentially improve the sleep quality of methadone-maintained patients.

Suggested Citation

  • Tuan Anh Le & Anh Duc Dang & An Ha Thi Tran & Long Hoang Nguyen & Trang Huyen Thi Nguyen & Hai Thanh Phan & Carl A. Latkin & Bach Xuan Tran & Cyrus S.H. Ho & Roger C.M. Ho, 2019. "Factors Associated with Sleep Disorders among Methadone-Maintained Drug Users in Vietnam," IJERPH, MDPI, vol. 16(22), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:22:p:4315-:d:284112
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    References listed on IDEAS

    as
    1. Sergio Garbarino & Paola Lanteri & Paolo Durando & Nicola Magnavita & Walter G. Sannita, 2016. "Co-Morbidity, Mortality, Quality of Life and the Healthcare/Welfare/Social Costs of Disordered Sleep: A Rapid Review," IJERPH, MDPI, vol. 13(8), pages 1-15, August.
    2. Sergio Garbarino & Ottavia Guglielmi & Matteo Puntoni & Nicola Luigi Bragazzi & Nicola Magnavita, 2019. "Sleep Quality among Police Officers: Implications and Insights from a Systematic Review and Meta-Analysis of the Literature," IJERPH, MDPI, vol. 16(5), pages 1-15, March.
    3. Minh Thi Hong Le & Thach Duc Tran & Sara Holton & Huong Thanh Nguyen & Rory Wolfe & Jane Fisher, 2017. "Reliability, convergent validity and factor structure of the DASS-21 in a sample of Vietnamese adolescents," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-14, July.
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