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Child Desire Among Men and Women Living with HIV/AIDS in the Traditional Culture of Vietnam

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Abstract

In various settings, heterogeneity in fertility rates among HIV-affected couples highlights the importance of understanding contextual factors to inform program planning and implementation. We interviewed 1016 patients with HIV/AIDS at seven clinics in Vietnam to assess their desire to have a(nother) child and willingness to pay (WTP) for prevention of mother to child transmission (PMTCT) services. One-fifth of participants reported their desire for a(another) child and this was slightly higher among men than women. Factors associated with the desire to have a(nother) child of HIV/AIDS patients included (1) not yet have a child or a son, (2) provincial and district-level service, (3) income per capita, (4) marital status and (5) history of drug injection. The average WTP for PMTCT service was US $179 (95% CI 161–197). The study highlights the need for interventions on social, cultural barriers, improved accessibility and outcomes of counseling, and better care and treatment services for couples and child affected by HIV/AIDS.

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References

  1. Abdool Karim Q, Baxter C, Birx D. Prevention of HIV in adolescent girls and young women: key to an AIDS-free generation. J Acquir Immune Defic Syndr. 2017;75(Suppl 1):S17–26.

    Article  PubMed  Google Scholar 

  2. Oosterhoff P, Anh NT, Hanh NT, Yen PN, Wright P, Hardon A. Holding the line: family responses to pregnancy and the desire for a child in the context of HIV in Vietnam. Culture Health Sex. 2008;10(4):403–16.

    Article  Google Scholar 

  3. Tran BX, Ohinmaa A, Nguyen LT, Oosterhoff P, Vu PX, Vu TV, et al. Gender differences in quality of life outcomes of HIV/AIDS treatment in the latent feminization of HIV epidemics in Vietnam. AIDS Care. 2012;24(10):1187–96.

    Article  PubMed  Google Scholar 

  4. Oosterhoff P, Anh NT, Yen PN, Wright P, Hardon A. Recreating kinship: Coping options of HIV+AIDS widows in Vietnam. Health Care Women Int. 2010;31(1):17–36.

    Article  PubMed  Google Scholar 

  5. Hardon AP, Oosterhoff P, Imelda JD, Anh NT, Hidayana I. Preventing mother-to-child transmission of HIV in Vietnam and Indonesia: diverging care dynamics. Soc Sci Med. 2009;69(6):838–45.

    Article  PubMed  Google Scholar 

  6. Oosterhoff P, Anh NT, Yen PN, Wright P, Hardon A. HIV-positive mothers in Viet Nam: using their status to build support groups and access essential services. Reprod Health Matters. 2008;16(32):162–70.

    Article  PubMed  Google Scholar 

  7. Burgess A, Purssell E. What is the relationship between increased access to HAART, relationship status and fertility decisions amongst HIV-positive women? A literature review and meta-analysis. J Clin Nurs. 2017;26:3800–10.

    Article  PubMed  Google Scholar 

  8. Nguyen TA, Oosterhoff P, Ngoc YP, Wright P, Hardon A. Barriers to access prevention of mother-to-child transmission for HIV positive women in a well-resourced setting in Vietnam. AIDS Res Ther. 2008;5:7.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Berhan Y, Berhan A. Meta-analyses of fertility desires of people living with HIV. BMC Public Health. 2013;13:409.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Tran BX, Ohinmaa A, Nguyen LT. Quality of life profile and psychometric properties of the EQ-5D-5L in HIV/AIDS patients. Health Qual Life Outcomes. 2012;10:132.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Tran BX. Quality of life outcomes of antiretroviral treatment for HIV/AIDS patients in Vietnam. PLoS ONE. 2012;7(7):e41062.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  12. Tran BX, Ohinmaa A, Nguyen LT, Nguyen TA, Nguyen TH. Determinants of health-related quality of life in adults living with HIV in Vietnam. AIDS Care. 2011;23(10):1236–45.

    Article  PubMed  Google Scholar 

  13. Weber S, Zakaras JM, Hilliard S, Cohan D, Dworkin SL. Is it all right for me to have a baby or not?: men living with HIV discuss fertility desires and interactions with providers. J Assoc Nurses AIDS Care. 2017;28(1):118–29.

    Article  PubMed  Google Scholar 

  14. McMahon SA, Kennedy CE, Winch PJ, Kombe M, Killewo J, Kilewo C. Stigma, facility constraints, and personal disbelief: why women disengage from HIV care during and after pregnancy in Morogoro region, Tanzania. AIDS Behav. 2017;21(1):317–29.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Melaku YA, Zeleke EG, Kinsman J, Abraha AK. Fertility desire among HIV-positive women in Tigray region, Ethiopia: implications for the provision of reproductive health and prevention of mother-to-child HIV transmission services. BMC Women’s Health. 2014;14:137.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Oosterhoff P, Hardon AP, Nguyen TA, Pham NY, Wright P. Dealing with a positive result: routine HIV testing of pregnant women in Vietnam. AIDS Care. 2008;20(6):654–9.

    Article  PubMed  CAS  Google Scholar 

  17. Nguyen QLT, Van Phan T, Tran BX, Nguyen LH, Ngo C, Phan HTT, et al. Health insurance for patients with HIV/AIDS in Vietnam: coverage and barriers. BMC Health Serv Res. 2017;17(1):519.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Tran BX, Duong AT, Nguyen LT, Hwang J, Nguyen BT, Nguyen QT, et al. Financial burden of health care for HIV/AIDS patients in Vietnam. Trop Med Int Health. 2013;18(2):212–8.

    Article  PubMed  Google Scholar 

  19. Tran BX, Boggiano VL, Nguyen CT, Nguyen LH, Le Nguyen AT, Latkin CA. Barriers to accessing and using health insurance cards among methadone maintenance treatment patients in northern Vietnam. Subst Abuse Treat Prev Policy. 2017;12(1):35.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Tran BX, Phan HT, Nguyen LH, Nguyen CT, Nguyen AT, Le TN, et al. Economic vulnerability of methadone maintenance patients: implications for policies on co-payment services. Int J Drug Policy. 2016;31:131–7.

    Article  PubMed  Google Scholar 

  21. Tomori C, Go VF, le Tuan N, Huong NM, Binh NT, Zelaya CE, et al. In their perception we are addicts: social vulnerabilities and sources of support for men released from drug treatment centers in Vietnam. Int J Drug Policy. 2014;25(5):897–904.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Tran BX, Vu PB, Nguyen LH, Latkin SK, Nguyen CT, Phan HT, et al. Drug addiction stigma in relation to methadone maintenance treatment by different service delivery models in Vietnam. BMC Public Health. 2016;16:238.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  23. Tran BX, Hwang J, Nguyen LH, Nguyen AT, Latkin NR, Tran NK, et al. Impact of socioeconomic inequality on access, adherence, and outcomes of antiretroviral treatment services for people living with HIV/AIDS in Vietnam. PLoS ONE. 2016;11(12):e0168687.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  24. Nguyen LH, Tran BX, Nguyen NP, Phan HT, Bui TT, Latkin CA. Mobilization for HIV voluntary counseling and testing services in vietnam: clients’ risk behaviors, attitudes and willingness to pay. AIDS Behav. 2016;20(4):848–58.

    Article  PubMed  Google Scholar 

  25. Tran BX, Nguyen TV, Pham QD, Nguyen PD, Khuu NV, Nguyen NP, et al. HIV infection, risk factors, and preventive services utilization among female sex workers in the Mekong Delta Region of Vietnam. PLoS ONE. 2014;9(1):e86267.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  26. Tran BX, Nguyen LT, Nguyen NP, Phan HT. HIV voluntary testing and perceived risk among female sex workers in the Mekong Delta region of Vietnam. Glob Health Action. 2013;6:20690.

    Article  PubMed  Google Scholar 

  27. Brickley DB, Le Dung Hanh D, Nguyet LT, Mandel JS, le Giang T, Sohn AH. Community, family, and partner-related stigma experienced by pregnant and postpartum women with HIV in Ho Chi Minh City, Vietnam. AIDS Behav. 2009;13(6):1197–204.

    Article  PubMed  Google Scholar 

  28. Tran BX, Nguyen NP. Patient satisfaction with HIV/AIDS care and treatment in the decentralization of services delivery in Vietnam. PLoS ONE. 2012;7(10):e46680.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  29. Tran BX, Ohinmaa A, Duong AT, Do NT, Nguyen LT, Nguyen QC, et al. Changes in drug use are associated with health-related quality of life improvements among methadone maintenance patients with HIV/AIDS. Qual Life Res. 2012;21(4):613–23.

    Article  PubMed  Google Scholar 

  30. Tran BX, Nguyen LT, Nguyen NH, Hoang QV, Hwang J. Determinants of antiretroviral treatment adherence among HIV/AIDS patients: a multisite study. Glob Health Action. 2013;6:19570.

    Article  PubMed  Google Scholar 

  31. Murray CJ, Ortblad KF, Guinovart C, Lim SS, Wolock TM, Roberts DA, et al. Global, regional, and national incidence and mortality for HIV, tuberculosis, and malaria during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9947):1005–70.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Nguyen LT, Tran BX, Tran CT, Le HT, Tran SV. The cost of antiretroviral treatment service for patients with HIV/AIDS in a central outpatient clinic in Vietnam. ClinicoEcon Outcomes Res. 2014;6:101–8.

    PubMed  PubMed Central  Google Scholar 

  33. Tran BX, Nguyen LH, Nguyen CT, Phan HTT, Latkin CA. Alcohol abuse increases the risk of HIV infection and diminishes health status of clients attending HIV testing services in Vietnam. Harm Reduct J. 2016;13(1):6.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Tran BX, Nguyen LH, Nong VM, Nguyen CT, Phan HT, Latkin CA. Behavioral and quality-of-life outcomes in different service models for methadone maintenance treatment in Vietnam. Harm Reduct J. 2016;13:4.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Nguyen LH, Nguyen HTT, Nguyen HLT, Tran BX, Latkin CA. Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areas. Subst Abuse Treat Prev Policy. 2017;12(1):31.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Tran B, Nguyen L, Ohinmaa A, Maher R, Nong V, Latkin CA. Longitudinal and cross sectional assessments of health utility in adults with HIV/AIDS: a systematic review and meta-analysis. BMC Health Serv Res. 2015;15(1):7.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Tran BX, Nguyen LH, Nguyen LP, Nguyen CT, Phan HT, Latkin CA. Methadone maintenance treatment promotes referral and uptake of HIV testing and counselling services amongst drug users and their partners. PLoS ONE. 2016;11(4):e0152804.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  38. Nguyen QL, Nguyen LH, Tran BX, Phan HT, Le HT, Nguyen HD, et al. Co-financing for viral load monitoring during the course of antiretroviral therapy among patients with HIV/AIDS in Vietnam: A contingent valuation survey. PLoS ONE. 2017;12(2):e0172050.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

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Acknowledgements

We would like to thank the participants for their enrollment into the study.

Funding

There was no funding for this analysis.

Author information

Author notes

  1. Bach Xuan Tran and Ha Dai Duong have contributed equally to this work.

Authors and Affiliations

  1. Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam

    Bach Xuan Tran

  2. Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA

    Bach Xuan Tran & Carl A. Latkin

  3. Department of Surgery, Hanoi Medical University, Hanoi, Vietnam

    Ha Dai Duong

  4. Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam

    Linh Dieu Pham & Tung Thanh Tran

  5. School of Medicine, Johns Hopkins University, Baltimore, MD, USA

    Anh Quynh Nguyen

Authors
  1. Bach Xuan Tran
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  2. Ha Dai Duong
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  3. Anh Quynh Nguyen
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  4. Linh Dieu Pham
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  5. Tung Thanh Tran
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  6. Carl A. Latkin
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Corresponding author

Correspondence to Bach Xuan Tran.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This analysis was reviewed and ethical approval was granted by the Research and Ethic Review Committee by the Authority of HIV/AIDS Control, Ministry of Health of Vietnam. The research project has obtained written informed consent from all participants after clearly introducing the purpose the survey and the right of patients to refuse to participate or withdraw from the interview at any time, and this did not affect their continuation of health care services.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Tran, B.X., Duong, H.D., Nguyen, A.Q. et al. Child Desire Among Men and Women Living with HIV/AIDS in the Traditional Culture of Vietnam. AIDS Behav 22, 2888–2894 (2018). https://doi.org/10.1007/s10461-018-2029-1

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  • DOI: https://doi.org/10.1007/s10461-018-2029-1

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