Impact of Socioeconomic Inequality on Access, Adherence, and Outcomes of Antiretroviral Treatment Services for People Living with HIV/AIDS in Vietnam.
Ensuring an equal benefit across different patient groups is necessary while scaling up free-of-charge antiretroviral treatment (ART) services. This study aimed to measure the disparity in access, adherence, and outcomes of ART in Vietnam and the effects of socioeconomic status (SES) characteristics...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2016-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5179124?pdf=render |
| _version_ | 1818564760148377600 |
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| author | Bach Xuan Tran Jongnam Hwang Long Hoang Nguyen Anh Tuan Nguyen Noah Reed Knowlton Latkin Ngoc Kim Tran Vu Thi Minh Thuc Huong Lan Thi Nguyen Huong Thu Thi Phan Huong Thi Le Tho Dinh Tran Carl A Latkin |
| author_facet | Bach Xuan Tran Jongnam Hwang Long Hoang Nguyen Anh Tuan Nguyen Noah Reed Knowlton Latkin Ngoc Kim Tran Vu Thi Minh Thuc Huong Lan Thi Nguyen Huong Thu Thi Phan Huong Thi Le Tho Dinh Tran Carl A Latkin |
| author_sort | Bach Xuan Tran |
| collection | DOAJ |
| description | Ensuring an equal benefit across different patient groups is necessary while scaling up free-of-charge antiretroviral treatment (ART) services. This study aimed to measure the disparity in access, adherence, and outcomes of ART in Vietnam and the effects of socioeconomic status (SES) characteristics on the levels of inequality.A cross-sectional study was conducted in 1133 PLWH in Vietnam. ART access, adherence, and treatment outcomes were self-reported using a structured questionnaire. Wealth-related inequality was calculated using a concentration index, and a decomposition analysis was used to determine the contribution of each SES variable to inequality in access, adherence, and outcomes of ART.Based on SES, minor inequality was found in ART access and adherence while there was considerable inequality in ART outcomes. Poor people were more likely to start treatment early, while rich people had better adherence and overall treatment outcomes. Decomposition revealed that occupation and education played important roles in inequality in ART access, adherence, and treatment outcomes.The findings suggested that health services should be integrated into the ART regimen. Furthermore, occupational orientation and training courses should be provided to reduce inequality in ART access, adherence, and treatment outcomes. |
| first_indexed | 2024-12-14T01:32:48Z |
| format | Article |
| id | doaj.art-f44400e648fd463ea29cf1efad8a70ab |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-14T01:32:48Z |
| publishDate | 2016-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-f44400e648fd463ea29cf1efad8a70ab2022-12-21T23:22:00ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011112e016868710.1371/journal.pone.0168687Impact of Socioeconomic Inequality on Access, Adherence, and Outcomes of Antiretroviral Treatment Services for People Living with HIV/AIDS in Vietnam.Bach Xuan TranJongnam HwangLong Hoang NguyenAnh Tuan NguyenNoah Reed Knowlton LatkinNgoc Kim TranVu Thi Minh ThucHuong Lan Thi NguyenHuong Thu Thi PhanHuong Thi LeTho Dinh TranCarl A LatkinEnsuring an equal benefit across different patient groups is necessary while scaling up free-of-charge antiretroviral treatment (ART) services. This study aimed to measure the disparity in access, adherence, and outcomes of ART in Vietnam and the effects of socioeconomic status (SES) characteristics on the levels of inequality.A cross-sectional study was conducted in 1133 PLWH in Vietnam. ART access, adherence, and treatment outcomes were self-reported using a structured questionnaire. Wealth-related inequality was calculated using a concentration index, and a decomposition analysis was used to determine the contribution of each SES variable to inequality in access, adherence, and outcomes of ART.Based on SES, minor inequality was found in ART access and adherence while there was considerable inequality in ART outcomes. Poor people were more likely to start treatment early, while rich people had better adherence and overall treatment outcomes. Decomposition revealed that occupation and education played important roles in inequality in ART access, adherence, and treatment outcomes.The findings suggested that health services should be integrated into the ART regimen. Furthermore, occupational orientation and training courses should be provided to reduce inequality in ART access, adherence, and treatment outcomes.http://europepmc.org/articles/PMC5179124?pdf=render |
| spellingShingle | Bach Xuan Tran Jongnam Hwang Long Hoang Nguyen Anh Tuan Nguyen Noah Reed Knowlton Latkin Ngoc Kim Tran Vu Thi Minh Thuc Huong Lan Thi Nguyen Huong Thu Thi Phan Huong Thi Le Tho Dinh Tran Carl A Latkin Impact of Socioeconomic Inequality on Access, Adherence, and Outcomes of Antiretroviral Treatment Services for People Living with HIV/AIDS in Vietnam. PLoS ONE |
| title | Impact of Socioeconomic Inequality on Access, Adherence, and Outcomes of Antiretroviral Treatment Services for People Living with HIV/AIDS in Vietnam. |
| title_full | Impact of Socioeconomic Inequality on Access, Adherence, and Outcomes of Antiretroviral Treatment Services for People Living with HIV/AIDS in Vietnam. |
| title_fullStr | Impact of Socioeconomic Inequality on Access, Adherence, and Outcomes of Antiretroviral Treatment Services for People Living with HIV/AIDS in Vietnam. |
| title_full_unstemmed | Impact of Socioeconomic Inequality on Access, Adherence, and Outcomes of Antiretroviral Treatment Services for People Living with HIV/AIDS in Vietnam. |
| title_short | Impact of Socioeconomic Inequality on Access, Adherence, and Outcomes of Antiretroviral Treatment Services for People Living with HIV/AIDS in Vietnam. |
| title_sort | impact of socioeconomic inequality on access adherence and outcomes of antiretroviral treatment services for people living with hiv aids in vietnam |
| url | http://europepmc.org/articles/PMC5179124?pdf=render |
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