Psychiatric Comorbidities among People Who Inject Drugs in Hai Phong, Vietnam: The Need for Screening and Innovative Interventions

Khue Pham Minh (1) , Roselyne Vallo (2) , Huong Duong Thi (1) , Oanh Khuat Thi Hai , Don Des Jarlais (3) , Marianne Peries (2) , Sao Mai Le (1) , Delphine Rapoud (2) , Catherine Quillet (2) , Tuyet Thanh Nham Thi , Giang Hoang (4) , Jonathan Feelemyer (3) , Vinh Vu Hai , Jean-Pierre Molès (2) , Xanh Pham (4) , Didier Laureillard (5, 2) , Nicolas Nagot (2) , Laurent Michel (6)

1 Hai Phong University of Medicine and Pharmacy
2 Pathogénèse et contrôle des infections chroniques (PCCI)
3 MSSM - Icahn School of Medicine at Mount Sinai [New York]
4 Dpt of Public Health [Hai Phong]
5 VBMI - Virulence bactérienne et maladies infectieuses
6 CESP - Centre de recherche en épidémiologie et santé des populations

The objective of this study is to describe psychiatric comorbidities, associated factors, and access to psychiatric assessment and care in a cohort of people who inject drugs (PWID) in Hai Phong, Vietnam. Mental health was assessed after 12 months' follow-up using the Mini International Neuropsychiatric Interview questionnaire (MINI 5.0.0). PWID medical history, drug use, and sociodemographic and clinical characteristics were also collected. Among 188 PWID who participated in the assessment, 48 (25.5%) had at least one psychiatric disorder and 19 (10.1%) had 2 or more psychiatric disorders. The most common current psychiatric disorders were major depressive episode (12.2%) and psychotic disorder (4.8%), reaching 10.1% for the latter when lifetime prevalence was considered. Females were more likely than males to have at least one psychiatric disorder, a major depressive disorder, or an anxiety disorder. Methamphetamine use was associated with an increased risk of presenting a lifetime psychotic syndrome. Problematic alcohol consumption was associated with an increased risk of having at least one psychiatric disorder. Psychiatric comorbidities are frequent among PWID in Vietnam. These results highlight the need for routine assessment and innovative interventions to address mental health needs among PWID. Community-based interventions targeting mental health prevention and care should be strongly supported.

Domaines: Santé publique et épidémiologie; Psychiatrie et santé mentale

Khue Pham Minh, Roselyne Vallo, Huong Duong Thi, Oanh Khuat Thi Hai, Don Des Jarlais, et al.. Psychiatric Comorbidities among People Who Inject Drugs in Hai Phong, Vietnam: The Need for Screening and Innovative Interventions. BioMed Research International , 2018, 2018, pp.8346195. ⟨10.1155/2018/8346195⟩. ⟨hal-01922401⟩