14 research outputs found

    Stigma experienced by people living with HIV who are on methadone maintenance treatment and have symptoms of common mental disorders in Hanoi, Vietnam: a qualitative study

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    Background: Stigma around human immunodeficiency virus (HIV), injection drug use (IDU), and mental health disorders can be co-occurring and have different impacts on the well-being of people living with HIV (PWH) who use drugs and have mental health disorders. This stigma can come from society, health professionals, and internalized stigma. A person who has more than one health condition can experience overlapping health-related stigma and levels of stigma which can prevent them from receiving necessary support and healthcare, serving to intensify their experience with stigma. This study investigates HIV, drug use, and mental health stigmas in three dimensions (social, internalized, and professional) around PWH on methadone maintenance treatment (MMT) who have common mental disorders (CMDs) including depression, anxiety, and stress-related disorders in Hanoi, Vietnam.Please check and confirm whether corresponding author's email id is correctly identified.The cooresponding author's email is correct Methods: We conducted semi-structured, in-depth interviews (IDIs) (n = 21) and two focus group discussions (FGDs) (n = 10) with PWH receiving MMT who have CMD symptoms, their family members, clinic health care providers, and clinic directors. We applied thematic analysis using NVIVO software version 12.0, with themes based on IDI and FGD guides and emergent themes from interview transcripts. Results: The study found evidence of different stigmas towards HIV, IDU, and CMDs from the community, family, health care providers, and participants themselves. Community and family members were physically and emotionally distant from patients due to societal stigma around illicit drug use and fears of acquiring HIV. Participants often conflated stigmas around drug use and HIV, referring to these stigmas interchangeably. The internalized stigma around having HIV and injecting drugs made PWH on MMT hesitant to seek support for CMDs. These stigmas compounded to negatively impact participants’ health. Conclusions: Strategies to reduce stigma affecting PWH on MMT should concurrently address stigmas around HIV, drug addiction, and mental health. Future studies could explore approaches to address internalized stigma to improve self-esteem, mental health, and capacities to cope with stigma for PWH on MMT. Trial registration: NCT04790201, available at clinicaltrials.gov

    Low temperature growth of amorphous VO2 films on flexible polyimide substrates with a TiO2 buffer layer

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    Amorphous VO2 thin films were grown on anatase TiO2-buffered polyimide (PI) films using radio-frequency magnetron sputtering deposition with a VO2 target as low as at 175 °C. For comparison, the authors grew VO2 films on TiO2-buffered SiO2/Si substrates. The structural and morphological properties of the VO2 films were evaluated by x-ray diffraction, field emission scanning electron microscopy, transmission electron microscopy, and Raman spectroscopy. VO2 films grown on TiO2/SiO2/Si were crystalline at 200 and 250 °C and were amorphous at 175 °C. VO2 films grown on TiO2/PI were amorphous. No peak corresponding to the monoclinic phase of VO2 appeared in the Raman spectra of VO2/TiO2/PI films grown at 175 or 200 °C. The chemical compositions of VO2 and the binding energy spectra of V and O atoms were probed by x-ray photoelectron spectroscopy. The authors discussed the multivalence states of V atoms and oxygen vacancies based on the x-ray photoemission spectroscopy of crystalline and amorphous VO2 films. The authors obtained the hysteresis curves of the resistivity as a function of temperature for both VO2/TiO2/SiO2/Si and VO2/TiO2/PI films. In addition, the authors measured the reflectivity of VO2/TiO2/PI films below and above the metal-insulator transition temperature using spectroscopic ellipsometry. The reflectivity changed substantially and was comparable to the literature values of well-crystallized VO2 films, even though the ratio of the switching resistivity values was as low as sixty. This work demonstrates that VO2 films grown on plastic films grown at temperatures as low as 175 °C can be applicable as flexible thermochromic films for use in energy-saving windows. © 2018 Author(s)

    Intention to pay for hpv vaccination among women of childbearing age in vietnam

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    10.3390/ijerph17093144International Journal of Environmental Research and Public Health179314
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