AIDS and Behavior

, Volume 16, Issue 5, pp 1164–1172

HIV Prevention Interventions for Female Sexual Partners of Injection Drug Users in Hanoi, Vietnam: 24-Month Evaluation Results

  • Theodore M. Hammett
  • Ryan Kling
  • Nghiem Thi Ha Van
  • Dang Ha Son
  • Kieu Thanh Binh
  • Khuat Thi Hai Oanh
Original Paper


Vietnam’s HIV epidemic is driven by injection drug use. Most IDUs are sexually active and may infect their female sexual partners (SPs). We implemented peer-based HIV prevention interventions for SPs in Hanoi. This paper reports on an evaluation of these interventions based on cross-sectional surveys of SPs. Our data show that this population can be reached, relationships improved, and consistent condom use increased (27% at 24 months up from 16% at 12 months: P = 0.002). Self-reported condom use at last sex was 3.5 times higher among participants in the intervention than among non-participants after controlling for selection bias, indicating a possible intervention effect. However, no significant association was found for consistent condom use in the previous 6 months. Many SPs remain at risk for HIV and interventions must promote a range of HIV prevention strategies including consistent condom use, lower risk sexual activity, and ARV treatment as prevention.


HIV prevention Sexual partners of IDUs Vietnam 


  1. 1.
    Family Health International, National Institute for Hygiene and Epidemiology. Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam, 2009. Hanoi: Family Health International; 2010.Google Scholar
  2. 2.
    Vietnam Administration for HIV/AIDS Control (Ministry of Health), Family Health International. 2007 HIV/AIDS estimates and projections. Hanoi: VAAC; 2009.Google Scholar
  3. 3.
    Go VF, Frangakis C, Nam LV, Bergenstrom A, Sripaipan T, Zenilman JM, Celentano DD, Quan VM. High risk sexual risk behaviors and sexually transmitted disease prevalence among injection drug users in Northern Vietnam: implications for a generalized epidemic. J Acquir Immune Defic Syndr. 2006;42:108–15.PubMedCrossRefGoogle Scholar
  4. 4.
    Hammett TM, Kling R, Johnston P, Liu W, Ngu D, Friedmann P, Binh KT, Dong HV, Van LK, Donghua M, Chen Y, Des Jarlais DC. HIV prevalence and HIV risk behaviors among injection drug users prior to and 24 months following implementation of cross-border interventions in Northern Vietnam and Southern China. AIDS Educ Prev. 2006;18:97–115.PubMedCrossRefGoogle Scholar
  5. 5.
    Hammett TM, Van NTH, Kling R, Binh KT, Oanh KTH. Female sexual partners of injection drug users in Vietnam: an at-risk population in urgent need of HIV prevention services. AIDS Care. 2010;22:1466–72.PubMedCrossRefGoogle Scholar
  6. 6.
    Go VF, Quan VM, Voytek C, Celentano D, Nam LV. Intra-couple communication dynamics of HIV risk behavior among injecting drug users and their sexual partners in northern Vietnam. Drug Alcohol Dependence. 2006;84:69–76.CrossRefGoogle Scholar
  7. 7.
    Tran TM, Nguyen HT, Yatsuya H, Hamajima N, Nishimura A, Ito K. HIV prevalence and factors associated with HIV infection among male injection drug users under 30: a cross-sectional study in Long An, Vietnam. BMC Public Health. 2006;6:248–57.PubMedCrossRefGoogle Scholar
  8. 8.
    Vanichseni S, Des Jarlais DC, Choopanya K, Friedmann P, Wenston J, Sonchai W, Sotheran JL, Raktham S, Carballo M, Friiedman SR. Condom use with primary partners among injecting drug users in Bangkok, Thailand and New York City, United States. AIDS. 1993;7:887–91.PubMedCrossRefGoogle Scholar
  9. 9.
    Liu H, Grusky O, Li X, Ma E. Drug users: a potentially important bridge population in the transmission of sexually transmitted diseases, including AIDS, in China. Sex Transm Dis. 2006;33:111–7.PubMedCrossRefGoogle Scholar
  10. 10.
    Zhao M, Du J, Lu GH, Wang QY, Xu H, Zhu M, McCoy CB. HIV sexual risk behaviors among injection drug users in Shanghai. Drug Alcohol Dependence. 2006;82(suppl 1):S43–7.CrossRefGoogle Scholar
  11. 11.
    Kumar MS, Virk HK, Chaudhuri A, Mittal A, Lewis G. A rapid situation and response assessment of the female regular sex partners of male drug users in South Asia: factors associated with condom use during the last sexual intercourse. Int J Drug Policy. 2008;19:148–58.PubMedCrossRefGoogle Scholar
  12. 12.
    Pisani E, Dadun, Sucahya PK, Kamil O, Jazan S. Sexual behavior among injection drug users in 3 Indonesian cities carries a high potential for HIV spread to non-injectors. J Acquir Immune Defic Syndr. 2003;34:403–6.PubMedCrossRefGoogle Scholar
  13. 13.
    Abdala N, Krasnoselskikh TV, Durante AJ, Timofeeva MY, Verevochkin SV, Kozlov AP. Sexually transmitted infections, sexual risk behaviors, and the risk of heterosexual spread of HIV among and beyond IDUs in St. Petersburg, Russia. Eur Addict Res. 2008;14:19–25.PubMedCrossRefGoogle Scholar
  14. 14.
    Sherman SG, Latkin CA. Intimate relationship characteristics associated with condom use among drug users and their sex partners: a multilevel analysis. Drug Alcohol Dependence. 2001;64:97–104.CrossRefGoogle Scholar
  15. 15.
    Kapadia F, Latka MH, Hudson SM, Golub ET, Campbell JV, Bailey S, Frye V, Garfein RS, DUIT study team. Correlates of consistent condom use with main partners by partnership patterns among young adult male injection drug users from five US cities. Drug Alcohol Dependence. 2007;91(Suppl 1):S56–63.CrossRefGoogle Scholar
  16. 16.
    Pulewitz J, Gortmaker SL, DeJong W. Measuring sexual relationship power in HIV/STD research. Sex Roles. 2000;42:637–60.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Theodore M. Hammett
    • 1
  • Ryan Kling
    • 2
  • Nghiem Thi Ha Van
    • 1
  • Dang Ha Son
    • 1
  • Kieu Thanh Binh
    • 1
  • Khuat Thi Hai Oanh
    • 3
  1. 1.Abt Associates IncTay Ho District, HanoiVietnam
  2. 2.Abt Associates IncCambridgeUSA
  3. 3.Supporting Community Development InitiativesHanoiVietnam

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