12 results on '"Debattista, Joseph"'
Search Results
2. VIETNAM'S HEALTHCARE SYSTEM DECENTRALIZATION: HOW WELL DOES IT RESPOND TO GLOBAL HEALTH CRISES SUCH AS COVID-19 PANDEMIC?
- Author
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Huy Van Nguyen, Debattista, Joseph, Minh Duc Pham, An Thi Minh Dao, Stuart Gilmour, Hoa Lan Nguyen, Tien Van Nguyen, Phuong Mai Le, Phuong The Nguyen, Anh Thi Ngoc Tran, Kien Duy Vu, Son Thai Dinh, and Minh Van Hoang
- Subjects
COVID-19 pandemic ,WORLD health ,HEALTH facilities ,MEDICAL care ,PATIENT-centered care - Abstract
This article discussed Vietnam's ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert's perspective to explore the topic. We found that the healthcare system in Vietnam continued to decentralize from a pyramid to a wheel model. This system shifts away from a stratified technical hierarchy of higher- and lower-level health units (pyramid model) to a system in which quality healthcare is equally expected among all health units (wheel model). This decentralization has delivered more quality healthcare facilities, greater freedom for patients to choose services at any level, a more competitive environment among hospitals to improve quality, and reductions in excess capacity burden at higher levels. It has also enabled the transformation from a patient-based traditional healthcare model into a patient-centered care system. However, this decentralization takes time and requires long-term political, financial commitment, and a working partnership among key stakeholders. This perspective provides Vietnam's experience of the decentralization of the healthcare system that may be consider as a useful example for other countries to strategically think of and to shape their future system within their own socio-political context. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
3. Predictors of condom use behaviour among male street labourers in urban Vietnam using a modified Information-Motivation-Behavioral Skills (IMB) model.
- Author
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Van Huy, Nguyen, P Dunne, Michael, and Debattista, Joseph
- Subjects
SEX customs ,WORKING class ,CONDOM use ,HIV infection risk factors ,HIV infection transmission ,HIV prevention ,SOCIAL isolation ,CONDOMS ,MENTAL depression ,ALCOHOL drinking ,HEALTH attitudes ,HEALTH services accessibility ,INTENTION ,MOTIVATION (Psychology) ,MULTIVARIATE analysis ,NOMADS ,PROBABILITY theory ,MATHEMATICAL models of psychology ,SELF-efficacy ,SOCIAL norms ,CITY dwellers ,SAFE sex ,CROSS-sectional method ,PSYCHOLOGY - Abstract
Copyright of Culture, Health & Sexuality is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
- View/download PDF
4. Predictors of recent HIV testing among male street laborers in urban Vietnam.
- Author
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Nguyen, Huy V., Dunne, Michael P., and Debattista, Joseph
- Subjects
HIV prevention ,HIV infection risk factors ,HIV infection epidemiology ,CONDOMS ,STATISTICAL correlation ,GOODNESS-of-fit tests ,LABOR supply ,MATHEMATICAL models ,METROPOLITAN areas ,MOTIVATION (Psychology) ,PSYCHOLOGICAL tests ,RESEARCH funding ,RISK-taking behavior ,HUMAN sexuality ,STATISTICS ,SUBSTANCE abuse ,SURVEYS ,LOGISTIC regression analysis ,THEORY ,FIELD research ,MULTIPLE regression analysis ,CROSS-sectional method ,DATA analysis software ,DESCRIPTIVE statistics ,ODDS ratio - Published
- 2014
- Full Text
- View/download PDF
5. Risks for HIV Infection Among Male Street Laborers in Urban Vietnam.
- Author
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Nguyen, Huy, Dunne, Michael, and Debattista, Joseph
- Subjects
AIDS prevention ,HIV infection risk factors ,CONDOMS ,INTERVIEWING ,LABOR supply ,METROPOLITAN areas ,PSYCHOLOGICAL tests ,RESEARCH funding ,RISK-taking behavior ,SELF-evaluation ,HUMAN sexuality ,SUBSTANCE abuse ,CROSS-sectional method ,HEALTH literacy ,DESCRIPTIVE statistics - Abstract
Risks for HIV infection remain unknown in male street laborers. This research investigates patterns of self-reported risk behaviors among these men in urban Vietnam. In a cross-sectional survey using a social mapping technique, 450 men, mostly low-skilled and unregistered migrant laborers across 13 districts in Hanoi were approached for interviews. The study revealed that male street laborers were at high risk of acquiring and transmitting HIV. One in every 12 men reported homosexual or bisexual behavior. These men on average had three sexual partners within the preceding year, and condom use was inconsistent. Close to 95 % of the men had reported sexual encounters with regular partners. One-third with commercial sex workers (CSW) and 24.2 % with casual partners, but just under one-third had ever used condoms with regular partners and CSWs and very few (17.6 %) with casual partners at their last sexual encounter. 17.11 % used illicit drugs sometimes, with 66.7 % of them frequently sharing injecting equipment with peers. These men had limited HIV knowledge; 51.4 % incorrectly believed that, once you trust your partner, you no longer need to use condoms and 42.4 % believed that you can tell by looking at someone if they have HIV. Access to HIV prevention was also limited; only 19.8 % of men had been tested for HIV during the previous 12 months, almost 10 % of whom neither returned for the result nor knew their HIV status. The study provides interesting directions for future research and suggests ways to effectively design prevention strategies for these men. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
6. Modeling predictors of risky drug use behavior among male street laborers in urban Vietnam.
- Author
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Van Huy Nguyen, Dunne, Michael P., and Debattista, Joseph
- Subjects
DRUG abuse risk factors ,HEALTH behavior ,STREET vendors ,CITIES & towns ,PUBLIC health - Abstract
Background: The application of theoretical frameworks for modeling predictors of drug risk among male street laborers remains limited. The objective of this study was to test a modified version of the IMB (Information- Motivation-Behavioral Skills Model), which includes psychosocial stress, and compare this modified version with the original IMB model in terms of goodness-of-fit to predict risky drug use behavior among this population. Methods: In a cross-sectional study, social mapping technique was conducted to recruit 450 male street laborers from 135 street venues across 13 districts of Hanoi city, Vietnam, for face-to-face interviews. Structural equation modeling (SEM) was used to analyze data from interviews. Results: Overall measures of fit via SEM indicated that the original IMB model provided a better fit to the data than the modified version. Although the former model was able to predict a lesser variance than the latter (55% vs. 62%), it was of better fit. The findings suggest that men who are better informed and motivated for HIV prevention are more likely to report higher behavioral skills, which, in turn, are less likely to be engaged in risky drug use behavior. Conclusions: This was the first application of the modified IMB model for drug use in men who were unskilled, unregistered laborers in urban settings. An AIDS prevention program for these men should not only distribute information and enhance motivations for HIV prevention, but consider interventions that could improve self-efficacy for preventing HIV infection. Future public health research and action may also consider broader factors such as structural social capital and social policy to alter the conditions that drive risky drug use among these men. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
7. Social Contexts of Risk Behaviors for HIV Among Male, Unskilled, Unregistered Laborers in Urban Vietnam.
- Author
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Nguyen, Van Huy, Dunne, Michael P., Debattista, Joseph, Nguyen, Tran Hien, and Dao, Thi Minh An
- Subjects
HIV infection transmission ,ANGER ,ATTITUDE (Psychology) ,GROUNDED theory ,INTERVIEWING ,LIFE ,METROPOLITAN areas ,SEX work ,RESEARCH ,RESEARCH funding ,RISK-taking behavior ,HUMAN sexuality ,SOCIAL skills ,SOUND recordings ,QUALITATIVE research ,AFFINITY groups ,INTRAVENOUS drug abusers ,ATTITUDES toward AIDS (Disease) - Published
- 2012
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- View/download PDF
8. Stress and coping among migrant labourers in urban Vietnam: an adaptation cycle and health vulnerabilities.
- Author
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Van Huy, Nguyen, Dunne, Michael P, Debattista, Joseph, and An, Dao Thi Minh
- Subjects
HEALTH of immigrants ,RURAL urban continuum ,PSYCHOLOGICAL adaptation ,PSYCHOLOGICAL stress ,FOREIGN workers - Abstract
Rural-urban migration continues to grow in many developing countries including Vietnam. The experience of stress and coping associated with this process may vary for people from different circumstances. However, there has been little research on migrants to date. This study adopts a qualitative approach to research on unregistered, male, migrant freelance labourers in urban Vietnam and to explore factors contributing to stress and coping among this population. The study revealed an array of stressors related to migrants' life experiences in urban space, including physical, financial and social factors. Coping was diverse, including problem-focused coping (PFC) and emotion-focused coping (EFC), pro-social and anti-social, active and passive. Less active and anti-social coping appeared common. Together, weak social network and lack of support from formal systems placed coping and adaptation in a cyclic relationship. The results highlight a multi-disciplinary approach to help cope and adapt effectively for these men. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
9. Factors Associated with Depression Among Male Casual Laborers in Urban Vietnam.
- Author
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Van Huy N, Dunne MP, and Debattista J
- Subjects
- Adolescent, Adult, Depressive Disorder diagnosis, Humans, Interpersonal Relations, Interviews as Topic, Male, Middle Aged, Risk Factors, Rural Population, Social Support, Urban Population, Vietnam epidemiology, Young Adult, Depressive Disorder epidemiology, Depressive Disorder psychology, Employment psychology, Occupational Diseases epidemiology, Occupational Diseases psychology
- Abstract
This study examined the level, the prevalence of and the factors associated with depression among male casual laborers in Hanoi. Social mapping was done to recruit and interview 450 men aged over 18 years, mostly unskilled and unregistered laborers from 135 street venues across 13 districts of the city using a structured questionnaire . Most were from rural and mountainous provinces and did manual works such as motorbike taxi drivers, porters, construction workers, small traders and others in the current city. The prevalence of self-reported depressive symptoms (25 %) was high. Structural equation modeling showed that marriage, family separation and living with peers or partners were three significant distal risk factors, while illicit drug use and low social connectedness were proximal predictors of depression. Of all factors, social connectedness appeared to be the most important because it plays a mediating role. Drug use was an independent risk factor. This study provides a model to understand the mental health of male casual laborers and to develop culturally appropriate intervention programs for these men.
- Published
- 2015
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- View/download PDF
10. Risks for HIV infection among male street laborers in urban Vietnam.
- Author
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Van Nguyen H, Dunne MP, and Debattista J
- Subjects
- Adolescent, Adult, Bisexuality statistics & numerical data, Cross-Sectional Studies, HIV Infections epidemiology, Homosexuality, Male statistics & numerical data, Humans, Interviews as Topic, Male, Middle Aged, Risk Factors, Sexual Behavior statistics & numerical data, Sexual Partners, Substance Abuse, Intravenous epidemiology, Unsafe Sex statistics & numerical data, Urban Population statistics & numerical data, Vietnam epidemiology, Young Adult, HIV Infections etiology
- Abstract
Risks for HIV infection remain unknown in male street laborers. This research investigates patterns of self-reported risk behaviors among these men in urban Vietnam. In a cross-sectional survey using a social mapping technique, 450 men, mostly low-skilled and unregistered migrant laborers across 13 districts in Hanoi were approached for interviews. The study revealed that male street laborers were at high risk of acquiring and transmitting HIV. One in every 12 men reported homosexual or bisexual behavior. These men on average had three sexual partners within the preceding year, and condom use was inconsistent. Close to 95 % of the men had reported sexual encounters with regular partners. One-third with commercial sex workers (CSW) and 24.2 % with casual partners, but just under one-third had ever used condoms with regular partners and CSWs and very few (17.6 %) with casual partners at their last sexual encounter. 17.11 % used illicit drugs sometimes, with 66.7 % of them frequently sharing injecting equipment with peers. These men had limited HIV knowledge; 51.4 % incorrectly believed that, once you trust your partner, you no longer need to use condoms and 42.4 % believed that you can tell by looking at someone if they have HIV. Access to HIV prevention was also limited; only 19.8 % of men had been tested for HIV during the previous 12 months, almost 10 % of whom neither returned for the result nor knew their HIV status. The study provides interesting directions for future research and suggests ways to effectively design prevention strategies for these men.
- Published
- 2013
- Full Text
- View/download PDF
11. Modeling predictors of risky drug use behavior among male street laborers in urban Vietnam.
- Author
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Nguyen VH, Dunne MP, and Debattista J
- Subjects
- Adolescent, Adult, Behavioral Research, Cross-Sectional Studies, HIV Infections epidemiology, HIV Infections psychology, Health Behavior ethnology, Humans, Interviews as Topic, Male, Middle Aged, Models, Psychological, Motivation, Residence Characteristics, Sex Workers statistics & numerical data, Stress, Psychological, Vietnam epidemiology, Young Adult, HIV Infections prevention & control, Risk-Taking, Sex Workers psychology, Substance-Related Disorders epidemiology, Urban Population
- Abstract
Background: The application of theoretical frameworks for modeling predictors of drug risk among male street laborers remains limited. The objective of this study was to test a modified version of the IMB (Information-Motivation-Behavioral Skills Model), which includes psychosocial stress, and compare this modified version with the original IMB model in terms of goodness-of-fit to predict risky drug use behavior among this population., Methods: In a cross-sectional study, social mapping technique was conducted to recruit 450 male street laborers from 135 street venues across 13 districts of Hanoi city, Vietnam, for face-to-face interviews. Structural equation modeling (SEM) was used to analyze data from interviews., Results: Overall measures of fit via SEM indicated that the original IMB model provided a better fit to the data than the modified version. Although the former model was able to predict a lesser variance than the latter (55% vs. 62%), it was of better fit. The findings suggest that men who are better informed and motivated for HIV prevention are more likely to report higher behavioral skills, which, in turn, are less likely to be engaged in risky drug use behavior., Conclusions: This was the first application of the modified IMB model for drug use in men who were unskilled, unregistered laborers in urban settings. An AIDS prevention program for these men should not only distribute information and enhance motivations for HIV prevention, but consider interventions that could improve self-efficacy for preventing HIV infection. Future public health research and action may also consider broader factors such as structural social capital and social policy to alter the conditions that drive risky drug use among these men.
- Published
- 2013
- Full Text
- View/download PDF
12. Hepatitis B knowledge, testing, and vaccination among Chinese and Vietnamese adults in Australia.
- Author
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Vu LH, Gu Z, Walton J, Peet A, Dean J, Dunne MP, and Debattista J
- Subjects
- Adult, Asian People statistics & numerical data, Australia, China ethnology, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Patient Acceptance of Health Care statistics & numerical data, Vietnam ethnology, Asian People psychology, Health Knowledge, Attitudes, Practice ethnology, Hepatitis B diagnosis, Hepatitis B prevention & control, Hepatitis B Vaccines administration & dosage, Mass Screening statistics & numerical data, Patient Acceptance of Health Care ethnology, Vaccination statistics & numerical data
- Abstract
Hepatitis B is a significant public health challenge within some subpopulations in Australia, including Chinese and Vietnamese migrants. There has been limited research on hepatitis B knowledge and actions in these communities. The authors conducted a self-administered survey among 442 Chinese and 433 Vietnamese in Brisbane. Generally, the knowledge is best described as "moderate." One in 2 could not identify the sexual transmission risk and less than one third knew that sharing foods or drinks did not spread the disease. The majority of Vietnamese (80%) and 60% of Chinese respondents indicated prior testing. Vaccination was reported in 60% of the Vietnamese and in 52% of the Chinese. Knowledge was better among Chinese people who had been tested and vaccinated compared with those who were nontested and nonvaccinated. Only 3.5% of the Chinese, but 11.6% of the Vietnamese, indicated having a positive test result hepatitis B virus. This study helps identify strategies for programs targeting both communities and practitioners.
- Published
- 2012
- Full Text
- View/download PDF
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