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Over the last two decades, the primary illicit drug of concern has shifted from heroin to methamphetamine and other psychoactive substances. Tobacco use has declined but remains widespread while alcohol consumption is high compared with other countries in the region with common binge drinking. Studies on behavioral addictions in Vietnam are limited. While the impacts of opioid addiction are well documented, reports on the societal impacts of methamphetamine use remain scarce. Public discourse has often framed substance use negatively, fueling stigmatization and supporting abstinence\u2010oriented policies. Vietnam's drug policy reflects a tension between abstinence\u2010focused and harm reduction approaches. The nationwide expansion of methadone treatment is a significant achievement. However, the country's responses to the new epidemic of methamphetamine and other psychoactive substances are still evolving. International cooperation has continued to play an important role in advancing research and surveillance as well as adapting evidence\u2010based interventions. There are promising signs that Vietnam will strengthen public awareness and expand workforce training and policy innovation to address the issue of substance use in the population.<\/jats:p>","DOI":"10.1111\/add.70207","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T14:14:30Z","timestamp":1760710470000},"page":"448-457","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Perspectives on addiction\u2010related problems in Vietnam"],"prefix":"10.1111","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3261-2098","authenticated-orcid":false,"given":"Nguyen Thu","family":"Trang","sequence":"first","affiliation":[{"name":"Center for Training and Research on Substance Abuse and HIV Hanoi Medical University  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1285-3791","authenticated-orcid":false,"given":"Nguyen Bich","family":"Diep","sequence":"additional","affiliation":[{"name":"Center for Training and Research on Substance Abuse and HIV Hanoi Medical University  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0042-3057","authenticated-orcid":false,"given":"Phong K.","family":"Thai","sequence":"additional","affiliation":[{"name":"Queensland Alliance for Environmental Health Sciences (QAEHS) The University of Queensland  Woolloongabba Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Cuu","family":"Duc","sequence":"additional","affiliation":[{"name":"Vietnam Office of the Government  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Le Minh","family":"Giang","sequence":"additional","affiliation":[{"name":"Center for Training and Research on Substance Abuse and HIV Hanoi Medical University  Hanoi Vietnam"},{"name":"School of Preventive Medicine and Public Health Hanoi Medical University  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2011.11.005"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1515\/jdpa-2015-0011"},{"key":"e_1_2_15_4_1","unstructured":"Ministry of Public Security.Approval of the proposal [#984\/QD\u2010BCA\u2010C04]: \u201cReceiving the state management responsibility for drug addiction treatment and post\u2010rehabilitation management from the Ministry of Labor Invalids and Social Affairs to the Ministry of Public Security.\u201d2025."},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2007.02122.x"},{"key":"e_1_2_15_6_1","unstructured":"Department for Social Evils Prevention (DSEP) Ministry of Labor \u2013 Invalid and Social Affairs (MoLISA).Annual national reports."},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.11648\/j.sjph.20140203.22"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2021.108320"},{"key":"e_1_2_15_9_1","doi-asserted-by":"crossref","unstructured":"Huy\u0110\u0110 TrangNT Di\u1ec7pNB AnhNH Tr\u00e1ngPH NgaNTT et al.Xu h\u01b0\u1edbng thay \u0111\u1ed5i s\u1eed d\u1ee5ng methamphetamine \u1edf b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb methadone t\u1ea1i H\u00e0 N\u1ed9i qua ba n\u0103m 2018\u20132021. 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