PROBLEMS OF DISABILITY AND TREATMENT ADHERENCE IN HIV-INFECTED PATIENTS

Introduction.This study focuses on the problem of early disability of patients with HIV-infection and treatment adherence and dispensary observation. Material and methods. The clinical and anamnestic analysis of 1136 out-patient records and medical records of patients registered at Saint-Petersburg State Budgetary Institution of Healthcare “Center for Prevention and Control of AIDS and Infectious Diseases” and directed at medical and social examination was carried out. In addition, using the test methods we investigated the psychosocial characteristics of 76 patients who applied to the psychologist before the beginning of antiretroviral therapy, and assessed the treatment adherence a year after the start of treatment.Results.The results of the study indicated the increase in the proportion of patients at advanced stages of the disease, increased detection of HIV in older age groups. Late diagnosis of the disease is the cause of temporary disability and early disability of patients with HIV infection. The dynamics of the number of disabled persons due to HIV infection increasing. Men need more time to decide on dispensary care than women. The majority of patients with are men of working age, identified or sought medical care at the late stages of the disease. Women are more attentive to their health and have more complex treatment adherence than men. The interrelations of psychological and somatic characteristics with the level of adherence to medical recommendations were found.

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Socio-demographic features of HIV infection in Primorsky Territory

Sanitarnyj vrač (Sanitary Inspector) ◽

10.33920/med-08-2109-05 ◽

2021 ◽

pp. 50-57

Author(s):

Ekaterina Vladimirovna Tupikova ◽

Svetlana Nikolaevna Beniova ◽

Pavel Fedorovich Kiku ◽

Lidiya Fedorovna Sklyar ◽

Elena Ivanovna Miroshnichenko ◽

...

Keyword(s):

Hiv Infection ◽

Hiv Transmission ◽

General Structure ◽

Age Groups ◽

Reproductive Age ◽

Newly Diagnosed ◽

Infected People ◽

Demographic Indicators ◽

Working Age ◽

And Control

The article presents an analysis of the socio-demographic characteristics of HIV infection in the Primorsky Territory. The data for analysis were taken from the reporting forms of statistical data (information on the results of blood tests for antibodies to HIV, information on the disease caused by the human immunodeficiency virus) GBUZ «Regional Clinical Hospital No. 2» Center for the Prevention and Control of AIDS and Infectious Diseases for the period of 2018–2020. In recent years, the disease has been diagnosed in older age groups. In the general structure of newly diagnosed persons with HIV infection, there remain a consistently high proportion of adults who are the most able-bodied and sexually active. There is a stable increase in the proportion of morbidity and mortality among men in the general structure of patients diagnosed for the first time in the Primorsky Territory. In the total population of HIV-infected patients, the dominant route of HIV transmission is still parenteral (with intravenous drug use), although there is an annual stable decrease in its share in the total number of newly diagnosed patients. Mortality due to the parenteral (narcotic) route of HIV transmission among HIV-positive men is significantly higher in the general structure of HIV-infected. Among the population of Primorsky Krai, the largest number of HIV-infected people are unemployed patients. The proportion of women of reproductive age is increasing, but the detection rate of HIV infection among pregnant women is decreasing. HIV infection affects the most working-age population, affecting demographic indicators. Despite the efforts aimed at combating the epidemic, HIV infection still remains one of the main socially significant threats to the health of all mankind.

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Epidemiological analysis of the main indicators of HIV infection in the Primorsky Region

Sanitarnyj vrač (Sanitary Inspector) ◽

10.33920/med-08-2108-03 ◽

2021 ◽

pp. 19-25

Author(s):

Tatyana Stanislavovna Cherlanova ◽

Ekaterina Vladimirovna Tupikova ◽

Elena Ivanovna Miroshnichenko ◽

Lidiya Fedorovna Sklyar ◽

Pavel Fedorovich Kiku ◽

...

Keyword(s):

Hiv Infection ◽

Incidence Rate ◽

Medical Problem ◽

Screening Tests ◽

Vulnerable Groups ◽

Epidemiological Analysis ◽

Demographic Indicators ◽

Working Age ◽

The Moment ◽

And Control

Currently, HIV infection continues to be one of the main socially significant problems in the field of human health. Despite all the efforts aimed at fighting the epidemic, the number of HIV-infected patients worldwide is growing every year. HIV infection is a disease that is not only a medical problem. Its distribution affects all spheres of society and affects everyone. HIV affects the most working-age population, affecting demographic indicators. Every year there are about 1000 cases of infection on the territory of the Primorsky Territory. The article presents an epidemiological analysis of the main indicators of HIV infection in the Primorsky Territory. The analyzed data are taken from the accounting and reporting forms of the State Budgetary Healthcare Institution «Regional Clinical Hospital No. 2» Center for the Prevention and Control of AIDS and Infectious Diseases for the period 2016–2020. According to the results of the analysis, at the moment there is some stabilization of the situation with regard to HIV infection in the Primorsky Territory, since there are years without dynamics or with a decrease in the incidence rate. The number of administrative territories of the region has increased, where there was a decrease in the incidence rate relative to last year. An increase in the prevalence of HIV infection is recorded annually, while the rate of growth of the indicator is decreasing. The disease has spread beyond vulnerable groups of the population and is actively spreading in the general population. In recent years, there has been a steady tendency in the region to increase the coverage of the population with screening tests for HIV infection. Since 2015, there has been a downward trend in the detection of HIV-positive persons in the total mass of the surveyed in the territory of the region.

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Analysis of the level and structure of the incidence of the population of the KHMAO

Medical Science And Education Of Ural ◽

10.36361/1814-8999-2021-22-3-82-89 ◽

2021 ◽

Vol 22 (3) ◽

pp. 82-89

Author(s):

T. V. Razumova ◽

◽

T. V. Zuyevskaya ◽

P. I. Pavlov ◽

E. V. Sadrieva ◽

...

Keyword(s):

Hiv Infection ◽

Russian Federation ◽

Age Groups ◽

Circulatory System ◽

Federal District ◽

Malignant Neoplasms ◽

Number Of Patients ◽

Working Age ◽

The Russian Federation ◽

Khanty Mansi Autonomous

Purpose of the study: assessment of the level and structure of the incidence of the population to determine the main categories of diseases most common in the Khanty-Mansi Autonomous Okrug-Yugra, as well as making a territorial comparison of the incidence of the population. Materials and research methods: statistical materials from the annual collection “Health of the population of the Khanty-Mansi Autonomous Okrug-Yugra and the activities of medical organizations” and data of statistical reporting on the incidence of the population from the Medstat program were used, in particular, the primary morbidity of the population of the Khanty-Mansi Autonomous Okrug-Yugra in different age groups, the general incidence the population of different age groups of the Khanty-Mansi Autonomous Okrug-Yugra. The analysis used indicators such as primary morbidity, general morbidity, one-year mortality (died within the first year from the date of diagnosis) in malignant neoplasms. Results. The primary morbidity of the population in the Khanty-Mansi Autonomous Okrug-Yugra tends to grow in all age groups. The indicators of primary morbidity of the population of the Khanty-Mansi Autonomous Okrug-Yugra in 2018 are 17.1% higher than in the Russian Federation and 12.2% higher than in the Ural Federal District. In the structure of primary morbidity, the first place is taken by diseases of the respiratory system, the second place in the structure of the primary morbidity of people over working age is taken by diseases of the circulatory system, and the third place is by diseases of the genitourinary system. The overall incidence rate of the entire population is 1896 per 1000 population. In 2018, 41.2 cases of tuberculosis per 100 thousand of the population were detected for the first time in the Khanty-Mansi Autonomous Okrug-Yugra (in the Ural Federal District – 61.6, in the Russian Federation – 44.4 per 100 thousand of the population). This pathology tends to decrease and compared with 2017 decreased by 10.2% (the Russian Federation decreased by 8.1%, the Ural Federal District – 2.1%). The number of patients with newly diagnosed HIV infection in 2018 decreased by 1.5% compared to 2017 and amounted to 82.3 per 100 thousand population, which is higher than in the Russian Federation (58.5), but lower. than in the Ural Federal District (108.2) per 100 thousand population. Since 2012, there has been a tendency towards an increase in the incidence of malignant neoplasms, but the detection rate of malignant neoplasms at stages III-IV has not changed since 2015 and is 39.5%, which is higher than in the Russian Federation (38.5%). Conclusion: the primary morbidity in the Khanty-Mansi Autonomous Okrug-Yugra in 2018 is 17.1% higher than in the Russian Federation. In the first place are diseases of the respiratory system (48.4%, of which in children – 66.4, and in persons of older working age – 22.2%). In second place in children is infectious pathology, and in people of working age – diseases of the genitourinary system. The second place in morbidity in older people of working age is diseases of the circulatory system. The district has a high level of infectious and parasitic diseases. The number of patients with newly diagnosed tuberculosis is lower than in the Ural Federal District and the Russian Federation. The number of patients with HIV infection is higher than in the Russian Federation, but lower than in the Ural Federal District. There is a tendency towards an increase in the number of malignant neoplasms. The number of neoplasms is lower than in the Ural Federal District and the Russian Federation. In the Khanty-Mansi Autonomous Okrug-Yugra, there is a positive trend in the reduction of socially significant diseases, such as tuberculosis, HIV infection, STIs, alcoholism, drug addiction, injuries and an increase in overall morbidity, including malignant neoplasms, which indicates the availability of medical care, health literacy of the population and carrying out appropriate preventive work.

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