HIV infection among the representatives of northern indigenous small-numbered peoples residing in the Surgut District of the Khanty-Mansi Autonomous Okrug – Yugra

Butorov E.V.

Center for HIV/AIDS Prevention and Control, Branch in Surgut, Khanty-Mansi Autonomous Okrug – Yugra, Surgut, Russia
Objective. To investigate the prevalence of HIV infection among the representatives of northern indigenous small-numbered peoples (Khanty) living in the Surgut District of the Khanty-Mansi Autonomous Okrug–Yugra.
Materials and methods. This pilot longitudinal retrospective and prospective study was conducted, with emphasis on the target group of HIV-infected patients from the indigenous ethnic group (the Khanty) in the Surgut District. The data from the maps of epidemiological investigation of HIV infection cases and outpatient medical records (Form No. 025/y-04), and the data from state statistical reporting forms (Nos. 4, 61, and 33) over the period 2000 to 2016 were used.
Results. The incidence, prevalence, morbidity, and mortality rates due to HIV infection in the representatives of the Khanty in the Surgut District substantially exceed those amongst the newcomers. Of particular concern is a rise in HIV cases among the Khanty people living on the communal tribal lands. The mortality rates from HIV infection concurrent with tuberculosis were registered in 50% of cases among the Khanty. Sexual contact in the structure of HIV transmission routes prevails from the initiation of the epidemic process due to the ethnic and social characteristics of the lifestyle of the indigenous population. The excess threshold HIV affection in pregnant women suggests that the epidemic is generalized among the Khanty.
Conclusion. The HIV epidemic has an obvious negative impact on the indigenous small-numbered peoples of the Surgut District; and the radical change in the adverse scenario of the epidemic process necessitates the urgent and active implementation of a package of anti-epidemic and prevention measures to stabilize HIV mortality rates among the Khanty ethnic group.


  1. Ladnaya N.N., Pokrovsky V.V., Dement’eva L.A., Lipina E.S. [The development of the HIV epidemic in Russia in 2016]. Materialy mezhdunarodnoj nauchno-prakticheskoj konferencii «Aktual’nye voprosy VICH-infekcii. Zhenshchiny i VICH». Saint-Petersburg, 2017; 3–9. (In Russ.).
  2. [Federal Service for Surveillance on Consumer Rights Protection and Human Well-Being «The State Report on Sanitary-and-Epidemiological Public Well-Being in 2016]. Moscow, 2017; 99–101. (In Russ.).
  3. Nowgesic E. Getting the Canadian HIV epidemic to zero: Valuing indigenous cultures through holistic research. Canadi J. Aborig. Community Based HIV/AIDS Res. 2013; (5): 60–70.
  4. Benoit A.C.. Younger J., Beaver K., Jackson R., Loutfy M., Masching R., Nobis T., Nowgesic E., O’Brien-Teengs D., Whitebird W., Zoccole A., Hull M., Jaworsky D., Benson E., Rachlis A., Rourke S.B., Burchell A.N., Cooper C., Hogg R.S., Klein M.B., Machouf N., Montaner J.S.G., Tsoukas C., Raboud J. Increased mortality among Indigenous persons in a multisite cohort of people living with HIV in Canada. Can. J. Public Health 2017; 108(2): 169–75. DOI: 10.17269/cjph.108.5708.
  5. Bjorn-Mortensen K., Ladefoged K., Obel N., Helleberg M. The HIV epidemic in Greenland – a slow spreading infection among adult heterosexual Greenlanders. Int. J. Circumpolar Health 2013; 72: 19558. DOI: 10.3402/ijch.v72i0.19558.
  6. Ladefoged K., Andersson M., Koch A., Rendal T., Rydbacken M. Living conditions, quality of life, adherence and treatment outcome in Greenlandic HIV patients. Int. J. Circumpolar Health 2012; 71: 1–8.
  7. Negin J., Aspin C., Gadsden T., Reading C. HIV Among Indigenous peoples: A Review of the Literature on HIV-Related Behaviour Since the Beginning of the Epidemic. AIDS Behav. 2015; 19(9): 1720–34. DOI: 10.1007/s10461-015-1023-0.
  8. Kumar A. HIV/AIDS Risk and Prevention Issues Among Inuit Living in Nunavut Territory of Canada. In Vivo 2016; 30(6): 905–16.
  9. The Canadian Aboriginal AIDS Network (CAAN). International Indigenous Strategy for HIV/AIDS.
  10. International Indigenous Working Group On HIV & AIDS.
  11. Sorokina S.A., Zagdiyn Z.M. [Social-economic, cultural and psychological factors affected the tuberculosis and HIV-infection spread among indigenous peoples in Russia (review)]. Medicinskiy al’ans 2016; 3: 24–9. (In Russ.).
  12. Volova L.Y., Rodina E.V.В. [HIV Epidemic situation among Small Indigenous Populations of Northeast Russia]. Zhurnal infektologii 2014; 6(2): 76–82. DOI:10.22625/2072-6732-2014-6-2-76-82 (In Russ.).
  13. Istomin P.V., Volova L.Y., Mefodiev V.V., Romanova A.A. [Risk factors of HIV –infection among the indigenous peoples and the migrant population of the far North]. Epidemiologiya i infekcionnye bolezni 2017; 22(3): 128–33. (In Russ.).

About the Autors

For correspondence:
Evgeny V. Butorov, Cand. Med. Sci., Clinical Epidemiologist, Doctor of Clinical Laboratory Diagnostics; Center for HIV/AIDS Prevention and Control, Branch in Surgut, Khanty-Mansi Autonomous Okrug – Yugra
Address: P.O.Box 500, Surgut 628412, Russia

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