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Risk factors for non-compliance with HIV treatment in 4 countries of the Eastern Europe and Central Asia: results of the study on «Reducing the risk of mother-to-child transmission of HIV»
DOI: https://dx.doi.org/10.18565/epidem.2019.9.1.37-42
Kozyrina N.V., Belyaeva V.V., Khokhlova O.N., Suvorova Z.K., Oganesyan E.E., Manukyan Yu.A., Atamanchuk A.A., Svetogor T.N., Toitukova M.M., Tostokov E.T., Mustafaeva D.A., Bekmetova M.Yu., Ismailova N.K., Shomakhmudova Sh.Sh., Alovutdinova N.A.
1 Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 2 National Centre for AIDS Рrevention, Ministry of Нealth of the Republic of Armenia, Yerevan, Armenia; 3 Minsk Regional Center for Hygiene, Epidemiology and Public Health, Minsk, Republic of Belarus; 4 Minsk City Center for Hygiene and Epidemiology, Minsk, Republic of Belarus; 5 Republican AIDS Center, Ministry of Health of Kyrgyz Republic, Bishkek, Republic of Kyrgyzstan; 6 Republican Center of Struggle with AIDS, Tashkent, Republic of Uzbekistan; 7 Tashkent Regional Center of Struggle with AIDS, Tashkent, Republic of Uzbekistan; 8 Tashkent City Center of Struggle with AIDS, Tashkent, Republic of Uzbekistan
Materials and methods. Results of a questionnaire of 380 women are reported. The average age of respondents was 35.4 years, 70% of women had secondary or advanced education, 42.1% worked, 40.1% were housewives. The period of living with HIV averaged 4.7 years, 42.6% of women had been living with HIV for 5 years or more.
Results. The respondents from Uzbekistan considered the risks related to personal barriers (22.7%), fears and concerns related to family members (22.7%), memory and attention (18.2%) to be the most significant. The respondents from Kyrgyzstan had fears associated with a change in family relations (50%), interruption of ART deliveries (16.7%), drug side effects (11.1%). The respondents from Belarus considered the use of psychoactive substances (25%), limit access to ART (25%), memory and attention (25%) to be the most significant. In Armenia, 27.3% of respondents identified memory and attention as risks, 27.3% were afraid of side effects from drugs, 18.2% identified «stress» and «emotions».
Conclusion. Questionnaire is an affordable practical method for identifying the risks of non-compliance with treatment. The multimodality of the identified risks of non-compliance requires the adoption and implementation of a multi-professional approach to minimize them.
Literature
About the Autors
Nadezhda V. Kozyrina, Cand. Med. Sci., Researcher, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; е-mail: nad-kozyrina@yandex.ru; ORCID: http://orcid.org/0000-0001-5134-0054
Valentina V. Belyaeva, МD, Leading Researcher, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; е-mail: labora-et-ora@yandex.ru; ORCID: http://orcid.org/0000-0002-4621-7892
Olga N. Khokhlova, Cand. Med. Sci., Researcher, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; е-mail: x.olia79@mail.ru; ORCID: http://orcid.org/0000-0003-3069-5686
Zoya K. Suvorova, Cand. Med. Sci., Senior Researcher, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; е-mail: zksu@inbox.ru; ORCID: http://orcid.org/0000-0003-4055-289X
Eduard E. Oganesyan, Epidemiologist, National Centre for AIDS Рrevention, Ministry of Нealth of the Republic of Armenia, Yerevan, Armenia; е-mail: eduardhov@gmail.com
Yulya A. Manukyan, Infectiologist, Pediatrician, National Centre for AIDS Рrevention, Ministry of Нealth of the Republic of Armenia, Yerevan, Armenia; е-mail: yulyaman@yahoo.com
Alexander A. Atamanchuk, Epidemiologist, Minsk Regional Center for Hygiene, Epidemiology and Public Health, Minsk, Republic of Belarus; е-mail: alex.atamanchuk@gmail.com
Tamara N. Svetogor, Epidemiologist, Minsk City Center for Hygiene and Epidemiology, Minsk, Republic of Belarus; е-mail: svetogor_tamara@mail.ru
Molmol M. Toitukova, Gynecologist, Republican AIDS Center, Ministry of Health of Kyrgyz Republic, Bishkek, Republic of Kyrgyzstan; е-mail: molmol7777@mail.ru
Erkinbek T. Tostokov, Pediatrician, Republican AIDS Center, Ministry of Health of Kyrgyz Republic, Bishkek, Kyrgyz Republic; е-mail: t_erkin74@ rambler. ru
Dildora A. Mustafaeva, Infectious Disease Physician, Deputy Director of Treatment, Republican Center of Struggle with AIDS, Tashkent, Republic of Uzbekistan; е-mail: mustafaeva_1969@list.ru
Mubarak Yu. Bekmetova, Рediatrician, Republican Center of Struggle with AIDS, Tashkent, Republic of Uzbekistan; е-mail: yuldashovna@mail.ru
Nargiza K. Ismailova, Gynecologist, Republican Center of Struggle with AIDS, Tashkent, Republic of Uzbekistan; е-mail: dr_nargiza@bk.ru
Shohisti Sh. Shomakhmudova, Gynecologist, Tashkent Regional Center of Struggle with AIDS, Tashkent, Republic of Uzbekistan; е-mail: shomakhmudova70 @mail.ru
Nodira A. Alovutdinova, Gynecologist, Tashkent City Center of Struggle with AIDS, Tashkent, Republic of Uzbekistan
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