HIV infection in persons with no fixed abode


DOI: https://dx.doi.org/10.18565/epidem.2020.10.3.27-32

Suvorova Z.K., Belyaeva V.V., Pokrovskaya A.V., Andreev A.V., Popova A.A., Pokrovsky V.V., Sedushkina M.A., Bertran E.E., Zakharenko V.V., Volkova N.R., Zhurkina A.A.

1) Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 2) «SAMU Social Moscow» Charity Foundation, Moscow, Russia; 3) «Shagi» (Steps) Regional Public Charity Foundation, Moscow, Russia; 4) «Dom Druzey» (House of Friends) Center, Moscow, Russia
Objective. To investigate the prevalence of HIV infection among people with no fixed abode (homeless persons) in Moscow and to assess the behavioral risks of infection and the possibility of their receiving medical care if they are HIV-infected.
Materials and methods. An anonymous survey was conducted using a specially designed questionnaire and HIV antibody assays, by applying a rapid test for the qualitative detection of HIV antibodies in the paragingival fluid samples of 370 homeless people.
Results. Most of the respondents were men (74.3%); the mean age was 45.7 years. The prevalence of HIV infection among the homeless people was 3.8%. Among HIV-infected respondents, 62.5% reported having a history of injecting drug use. Almost half (44.8%) of the respondents had sexual intercourses, but did not use a condom. Only 5 out of 14 people with previously diagnosed HIV infection received full medical care.
Conclusion. The prevalence of HIV infection among the study homeless people exceeded the rate among the general population of the Russian Federation, but it was lower than that in other key groups at risk for HIV infection. It is necessary to introduce prevention programs for safe sexual behavior and condom distribution among homeless people. It is advisable to develop measures to ensure that the patients of this group have access to medical care for HIV infection.

Literature


1. Покровский В.В., Ладная Н.Н., Соколова Е.В., Буравцова Е.В. ВИЧ-инфекция. Информационный бюллетень № 44. М., 2019.

Pokrovsky V.V., Ladnaia N.N., Sokolova E.V., Buravcova E.V. [VICh-infekciya. Informacionnyj bulleten’ № 44] Moscov, 2019 (In Russ.)


2. Плавинский С.Л., Ладная Н.Н., Баринова А.Н., Зайцева Е.Е. Эпидемиологический надзор II поколения за ВИЧ-инфекцией. Распространенность ВИЧ-инфекции и рискованного поведения среди уязвимых групп населения в 7 регионах Российской Федерации, результаты био-поведенческого исследования, 2017 г. М.: Открытый институт здоровья, 2018. https://docviewer.yandex.ru/view/ 124906048/?*=mJgdr88R0E0mcENRy26WSUNXcpx7InVybCI6Imh0dHA6Ly93d3cuaGl2cnVzc2lhLmluZm8vd3AtY29udGVudC91cGxvYWRzLzIwMTkvMDUvQmlvcG92ZWRlbmNoZXNrb2UtaXNzbGVkb3ZhbmllLXYtNy1nb3JvZG

Plavinsky S.L., Ladnaia N.N., Barinova A.N., Zaiceva E.E. [Epidemiological surveillance of the second generation of HIV infection. Prevalence of HIV infection and risky behavior among vulnerable population groups in 7 regions of the Russian Federation, results of a bio-behavioral study, 2017]. Moscow: Otkrytyy institut zdorovia, 2018. (In Russ.). https://docviewer.yandex.ru/view/ 124906048/?*=mJgdr88R0E0mc ENRy26WSUNXcpx7InVybCI6Imh0dHA6Ly93d3cuaGl2cnVzc2lhLmluZm8vd3AtY29udGVudC91cGxvYWRzLzIwMTkvMDUvQmlvcG92ZWRlbmNoZXNrb2UtaXNzbGVkb3ZhbmllLXYtNy1nb3JvZG


About the Autors


Zoya K. Suvorova, Cand. Biol. 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: https://orcid.org /0000-0003-4055-289X
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
Anastasia V. Pokrovskaya, 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; e-mail: pokrovskaya_av@mail.ru; ORCID: http://orcid.org/0000-0002-2677-0404
Aleksandr V. Andreev, Infectiologist, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; е-mail: dr.ava@list.ru
Anna A. Popova, 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: asya-med@mail. ru; ORCID: https://orcid.org/0000-0001-9484-5917
Prof. Vadim V. Pokrovsky, Academician of the Russian Academy of Sciences, MD; Head, HIV Department, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; e-mail: pokrovsky.vad@yandex.ru; ORCID: https://orcid.org/0000-0002-9514-7288
Maria A. Sedushkina, Programming Director, «SAMU Social Moscow» Charity Foundation, Moscow, Russia; е-mail: sedushkina.ssm@gmail.com
Eva Elisa Bertrand, President, «SAMU Social Moscow» Charity Foundation, Moscow, Russia;е-mail: bertrand.ssm@gmail.com
Vitaly V. Zakharenko, Social Worker, «SAMU Social Moscow» Charity Foundation, Moscow, Russia; е-mail: zakharenkovitaly@mail.ru
Natalia R. Volkova, Case Manager, «Shagi» (Steps) Regional Public Charity Foundation, «SAMU Social Moscow» Charity Foundation, Moscow, Russia; е-mail: natavolkova81 @gmail.com
Alania A. Zhurkina, Director, «Dom Druzey» (House of Friends) Center, Moscow, Russia Center «Dom Druzey», Moscow, Russia; е-mail: domdruga@gmail.com


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