Sociodemographic characteristics of men and women receiving medical services for HIV infection in 7 countries of Eastern Europe and Central Asia


DOI: https://dx.doi.org/10.18565/epidem.2020.10.3.39-46

Pokrovskaya A.V., Kharlamova E.A., Kadyrova A.A., Almamedova E.A., Grigo­ryan S.R., Papoyan A.S., Svetogor T.N., Sergeenko S.V., Bekbolotov A.A., Rakhimova R.A., Abdukhamedov N.A., Mustafaeva D.A., Pok­rovsky V.V., Akimkin V.G.

1) Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 2) ANPO «Center for Advanced Technologies in Health Care», Moscow, Russia; 3) Research Institute of Lung Diseases, Ministry of Health of the Republic of Azerbaijan, Baku, Azerbaijan; 4) Center for AIDS Control, Ministry of Health of the Republic of Azerbaijan, Baku, Azerbaijan; 5) Republican Center for AIDS Prevention, Ministry of Health of the Republic of Armenia, Yerevan, Armenia; 6) Republican Center for Hygiene, Epidemiology, and Public Health, Minsk, Republic of Belarus; 7) Republican AIDS Center, Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyzstan; 8) Ministry of Health and Social Protection of the Republic of Tajikistan, Dushanbe, Tajikistan; 9) Republican Center for AIDS Prevention and Control, Ministry of Health and Social Protection of the Republic of Tajikistan, Dushanbe, Tajikistan; 10) Tashkent Institute for Postgraduate Training of Physicians, Tashkent, Republic of Uzbekistan
Objective. To investigate male and female sociodemographic characteristics and their impact on access to medical services for HIV infection in 7 countries of Eastern Europe and Central Asia (EECA).
Subjects and methods. The multicenter cross-sectional study with a retrospective model covered 12,500 patients over 18 years of age in 7 EECA countries. The total study period was from 2014 to 2018.
Results. In the population of people living with HIV, EECA showed a preponderance of males who experienced intravenous drug use. Females were more often infected sexually and were diagnosed at a younger age and in the early stages of the disease; in them the virus could be more frequently suppressed during treatment. The lower male adherence to follow-up and treatment is probably due to the prevalence of drug dependence and to their more active participation in the migration processes characteristic of the region. Most of the study participants were employed (63%), married (62%), and had dependent minor children (52%).
Conclusion. In general, the people living with HIV represent an economically and socially active part of the population and participate in demographic processes. To maintain and improve their quality of life is one of the priorities of healthcare.
Keywords: people living with HIV, sociodemographic factors, HIV infection
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About the Autors

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; е-mail: pokrovskaya_av@mail.ru; ORCID: https://orcid.org/0000-0002-2677-0404
Ekaterina А. Kharlamova, Supervisor of Research Programs, ANPO «Center for Advanced Technologies in Health Care», Moscow, Russia; е-mail: info@h-center.org
Prof. Agigat A. Kadyrova, MD, Director, Research Institute of Lung Diseases, Ministry of Health of the Azerbaijan Republic, Baku, Azerbaijan; e-mail: dr.kadyrovah@mail.ru; ORCID: https://orcid.org/0000-0001-5297-9191
Esmira A. Almamedova, MD, Director, Republican Center for AIDS Control, Ministry of Health of the Azerbaijan Republic, Baku, Azerbaijan; e-mail: esmira. almamedova@ gmail.com; ORCID: https://orcid.org/0000-0002-0415-8759
Prof. Samvel R. Grigoryan, MD, Director, Republican Center for AIDS Prevention; Scientific Adviser of the Curriculum «HIV Infection», National Institute of Health, Ministry of Health of the Republic of Armenia, Yerevan, Armenia; e-mail: armaids@ armaids.am; ORCID: https://orcid.org/0000-0002-5406-5999
Arshak S. Papoyan, MD, Head, Department of Epidemiological Surveillance, Republican Center for AIDS Prevention, Yerevan, Armenia; e-mail: arshak@armaids.am; ORCID: https://orcid.org/0000-0002-4454-5163
Tamara N. Svetagor, Head, Department for Prevention of HIV Infection and Parenteral Viral Hepatitis, Republican Center for Hygiene, Epidemiology, and Public Health, Minsk, Republic of Belarus; e-mail: belaids@mail.ru
Svetlana V. Sergeenko, Epidemiologist, Department for Prevention of HIV Infection and Parenteral Viral Hepatitis, Republican Center for Hygiene, Epidemiology, and Public Health, Minsk, Republic of Belarus; e-mail: svetlana-s.v@mail.ru
Aibek A. Bekbolotov, Deputy Director, Republican AIDS Center, Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyzstan; e-mail: aibek_0001@mail.ru; ORCID: https://orcid.org/0000-0001-9931-3311
Rano A. Rakhimova, Head, Division of International Cooperation, Department of Reform, Primary Health Care, and International Relations, Ministry of Health and Social Protection of the Republic of Tajikistan, Dushanbe, Tajikistan; e-mail: r.anisa@mail.ru; ORCID: https://orcid.org/ 0000-0002-7580-5618
Numondzhon A. Abdukhamedov, Epidemiologist, Department of Monitoring and Evaluation, Republican Center for AIDS Prevention and Control, Ministry of Health and Social Protection of the Republic of Tajikistan, Dushanbe, Tajikistan; e-mail: numon.art@mail.ru
Dildora A. Mustafaeva, Cand. Med. Sci., Lecturer of the Course «Problems of HIV infection», Department of Epidemiology, Tashkent Institute for Postgraduate Training of Physicians, Tashkent, Republic of Uzbekistan; е-mail: mustafaeva_1969@list.ru
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
Prof. Vasily G. Akimkin, Academician of the Russian Academy of Sciences, MD, Director, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; е-mail: vgakimkin@yandex.ru; ORCID: https://orcid.org/0000-0003-4228-9044


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