Русский
Self-assessment of health status as a factor for the prediction of adherence to follow-up and treatment of HIV infection: results of correlation analysis
DOI: https://dx.doi.org/10.18565/epidem.2021.11.4.61-5
Sokolova E.V., Belyaeva V.V., Kozyrina N.V., Galiullin N.I., Semikova S.Yu., Beshimov A.T., Lebedeva E.P., Khoraskina E.А., Narkevich A.N., Gavrilova O.V., Suvorova Z.К., Khokhlova O.N.
1) Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 2) Republican Center for Prevention and Control of AIDS and Communicable Diseases, Ministry of Health of the Republic of Tatarstan, Kazan, Russia; 3) Center for Prevention and Control of AIDS and Communicable Diseases, Saint Petersburg, Russia; 4) Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia, Krasnoyarsk, Russia
Subjects and methods. In 2019–2020, a study, one of its stages was a direct written questionnaire survey, was conducted in 2 regions of the Russian Federation (the Republic of Tatarstan and the Leningrad Region). Group 1 consisted of 161 patients interviewed in the Republican Center for Prevention and Control of AIDS and Communicable Diseases, Ministry of Health of the Republic of Tatarstan; Group 2 included 166 patients asked in the Leningrad Regional AIDS Center (Saint Petersburg). The respondents were offered a 10-point scale to rate their health status, the ability and willingness to take care of their health, as well as the readiness to visit a physician and to receive ART.
Results. Group 1 respondents rated their health status as 3 to 10 points (Me, 9.0 [8.0; 10.0] points), the ability to take care of their health as 1 to 10 points (Me, 9.0 [8.0; 10.0] points), the readiness to take care of their health as 0.5 to 10 points (Me, 9.0 [9.0; 10.0] points). 88.1% of the respondents defined their readiness to take care of their health as 8 or more points. Group 1 rated the readiness to visit a physician and receive ART as 5 to 10 points (Me, 10.0 [9.0; 10.0] points). 91.9% of the respondents reported a high readiness. Group 2 respondents rated their health status as 3 to 10 points (Me, 7.5 [5.5; 9.0] points). 42.4% gave a point of 8 or more; 24.2% had 5 or less points. The ability to take care of their health was defined as 1 to 10 points (Me, 5.5 [3.5; 9.1] points), the readiness to take care of their health was as 0.5 to 10 points (Me, 9.5 [8.4; 9.5] points), the readiness to visit a physician and to receive ART as 5 to 10 points (Me, 9.5 [9.0; 10.0)] points). Both groups showed a statistically significant regularity: the higher the self-assessment of their health, the higher the readiness and ability to take care of the latter on their own. The same pattern was observed for the willingness to visit a physician and to receive ART. Self-assessment of health status in both groups did not depend on gender, age, education, marital status, and length of life with HIV.
Conclusion. Self-assessment of the health status can be a simple tool that will optimize the tactics of managing a patient in terms of attracting and retaining him at follow-up and effective therapy, and saving the resources of healthcare professionals.
Literature
1. ВИЧ-инфекция 2019. Информационный бюллетень № 45. М.: Федеральный научно-методический центр по профилактике и борьбе со СПИДом, 2020. http://www.hivrussia.info/wp-content/uploads/2020/12/ Byulleten-45-VICH-infektsiya-2019-g..pdf [HIV infection 2019. Newsletter №. 45]. Moscow, 2020. (In Russ.). http://www.hivrussia. info/wp-content/uploads/ 2020/12/Byulleten-45-VICH-infektsiya-2019-g..pdf 2. Ладная Н.Н., Покровский В.В., Козырина Н.В., Соколова Е.В., Дементьева Л.А. Смертность, связанная с инфекцией, вызываемой вирусом иммунодефицита человека, в Российской Федерации в 1987–2018 гг. Эпидемиол. инфекц. болезни. Актуал. вопр. 2020; 10(3): 54–62. Ladnaia N.N., Pokrovsky V.V., Kozyrina N.V., Sokolova E.V., Dementyeva L.A. [Human immunodeficitncy virus-related mortality in the Russian Federation in 1987–2018]. Epidemiology and infectious diseases. Current items 2020; 10(3): 54–62. (In Russ.).
About the Autors
Ekaterina V. Sokolova, Cand. Med. Sci., Researcher, Central Research Institute of Epidemiology, Russian Federal Service for Surveillance of Consumer Rights Protection and Human Well-Being, Moscow, Russia; ekaterinasokolova007@rambler.ru, http://orcid.org/0000-0002-2001-8772
Valentina V. Belyaeva, МD, Leading Researcher, Central Research Institute of Epidemiology, Russian Federal Service for Surveillance of Consumer Rights Protection and Human Well-Being, Moscow, Russia; labora-et-ora@yandex.ru; http://orcid.org/0000-0002-4621-7892
Nadezhda V. Kozyrina, Cand. Med. Sci., Senior Researcher, Central Research Institute of Epidemiology, Russian Federal Service for Surveillance of Consumer Rights Protection and Human Well-Being, Moscow, Russia; nad-kozyrina@yandex.ru; htpp://orcid.org/0000-0001-5134-0054
Niyaz I. Galiullin, Cand. Med. Sci.; Head Physician, Republican Center for Prevention and Control of AIDS and Communicable Diseases, Ministry of Health of the Republic of Tatarstan, Kazan, Russia; centre.spid@tatar.ru
Svetlana Yu. Semikova, Deputy Head Physician, Leningrad Regional AIDS Center, Saint Petersburg, Russia; semsvet@list.ru
Airat T. Beshimov, Cand. Med. Sci.; Deputy Head Physician for Outpatient Work, Republican Center for Prevention and Control of AIDS and Communicable Diseases, Ministry of Health of the Republic of Tatarstan, Kazan, Russia; Beshimov@rambler.ru
Elena P. Lebedeva, Medical Psychologist, Leningrad Regional AIDS Center, Saint Petersburg, Russia; elenalebedeva@list.ru
Elena A. Khoraskina, Polyclinic Physician, Republican Center for Prevention and Control of AIDS and Communicable Diseases, Ministry of Health of the Republic of Tatarstan, Kazan, Russia; Al_horaskina@mail.ru
Artem N. Narkevich, MD, Associate Professor, Head, Department of Medical Cybernetics and Informatics; Head, Laboratory of Medical Cybernetics and Health Management, Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia, Krasnoyarsk, Russia; narkevichart@gmail.com; http://orcid.org/0000-0002-1489-5058
Olga V. Gavrilova, Social Work Specialist, Leningrad Regional AIDS Center, Saint Petersburg, Russia; olga7519@bk.ru
Zoya К. Suvorova, Cand. Med. Sci., Senior Researcher, Central Research Institute of Epidemiology, Russian Federal Service for Surveillance of Consumer Rights Protection and Human Well-Being, Moscow, Russia; zksu@inbox.ru; https://orcid.org /0000-0003-4055-289X
Olga N. Khokhlova, Cand. Med. Sci., Researcher, Central Research Institute of Epidemiology, Russian Federal Service for Surveillance of Consumer Rights Protection and Human Well-Being, Moscow, Russia; x.olia79@mail.ru
Similar Articles
