Русский
Role of sociodemographic factors in the preference of behavioral strategies when HIV-infected patients seek medical care
DOI: https://dx.doi.org/10.18565/epidem.2023.13.3.35-42
Suvorova Z.K., Belyaeva V.V., Sokolova E.V., Kozyrina N.V., Semikova S.Yu., Lebedeva E.P., Gorovaya M.P., Rusanovich A.V., Mustafaeva D.A., Usmanova D.K., Dadasheva A.E., Rzaeva A.M., Ter-Gasparyan V.R., Sarkisyants N.K., Bekbolotov A.A., Berdalieva T.Ch., Nurov R.M., Madzhitova T.P., Galiullin N.I., Beshimov A.T., Shegai M.M., Khokhlova O.N., Pokrovsky V.V.
1) Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 2) Leningrad Regional Center for Prevention and Control of AIDS and Communicable Diseases, Saint Petersburg, Russia; 3) City Clinical Hospital of Infectious Diseases, Minsk, Republic of Belarus; 4) Republican Center for Hygiene, Epidemiology, and Public Health, Minsk, Republic of Belarus; 5) Tashkent Institute for Postgraduate Training of Physicians, Tashkent, Republic of Uzbekistan; 6) Republican Center for AIDS Control, Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan; 7) N.A. Semashko National Research Institute of Public Health, Moscow, Russia; 8) Center for Control of Especially Dangerous Infections, Baku, Azerbaijan Republic; 9) Republican Center for AIDS Control, Baku, Azerbaijan Republic; 10) National Center for Infectious Diseases, Ministry of Health of the Republic of Armenia, Yerevan, Armenia; 11) Republican AIDS Center, Ministry of Health and Social Development of the Kyrgyz Republic, Bishkek, Kyrgyzstan; 12) Republican Center for AIDS Prevention and Control, Dushanbe, Republic of Tajikistan; 13) Republican Center for Prevention and Control of AIDS and Communicable Diseases, Ministry of Health of the Republic of Tatarstan, Kazan, Russia
Materials and methods. The investigation was conducted via a questionnaire survey that involved 1083 HIV-infected patients who were followed up in the AIDS control centers of eight regions.
Results. Sociodemographic factors, such as education, marital status, gender, and age, have been found to have a statistically significant influence on the choice of the preferred behavioral strategy during the patient visit to a doctor in 6 of the 8 regions. Regional differences in the influence of sociodemographic factors are shown. Those are found in the choice of the preferred behavioral strategy when visiting a physician. By and large, in all the regions, only 40.2% of patients go to see their physician immediately after the onset of symptoms and 17.6% do this only when they realize that the situation is serious.
Conclusion. In the regions participating in the study, various sociodemographic factors have been found to influence the behavioral strategies during a visit to the physician, which must be taken into account when developing recommendations to improve adherence to treatment in each region.
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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; zksu@inbox.ru; 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; labora-et-ora@yandex.ru; http://orcid.org/0000-0002-4621-7892
Ekaterina V. Sokolova, Cand. Med. Sci., Researcher, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; ekaterinasokolova007@rambler.ru; http://orcid.org/0000-0002-2001-8772
Nadezhda V. Kozyrina, 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; nad-kozyrina@yandex.ru; htpp://orcid.org/0000-0001-5134-0054
Svetlana Yu. Semikova, Deputy Head Physician, Center for Prevention and Control of AIDS and Communicable Diseases, Saint Petersburg, Russia; semsvet@list.ru
Elena P. Lebedeva, Medical Psychologist, Leningrad Regional Center for Prevention and Control of AIDS and Communicable Diseases, Saint Petersburg, Russia; lenoblspid@lenoblspid.ru
Aibeniz E. Dadasheva, MD; Senior Researcher, Center for Control of Especially Dangerous Infections, Baku, Republic of Azerbaijan; aibeniz@inbox.ru
Adelya M. Rzaeva, Head, Admission Department, Republican Center for AIDS Control, Baku, Republic of Azerbaijan; rzayeva.adela@gmail.com
Verzhine R. Ter-Gasparyan, Clinical Psychologist, National Center for Infectious Diseases, Ministry of Health of the Republic of Armenia, Yerevan, Armenia; ver.psychologist@gmail.com
Narina K. Sarkisyants, Deputy Director for Science and Development, National Center for Infectious Diseases, Ministry of Health of the Republic of Armenia, Yerevan, Armenia; sknarina70@mail.ru
Marina P. Gorovaya, Head, HIV Consulting and Follow-Up Department, City Clinical Hospital of Infectious Diseases, Minsk, Republic of Belarus; m.p.gor73@gmail.com
Anna V. Rusanovich, Epidemiologist, Department for Prevention of HIV Infection and Parenteral Viral Hepatitis, Republican Center for Hygiene, Epidemiology and Public Health, Minsk, Republic of Belarus; annar@list.ru
Aibek A. Bekbolotov, Deputy Director, Republican AIDS Center, Ministry of Health and Social Development of the Kyrgyz Republic, Bishkek, Kyrgyzia; aibek_0001@mail.ru
Tattygul Ch. Berdalieva, Therapist, Head, Department of Follow-Up and Treatment, Republican AIDS Center, Ministry of Health and Social Development of the Kyrgyz Republic, Bishkek, Kyrgyzia; farmang@mail.ru
Rustam M. Nurov, Director, Republican Center for AIDS Prevention and Control, Dushanbe, Republic of Tajikistan; rustaminur@mail.ru
Tatiana P. Madzhitova, Specialist (Pediatrician), Follow-Up Department, Republican Center for AIDS Prevention and Control, Republic of Tajikistan, Dushanbe, Tajikistan; tatyana7707@inbox.ru
Dildora A. Mustafaeva, Employee, Department of Epidemiology, Course “HIV/AIDS Problems”, Center for Development of Professional Qualification of Medical Workers, Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan; mustafaeva_1969@list.ru
Dzhamilya K. Usmanova, Employee, Republican Center for AIDS Control, Ministry of Health of the Republic of Uzbekistan, Tashkent; Uzbekistan jamila.usmanova@yandex.ru
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, Republic of Tatarstan; centre_spid@tatar.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, Republic of Tatarstan; beshimov@rambler.ru
Professor Marina M. Shegai, MD; Director Adviser, N.A. Semashko Research Institute of Public Health, Moscow, Russia; mshegai-rhcf@mail.ru; https://orcid.org/.0000-0003-4054-1998
Olga N. Khokhlova, Cand. Med. Sci., Senior Researcher, Specialized Research Department for AIDS Epidemiology and Prevention, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; x.olia79@mail.ru; https://orcid.org/0000-0001-9736-4043
Professor Vadim V. Pokrovsky, Academician of the Russian Academy of Sciences, MD, Head, Specialized Department for AIDS Prevention and Control, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; pokrovsky.vad@yandex.ru; https//orcid.org/0000-0002-9514-7288; Scopus Author ID:7202457043
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