Analysis of HIV Incidence and its Clinical Indicators in The Russian Arctic Regions
The aim of population based analytical study is comparative analysis of HIV incidence and knowing its social, epidemiological features, also clinical characteristics among registered by AIDS Centers patients in Russian Arctic regions. Materials and methods. Epidemiological study assessed HIV inciden...
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LLC Center for Information and Legal Support for the Development of the Arctic
2022
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ftdoajarticles:oai:doaj.org/article:51296f36268041ed99bb159d26c2247f 2023-05-15T14:25:24+02:00 Analysis of HIV Incidence and its Clinical Indicators in The Russian Arctic Regions Zagdyn Z.M. Ivanov A.S. Shikina I.B. Golubev N.A. Vasilieva T.P. 2022-09-01T00:00:00Z https://doi.org/10.24412/2658-4255-2022-3-05-20 https://doaj.org/article/51296f36268041ed99bb159d26c2247f EN RU eng rus LLC Center for Information and Legal Support for the Development of the Arctic https://en.russian-arctic.info/info/articles/health/analysis-of-hiv-incidence-and-its-clinical-indicators-in-the-russian-arctic-regions/ https://doaj.org/toc/2658-4255 doi:10.24412/2658-4255-2022-3-05-20 2658-4255 https://doaj.org/article/51296f36268041ed99bb159d26c2247f Российская Арктика, Vol 18, Pp 05-20 (2022) hiv-incidence socially significant infections russian arctic Geography (General) G1-922 article 2022 ftdoajarticles https://doi.org/10.24412/2658-4255-2022-3-05-20 2022-12-30T20:23:42Z The aim of population based analytical study is comparative analysis of HIV incidence and knowing its social, epidemiological features, also clinical characteristics among registered by AIDS Centers patients in Russian Arctic regions. Materials and methods. Epidemiological study assessed HIV incidence trends, its population testing level and main routs, analyzed age-gender, social, characteristics, evaluated reporting system for new HIV cases, also analyzed clinical indicators among registered patients. Information source were federal statistical observation forms (№ 61 and № 4) for 2007-2021. Results. HIV incidence in 2007-2021 increased in all Arctic regions, especially in Krasnoyarsk Kray (39,3-74,3 per 100 thousand population). HIV testing markedly decreased in Chukotka- by 12,3 %, with significant increase in its detectability (HR1,48; 95,0 % CI46,72-0,05). Arctic residents are predominantly infected with HIV heterosexually, especially in NAO - 100,0 %, Republic of Sakha (Yakutia) – 97.0 %, Chukotka and YANAO - 88,0 % and 84,5 % in 2021 respectively. HIV mainly affects the employable population, aged 25-49 y.o, with predominance of male. In some regions (NAO, Republics Komi, Sakha (Yakutia) in fertile groups prevailed women, especially in Chukotka, where rural residents also predominate among those newly infected with HIV (56,0 %). ART coverage of registered patients in the Arctic regions was above the target indicator (75,4 %), with the exception of Krasnoyarsk Kray (66,2 %). The undetectable level of VL among patients on ART in all Arctic regions was above 60,0 %, except for Chukotka (42,9 %). The ART coverage of patients with CD4+ lymphocytes <350 cells/µl also was high and ranged from 75,0 % in NAO to 100,0 % in Krasnoyarsk Kray. Conclusion. By epidemiological, age-gender, social and clinical data of HIV cases, the most vulnerable Arctic region is Chukotka. It needs to provide more in-depth research on factors affecting the epidemic and to enhance measures to control the spread of HIV infection in ... Article in Journal/Newspaper Arctic Arctic Chukotka Republic of Sakha Yakutia Directory of Open Access Journals: DOAJ Articles Arctic Sakha |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Russian |
topic |
hiv-incidence socially significant infections russian arctic Geography (General) G1-922 |
spellingShingle |
hiv-incidence socially significant infections russian arctic Geography (General) G1-922 Zagdyn Z.M. Ivanov A.S. Shikina I.B. Golubev N.A. Vasilieva T.P. Analysis of HIV Incidence and its Clinical Indicators in The Russian Arctic Regions |
topic_facet |
hiv-incidence socially significant infections russian arctic Geography (General) G1-922 |
description |
The aim of population based analytical study is comparative analysis of HIV incidence and knowing its social, epidemiological features, also clinical characteristics among registered by AIDS Centers patients in Russian Arctic regions. Materials and methods. Epidemiological study assessed HIV incidence trends, its population testing level and main routs, analyzed age-gender, social, characteristics, evaluated reporting system for new HIV cases, also analyzed clinical indicators among registered patients. Information source were federal statistical observation forms (№ 61 and № 4) for 2007-2021. Results. HIV incidence in 2007-2021 increased in all Arctic regions, especially in Krasnoyarsk Kray (39,3-74,3 per 100 thousand population). HIV testing markedly decreased in Chukotka- by 12,3 %, with significant increase in its detectability (HR1,48; 95,0 % CI46,72-0,05). Arctic residents are predominantly infected with HIV heterosexually, especially in NAO - 100,0 %, Republic of Sakha (Yakutia) – 97.0 %, Chukotka and YANAO - 88,0 % and 84,5 % in 2021 respectively. HIV mainly affects the employable population, aged 25-49 y.o, with predominance of male. In some regions (NAO, Republics Komi, Sakha (Yakutia) in fertile groups prevailed women, especially in Chukotka, where rural residents also predominate among those newly infected with HIV (56,0 %). ART coverage of registered patients in the Arctic regions was above the target indicator (75,4 %), with the exception of Krasnoyarsk Kray (66,2 %). The undetectable level of VL among patients on ART in all Arctic regions was above 60,0 %, except for Chukotka (42,9 %). The ART coverage of patients with CD4+ lymphocytes <350 cells/µl also was high and ranged from 75,0 % in NAO to 100,0 % in Krasnoyarsk Kray. Conclusion. By epidemiological, age-gender, social and clinical data of HIV cases, the most vulnerable Arctic region is Chukotka. It needs to provide more in-depth research on factors affecting the epidemic and to enhance measures to control the spread of HIV infection in ... |
format |
Article in Journal/Newspaper |
author |
Zagdyn Z.M. Ivanov A.S. Shikina I.B. Golubev N.A. Vasilieva T.P. |
author_facet |
Zagdyn Z.M. Ivanov A.S. Shikina I.B. Golubev N.A. Vasilieva T.P. |
author_sort |
Zagdyn Z.M. |
title |
Analysis of HIV Incidence and its Clinical Indicators in The Russian Arctic Regions |
title_short |
Analysis of HIV Incidence and its Clinical Indicators in The Russian Arctic Regions |
title_full |
Analysis of HIV Incidence and its Clinical Indicators in The Russian Arctic Regions |
title_fullStr |
Analysis of HIV Incidence and its Clinical Indicators in The Russian Arctic Regions |
title_full_unstemmed |
Analysis of HIV Incidence and its Clinical Indicators in The Russian Arctic Regions |
title_sort |
analysis of hiv incidence and its clinical indicators in the russian arctic regions |
publisher |
LLC Center for Information and Legal Support for the Development of the Arctic |
publishDate |
2022 |
url |
https://doi.org/10.24412/2658-4255-2022-3-05-20 https://doaj.org/article/51296f36268041ed99bb159d26c2247f |
geographic |
Arctic Sakha |
geographic_facet |
Arctic Sakha |
genre |
Arctic Arctic Chukotka Republic of Sakha Yakutia |
genre_facet |
Arctic Arctic Chukotka Republic of Sakha Yakutia |
op_source |
Российская Арктика, Vol 18, Pp 05-20 (2022) |
op_relation |
https://en.russian-arctic.info/info/articles/health/analysis-of-hiv-incidence-and-its-clinical-indicators-in-the-russian-arctic-regions/ https://doaj.org/toc/2658-4255 doi:10.24412/2658-4255-2022-3-05-20 2658-4255 https://doaj.org/article/51296f36268041ed99bb159d26c2247f |
op_doi |
https://doi.org/10.24412/2658-4255-2022-3-05-20 |
_version_ |
1766297803384946688 |