俄罗斯艾滋病毒/艾滋病在公共卫生方面的全球负担。第1部分

Q4 Medicine
Z. Zagdyn, N. V. Kobesov, E. V. Verbitskaya, V. L. Denuyshenkov
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引用次数: 1

摘要

客观的俄罗斯全球艾滋病毒负担评估,确定1987-20021年取得的进展和悬而未决的问题。材料和方法。对国内外出版物、从Rosstat获得的数据、联邦统计观察表和Rospotrebnadzor艾滋病中心的FNM进行了分析。该研究采用了信息分析、流行病学和统计方法。使用SPSS-26程序进行数学计算。结果和讨论。在俄罗斯,国家艾滋病毒/艾滋病应对战略计划的目标指标正朝着不同的方向提供:在对母婴艾滋病毒传播进行化学预防方面取得了最大成功,但在艾滋病毒检测人群的覆盖率方面有所下降,从2021年30.0%的目标指标下降到26.1%,新发现的艾滋病毒感染病例数量正在下降(2020-2021年从73.7万人下降到71.0万人,而目标指标分别为76.1万人和7230万人),艾滋病毒发病率正在下降(2021年为40.4/10万,而2015年为68.5)。2007-2021年,在艾滋病中心登记的患者的抗逆转录病毒治疗覆盖率从12.4%上升到78.9%。同时,俄罗斯艾滋病毒/艾滋病流行进展的决定因素是异性恋途径(F=75.1,p<0.0001),导致感染渗透到所有人群中。此外,尽管抗逆转录病毒疗法在艾滋病毒感染者中的覆盖率有所提高,但艾滋病毒死亡率仍然很高(2021年为11.6‰,而2007年为7.9‰)。基于艾滋病毒人群的筛查检测数量每年都在增加。抗逆转录病毒疗法患者的覆盖率有所增加,新诊断的该疾病病例数量有所减少。然而,随着观察到艾滋病毒通过异性接触传播的增加,有必要加强信息和预防措施,特别是在生殖年龄组中。尽管PLWH的ART覆盖率有所提高,但艾滋病毒的高死亡率仍在继续。需要根据在俄罗斯各地区进行的大规模社会学研究的结果,全面解决已发现的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The global burden of HIV/AIDS in Russia in terms of public health. Part 1
Objective. Evaluation of the global HIV burden in Russia, identification of progress made and outstanding problems for 1987–2021.Materials and methods. The analysis of national and foreign publications, data obtained from Rosstat, from forms of federal statistical observation and the FNM of the AIDS Center of Rospotrebnadzor was carried out. The study used information-analytical, epidemiological and statistical methods. Mathematical calculations were performed using the SPSS-26 program.Results and discussion. In Russia, the target indicators of the state program of HIV/AIDS response strategy is being provided in different directions: the greatest success has been achieved in conducting chemoprevention of mother to child HIV transmission, somewhat less in the coverage of the population with HIV testing, which amounted to 26.1% versus the target indicator of 30.0% in 2021, the number of newly detected cases of HIV infection is decreasing (from 73.7 to 71.0 thousand people in 2020–2021, versus the target indicators of 76.1 and 72.3 thousand people, respectively), there is decreasing the HIV incidence (40.4 per 100 thousand. in 2021 versus 68.5 in 2015). Antiretroviral therapy (ART) coverage of patients registered in AIDS Centers went up from 12.4% to 78.9% in 2007–2021. Meanwhile, the determining factor in the HIV/AIDS epidemic progress in Russia is a heterosexual route (F=75.1, p<0.0001) leading to the penetration of infection into all population segments. In addition, despite the increase in the coverage of ART for people living with HIV (PLWH), the HIV mortality rate is remaining high (11.6 per 100 thousand population in 2021, versus 7.9 in 2007).Conclusion. In recent years, there has been a positive trend in the coverage of three-stage HIV chemoprophylaxis in pregnant women, women in labor and newborns. The number of HIV population based screening tests is increasing annually. There is an increase in the ART coverage of patients and a decrease in the number of newly diagnosed cases of the disease. However, along with the observed increase in the HIV spread through heterosexual contacts, it is necessary to strengthen information and preventive measures, especially among the reproductive age group. The high HIV mortality rate is continuing to remain, despite the increase in ART coverage of PLWH. The identified problems need to be solved comprehensively based on the results of large-scale sociological research conducted in various regions of Russia.
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来源期刊
HIV Infection and Immunosuppressive Disorders
HIV Infection and Immunosuppressive Disorders Medicine-Infectious Diseases
CiteScore
0.70
自引率
0.00%
发文量
37
期刊介绍: In the scientific-practical journal "HIV Infection and Immunosuppressive Disorders", published various issues of HIV medicine (epidemiology, molecular mechanisms of pathogenesis to the development of educational programs) leading scientists of Russia and countries of CIS, USA, as well as practical healthcare professionals working in research centers, research institutes, universities, clinics where done basic medical work. A special place on the pages of the publication is given to basic and clinical research, analytical reviews of contemporary and foreign reports, the provision of medical care for various diseases.
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