Risk factors for non-compliance with HIV treatment in 4 countries of the Eastern Europe and Central Asia: results of the study on «Reducing the risk of mother-to-child transmission of HIV»


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Abstract

Objective. Study of the risk factors for non-compliance with treatment of HIV-infected women from 4 CIS countries. Materials and methods. Results of a questionnaire of 380 women are reported. The average age of respondents was 35.4 years, 70% of women had secondary or advanced education, 42.1% worked, 40.1% were housewives. The period of living with HIV averaged 4.7 years, 42.6% of women had been living with HIV for 5 years or more. Results. The respondents from Uzbekistan considered the risks related to personal barriers (22.7%), fears and concerns related to family members (22.7%), memory and attention (18.2%) to be the most significant. The respondents from Kyrgyzstan had fears associated with a change in family relations (50%), interruption of ART deliveries (16.7%), drug side effects (11.1%). The respondents from Belarus considered the use of psychoactive substances (25%), limit access to ART(25%), memory and attention (25%) to be the most significant. In Armenia, 27.3% of respondents identified memory and attention as risks, 27.3% were afraid of side effects from drugs, 18.2% identified «stress» and «emotions». Conclusion. Questionnaire is an affordable practical method for identifying the risks of non-compliance with treatment. The multimodality of the identified risks of non-compliance requires the adoption and implementation of a multi-professional approach to minimize them.

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About the authors

Nadezhda V. Kozyrina

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: nad-kozyrina@yandex.ru
Cand. Med. Sci., Researcher

Valentina V. Belyaeva

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: labora-et-ora@yandex.ru
МD, Leading Researcher

Olga N. Khokhlova

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: x.olia79@mail.ru
Cand. Med. Sci., Researcher

Zoya K. Suvorova

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: zksu@inbox.ru
Cand. Med. Sci., Senior Researcher

Eduard E. Oganesyan

National Centre for AIDS Рrevention, Ministry of Health of the Republic of Armenia

Email: eduardhov@gmail.com
Epidemiologist

Yulya A. Manukyan

National Centre for AIDS Рrevention, Ministry of Health of the Republic of Armenia

Email: yulyaman@yahoo.com
Infectiologist, Pediatrician

Alexander A. Atamanchuk

Minsk Regional Center for Hygiene, Epidemiology and Public Health

Email: alex.atamanchuk@gmail.com
Epidemiologist

Tamara N. Svetogor

Minsk City Center for Hygiene and Epidemiology

Email: svetogor_tamara@mail.ru
Epidemiologist

Molmol M. Toitukova

Republican AIDS Center, Ministry of Health of Kyrgyz Republic

Email: molmol7777@mail.ru
Gynecologist

Erkinbek T. Tostokov

Republican AIDS Center, Ministry of Health of Kyrgyz Republic

Email: t_erkin74@rambler.ru
Pediatrician

Dildora A. Mustafaeva

Republican Center of Struggle with AIDS

Email: mustafaeva_1969@list.ru
Infectious Disease Physician, Deputy Director of Treatment Tashkent

Mubarak Yu. Bekmetova

Republican Center of Struggle with AIDS

Рediatrician Tashkent

Nargiza K. Ismailova

Republican Center of Struggle with AIDS

Email: dr_nargiza@bk.ru
Gynecologist Tashkent

Shohisti Sh. Shomakhmudova

Tashkent Regional Center of Struggle with AIDS

Email: shamakhmudova70@mail.ru
Gynecologist

Nodira A. Alovutdinova

Tashkent City Center of Struggle with AIDS

Gynecologist

References

  1. Информационный бюллетень - Всемирный день борьбы со СПИДом 2018 г. ЮНЭЙДС. http://www.unaids.org/sites/ default/files/media_asset/ UNAIDS_ FactSheet_ru.pdf
  2. Беляева В.В., Кытманова Л.Ю. Козырина Н.В. Особенности информирования и консультирования женщин по вопросам ВИЧ-инфекции. В кн.: Лекции по ВИЧ-инфекции. М.: ГЭОТАР-Медиа, 2018; 58-613.

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