HIV INFECTION IN PERSONS WITH NO FIXED ABODE


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Abstract

Objective. To investigate the prevalence of HIV infection among people with no fixed abode (homeless persons) in Moscow and to assess the behavioral risks of infection and the possibility of their receiving medical care if they are HIV-infected. Materials and methods. An anonymous survey was conducted using a specially designed questionnaire and HIV antibody assays, by applying a rapid test for the qualitative detection of HIV antibodies in the paragingival fluid samples of 370 homeless people. Results. Most of the respondents were men (74.3%); the mean age was 45.7 years. The prevalence of HIV infection among the homeless people was 3.8%. Among HIV- infected respondents, 62.5% reported having a history of injecting drug use. Almost half(44.8%) of the respondents had sexual intercourses, but did not use a condom. Only 5 out of 14 people with previously diagnosed HIV infection received full medical care. Conclusion. The prevalence of HIV infection among the study homeless people exceeded the rate among the general population of the Russian Federation, but it was lower than that in other key groups at risk for HIV infection. It is necessary to introduce prevention programs for safe sexual behavior and condom distribution among homeless people. It is advisable to develop measures to ensure that the patients of this group have access to medical care for HIV infection.

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About the authors

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. Biol. Sci., Senior Researcher Moscow, Russia

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 Moscow, Russia

Anastasia V. POKROVSKAYA

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

Email: pokrovskaya_ av@mail.ru
Cand. Med. Sci., Senior Researcher Moscow, Russia

Aleksandr V. ANDREEV

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

Email: dr.ava@list.ru
Infectiologist Moscow, Russia

Anna A. POPOVA

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

Email: asya-med@mail.ru
Cand. Med. Sci., Senior Researcher Moscow, Russia

Vadim V. POKROVSKY

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

Email: pokrovsky.vad@yandex.ru
Prof., Academician of the Russian Academy of Sciences, MD; Head, HIV Department Moscow, Russia

Maria A. SEDUSHKINA

«SAMU Social Moscow» Charity Foundation

Email: sedushkina.ssm@gmail.com
Programming Director Moscow, Russia

Eva Elisa BERTRAN

«SAMU Social Moscow» Charity Foundation

Email: bertrand.ssm@gmail.com
President Moscow, Russia

Vitaly V. ZAKHARENKO

«SAMU Social Moscow» Charity Foundation

Email: zakharenkovitaly@mail.ru
Social Worker Moscow, Russia

Natalia R. VOLKOVA

«Shagi» (Steps) Regional Public Charity Foundation

Email: natavolkova81@gmail.com
Case Manager Moscow, Russia

Alania A. ZHURKINA

«Dom Druzey» (House of Friends) Center

Email: domdruga@gmail.com
Director Moscow, Russia

References

  1. Покровский В.В., Ладная Н.Н., Соколова Е.В., Буравцова Е.В. ВИЧ-инфекция. Информационный бюллетень № 44. М., 2019.
  2. Плавинский С.Л., Ладная Н.Н., Баринова А.Н., Зайцева Е.Е. Эпидемиологический надзор II поколения за ВИЧ-инфекцией. Распространенность ВИЧ-инфекции и рискованного поведения среди уязвимых групп населения в 7 регионах Российской Федерации, результаты био-поведенческого исследования, 2017 г. М.: Открытый институт здоровья, 2018. https://docviewer.yandex.ru/view/ 124906048/?*=mJgdr88R0E0mcENRy26WSUNXcpx7InVyb CI6Imh0dHA6Ly93d3cuaGl2cnVzc2lhLmluZm8vd3AtY29ud GVudC91 cGxvYWRzLzIwM TkvMDUvQmlvcG9 2ZWRlbm NoZXNrb2UtaXNzbGVkb3ZhbmllLXYtNy1nb3JvZG

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