Role of sociodemographic factors in the preference of behavioral strategies when HIV-infected patients seek medical care

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Abstract

Objective. To define the dominant behavioral strategy for HIV-infected patients during their visit to a physician and to study the influence of sociodemographic factors on its formation.

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 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
ORCID iD: 0000-0003-4055-289X

Cand. Biol. Sci., Senior Researcher

Russian Federation, Moscow

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
ORCID iD: 0000-0002-4621-7892

МD, Leading Researcher

Russian Federation, Moscow

Ekaterina V. Sokolova

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

Email: ekaterinasokolova007@rambler.ru
ORCID iD: 0000-0002-2001-8772

Cand. Med. Sci., Researcher

Russian Federation, Moscow

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
ORCID iD: 0000-0001-5134-0054

Cand. Med. Sci., Senior Researcher

Russian Federation, Moscow

Svetlana Yu. Semikova

Leningrad Regional Center for Prevention and Control of AIDS and Communicable Diseases

Email: semsvet@list.ru

Deputy Head Physician

Russian Federation, Saint Petersburg

Elena P. Lebedeva

Leningrad Regional Center for Prevention and Control of AIDS and Communicable Diseases

Email: lenoblspid@lenoblspid.ru

Medical Psychologist

Russian Federation, Saint Petersburg

Marina P. Gorovaya

City Clinical Hospital of Infectious Diseases

Email: m.p.gor73@gmail.com

Head, HIV Consulting and Follow-Up Department

Belarus, Minsk

Anna V. Rusanovich

Republican Center for Hygiene, Epidemiology, and Public Health

Email: annar@list.ru

Epidemiologist, Department for Prevention of HIV Infection and Parenteral Viral Hepatitis

Belarus, Minsk

Dildora A. Mustafaeva

Tashkent Institute for Postgraduate Training of Physicians

Email: mustafaeva_1969@list.ru

Employee, Department of Epidemiology

Uzbekistan, Tashkent

Dzhamilya K. Usmanova

Republican Center for AIDS Control, Ministry of Health of the Republic of Uzbekistan

Email: jamila.usmanova@yandex.ru

Employee

Uzbekistan, Tashkent

Aibeniz E. Dadasheva

Center for Control of Especially Dangerous Infections

Email: aibeniz@inbox.ru

MD, Senior Researcher

Azerbaijan, Baku

Adelya M. Rzaeva

Republican Center for AIDS Control

Email: rzayeva.adela@gmail.com

Head, Admission Department

Azerbaijan, Baku

Verzhine R. Ter-Gasparyan

National Center for Infectious Diseases, Ministry of Health of the Republic of Armenia

Email: ver.psychologist@gmail.com

Clinical Psychologist

Armenia, Yerevan

Narina K. Sarkisyants

National Center for Infectious Diseases, Ministry of Health of the Republic of Armenia

Email: sknarina70@mail.ru

Deputy Director for Science and Development

Armenia, Yerevan

Aibek A. Bekbolotov

Republican AIDS Center, Ministry of Health and Social Development of the Kyrgyz Republic

Email: aibek_0001@mail.ru

Deputy Director

Kyrgyzstan, Bishkek

Tattygul Ch. Berdalieva

Republican AIDS Center, Ministry of Health and Social Development of the Kyrgyz Republic

Author for correspondence.
Email: farmang@mail.ru

Therapist, Head, Department of Follow-Up and Treatment

Kyrgyzstan, Bishkek

Rustam M. Nurov

Republican Center for AIDS Prevention and Control

Email: rustaminur@mail.ru

Director

Tajikistan, Dushanbe

Tatiana P. Madzhitova

Republican Center for AIDS Prevention and Control

Email: tatyana7707@inbox.ru

Specialist (Pediatrician), Follow-Up Department

Tajikistan, Dushanbe

Niyaz I. Galiullin

Republican Center for Prevention and Control of AIDS and Communicable Diseases, Ministry of Health of the Republic of Tatarstan

Email: centre_spid@tatar.ru

Cand. Med. Sci., Head Physician

Russian Federation, Kazan

Airat T. Beshimov

Republican Center for Prevention and Control of AIDS and Communicable Diseases, Ministry of Health of the Republic of Tatarstan

Email: beshimov@rambler.ru

Cand. Med. Sci., Deputy Head Physician for Outpatient Work

Russian Federation, Kazan

Marina M. Shegai

N.A. Semashko National Research Institute of Public Health

Email: mshegai-rhcf@mail.ru
ORCID iD: 0000-0003-4054-1998

MD, Director Adviser

Russian Federation, Moscow

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
ORCID iD: 0000-0001-9736-4043

Cand. Med. Sci., Senior Researcher, Specialized Research Department for AIDS Epidemiology and Prevention

Russian Federation, Moscow

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
ORCID iD: 0000-0002-9514-7288

Professor, Academician of the Russian Academy of Sciences, MD, Head, Specialized Department for AIDS Prevention and Control

Russian Federation, Moscow

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