Abstract
Despite long period of propagation of HIV infection among injecting drug users (IDU) in Russian Federation there is still capacity for appearance of new cases. Based on results of integrated bio-behavioral study conducted in six cities of Russian Federation burden of HIV infection was estimated. Several approaches to calculate disability-adjusted life years (DALY) were used. Estimates of DALY depend mostly on mortality associated with HIV infection. It was shown, that estimates also change depending on changing age-dependent productivity and discount rate. Average loss was estimated at 15,1 DALY per one case of infection. Extrapolating these results on Russian Federation as a whole show that due to continuation of HIV spread among IDU every year 595 thousand DALYs are lost. Summary measures of public health should be used to prioritize investment in prevention.
Highlights
Несмотря на длительный период распространения ВИЧ-инфекции среди потребителей инъекционных наркотиков (ПИН), в этой группе сохраняется значительный потенциал для появления новых случаев
Based on results of integrated bio-behavioral study conducted in six cities of Russian Federation burden of HIV infection was estimated
Estimates of disability-adjusted life years (DALY) depend mostly on mortality associated with HIV infection
Summary
Несмотря на длительный период распространения ВИЧ-инфекции среди потребителей инъекционных наркотиков (ПИН), в этой группе сохраняется значительный потенциал для появления новых случаев. For citation: Barinova A.N., Lebedeva A.A., Ladnaya N.N., Zaytseva E.E., Plavinskii S.L. Estimating burden of disease due to continuous propagation of HIV infection among injecting drug users // HIV infection and immunosuppression. Во втором случае (метод «по распространенности», или превалентный) YLD оцениваются просто как произведение количества больных в популяции на весовой коэффициент качества жизни D (фактически, сколько лет качественной жизни были потеряны в данный год в результате данного заболевания), а YLL оцениваются по приведенной выше формуле для умерших в данном году в зависимости от возраста смерти.
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