Abstract
In Russia, the downward trends in tuberculosis transmission are leveled by the growing HIV infection spread. In order to improve the situation, it is necessary to know the strengths and weaknesses of tuberculosis control activities among people living with HIV. The objective of the study: the comprehensive assessment of the effectiveness of activities aimed to control the spread of HIV/TB co-infection in North-West Russia. Subjects and methods. The authors used epidemiological and clinical-diagnostic methods, ranking, correlation analysis, and expert assessment. The epidemiological and clinical analyses were based on the reporting forms of Rosstat on tuberculosis and HIV, data from analytical reports on monitoring visits and data from the questionnaires developed by the authors, for 2007-2017. The correlation between the studied parameters was assessed using Spearman's rank correlation. Results. In North-West Russia, the main tuberculosis control activities among people living with HIV, including logistical support and provision of personnel (Spearman's rank ratio (-0.32177), p < 0.05), a set of preventive measures aimed at the coverage with antiretroviral therapy, preventive treatment and screening for tuberculosis in HIV-positive people (Spearman's rank ratio (-0.03226), p > 0.05) did not provide any statistically significant impact on the spread of HIV/TB co-infection, which indicated of their imperfection and inequality. Conclusion. In the North-West of Russia, the system aimed to control the spread of HIV/TB co-infection requires some optimization.
Highlights
Š¢ŠµŠ½Š“ŠµŠ½ŃŠøŠø Šŗ ŃŠ½ŠøŠ¶ŠµŠ½ŠøŃ ŃŠ°ŃŠæŃŠ¾ŃŃŃŠ°Š½ŠµŠ½ŠøŃ ŃŃŠ±ŠµŃŠŗŃŠ»ŠµŠ·Š° Š² Š Š¾ŃŃŠøŠø Š½ŠøŠ²ŠµŠ»ŠøŃŃŃŃŃŃ ŠæŃŠ¾Š³ŃŠµŃŃŠøŃŠ¾Š²Š°Š½ŠøŠµŠ¼ ŃŠ°Š·Š²ŠøŃŠøŃ ŠŠŠ§-ŠøŠ½ŃŠµŠŗŃŠøŠø (ŠŠŠ§-Šø)
Petersburg, Russia In Russia, the downward trends in tuberculosis transmission are leveled by the growing HIV infection spread
In North-West Russia, the main tuberculosis control activities among people living with HIV, including logistical support and provision of personnel (Spearman's rank ratio (-0.32177), p < 0.05), a set of preventive measures aimed at the coverage with antiretroviral therapy, preventive treatment and screening for tuberculosis in HIV-positive people (Spearman's rank ratio (-0.03226), p > 0.05) did not provide any statistically significant impact on the spread of HIV/TB co-infection, which indicated of their imperfection and inequality
Summary
Š¢ŠµŠ½Š“ŠµŠ½ŃŠøŠø Šŗ ŃŠ½ŠøŠ¶ŠµŠ½ŠøŃ ŃŠ°ŃŠæŃŠ¾ŃŃŃŠ°Š½ŠµŠ½ŠøŃ ŃŃŠ±ŠµŃŠŗŃŠ»ŠµŠ·Š° Š² Š Š¾ŃŃŠøŠø Š½ŠøŠ²ŠµŠ»ŠøŃŃŃŃŃŃ ŠæŃŠ¾Š³ŃŠµŃŃŠøŃŠ¾Š²Š°Š½ŠøŠµŠ¼ ŃŠ°Š·Š²ŠøŃŠøŃ ŠŠŠ§-ŠøŠ½ŃŠµŠŗŃŠøŠø (ŠŠŠ§-Šø). Š¦ŠµŠ»Ń ŠøŃŃŠ»ŠµŠ“Š¾Š²Š°Š½ŠøŃ: ŠŗŠ¾Š¼ŠæŠ»ŠµŠŗŃŠ½Š°Ń Š¾ŃŠµŠ½ŠŗŠ° ŃŃŃŠµŠŗŃŠøŠ²Š½Š¾ŃŃŠø ŠæŃŠ¾ŃŠøŠ²Š¾Š“ŠµŠ¹ŃŃŠ²ŠøŃ ŃŠ°ŃŠæŃŠ¾ŃŃŃŠ°Š½ŠµŠ½ŠøŃ ŃŠ¾ŃŠµŃŠ°Š½Š½Š¾Š¹ ŠøŠ½ŃŠµŠŗŃŠøŠø ŠŠŠ§-Šø/ŃŃŠ±ŠµŃŠŗŃŠ»ŠµŠ· Š½Š° Š”ŠµŠ²ŠµŃŠ¾-ŠŠ°ŠæŠ°Š“Šµ Š Š¾ŃŃŠøŠø. ŠŃŠ½Š¾Š²Š½ŃŠµ ŠæŃŠ¾ŃŠøŠ²Š¾ŃŃŠ±ŠµŃŠŗŃŠ»ŠµŠ·Š½ŃŠµ Š¼ŠµŃŃ ŃŃŠµŠ“Šø Š»ŃŠ“ŠµŠ¹, Š¶ŠøŠ²ŃŃŠøŃ Ń ŠŠŠ§, Š²ŠŗŠ»ŃŃŠ°ŃŃŠøŠµ Š¼Š°ŃŠµŃŠøŠ°Š»ŃŠ½Š¾-ŃŠµŃ Š½ŠøŃŠµŃŠŗŠ¾Šµ Šø ŠŗŠ°Š“ŃŠ¾Š²Š¾Šµ Š¾Š±ŠµŃŠæŠµŃŠµŠ½ŠøŠµ (ŠŗŠ¾ŃŃŃŠøŃŠøŠµŠ½Ń Š”ŠæŠøŃŠ¼ŠµŠ½Š° (-0,32177), p < 0,05), ŠŗŠ¾Š¼ŠæŠ»ŠµŠŗŃ ŠæŃŠ¾ŃŠøŠ»Š°ŠŗŃŠøŃŠµŃŠŗŠøŃ Š¼ŠµŃŠ¾ŠæŃŠøŃŃŠøŠ¹ ŠæŠ¾ Š¾Ń Š²Š°ŃŃ Š°Š½ŃŠøŃŠµŃŃŠ¾Š²ŠøŃŃŃŠ½Š¾Š¹ ŃŠµŃŠ°ŠæŠøŠµŠ¹, Ń ŠøŠ¼ŠøŠ¾ŠæŃŠ¾ŃŠøŠ»Š°ŠŗŃŠøŠŗŠ¾Š¹ Šø ŃŠŗŃŠøŠ½ŠøŠ½Š³Š¾Š¼ ŃŃŠ±ŠµŃŠŗŃŠ»ŠµŠ·Š° ŠŠŠ§-ŠæŠ¾Š·ŠøŃŠøŠ²Š½Š¾Š¹ ŠæŠ¾ŠæŃŠ»ŃŃŠøŠø (ŠŗŠ¾ŃŃŃŠøŃŠøŠµŠ½Ń Š”ŠæŠøŃŠ¼ŠµŠ½Š° (-0,03226), p > 0,05) Š² ŃŠµŠ³ŠøŠ¾Š½Š°Ń Š”ŠµŠ²ŠµŃŠ¾-ŠŠ°ŠæŠ°Š“Š° Š½Šµ Š¾ŠŗŠ°Š·ŃŠ²Š°ŃŃ ŃŃŠ°ŃŠøŃŃŠøŃŠµŃŠŗŠø Š·Š½Š°ŃŠøŠ¼Š¾Š³Š¾ Š²Š»ŠøŃŠ½ŠøŃ Š½Š° ŃŠ°ŃŠæŃŠ¾ŃŃŃŠ°Š½ŠµŠ½ŠøŠµ ŃŠ¾ŃŠµŃŠ°Š½Š½Š¾Š¹ ŠøŠ½ŃŠµŠŗŃŠøŠø ŠŠŠ§-Šø/ŃŃŠ±ŠµŃŠŗŃŠ»ŠµŠ·, ŃŠŗŠ°Š·ŃŠ²Š°Ń Š½Š° ŠøŃ Š½ŠµŃŠ¾Š²ŠµŃŃŠµŠ½ŃŃŠ²Š¾ Šø Š½ŠµŃŠ°Š²Š½Š¾Š·Š½Š°ŃŠ½Š¾ŃŃŃ. ŠŠ° Š”ŠµŠ²ŠµŃŠ¾-ŠŠ°ŠæŠ°Š“Šµ Š Š¾ŃŃŠøŠø ŃŃŠµŠ±ŃŠµŃŃŃ Š¾ŠæŃŠøŠ¼ŠøŠ·Š°ŃŠøŃ ŃŠøŃŃŠµŠ¼Ń ŠæŃŠ¾ŃŠøŠ²Š¾Š“ŠµŠ¹ŃŃŠ²ŠøŃ ŃŠ°ŃŠæŃŠ¾ŃŃŃŠ°Š½ŠµŠ½ŠøŃ ŠŠŠ§-Šø/ŃŃŠ±ŠµŃŠŗŃŠ»ŠµŠ·Š°. Š. ŠŠ¾Š¼ŠæŠ»ŠµŠŗŃŠ½Š°Ń Š¾ŃŠµŠ½ŠŗŠ° ŃŃŃŠµŠŗŃŠøŠ²Š½Š¾ŃŃŠø ŃŠøŃŃŠµŠ¼Ń ŠæŃŠ¾ŃŠøŠ²Š¾Š“ŠµŠ¹ŃŃŠ²ŠøŃ ŃŠ°ŃŠæŃŠ¾ŃŃŃŠ°Š½ŠµŠ½ŠøŃ ŠŠŠ§-ŠøŠ½ŃŠµŠŗŃŠøŠø/ŃŃŠ±ŠµŃŠŗŃŠ»ŠµŠ·Š° Š½Š° Š”ŠµŠ²ŠµŃŠ¾-ŠŠ°ŠæŠ°Š“Šµ Š Š¾ŃŃŠøŠø // Š¢ŃŠ±ŠµŃŠŗŃŠ»ŃŠ· Šø Š±Š¾Š»ŠµŠ·Š½Šø Š»ŃŠ³ŠŗŠøŃ . In Russia, the downward trends in tuberculosis transmission are leveled by the growing HIV infection spread. The objective of the study: the comprehensive assessment of the effectiveness of activities aimed to control the spread of HIV/TB co-infection in North-West Russia
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