Populations Vulnerable to HIV Infection: Behavior and Prevention
https://doi.org/10.35627/2219-5238/2023-31-6-27-35
Abstract
Introduction: HIV infection is a complex chronic disease, the incidence of which remains quite high. The total number of Russians, both men and women, living with HIV continues to increase. The registered number of people infected with the human immunodeficiency virus in the Russian Federation reached 851.8 thousand people at the end of 2021. The analysis of high-risk behavior of vulnerable groups of the population will help update the problem of self-preservation and develop a set of preventive measures for the groups at risk of acquiring the HIV infection.
Objective: To study characteristics of self-preservation of men who have sex with men as one of the key populations at increased risk of HIV.
Methods: We used a 2021 database of men who have sex with men, all clients of a non-profit HIV service organization. A total of 3,455 men who had had sex with men in the past twelve months or those who considered themselves homosexual were interviewed. The survey was conducted in Moscow and the Moscow Region by the Charitable Foundation for Support of Social Initiatives and Public Health. The data analysis was carried out in Microsoft Excel and IBM SPSS Statistics 21.0.
Results: The study has revealed the main determinants of behavior and the components of self-preservation in the study subjects.
Conclusion: The clients of the non-profit HIV service organization included in the survey have high-risk behavior and various social diseases, including the combined ones, such as HIV infection, which must be considered when developing preventive measures for this group of population.
Supporting agencies: The authors express their gratitude to volunteers and staff of the Charitable Foundation for Support of Social Initiatives and Public Health for field data collection.
About the Authors
I. B. Nazarova
N. M. Rimashevskaya Institute of Socio-Economic Studies of Population – Branch of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences
Russian Federation
Russian Federation
Inna B. Nazarova, Dr. Sci. (Econ.), Chief Researcher
32 Nakhimovsky Avenue, Moscow, 117218
R. S. Nesterov
Patrice Lumumba Peoples’ Friendship University of Russia; Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Roman S. Nesterov, postgraduate student, Department of Sociology; Assistant, Department of Bioethics, Faculty of Medicine
6 Miklukho-Maklay Street, Moscow, 117198;
1 Ostrovityanov Street, Moscow, 117997
References
1. Lipova EV, Tarasenko GN, Gryazeva NV. Epidemiology of human papillomavirus infection and associated malignant tumors (review of literature). Rossiyskiy Zhurnal Kozhnykh i Venericheskikh Bolezney. 2012;(3):51-55. (In Russ.)
2. Kondratova SE, Marchenko AN, Petrova SV, Nesterova OA. Analysis of the structure of HIV-infected persons according to sex, transmission routes of infection, age in the region with high level of prevalence of HIV on the example of Tyumen Region. Zdorov'e Naseleniya i Sreda Obitaniya. 2019;(7(316)):44-49. (In Russ.) doi: 10.35627/2219-5238/2019-316-7-44-49
3. Bruno VV. Risky sexual behavior of modern teenagers in Russia. Part II. Sotsiologicheskaya Nauka i Sotsial'naya Praktika. 2019;7(1):113-126. (In Russ.) doi: 10.19181/snsp.2019.7.1.6273
4. Nechaev VV, Ivanov AK, Yakovlev AA, et al. Epidemiology of socially significant co-infections. Risk factors for deaths. Tikhookeanskiy Meditsinskiy Zhurnal. 2018;(3(73)):68-71. (In Russ.) doi: 10.17238/PmJ1609-1175.2018.3.68-71
5. Kuznetsova AV, Vitko AV, Karavyanskaya TN, et al. Parenteral viral hepatitis in the Far East of Russia: Virological characteristics and epidemiology of monoinfection and HIV-coinfection. Klinicheskaya Farmakologiya i Terapiya. 2015;24(1):34–37. (In Russ.)
6. Antonova DV, Bocharov VV, Chrustaleva NS. Risky sexual behavior in people living with HIV. Mediko-Biologicheskie i Sotsial'no-Psikhologicheskie Problemy Bezopasnosti v Chrezvychaynykh Situatsiyakh. 2019;(4):79-87. (In Russ.) doi: 10.25016/2541-7487-2019-0-4-79-87
7. Bazykina EA, Turkutyukov VB, Trotsenko OE, et al. Prevalence and molecular genetic peculiarities of parenteral viral hepatitis B and C among HIV-positive citizens of the Far Eastern Federal District, including those persons sentenced to deprivation of freedom. Zdorov'e Naseleniya i Sreda Obitaniya. 2019;(2(311)):51-55. (In Russ.) doi: 10.35627/2219-5238/2019-311-2-51-55
8. Pozdnyakova ME. Risky sexual behavior as a factor in spreading HIV infection in Russia. Part II. Sotsiologicheskaya Nauka i Sotsial'naya Praktika. 2018;6(4(24)):105-116. (In Russ.) doi: 10.19181/snsp.2018.6.4.6088
9. Plavinskiy SL, Barinova AN, Eroshina KM, Bobrik AV, Novozhilov AV. [Sexually transmitted infections (STIs) and HIV infection in risk groups. Do pathogens spread through the same networks?] Rossiyskiy Semeynyy Vrach. 2009;13(1):26–31. (In Russ.)
10. Tulupyeva TV, Tulupyev AL, Pashchenko AE, et al. Psychological defense and coping strategies of HIV-infected persons from the point of view of danger to public health: Automation of data gathering and results of the research. Trudy SPIIRAN. 2007;(4):357–387. (In Russ.) doi: 10.15622/sp.4.28
11. Beyrer C, Baral SD, van Griensven F, et al. Global epidemiology of HIV infection in men who have sex with men. Lancet. 2012;380(9839):367-377. doi: 10.1016/S0140-6736(12)60821-6
12. Ahmed AK, Weatherburn P, Reid D, et al. Social norms related to combining drugs and sex ("chemsex") among gay men in South London. Int J Drug Policy. 2016;38:29-35. doi: 10.1016/j.drugpo.2016.10.007
13. Hibbert MP, Brett CE, Porcellato LA, Hope VD. Psychosocial and sexual characteristics associated with sexualised drug use and chemsex among men who have sex with men (MSM) in the UK. Sex Transm Infect. 2019;95(5):342-350. doi: 10.1136/sextrans-2018-053933
14. Irvine MA, Salway T, Grennan T, Wong J, Gilbert M, Coombs D. Predicting the impact of clustered risk and testing behaviour patterns on the population-level effectiveness of pre-exposure prophylaxis against HIV among gay, bisexual and other men who have sex with men in Greater Vancouver, Canada. Epidemics. 2020;30:100360. doi: 10.1016/j.epidem.2019.100360
15. Zhang Y, Jamil MS, Smith KS, et al. The longer-term effects of access to HIV self-tests on HIV testing frequency in high-risk gay and bisexual men: followup data from a randomised controlled trial. Lancet Reg Health West Pac. 2021;14:100214. doi: 10.1016/j.lanwpc.2021.100214
16. Hoff CC, Chakravarty D, Bircher AE, et al. Attitudes towards PrEP and anticipated condom use among concordant HIV-negative and HIV-discordant male couples. AIDS Patient Care STDS. 2015;29(7):408-417. doi: 10.1089/apc.2014.0315
17. Bersamin MM, Zamboanga BL, Schwartz SJ, et al. Risky business: Is there an association between casual sex and mental health among emerging adults? J Sex Res. 2014;51(1):43-51. doi: 10.1080/00224499.2013.772088
18. Ivanov AA. The legal status of HIV-positive citizens in the field of labor through the prism of socially significant diseases. Vestnik Povolzhskogo Instituta Upravleniya. 2018;18(5):144-152. (In Russ.) doi: 10.22394/1682-2358-2018-5-144-152
19. Kovalevskaya AE. Social representation and attitude to HIV-infected people in society. In: Gulyaev GYu, ed. Modern Science and Young Scientists: Proceedings of the Second International Scientific and Practical Conference, Penza, May 10, 2020. Penza: Nauka i Prosveshchenie Publ.; 2020;2:205-207. (In Russ.)
20. Vasilieva KM. The legal status of HIV-infected citizens in the sphere of work. In: Judicial System of Russia at the Present Stage of Social Development: Proceedings of the All-Russian Student Scientific Conference, Rostov-on-Don, December 11, 2020. Rostov-on-Don: Bespamyatnov SV Publ.; 2020:1562-1568. (In Russ.)
21. Buniak DV. The role of anti-discrimination principle in establishing and implementation of the right to freedom of movement and labor rights of people with HIV-positive status: A comparative analysis. Vestnik Kemerovskogo Gosudarstvennogo Universiteta. Seriya: Gumanitarnye i Obshchestvennye Nauki. 2021;5(1(17)):73-87. (In Russ.) doi: 10.21603/2542-1840-2021-5-1-73-87
22. Baćak V, Thurman K, Eyer K, et al. Incarceration as a health determinant for sexual orientation and genderminority persons. Am J Public Health. 2018;108(8):994-999. doi: 10.2105/AJPH.2018.304500
23. Van Hout MC, Kewley S, Hillis A. Contemporary transgender health experience and health situation in prisons: A scoping review of extant published literature (2000–2019). Int J Transgend Health. 2020;21(3):258-306. doi: 10.1080/26895269.2020.1772937
24. Dauria EF, Kulkarni P, Clemenzi-Allen A, Brinkley-Rubinstein L, Beckwith CG. Interventions designed to improve HIV continuum of care outcomes for persons with HIV in contact with the carceral system in the USA. Curr HIV/AIDS Rep. 2022;19(4):281-291. doi: 10.1007/s11904-022-00609-x
25. Yavon SV. HIV-infected patients: Discrimination and rights violations. Sotsiologicheskie Issledovaniya. 2016;(6(386)):142-144. (In Russ.)
26.
Review
For citations:
Nazarova I.B., Nesterov R.S. Populations Vulnerable to HIV Infection: Behavior and Prevention. Public Health and Life Environment – PH&LE. 2023;31(6):27-35. (In Russ.) https://doi.org/10.35627/2219-5238/2023-31-6-27-35
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