THE ROLE OF THE DRUG ADDICTION EPIDEMIC IN THE SPREAD OF HIV AMONG WOMEN IN TATARSTAN REPUBLIC
https://doi.org/10.17238/PmJ1609-1175.2019.3.67-71
Abstract
Objective: to assess drug addiction epidemic influence on the incidence of HIV-infection among women in Tatarstan Republic.
Methods: We analyzed characteristics of HIV-infection epidemic and drug addiction in Tatarstan Republic from 1987 to 2018. To identify risk factors of contamination we did an anonymous survey
of 208 HIV-infected women.
Results: Direct correlation of incidence rates of HIV-infection and drug addiction was established in 1987–2006 within the Republic (r = 0,73), reverse correlation for 2006–2018 (r = –0,8). From 1996 to 2018 incidence rate of HIV-infection among women increased by 7.6 times. Till 2002 blood-borne route of infection prevailed, from 2003 – through sexual contact. We presented increase in heterosexual transmission of infection from 23.7 % in 2001 to 82.8 % in 2016. According to the survey most women (76.9 %) were infected through heterosexual contacts, nevertheless 49 % of cases HIV-infection was direct or indirect consequence of drug addiction epidemic. Moreover, the number of women infected through sexual contacts with injection drug users exceeded the number of those who were infected using drugs. Cases of physical assault associated with partner’s drug addiction contributed to contamination.
Conclusions: Till 2002 the most part of women in Tatarstan Republic were infected with HIV-infection using drugs. Nowadays sexual transmission prevails; however, the source of infection are men who are injection drug users.
About the Authors
G. R. Khasanova
Kazan State Medical University
Tatarstan Republican Centre for the Prevention and Control of AIDS and Infectious Diseases
Russian Federation
Russian Federation
49 Butlerova St. Kazan 420012 Russian Federation
65 Nikolaya Ershova St. Kazan 420061 Russian Federation
S. T. Agliullina
Kazan State Medical University
Russian Federation
49 Butlerova St. Kazan 420012 Russian Federation
Russian Federation
49 Butlerova St. Kazan 420012 Russian Federation
L. M. Mukharyamova
Kazan State Medical University
Russian Federation
49 Butlerova St. Kazan 420012 Russian Federation
Russian Federation
49 Butlerova St. Kazan 420012 Russian Federation
R. F. Haeva
Tatarstan Republic Narcological Health Centre
Russian Federation
Russian Federation
6 Sechenova St. Kazan 420082 Russian Federation
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For citations:
Khasanova G.R., Agliullina S.T., Mukharyamova L.M., Haeva R.F. THE ROLE OF THE DRUG ADDICTION EPIDEMIC IN THE SPREAD OF HIV AMONG WOMEN IN TATARSTAN REPUBLIC. Pacific Medical Journal. 2019;(3):67-71. (In Russ.) https://doi.org/10.17238/PmJ1609-1175.2019.3.67-71
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