Журнал инфектологии (Jun 2017)

Dynamics and structure of mortality of patients with HIV infection in the Siberian federal district in 2006–2015

  • O. A. Pasechnik,
  • L. I. Levahina,
  • A. T. Tyumentsev,
  • N. D. Pitsenko

DOI
https://doi.org/10.22625/2072-6732-2017-9-2-86-92
Journal volume & issue
Vol. 9, no. 2
pp. 86 – 92

Abstract

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Objective: studying of dynamics, level, structure, features of territorial distribution of a mortality of patients with HIVinfection in the Siberian Federal District in 2015.Materials and methods: observation descriptive and estimated epidemiological research of these forms of federal statistical observation of subjects of the Siberian Federal District (SFD).Results: in the Siberian Federal district for the period of 2006–2015 dynamics of mortality of HIV-infected individuals was characterized by a high rate of growth (9,21%). For the entire period of study HIV infection in the region died 31772 patients, of whom 19,3 percent in 2015. The mortality rate of HIV-infected persons died from various causes in 2015 was 31.9 per 100 thousand population (6153). Male mortality is 2.6 times higher than the mortality of women (47,8 and 17,9 per 100 thousand population, respectively). More than 80% of persons died from HIV- infection were urban residents, 99,6 percent were over the age of 18 years. 43.9% of the deceased persons had the HIV-infection as a direct cause of death, they were under medical observation in 2015 (11,2 on 100 thousand population), of which 98.4% of the dead had late stage of HIV-infection. 47,4% of HIV-infected persons, who died from various causes, had coinfection of tuberculosis, mortality from tuberculosis in the later stages of HIVinfection was 12,9 per 100 thousand population. The distribution of mortality of HIV-infected persons in the territory of the Siberian Federal district was characterized by unevenness in the range from 1,3 in the Republic of Tuva to 52,2 in the Kemerovo region.Conclusion. The presence of a clear trend of increasing mortality of people living with HIV on the territory of the Siberian Federal district on the background of high prevalence of infection indicates the need of optimization of preventive measures and epidemiological surveillance system of HIV infection.

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