Epidemiological Characteristics of Morbidity and Socio-Medical Care for Prisoners Living with HIV

Konysheva T.V., Nozhkina N.V., Podymova A.S.

Abstract.

The rates of HIV infection among prisoners in the Sverdlovsk region and quality of medical observation in prisons and after release were studied. Retrospective and prospective monitoring, expert evaluation, epidemiological analysis and statistical methods were used. Medical and social characteristics of 3209 prisoners living with HIV were studied. Found, that prevalence of HIV among prisoners is 9.5 times higher than in the population. 72 % cases of HIV-infection were diagnosed in prison. The rates of drug addiction among prisoners living with HIV – 94 %,viral hepatitis C – 92.7 %, tuberculosis – 21.4 %, sexually transmitted infections – 30.2 %. There is a growing number of patients with clinical stage 4 (46.1 %) and needing of antiretroviral therapy (38.6 %). Due to multi-professional approach in treatment and care for people living with HIV adherence to medical observation and treatment increases after release from prison.

Key words:

prisoners, HIV-infection, morbidity, medical observation

Authors

Konysheva Tatyana V.
Ural state medical academy
Nozhkina Natalia V.
Ural state medical academy
Podymova Anzhelika Sergeevna
Sverdlovsk regional center on preventive maintenance and struggle about AIDS
and infectious diseases
Russia, 620028, Ekaterinburg, Repin street, 3, e-mail: konisheva@list.ru