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Main arrow Archive of previous Issues arrow ╣3 2015 (43) arrow TB/HIV CO-INFECTION IN RUSSIA IN THE BEGINNING OF THE 21st CENTURY (2004-2013)
Thursday, 09 July 2015

Tsybikova E.B.
Federal Research Institute for Health Organization and Informatics, Ministry of Health of the Russian Federation, Moscow

Contacts: Erzheny Tsybikova, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Background. The first decade of the 21st century was characterized by substantial growth of patients with TB/HIV co-infection. The number of regions of the Russian Federation with high prevalence of TB/HIV co-infection doubled since 2000 and reached 43 regions representing five largest Russian federal districts.

Irregular prevalence of TB/HIV co-infection in the Russian regions affects quality management of TB-control measures reducing their efficiency.

The purpose is to study epidemiology of TB/HIV co-infection in Russia in the beginning of the 21st century (2004-2013).

Methods and data: data from official statistical forms ## 8, 33 and 61 received from TB dispensaries of the 83 regions of the Russian Federation for 2011. Analysis was conducted using correlation analysis.

Results. Analysis of TB/HIV co-infection morbidity in Russia in 2004-2013 showed that the number of such patients is growing presumably due to HIV patients.

Dynamics of TB/HIV co-infection prevalence in Russia in 2004-2013 represents an upward trend with a cumulative growth rate in 2013 adding up to 777% compared to 2004.

Growth is mainly observed in young age groups: 25-34 and 35-44 years.

The share of TB patients died from HIV-infection in those age groups equals to 86% out of the total number of TB deaths in these age groups.

The share of patients with tuberculosis meningitis in 2013 in the age groups of 25-34 and 35-44 added up to 70% of the total number.

Results of the correlation analysis show that differences in mortality rates among newly detected TB cases in the 83 Russian regions are determined by mortality due to HIV-infection and co-morbidities rather than TB mortality.

Keywords: TB/HIV co-infection; morbidity; mortality; meningitis; correlation analysis.


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