International AIDS Society

Abstract


HIV risk in women from the five most affected regions in Russian Federation: is the epidemic generalizing?



T. Smolskaya1, I. Eramova2, A. Yakovleva3, N. Konovalova1, I. Gurvich3, S. Ogurtsova1, S. Suvorova4, G. Fedotova5, I. Vitushkina6, A. Kolesnik7, B. Tsvetkov8

1North-West District Centre for AIDS Prevention and Control, St. Petersburg Pasteur Institute, Saint-Petersburg, Russian Federation, 2WHO Regional Office for Europe, Copenhagen, Denmark, 3Stellit Public Organization for Social Projects, Saint-Petersburg, Russian Federation, 4Public Organization “Doctors to Children”, Saint-Petersburg, Russian Federation, 5Centre for Prevention and Control of AIDS and Infectious Diseases, Yekaterinburg, Russian Federation, 6Centre for Prevention and Control of AIDS and Infectious Diseases, Kaliningrad, Russian Federation, 7Centre for Prevention and Control of AIDS and Infectious Diseases, Tver’, Russian Federation, 8District Non-profit Public Organization “Anti-AIDS Priangarye”, Irkutsk, Russian Federation


Background: By 2006 43.1% of reported HIV cases in Russian Federation were women and pregnant women accounted for 20-30% of newly detected cases in women. We test the assumption that the HIV epidemic in Russian Federation is generalizing.
Methods: Confidential in-depth interviews of women first diagnosed as HIV infected from mid-2004 to mid-2006 on admission to an antinatal service in connection with pregnancy and childbirth. Social, demographic indicators and behavioural risk factors before HIV diagnosis were retrospectively analyzed in 758 HIV-infected women from the most affected by the HIV epidemic regions of the RF: Saint-Petersburg (n=151), Yekaterinburg (n=153), Kaliningrad (n=150), Tver’ (n=157) and Irkutsk (n=147).
Results: Multiple behavioural risk factors were identified in 758 HIV positive women which can summarised in three distinct (but not mutually exclusive) groups: (1) 39% were from traditionally recognised high-risk groups practicing unsafe injecting drugs, sex work, injecting drugs and sex work; (2) from bridging groups represented by sexual partners of IDUs (43%), sexual partners of clients of sex workers (17%), sexual partners of HIV-positive people (16%), sexual partners of former prisoners (34%), multiple sexual contacts (62%); and (3) 45% from a mixed, multi-risk group, represented by women who had at least one risk in their own behaviour and at least one risk in the behaviour of a sexual partner.
Conclusions: In spite of concerns regarding the generalisation of the HIV epidemic in Russian Federation, the epidemic in the five most affected regions is still limited to certain risk groups and their immediate sexual contacts. However, non-monogamous sexual behaviour practiced by the women raises concern regarding further dissemination of HIV infection into the general population. Surveys of sexual behaviour in the general population are needed to assess the risk of a generalised epidemic.



Mexico City - AIDS 2008
Abstract no. 2008_CDC0236


Suggested Citation
"T.Smolskaya, et al. HIV risk in women from the five most affected regions in Russian Federation: is the epidemic generalizing?. : Mexico City - AIDS 2008: Abstract no. CDC0236"

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