دورية أكاديمية
أعرض في EDS

Association between time spent in the Russian Federation and late presentation for HIV among Tajikistani migrants.

التفاصيل البيبلوغرافية
العنوان: Association between time spent in the Russian Federation and late presentation for HIV among Tajikistani migrants.
المؤلفون: Bromberg DJ; Department of Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT, USA.; Center for Interdisciplinary Research on AIDS (CIRA), Yale University, New Haven, CT, USA., Tate MM; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, CT, USA., Alaei K; Institute for International Health and Education, Albany, NY, USA.; Department of Health Sciences, California State University, Long Beach, USA., Karimov S; Republican AIDS Center, Tajikistan Ministry of Health, Dushanbe, Tajikistan., Saidi D; Republican AIDS Center, Tajikistan Ministry of Health, Dushanbe, Tajikistan., Alaei A; Institute for International Health and Education, Albany, NY, USA. alaeiarash@gmail.com.
المصدر: BMC public health [BMC Public Health] 2020 Sep 10; Vol. 20 (1), pp. 1379. Date of Electronic Publication: 2020 Sep 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: HIV Infections*/epidemiology , Transients and Migrants*, Europe, Eastern ; Humans ; Russia/epidemiology ; Tajikistan/epidemiology
مستخلص: Background: Between 700 thousand and 1.2 million citizens of Tajikistan currently live in the Russian Federation, one of the only countries where the HIV epidemic continues to worsen. Given the previously reported barriers to healthcare access for migrants to the Russian Federation, and the rapidly expanding HIV epidemic in Eastern Europe and Central Asia, this present study set out to determine whether these barriers impact late presentation with HIV among Tajikistani migrants upon their return to Tajikistan.
Method: This study uses data from the Tajikistan Ministry of Health surveillance system (2006 - 2019). At time of diagnosis, patients are interviewed by staff of AIDS centers, and doctors complete routine intake forms and complete medical exams. Descriptive characteristics of migrants with HIV who had lived in the Russian Federation (n=503) were calculated and compared with those of non-migrants with HIV (n=9519). Missing data were imputed using multiple imputation (predictive means matching, logistic regression imputation, and polytomous regression imputation). Two logistic models were created to model the probability of late presentation for HIV. The first model shows unadjusted associations between predictor variables and late presentation for HIV. The second model shows multivariable associations between significant study variables identified in the univariate model, and late presentation.
Results: Compared to non-migrants, migrants with HIV are more likely to be from Gorno-Badakhshan region, are less likely to use illicit drugs, and are more likely to have purchased the services of sex workers. The unadjusted logistic model found that for every year spent in the Russian Federation, the risk of late presentation for a Tajikistani migrant with HIV increases by 4.0% (95% CI: 0.3-7.7). The multivariate model showed that when age, sex, and region of origin are held constant, the risk of late presentation for a Tajikistani migrant with HIV increases by 4.0% (95% CI: 0.1-7.8) for each year spent in the Russian Federation.
Conclusion: The results of this paper suggest that if the Russian Federation were to loosen its restrictions on HIV care for foreign nationals, it might improve the treatment outcomes of migrant laborers. As this analysis is only correlational in nature, further research is needed to explicate the causal pathways of the associations found in the present analysis.
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معلومات مُعتمدة: F31 DA054861 United States DA NIDA NIH HHS
فهرسة مساهمة: Keywords: Eastern Europe and Central Asia; HIV; Migration
تواريخ الأحداث: Date Created: 20200911 Date Completed: 20210514 Latest Revision: 20240329
رمز التحديث: 20240329
مُعرف محوري في PubMed: PMC7488340
DOI: 10.1186/s12889-020-09434-6
PMID: 32912203
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-020-09434-6