COMPARATIVE ANALYSIS OF MORTALITY STRUCTURE AMONG HIV-INFECTED POPULATION IN THE REPUBLIC OF BASHKORTOSTAN FOR 2017-2019

Abstract

The purpose of the work is to determine the dynamics of mortality rates of HIV-infected patients in the Republic of Bashkortostan for 2017-2019.Material and methods. We used materials from a database obtained in Republican Centre to Combat and Prevent AIDS and In-fectious Diseases in 2017-2019. 3508 registered deaths of HIV-infected people were studied. The mortality rate and mortality index from HIV infection were calculated.Results. Comparative analysis of mortality rates of HIV-infected in the Republic of Bashkortostan for 2017-2019 revealed adownward trend in mortality from 12.4 to 11.4 per 100 thousand people (by 7.9%). The mortality rate from HIV infection decreased from 3.03 to 2.02% (1.5 times). In the structure of mortality of HIV-infected people, the leading place is occupied by HIV infection, including AIDS, in the dynamics their share is decreasing - from 50.1% (22.2%) in 2017 to 39.4% (16.6 %) in 2019The proportion of tuberculosis in the mortality structure of HIV-infected patients decreased by 2 times, and respiratory diseases rate increased significantly from 2.1 to 7.9%. The proportion of mortality from pathology of the gastrointestinal tract, cardiovascular system remains stably high. The mortality rate from sepsis decreased by 22.9%. An increase in the specific gravity of oncopathology was found to be 1.5 times (3.7%), unspecified cases (8.1%) in the mortality structure of patients with HIV infection.Conclusion. Studying the dynamics of mortality rates for HIV-infected people allows us to evaluate the effectiveness and shortcomings of ongoing treatment and preventive measures and introduce new methods of diagnosis, treatment and prevention of HIV infection into clinical practice.