A public health perspective on global burden of HIV/AIDS in Russia: DALY due to HIV infection. Part 2

The aim. To evaluate age/gender differences in life losses and losses related to decrease in social and labor functioning, caused by HIV among population in Russia. Materials and methods . In ecological study, losses caused by premature mortality adjusted for decrease in labor and social functioning (DALY), caused by HIV were calculated, using adapted methodology among men and women of different ages in Russia for 2016 and 2022. HIV morbidity and mortality data obtained from FEDERAL statistical observation forms were used. Results and discussion . In Russia the DALY due to HIV decreased overall by 1.5 times in 2016–2022. In DALY structure, the YLL was prevailed among 35–44 age group and mostly in men, amounting to 1870.6 in 2016, and 1341.4 per 100 000 of corresponding age/gender population in 2022. Among women the YLD was prevailed, with the YLD/YLL ratio in 2016 being 1:1.5; in 2022 this ratio became equal. There is increase in the YLL and YLD among group aged 45 years and older. Among women and men of working past age, the YLL in 2016–2022 increased by 1.5 and 1.3 times respectively, when among women and men of working-age, the indicator, on the contrary, decreased by 1.1 and 1.2 times respectively. Among girls, the YLL in 2022 was more than 4 times (p < 0.001) higher, than similar indicators among young men. Conclusion . Prevailing of losses caused by HIV/AIDS premature mortality (YLL) among working-age population is unfavorable factor, worsening public health quality in terms of preserving human resources, it indicates the need of strengthening measures to reduce HIV burden in country.