Cent Eur J Public Health 2019, 27(2):99-105 | DOI: 10.21101/cejph.a4950

HIV prevalence, knowledge and self-perceived risk of HIV infection among tuberculosis patients in Serbia

Maja B. Stošić1, Danijela M. Simić1, Dragan D. Babić2, Lidija Ristić3, Vesna Kuruc4
1 Department for HIV infection, STIs, Viral Hepatitis and TB, Public Health Institute of Serbia "Dr Milan Jovanovic Batut", Belgrade, Serbia
2 Institute of Medical Statistics and Informatics, School of Medicine, Belgrade, Serbia
3 Clinic for Pulmonary Disease, Clinical Centre of Niš, Niš, Serbia
4 Institute for Pulmonary Diseases of Vojvodina, Novi Sad, Serbia

Objective: The aim of the study was to estimate the seroprevalence of HIV infection among TB patients, knowledge, self-perceived risks and testing practices related to HIV.

Methods: We performed cross-sectional study from 10 May to 15 July 2011. Cluster sampling method was used to select 27 hospitals where 289 TB patients were consecutively recruited. Descriptive statistics and multivariable logistic regression methods were used to identify the factors associated with correct comprehensive knowledge of HIV/AIDS.

Results: HIV prevalence among TB patients was 0.3%. Only 25.2% of the respondents presented comprehensive correct knowledge of HIV/AIDS. The percentage of correct answers to all questions related to knowledge about HIV/AIDS increases with educational status (χ2 = 5.42; p < 0.05) and decreases with the age of respondents (χ2 = 8.53; p > 0.05). The independent predictors of correct comprehensive knowledge were living without partner (OR = 4.45; CI = 1.59-12.95) and self-awareness of HIV risk (OR = 4.43; CI = 1.20-16.52).

Conclusion: HIV prevalence among TB patients is higher than among general population in Serbia. The level of comprehensive correct knowledge of HIV/AIDS is low. There is a need for continuous implementation of public health strategy to successfully manage HIV and HIV/TB co-infection in Serbia.

Keywords: tuberculosis, HIV, HIV/TB co-infection, prevalence, Serbia

Received: October 17, 2016; Revised: March 7, 2019; Accepted: March 7, 2019; Published: June 26, 2019  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Stošić MB, Simić DM, Babić DD, Ristić L, Kuruc V. HIV prevalence, knowledge and self-perceived risk of HIV infection among tuberculosis patients in Serbia. Cent Eur J Public Health. 2019;27(2):99-105. doi: 10.21101/cejph.a4950. PubMed PMID: 31241283.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. World Health Organization. WHO policy on collaborative TB/HIV activities: guidelines for national programmes and other stakeholders. Geneva: WHO; 2012.
    2. World Health Organization. TB/HIV facts 2012-2013 [Internet]. Geneva: WHO [cited 2019 Mar 7]. Available from: http://www.who.int/hiv/topics/tb/tbhiv_facts_2013/en/.
    3. Institute of Public Health of Serbia "Dr Milan Jovanović Batut". Report on Communicable Diseases in Serbia in 2015 [Internet]. Belgrade: IPHS; 2016 [cited 2019 Mar 7]. Available from: http://www.batut.org.rs/download/izvestaji/Zarazne%20bolesti%20godisnji%20izvestaj%202015.pdf.
    4. Hiregoudar V, Raghavendra B, Karinagannavar A, Khan W, Kamble S, Goud TG. Proportion and determinants of tuberculosis among human immunodeficiency virus-positive patients attending the antiretroviral therapy center attached to a Medical College in South India. J Family Community Med. 2016 May-Aug; 23(2):88-93. Go to original source... Go to PubMed...
    5. Diedrich CR, O'Hern J, Wilkinson RJ. HIV-1 and the Mycobacterium tuberculosis granuloma: A systematic review and meta-analysis. Tuberculosis (Edinb). 2016 May;98:62-76. Go to original source... Go to PubMed...
    6. Mekonnen D, Derbie A, Desalegn E. TB/HIV co-infections and associated factors among patients on directly observed treatment short course in Northeastern Ethiopia: a 4 years retrospective study. BMC Res Notes. 2015 Nov 11;8:666. doi: 10.1186/s13104-015-1664-0. Go to original source... Go to PubMed...
    7. Zheng Z, Tang Z, Lu Q, Wei H, Geng W. Influential factors analysis on the survival time of patients infected with tuberculosis and HIV. Zhonghua Yu Fang Yi Xue Za Zhi. 2015 Oct;49(10):907-13. Go to PubMed...
    8. Efsen AM, Schultze A, Post FA, Panteleev A, Furrer H, Miller RF, et al.; TB:HIV study group in EuroCoord. Major challenges in clinical management of TB/HIV coinfected patients in Eastern Europe compared with Western Europe and Latin America. PLoS One. 2015 Dec 30;10(12):e0145380. doi: 10.1371/journal.pone.0145380. Go to original source... Go to PubMed...
    9. Campos LC, Rocha MV, Willers DM, Silva DR. Characteristics of patients with Smear-Negative Pulmonary Tuberculosis (TB) in a region with High TB and HIV prevalence. PLoS One. 2016 Jan 25;11(1):e0147933. doi: 10.1371/journal.pone.0147933. Go to original source... Go to PubMed...
    10. Munthali L, Khan PY, Mwaungulu NJ, Chilongo F, Floyd S, Kayange M, et al. The effect of HIV and antiretroviral therapy on characteristics of pulmonary tuberculosis in northern Malawi: a cross-sectional study. BMC Infect Dis. 2014 Feb 25;14:107. doi: 10.1186/1471-2334-14-107. Go to original source... Go to PubMed...
    11. Belay M, Bjune G, Abebe F. Prevalence of tuberculosis, HIV, and TB-HIV co-infection among pulmonary tuberculosis suspects in a predominantly pastoralist area, northeast Ethiopia. Glob Health Action. 2015 Dec 18;8:27949. doi: 10.3402/gha.v8.27949. Go to original source... Go to PubMed...
    12. World Health Organization. Estimated HIV prevalence among TB cases [Internet]. Geneva: WHO; 2011 [cited 2019 Mar 7]. Available from: http://www.who.int/hiv/topics/tb/HIVprevalence_TBcases_2011.JPG?ua=1.
    13. Current epidemiological situation regarding HIV infection in the Republic of Serbia [Internet]. Belgrade: Institute of Public Health of Serbia; 2011 [cited 2019 Mar 7]. Available from: http://www.batut.org.rs/index.php?content=254. (In Serbian.)
    14. Republic of Serbia, Ministry of Health of Serbia, Institute of Public Health of Serbia "Dr Milan Jovanovic Batut". Serbia global AIDS response progress report 2016. Reporting period: January - December 2015 [Internet]. UNAIDS; 2016 [cited 2019 Mar 7]. Available from: http://www.unaids.org/sites/default/files/country/documents/SRB_narrative_report_2016.pdf.
    15. World Health Organization. Global tuberculosis report 2012. Geneva: WHO; 2012.
    16. World Health Organization. Global AIDS response progress reporting 2012. Geneva: WHO; 2012.
    17. European Centre for Disease Prevention and Control; WHO Regional Office for Europe. Tuberculosis surveillance and monitoring in Europe 2012. Stockholm: ECDC; 2012.
    18. Nsagha DS, Pokam BT, Assob JC, Njunda AL, Kibu OD, Tanue EA, et al. HAART, DOTS and renal disease of patients co-infected with HIV/AIDS and TB in the South West Region of Cameroon. BMC Public Health. 2015 Oct 9;15:1040. doi: 10.1186/s12889-015-2331-z. Go to original source... Go to PubMed...
    19. Chen J, Cao W, Chen R, Ren Y, Li T. Prevalence and determinants of HIV in tuberculosis patients in Wuxi City, Jiangsu province, China: a cross-sectional study. Int J STD AIDS. 2016 Nov;27(13):1204-12. Go to original source... Go to PubMed...
    20. Karo B, Hauer B, Hollo V, van der Werf MJ, Fiebig L, Haas W. Tuberculosis treatment outcome in the European Union and European Economic Area: an analysis of surveillance data from 2002-2011. Euro Surveill. 2015 Dec 10;20(49). doi: 10.2807/1560-7917.ES.2015.20.49.30087. Go to original source... Go to PubMed...
    21. Korzeniewska-Koseła M. Tuberculosis in Poland in 2013. Przegl Epidemiol. 2015;69(2):277-82. Go to PubMed...
    22. Raviglione M, Sulis G. Tuberculosis 2015: Burden, challenges and strategy for control and elimination. Infect Dis Rep. 2016 Jun 24;8(2):6570. doi: 10.4081/idr.2016.6570. Go to original source... Go to PubMed...
    23. Institute of Public Health of Serbia "Dr Milan Jovanović Batut". Results of the National Health Survey of the Republic of Serbia 2013 [Internet]. Belgrade: IPHS; 2014 [cited 2019 Mar 7]. Available from: http://www.batut.org.rs/download/publikacije/2013SerbiaHealthSurvey.pdf.
    24. Terán Calderón C, Gorena Urizar D, González Blázquez C, Alejos Ferreras B, Ramírez Rubio O, Bolumar Montrull F, et al. Knowledge, attitudes and practices on HIV/AIDS and prevalence of HIV in the general population of Sucre, Bolivia. Braz J Infect Dis. 2015 Jul-Aug;19(4):369-75. Go to original source... Go to PubMed...
    25. Navaratna S, Kanda K, Dharmaratne SD, Tennakoon S, Jayasinghe A, Jayasekara N, et al. Awareness and attitudes towards HIV/AIDS among residents of Kandy, Sri Lanka. AIDS Care. 2015;27(3):387-91. Go to original source... Go to PubMed...
    26. Deribew A, Abebe G, Apers L, Jira C, Tesfaye M, Shifa J, et al. Prejudice and misconceptions about tuberculosis and HIV in rural and urban communities in Ethiopia: a challenge for the TB/HIV control program. BMC Public Health. 2010 Jul 6;10:400. doi: 10.1186/1471-2458-10-400. Go to original source... Go to PubMed...
    27. Zainiddinov H, Habibov N. Trends and predictors of knowledge about HIV/AIDS and its prevention and transmission methods among women in Tajikistan. Eur J Public Health. 2016 Dec;26(6):1075-9. Go to original source... Go to PubMed...
    28. Brito MO, Davis M, Chakrabarti A. A cross-national study to compare the knowledge, attitudes, perceptions of sexually transmitted diseases and the sexual risk behaviors of Latino adolescents. Int J Adolesc Med Health. 2014;26(2):203-8. Go to original source... Go to PubMed...

    Return to the content